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HomeMy WebLinkAboutPermit Building 1989-4-18 '.' Im~~~MON LINE . COMBlllmIiNU1p~m~m~~~ERMIT . , Job Address /J} )'O() (7.rrf(j1 J Yl.Lf ~~~~r~R~~. I.eg.l Oe<cription-/1_ 03 .7;;;;.-oo-al/)1j/5iZ()(j..2:l/Y' IJ.ter Ite.ter ' (lJuld Lk.-io,-JI; EB-03- ~ 1..iot. OTI,A8&l . R.nge - - ValUE of Work: Owner (1,CU\~ \'0&... Gm~ '3/:(8~-5/t:>.'25" Address \ ~0 1\\ .1 ^Y\.l.... \.rr. CI. .\......1 Phone Buil"inQ Permit Info: Describe Work(l.e., -:'J 1"\ 0.. \J.....\!..) \-\\. "-u.- \0 \LA Family rtesidence Hith Attached Garaoel y'r\(\\'f\O\ 0J=\ QI4?1(O Construction Lender I NFOR/IATlON 1I Nt 726-3753 Sq. Ftg. '.I.in ~q. Ft!J. Access. Sq. Ftg. Other ,k'llew_Add_Al ter -,~ep. Fence Demo Change/Use Other- - 3) Jj -- ffi Bul1d Slngle ti.Q 1\ \I ~ \:k.D.,\v \ '--~ AJtlrc$s Pholle' ~ Di:.::illiN n.Ar~ {name) (address I flies. no.) (exniresl (ohane no.l Prim.ry \:)~X\C~ .\ r", -n.ru.~_. -AlfL tQ() A €. JjD () ffry 110..0 ~Cll::CL ffi3N'; ">19l'~ WAf"'""'7~e /)"~ SU'?i/:S.~ J . Structur.l /I/.,;r.d.k'H'.-I1I,<,~~.j ~~'u"'.". 1__.4. ~~9 ("~ 2S:3-,.;,~S? , "' . Mechanical CONTRACTORS I n.rne 1 General~""c. .L~_-_~?'s:. --Z~~T. Plumbinn ?f nH\O Electrical ~~ Relocated building (new fix. additional) Electrical ~1echanical NO. ~I Each single fixture (address) (1 ics. no. l (exoi rps l (ohone no. \ j,,;<j' hil7 79"'",-0/707 PI.UIIBIIJG MECItANICAl ELECTRICAL FEf Ctll\RGF NO. FFF r~ARhF NO. FFF fHAPGL Residence of furnace/burner to I"'"' /'-/?7"""" BTlI's .,,, Z -'ORCA Floor furn.cel,l;1Jf4 ;z::Z.G'''' 1i"' .nd vent r:tZ Recessed wall 1'/ ~:;?'~~~~ G..... $'I.~' Appl lance vent seoarate Stationary evap. cooler Vent f.n With~~7,.'.L"1 ... sin~le ductl#.../:f...(;7 .,.J Vent system apart from I '/' he.ting or A.C.I(.:t1'-:<'.4- Mechanical exhaust' . I hond and duct I 7.~ IYz.g, ?~t:> ~;4~ SQ. F1. New circuits alts. ~ or extensions ., .,;:r ~6J1r~ SERVICES 6. at> ;?q - S.F. P.esidence 11 b.th) Duplex (1 b.th) each .mp~ ~,,~ ~ 3<:> ~ .?'P.nc-~ 17 -:2":2$'4. V-So '57.~ "'3'3 At.fl~Z;Ce"?:r I 41a:>"". !J/.~ 1 %?;.~~E'~ I 6p.p/9 ~..-P TOTAL CHARGES 6<1>7. S"e> TOTAL CHARGES ggy.. - TOTAL CHARGES "'3:Jb. <>0 WHERE STATEl:\\~ REQUIRES that the Electrical work be done by an Electrical Contractor. the electrical portion of this perr.lit shall not be valiJ until the label has been signed by an Electrical Supervisor and returned to the Building Division Additional bath ~Iater service Sewer Storm Sewer ITempOrary Construction IChange in existing ,rp<;.idpnc~ Imultifamily, comm. or Inrlustrial / IOf ~p .mps, I CDr11'1. / I NO. FEEDERS Install/alter/relocate rli<;.trih. fppders & ~S'.e ~ -:1Y- "C ':lIC'.'" Hood stove/heater :::z Of /<A:::> SOt:> I~- Sf? ~.