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"
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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...
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V. FOR OFFICE USE ONLY: ," .;..,,-
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