HomeMy WebLinkAboutPermit Building 1982-06-22ECTION L
37 69
I I 59 Mohawk Bl vd.
Owner Den
C()MB I
r
0ree28
$t 00,000. 00
APPL CATI
Value of l,lork
Job Address
Lega1 Descri ption
Lane Coun
RMIT
EIJERGY SOURCES
Hea
l,later Heater
GAS
. Ftg. I'lai
s Inc.
Sq. Ftq. Access.-_
ingle
I iermAddress 14256 E. Firestone Blvd. rnone/J$-$l
Donut sales & eat'inq establ'isLa Mirada, California 90637
Construction Lender
@l\)o(,(n
(l)
Addres s Phone
ohone noexDl resresnameDESIGN TEAM
hlinchel I 's Donut House I 6424 Val I M'iViPri ma L
213) 912-1373H. GuzmanStructura I
Electrical R.C. Hiltman 3lBB Rolempa Hacienda He'ights, CA (2'l3 968-2289
.l800 Virazon Dr. La Habra Hei 2i''lechani cal R. F. Gram ohone no.exo i res )a ddrps s (lics. no.n ameNTRACTORS
MECHAN I CALELECTRI CALPLUI1Bl NG
l^I-IAPGFFFFIl0FFFCHARGFNNFEECHARGE
6.00I
furnace/burner to
BTLI, S
Residence of
FTSQ550.0ct0Each single fixture
Fl oor furnace
and ventNew ci rcui ts al ts
or extens.ions
Relocated building
(new fix. additional )
Recessed wal l
Soace heater and venLSERV I CES
h
Duplex (l bath) each
10.0(Apol iance vent
separateITemporary Constructi onAdditional bath
Stationary evap
cool er5. 00
ge i n exi sti ng
dence
C han
resiX[^later servi ce
3. 00Vent fan with
sinole duct
ormultifamily, comrn
Industrialf10.0csewer 10.00/.l00 l.X
4. 50
apart from
.c.
Vent systern r
heatinq or A25.0C I0f 200 amns,I lf 20.0c IXStorm Sewer I 0.00/l 0
Mechanical exhaust
hood and ductCOI.1I.1, / IND. FEEDERS
tr'Jood stove/heaterInstal I /al ter/rel ocate
di stri b. feeders
0f amp s.
ISSUANCE OF PFRI1IT IO.OO
TOTAL CHARGES $23.50TOTAL CHARGES $35.0(TOTAL CHARGES $B5. oc
I^IHERE STATE LAtl REQUIRES that the Electrical work be done by an
shall not be vali,l until the'label has been signed by an Electrical
Electrical Contractor,
Supervisor and returned
the electrjcal portion of this permit
to the Building Division
DArE 6 '.22 -rC 7SItiAl'lE(please print)fi, ",f
gon
Buiof any
Board
perm
ffect
0re
t all information hereon is trueleted application for oermit, and do hereb.y certify thaI HAVE CAREFULLY EXAMINED the comp
e with the 0rdinances of the CitYand a'll work performed shall be done in accordancand I further certify that any
d and the Laws of the State of
and correct,that I'lC 0CCUPAI'ICY will be madeoertaining to the work described herein, andof Springfiel istration with the Builder'slding Division. I further certify that my regstructure without the ission of the tion is noted hereon, and thatbasis for exemp'is in full force and e as required by ORS 701.055, that if exempt the
who are in compl iance with 0l?S 701.055 vlill be used on this projectonly subcontractors and employees
#rt ./, P*
zone___C:2____lyoelconst. 5- N uni ts N . A. Sq. Fts 9l
x
. other PAVING xr Val
Ftg Acces sLoad 31
p B-2 sq. Fts
N.A. oc cy
. uain .l396
I 400.00
!q
Val 600.00
EO] nn q-2q-92
Val ueFi re Zone N . A. Bedrooms
I-lood Plain NO Stories I Occ.y Grou
TorAL VALUATIoN I 00.000.p-0
a ....l,500Plan Ck. Conrn/Ind
65%/Bldo Per Fee 186.50 pa'id terlrs
1
VE
5't
opmen
Plan Ck. Res
30%/B1do Per Fee
BUILDING PERIIIT
Charges and
Su rcha rges
271.00
1 0.84 LFence
I8.00
PLUI'4BING PERMIT
Charges and
Su rcha rges
____85._0!__ _
Dgmo
17 .52Sidewal k I 46'
Total Cornb. Permit 538.6048.00
ELECTRICP.L PERIlIT
Charges and
Surcharges 0
3s. oo
A/C Pavins 34gg
Curb Cut 2 24.00 {
I$z , o3B. ooTOTAL
},IECHANICAL PERMIT
Charges and
Surc harge s
___ __23,5!___
.94
.1940 Irene Street Covina, CA
COMBINATION APPLICATION/PERMIT (CAP)
I. Appiicant to furnishA. Job AddressB. Legal Description
l. example- Tax Lot 100, Lane County Map Reference
17 03 432. example- Lot 1. Block 3, Znd Addition toSpringfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources
PERMIT VALIDATION
I\.I,OE 5q0r 3
=\- 5qel +
clo-ttd"u/ue841.
2.
Sq
1.
2.
examp l e-
examp I e-
uare footag
heat/el ectr.ic I ceilin or forced air gas
wa ea ca or solar
E e or valuat OD'
example- 1250 sq. foot house, 500 sq. foot garage
example- if new project, check new - if add.ition,
check add, etc.
II.
F. Building permit information:1. example - construct single family house with anattached garage2, example - remodel existing garage into family room3. example - convert singie family residence inlorestaurant (change of use)G. Vaiue of work as defined in Section 303 (a) of theStructural Specia lty CodeH. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, Build.ingDivision Staff must be able to contact appropriitepersons regarding design information or job sitecorrecti ons , etc.
Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes adjaientto the appropriate item(s) to be.instal'ledB. Fuil Plumbing, Mechanical, and Electrical Schedulesare available at the Building Division1. To conserve space on the permit form the scheduleshave been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult theful I schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to theelectrical contractor for signature by his electricalsupervisor. The general contractor .is not authorizedto sign the e'lectrical label
Appl icant to sign and date
Whenever possibie, the initial application will be used asa worksheet only. [,lhere possib)e, Building D.iv.ision Staffwill prepare a type written copy and return.it to theapplicant at the time the actuai perm.it is issued for his
s i gna ture.
Fees and Charges
Plan check fees are due and payable at the time of the
appl ication, and no p)ans wi l l be processed unti l thesefees are paid. All other fees and charges are due andpayable when the permit is issued.
FOR OFFICE USE ONLY
IV.
V Permit Cler A)
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
See minutes of Development Coordination Board dated May 28, 1982,
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information :
PLANS REVIENED BY:
r s'l g na tu re date June 22, 198?name Lorne Pl e
III.