~ _SiP "1...-<> 'ISSUANCF OF PFRIIIT I HAVE CAREFULLY EXMlItlED the completed ap['llication for permit, and do hereb.v certify that all information hereon is true and correct, and I further certify that any and all I~rk nerformed shall be done in accordance with the Ordinances of the City of Springfield and the laws of the State of Orel)on flertaining to the- work:'described herein. and that UO OCCUPAUCY will be made of any structure without the permission of the 13uildin9 Division. I further certify that my registration ".Iith the Builder's Goard is in full force and effect as required b.v ons 701.055. that if exempt the'ba. 0 exemption is noted hereon. and that only subcontractors and emflloyees who are in compliance with Or.S 7Dl.055 will be ed on his project. 11AI-1E(ple.se print) Zone C~ ri re Zone Flood Plain BUILDING PERI-lIT Charges anc Surcha rges PlU'~BING PERMIT Cha rges and Surcha rges ElECTR I CAl PERI~IT Charges and. Surcharges 'IECItAN I CAI. PERMIT Charges and Surcharges fA'i KA\ \Q..-.s om l.t"'JS-8!l7 Tyoe/Const.~ ~m'. U~its , I3edrooms SIr.IIATURE FO~ OrFICE USE OIllY V (1/ . Sn. Ft9. 11.1n..1/.... ~_,c; x -:/7. .')'0 v.lue~. 7/$. 'f5;3./.d Sq. Ft~. Access~.4v-5: .?z x/?ltf:) V.lue '/"~.i';OY7./!f S9. Ftg. Other.::.lt9.:.~ &....,,'-", 1 V.lue- ~~ ~....' TOTAL VAlUATlOtl3. 78B. S"/~,2. :- Stories / Occy load Occy Group tl?~ " , Pl.n Ck. COlllll/lnd :;:-5"/6, 5"P 65X/Bldn Ppr Fpp - .. ---;-P'f'an Ck. Res 27S':.. $1~ 30%/BIdn Per Fee __~?:.~~_~ Fence ~, ?&,.. Demo __i?~~~~'__ Sldew.lk 1/'/, 20 AIC P.ving __ _ 3.1~ ~':.:..... Curb Cut /6.~~ Systems Development Ch.rqe (J.51) </9.327. 6S <3Z~5: 73 T,ot.T Comb. Permit Z 7/1.2/ '. TOTAL 6q 1~'/. ~., "'i"-C--'- .__.~- _ , . .,'" . :-'r _,I' COMBINATION APPLICATION/PERMIT (CAP) I: I "i Ill. . PERMIT VAll DATION Applicant to furnish A. Job Address B. legal Description . .. ') . -, 1. example- Tax lot 100. lane County Map Reference II UJ 43 2. example- Lot 1: Block 3, 2nd Addition to Sprlngfield Estates C. Name. etc. of owner and construction lender O. .' ~nergy Sources '0-"1. exa"!Ple- heat/electrical ceilinq/or forced air Qas . 