Loading...
HomeMy WebLinkAboutPermit Demolition 1989-7-7 IIlfOIUIA1: .:1 ll..:. \\ 726-37;3 Sa. Ftq. /-lJ,in ~q. HI]. Access. SQ. Ft~. Other I llc\~ Add /I.lter ['.co. 0 -rence Demo Chanl)e/Use ; I Owner (~"'-'X'^~' (')~\...1~~ I V.lu, or Hork: Other- - I \ ,\ddrcss ~\V\ r-:~\'LV\\-\ Phone 'llUi!l;inOP~rnlit Info: llcscrlbCI'Jork(l.c., ihnldSlngle (\f\; C. y.,('":j-.. t-\ ~\ 1 \ fM:l11y f!.esldcnce Uith f\ttached (;,lraoe) ~ I '" "'J~R./ d)'Zl..,-,'\'JS:, ~ . r'(l)\ J, ~/\.liA'l'\1_'" k,<0I,i constrUC\io't)'de;:- ~f'llJ) I{ 1 . J\rA n ( IY -----~ - ~~~~~:'5Tl^,1 \n.me) I'ho<,~eddreSS) (lie,. no 0 (...,ir..1 (nhooe 1'0,11, \ liI~l'lcr lO1l L Wl 726-J7ti9 Job Address ~ (~:-C) , t Ll ] Y U'fSi'H lra;fl [LU ~:nCOIV1BQ\JXIM I O,N ^PPLl C^ T I ONI PERMIT E!IERCiY SOURCES: Ileat \'Ia ter Ilea tcr ., LeIJal Dc~cription Rdnqe Primary Structural ~1echan i ca 1 CONTRACTORS),. Genera 1 -:.J Plumbino -7( ((;~~Q 0\ ~() i rO- - --" vf1., "), ~ 'i;V- ~f:\~l~ S'~}i(n~1Z7(),~i I \ I I ELECTR I CAL H((IIAN I C^L I Electrical (teClr\ca 1 t'~ch.'1nical I PLUI1B \rIG -Eh Hf I CIIARef JHl_ r:-rr rllARGL -1!.Q...... F r F r 1.1AR.GL sq, FT. furnace/burner to (HU's Each single fixture Res i denee of Relocated building (new fix. additional) New circuits aIls. or extensions Floor furnace and vent S.F. P.es1oellce (I bc1th) Duplex (1 bath) each ISEnVICES I Recessed wall Soarp h~.'1tpr .'1nd vpnt Storm Se\'/er Of amps. P.pu\ iance \lent 'iPOiu'ate Stationaryevap. cooler . Vent fan hli th sinole duct Vent sySlC~ apart from " heatlno or A.C. ~lechdnica I exhdust hoon ,1 nd duc t. Additional bath Sewer Temporary Construct ion ChanfJc in existing res.idrJlce multifamily, conll:l. or Inrlustri.ll ~!a ter servi cc CO"'\.!l NO. f([O[RS [Ins tJ 11 /a 1 tel'frel oea te distrib. feedpr~ Of amps.\ \-Jood stove/heater I^l; I SSIJ^t:Cf or prRll1T \. IJlA:IE(Please print) I TOT^L CH^RGES TOT^l CHARGES that the Electrical \'Iork be done by an Electricill Contractor, the electrical rortion of this perli\it label has been signed by an Electrical Surervisor .1nG retumed to the Building Division at I \n(orr.\at\oP. hereon is true om 7- ;Z K'7 Zone Tyoe/Cons t. Fire lone 3edrooms Flood Plain Stories FO~ OfFICE USE Oill.Y lJni ts S~. Ft~. Ilain Occy load Sq. Ft!]. Access 6ccy Group. S~, rtg. Other ... x Value Value Value x x TOT^L V^LU^TlOlI BUILOIIIG PERI,IIT Char'les an~ Surcharges II J , ~~+(-~- __Aid ___, _, rence !CK:..:.7 Demo ___J_____..:..:.-' Sidew.lk ..1 Ale Pavjll~ I Curb Cut I Plan 0.. 6S!/Bldo PI.n Ck. JO~/Oldn COlll1l/lnd p.pr rpp ncs f>er Fpp Systcr.JS Development Char<1p. (1.51';) PLUtm I NG PERM IT C~argcs and Surcharges ,EL[CTRIC/.,l p[Rr:1T Charqcs and Surcha rge5 I1ECIIA/IICAL P[P./11T Cha rgc sand Surcharl)es Total (omb. Permit ft:: I I TOTill '> COMBINATION APPLICATION/PERMIT (CAP) r. Applicant to furnish A. Jab Address B. legal Description 1. ~xam21e- Tax Lot lOa, lane County Map Reference 1/ U3 43 2. example- Lot 1. elock 3. 2nd Addition to ~prlngtield Estates C. Name. etc. of owner and construction lender O. Energy Sources . 1. exam~le- heat/electrical cel1in~/or forced air QdS 2. examplc- waterheater{electrlcal/or solar E. Square footage or valuation. etc. - 1. examole- 1250 sq. foot house, 500 sQ. foot garage 2. exam~le- Tflnew project. check-new - if addition, check add. etc. F. Building permit information": 1. example - construct single family house with an attached garage 2. examole - remodel existing garage into family room 3. eXdmole - COnvert single family residence into .restaurant (change of use) G. Value of work as defined in Section 303 (a) of the Structural Specialty Code H. DESIGN TEM1 AND CDNTRACTORS To avoid design or construction delays. Building Division Staff must be able to contact appropriate persons regarding design information or job site corrections. etc. II. Abbreviated Plumbing, Mechanical. & Electrical Schedules A. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacent to the appropriate item(s} to be installed B. Full Plumbing. Mechanical. and Electrical Schedules are available at the Building Division 1. To conserve space on the permit form the schedules have been abbreviated 2. If the item(s} to be installed are not covered on the abbreviated schedules you should consult the full schedules C. BU1LDING OlVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES D. As noted on the CAP. the label must be delivered to the electrical contractor for signature by his electrical supervisor. The general contractor is not authorized to sign the electrical label. --- III. Applicant to sign and date Whenever possible. the initial application will be used as a worksheet only. Where possible. Building Division Staff will prepare a type written copy and return it to the applicant at the time the actual permit is issued for his signature. IV. Fees and Charges Plan check fees are due and payable at the time of the application. and no plans will be processed until these fees are paid. All other fees and charges are due and payable when the permit is issued. V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAtlCY: ~ . PERMIT VALIDATION n/SC ~/' I . \\0 ... I permit~\D~ .. Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: name signature . . date