2. examDle- waterheater/electrlcal/or solar E. Square footage or valu.ation. etc. - . ,I. example- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project, check new - if addition, . check add, etc. '0" F,. Building permit information: 1. example - construct single family house with an attached garage 2. examole - remodel existing garage into family room 3. example - convert single family residence into restaurant (change of use) G. Value of work as defined in Section 303 (a) of the , Structura I Speda lty Code H. DESIGN TEAM AND CONTRACTORS 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. BUILDING DIVISION 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. - 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 signa ture. 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 payab 1 e when the permit is - issued. , , \ V. FOR OFFICE USE ONLY Permit C1 erk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: "Permit app1 icant exempt from registrati on with the Buil der' S Board' because: f :;, " .'Addi ti ana 1 Project ,Infonnat.i on: ~ -k"..& "~7k)'; PLANS REVIEWED BY: name Lt?8//e ~.~ ,,~ Signatur~~ ~ // ~ date ~~/-t!5'7 , " 'jINS"",CTlOtl LINE' .' CITY.OF SPRINGFIELD '.. ' INFORllAnON LINE, ',I ~ ne-J769 '. '. ...' ..' COMBINATION APPLICATION/PERMIT' ." ',' , ; ",:.'.' '726~J7b~W~I",,\j.fo\'!' '~}:,j:!! . "J' b;"Add"'~A~Y1.l..m7")"'';p;~'' /I;."",;'V')i'~.""i"~"',''''1'':'''.~' ~.ElIER, GY"~OURCES:"'""',d~'~, ""'!'f~~'1~, F.~g.~!~.1~!lIII!J:,:;;:, :c~_~~. ~,~",!d,' ,0 r.ss (""/ U ('7 C)~ J J..)f.. b.. lI.at~ -1f1 ~.' "+ ;. ~q. ,ftg.iAcc.sst I~l,...(;,'\", "l!J~'" " ;Cegal De,criPtlonil/1J:('/,ll3,;:"""":':'A"'- _'l/'/lG} ,-?N\ 2'?1v I lIat.r lI.ater ).:,+)1'1 !i~'sqJ,F~9:1o~~e~HIII'.!;~;",:.J;:"", ~.: ~, " .. . .' c.;I,. '.-?foo(.. 'Ul/ ex rF/1 r.tlA./. "Y I ; ..: I .. : )4'ew 'Add' :jAltl!Y:P~P.ep.:.'r:. -:)~~' - ,~ ~(I^^d II-. L 1/::t:U>^3-~<iL....J.cn AM.\ II' t Rann' -.-. ....J.nc.~~~mo.!:rc16.ng~!:Ys,~.. . ,", \ , to-UJI .~....w. c...o'V K~ J ~~.. ValUE of Hark:' _Other '..':....l.~l"..'lo.....~.r: ~ I 'Own.r ('1' I\f'\~' -r^ (\ . r._ r-r--... ......\J ,~ :3 ...,...... -5,'.0 ..."L" .. .... , . '''''~l'"P''''.:".. - !~.- ~ ' . .\. ~\ \ ~-" 0,,,-- J\J.-1\~1 ,/.c,e/1~, #~ ..&.~. ....,... ~: IAddress' \c..0,' \ \ I ^l\1.. on D\......I PhO';;',' Buil,;inQ'P."nit'Info,' O.scr.b. Work(l:':'::iBuWdl'.Slngl.: ',.." . h. -:.) f'\ \.k!l... . \\ \ t-...u- \0 \LJ ~ Familv rl.es1dence liith Attached GaraQe',j ,...P11I~ " '- '1'1 n C"" . f\ l\ q" (,. . "0'" ". "".,.' .,.0'0" J.': ~""""t'~jll'il ',' ~ , T \\ (\ \ f\() \ \. Ji 1421 0', ' <~J",~J bh,T':;'!"",': . '.' , ~ ; ;Construction Lender .. r ~~R7\")\I~~'~~ll"'~H~. :~ - j I' (oJ I' ", ',' ' 1"":J'."~.I,.,.JI'\:.~P,~\,II..lll -l,Pi:,-~~j~,IIIU;" i.~ Address Phon~ . ' '". Ir"I'I"",~'\":~,'i~'''~'f'''l''''\'' ...;'r::........~. ~l I J'l'l DESIGrllEAI1 lnamel (address' (lies; no.l :....t.(exoires).. ","II'(DhoM nO.1 4:.0 iprimarY\)~\l~CX"~ \ ~ llAP _ ,Q1'0 tQO".A.e. ;f)l>'O"'ffrYJlO.0H~c(t~HlwNQi. . , ." ~ .-/9/$ W~T~~IYS;:: ~,...~~ I . .,.1"1 .11'.....,..')l!;l~Jj" ~., 'Structor.10<7.d.:l?II.~~... ~_/__4--. 9...,.k9 .........".,(~.'2~~.'S'?"S? t ~, ." ',j.i . ' "'"". "II.,' . -,' '" t>;(~t II ,'i. Electrical . ""'1;' ,i,,;r(i:i:. ~; JQ..,.I ~I' E.ch single flxtur. . c,"Y Iii" '.,) t' "I '.,:' !l' (e2(niresl'l' .,.... qjJ'phorv~ no.\ ':" '''':k.R'~7:y~-ho7 ;i t.'.. t'; f\ ~....;J .',d~q9 .11 ':i" .I _ . :,. .,:. .1. H ,,,~Un 'I -11 -~, :.-, ":1 J ",. '~f.;J.: flQl~~llIl :. '. ",1(' f."l ~....l, t.,.. I ".,...~".., .,..,;f Ur .).l;~ . i!l:"j t:ICl.illb .," ".,!..., ",,) r,\..,.I~..,. ..' ""1' ,',.",0, . .".!.J ",o"w."J~'Um .1, ~ ! "d. . . !,:. ~,!"I .:: '.MEC~NICAHlr~ II ~H r~ARGL _NQ~' t; " I......... ,~\.I!L.EF!=' f11lWiE.. Resid.nce of " "'.',' ,'0 :1~~%bUrn~r.;to'~.\I(~ .11 .a sq. FT. :" '4~"....k~BT~'n~~ ~~Irz.~ "'. floor., iurn.c./,('f)1.C. fl ,.. ..,..,......'" ,1iO' .nd,Y~ntli'l:l!~JII~\ (.01> 7....~ "''''....., .,' . ! nL' . 7-< ~ . Recessed"wall (ftll:HP . . , .~; ~ I~i ~~ailjrr G~.#D $i.~ 'J t ,Il '-It) Appliance ven~Jh,dll'~ '0 'seoari\tp , . ,-~ . {:rl ISta.tfon~.ry ,,~y.aPt'2J.'~ I' i). it c.ooler , ,~ ~_. U . '. .al. ,V.nt .f.n wi th~'>.~l~'?,; ,,;:0>' ..,<1' ~ sin!Jle. dvct/PI~i,I:1: ;.J ,110'/1' !'1 q/c-~ ;(,~, .V.nt. sY1t.m ~Pv.t',~~9m: ju I-.A" 'l/!I.,.Jfl 'C:>' heatfnt;! or_A.C.l.l~~;t~',7 ,-""~ t"' COI~'1./ttlD. FEEOERS Mech.nic.l,'.Xh.U,~tJln~f! 'I; I \1 hnnd and d~ft .,)1 n, I. dl~Stta~hl/afltedr/relocate I I " ..[, \fl.'! Woodllstove"i'h~~'t:~;5lllr p ~r;l. ~ 1 S f1, ee pro; . , '.' , J .. . .' ~ . .... ~ .... .""1" .11" " ."" U ::2 Of "/"""" ' amp~ "..$'~~~ ~"''''t-~'';;;';'''';'':..;' "'L"&J /'I'" _.__ 't.J."-I.~ "'~,......~/ ...., ..i)l ;),.'O, ~., ,~.......~, .,~", ,.::"...'111..... "., ~" ,1'7 '2':2:?4. Po5&> '57. 37 Atfl~.?C"~::i; ,,'sl?~. ~ , .' "< 4-I"Y4'~"~"'""'."'IIC""I'"' .,. .,. / Wvr:>-#. !'/.~ 2.. ~DLC..':!.-!,'.;,:~l ( SiP .'(. " ~,\.:'t<'~~."".'lt.Pl~~..,., . ~.l':v..m i",.',~':'J ~/' i6~',IJ!'~' 'ro'" '~1>I1'. ~''i~~~~ISSUANCF.tn~-PfR~IT~~ .TOTAL CIIARGES 6:P7. S'C> TOTAL CIIARGES"'I.;.I;::i 1'1: ".2?g'7-i~;!i'rOTAL i:'AARGES':ll!tiOf:{)jllib3'g-b?'~"""~ It WHERE STATE L.\H REQUIRES that tile Electrical \~ork be done by an Electrical Contractor. the electrical portionlfof this\permit~' shal.l not be valiJ until the label .has been signed by an Electrical Supervisor. and returne.d to the Building DiviS'ion"'."" ....',\~.;. .:.'. " '... . '. ,', ' ' , . ,'. ',1111: " \, .' 'I I HAVE CAREFULLY EXNlINED the completed application for permit. and do hereby certify that all information ~~r-eon is true ~ and correct. and I further certify that any and all I~rk oerformed shall be done in accordance with the Drdinances10f the City' of Springfield and the laws of the State of OrelJon nertaining to t~e work described herein,-and.that'''O'OCCUPAI~CYHwill be' made' J;. of any structure without the permission of the Building Division. I further certify that my registration with'thc:Builder's i~ Goard is in full force and effect as requIred by Or:S 701.055. that if exempt the ba' 0 exemption is noted her-p.on, and that ?,nly subcontractors and emrloyees who are in comoliance with Or.S 7n1.055 \'Iill be ed on his project~--'~":.-llr:~~'~~.~- ~l _ ~ . ~ ~.: .!~~ '" UAIIE(pl..s. print)~A\ \Q..-.s .: " ., '!i'SIr,I;~T~RE ,,' - ." :--;,:,~..~ ,~:;~'~;n';Q~lFf;q,~:/S';-8~ FOr.OfFICEUSEOULY' J" {~ , .. '4.,. .\..~IUl!......~...~........_~tI Sn. Ftn. 110 in..i/.... "HYG~, ~<. .')"0 V.1U~!;~~/.(-:..,.,S3.ii Sq. rt~:' Access~'!'''~';"~'x'/9--/.o-V.l.u;'''''/-;J;' -0 . -.I. Sn. Ftg. Other.::Vt9i'~fi~e:',/(v.'luJ:'li ~\'~ ~ '....~ ,'. 1,'TTOTACVAlUATIOJ~:::)/..:II;:? . . " ,- .' ..' ", '''1~t I !.""'~i A ... ,,- Syst., ms D.v.lopment.. .....)11'1(:.";.,' ...,., "'-''1, Ch.rQ' (J.5~) , : . 'Ylj~'S'27. ~d if .,-'~~ : ,,~. :. . :"r~i I H~f : . . .' 'j'~' f1 . ....._..._ ... ....~._.... __...._ .~ ~~....,~ .-'....-.l.._.._~ I 1II~; ~ Mechanical CONTRACTORS [n.m.1 'G.ner.l~~...< ~T#.c>..z:-~ . ,. ~1 , {address' (1 ics. nOI l " Plumbino , n : ~ Electrical , .' I! ~ ~, j" ;,' ~ Hechanical .' PLUlfB IIIG \ 'I',' r, ELfCTR I CAL' FEE C11'1llGL JlD....... ' ;;:~p 6:>~~ " Relocated bu; lding (new fix. additional) or New circuits alts. or ex tens f ons,' , .., 6R hh6;t{~ SERVICES S.F. Residence (I bath) Dupl.x (1 bath) each ,.1 .' Sewer Temporary Construction Change in existing rpc;.iderce multifan1ily, conlll.. or Irii1ustrial tf! Additional b.th ~Ia ter serv i ce .\'>j i I Storm Sewer I Of ~.P , 'amps.j. ': 1'1(' Zone~, _ _, F,l re 7.one Flood Plain Tyn./Const.~~~<-_Uri ts Bedrooms . Ocey load Stories / 'Occy Group g'7 -5:- S/6._til€'_ -- "-''Z7$': .s33 PLUt~BltI~ PERMt.T __ __~?:.~~~:' . Charges and "i....,,'.m:..... ..... ".,,=,,-_., '''''''''''''' . I Surch.rg.s ;Ie, ?$,," i ELECTRtCAL PERI~IT _ _'_B.~'$_ y.~, ' ,Charges and. .! Surcharg.s.,.." "..' LX/' 2';';' . ..-' . .'\..1 n;I',77' ~ : MECIIANICAL PERMIT .... .:3::' 10""'6.::.- "~.." · "Ch .,' d"'''''';~'''1z'~'' "'!.I'lit~!J~'" ....... ~ ,. arges an ___ - ---- Surch.rg.s /~. ett:> BUILDING PERMIT Charges an~ I Sur~harges' Pl.n Ck. 65t/Bl do Plan Ck. JOt/Bldn COIl11l/l nd Ppr Fpp R'es Per Fee q "21>:5: 7'3 Fence Demo ..... '"'.. ..,-,~' r '''''::,)... '1lotq...;~lti..;"";~~~,l~;'-::"'},-~~I;'#'111'~":IJ~:~""~")1 I"."T ..... "11'1 Jh ....!."c.n II ." -T:'III1i'-':"": ~ 1;ot.1 Comb.('rer~1t , 1...i11;~',7/1. Z I' n ~~~:~~;;:,:;;-~;:;: ~W;~~~:;~'r.,~ liit,.- dlnr,',' .. Sid.walk A/N.vipg ". "--."1"- -,.,,; Curb Cot ,.. .-............, .: "J.'"1"'. ~,', ilL .'~ . '," '[4iiilfi511 t~~!t..x'~:4"'";;.l~~~j.".".", ~.", ";';;:.~' , 1-'" I h-- .~__.....__,.w ........ ..,..-. j \ ,...,<,.. .~ ~, ", , I'. dJi ~~;~~~~~!J~~,':~~.'~I~~io,~~i>EJIT -(.~~~;;,,;-.;;' "i:;:"!~' ", .'rrl~r ~11~_\",-_1Rllt J'L...t'.,..,......\f~.:1.l'.... I 1-:~.1l1'.'U\Appii'c.nf'.tS fui'nl~h L --" -.:.-;_.. A. .:Job'"Address..,..lI! _4 I ,1) I" f .\'.....~.., B.- ;Lcgal..Oescription! ",:': >:: .:":.:~: ,"",....:. 'II., I .(.' I -;fri~'i'::'l? ~'exampte::.:T~X, lot ;100, Lane;County Ma'p Reference ~ .'f l ,:!t170343""'f,I.,r.l'jlt'\!~1 ),,'111 " I .........'_._~_.2'; '"eX'a1nel'e--Lot"L Block 3; 2nd Addition to . j, .. II .. 'I sprlngtield Estates I I II ; -. c: .'Ncim.e, etc. .of.\ owner and construction lender . , ' D. .' Energy.Sources., ! ," j i . -~-~~~=E~~srHi':~:~~~:~ ~:'~~~~~:l~.~~/ii~~ ~c~~~~~_~)~~rs~~~~~d~ ~ J.t Qas , ~".,i" 'I . (1ft quare ootage.or.~va uat on.jete.,. . .(i,'i .. ',".' .'. l'.'l"eXamp.le- 1250 sq. foot house, 500 sq. foot garage I I, ').L.K\}:.:..~..: lexample- lTiIew project, check!lew - if addition. . ,., rCheck add, etc. ';~'i.'.' .,,:. ',.1' .'.'F.7,Bullding:permit'information, ",..... . J ,. -;~",. .~..'r.1 !-example'. construct single family house with an -. .. I !' .' ,I : attached garage ; '2': 'example - remodel existing garage into family room ; .,.... ,3:.1. example - convert single family residence Into ....! 1.':'1 ~1"~lf!"UJ.._restaurant (change of use) '.11 G. Value of. work as defined in Section 303 (a) of the ';): .;-,':: ,,:)t:i.iJdu~al, Specialty Code H, DESIGN TEAM AND CONTRACTORS . Tqlavold design or construction delays. Building Division Staff must be able to contact appropriate persons regarding design information or job site cotrections. etc. II. "Abbrev.lated.Plumbing, Mechanical, & Electrical Schedules A. Except where blank spaces occur in the description po~tion"of the Mechanical and Electrical Schedules,' ." . . ""l.the,apPlicant_need_fill-in only the No. Boxes adjacent' :\. : 1.<1, to,the appropriate item(s) to be' installed 1 B. Full ,Plumbing;, Mechanical. and Electrical Schedules ,,' '''~:'' are,'available at,the Building Division I .. ; 1.\1,,10 conserve space on the permit fom the schedules I "',!have been1abbrev1ated I, ' '.1' :', ':1' 2'I,If the ltem(s) to be 'installed are not covered on I ~:i ~the abbreviated schedules you' should consult the i... full schedules ; , , C.: BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES. . D.'l As'lnoted on the CAP, .the'.1abel must be delivered to the electrical'contractor for signature by his electrical '1 supervisor. .The general coritractor is ,not authorized" to,(sign the 'electricalllabe~, \' ---:- " i '"., I I I. Applicant to sign and date. r . I " '. . ", ,.(~i <Whenev',ir,posslblei"the lnitial"apPlication will be used"as" " .\., "a'wor,~:~~eet',Only:;'lWhere possible, Building Division Staff 'wll1.P'i~pare,a .type' written copy.and return it to the, ~ i, appllc"ntat. the time the actual permit Is' issued for his sig'nature: ....~ I' ..h...,~ ~ ii' , . ,I" , ,,' "",.,1' "'" t I I 1 ,,', IV. "Fees and Charges' I . ..', .' t... .. ,. .' ." "'.'" . Plan check fees are due and payable at the time of the application, and no plans will be processed until these .. .fees a}~~,paid. All otherfe~sland..~harges areldue and 'payable;wh.n the permit is',jssued. ,,0... I :, ; 'lIli,.. ,.. I.",: ~" ' V. FOR OFFICE USE ONLY: ," .;..,,- '\ I I:'" 'I Jill"""" "..,>,,1""" "I" '..'.; I , .}....." (>~:.-,;.....,. ~.." .~.L,. t' 1 . ""-.'. .....,1 ,;.'l~-"cp,', r.........,,, ..~.., ';'''-'.r-: ',':':~ r\ I Vl, I ~.; 'i " l I i , , ,. I '"1 I '. ~i !u f' fl 0, " '.- ~ ,~, ~ ;\ ,. -:-..... :, r- . ,,'" ...1 .: ! ,II;' ,jl"I!IL." " . . l ..~ f.l, , ,,".1. ,'. i' "f. d! : 1"1.' ';".0;'" .,,,,"; , , , . ~ .".' Permi,t I\, I " Clerk ! . ~ I I I ;" d '>".. .1' .'1 : ,,;', . ~.. 'I f . . . "I ",' ... oJ, ItoUI ,J'q:I~",I~1 ,J;' 1 r,I',;' I:! ,I". I 1.,.:..1 IIi) IJIlt1Iil,,'J"":" '1. "l""" , I ". ! I , I , '. _" '."__._I~II~._,_ . .~.. _. ..,._, ....1".... ,! _ _:_ , .' I . PROJEcT CONDITIONSil,TO BE"SATISF;lED BEFORE ! ~~... ....j t-r--' ___"___" u_.' ~:... ~_ :'1" ~...l._. :':'. ~:.;' to,; ~l,l'W(, f!,~I"....f.., >011) .': ;I'''';(,oj 1".1,. '. I'(JJ htf" : ,\lblL.i r:!J ,J'.... .' .!..,if :"I! '. J . . . '," . l'i IH.'li~lli f'" JUflt,1,ll.'f:1 ,H;ll..I I::",lt~;. t" t.'L 'II!,} :Jd;f ~;~~ ~it'~'11bHJ ."Ii" f1)fW <}:'In"VI',,:'." "r . T ., .J;'l.~!'; fldt:;ill";~l.ttN f1')I)'l.,:!:'il~~~;"'.j:'~' !:~::;. vl:,i' . 111:l.t !)t't:\ .lrQ ~!t b'l:.",!,'lt lj8Jnl'l'I1l,'" '(.1, '~!.i'I\1 "\ I,. OCCUPAN~X,:, , ..! .:.!o: .I: . I qt. ',' i. !'r" ,; .,."1" I.'lill"'d'! YJJ:JI i..\) lfi." I .'i 1".)... 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