HomeMy WebLinkAboutPermit Building 1990-02-23L COI1BI IIATION APPL I CAiIoN/PERMIT 5-3753 EIIERGY SOURCES: Hea t ilater Heater Ra /*s (Job Address Legal Descri ption ( , 0wner TR85-]\Lt)Val ue of Sq. Ftg. Access._ Sq. Ftc. 0ther _l,lew_AddJl ter_Pep. _Fence_Demo_Chan gel U s e 0ther . Ftq. l'la nfo l^lo rk i den n Att .e., Build Single - 7 r41Ad('rr1,r,4 4rJ/ 4J Constructi on A.0& A.t)'p -c<.r\oo,t y'".t Addre s s name Phone lq)a I I s E l ectri cal St ruc tura I Pri Hec han i ca I name a ddres s lics. no.)exDl rps ohone no. 2 47-te)> EI €3 I PLUI.{B I NG ELECTR I CAL MECHAN ICAL I )O(2 n FEE CHA RGF NO FFF CHARGF NO FFF CHARGF Each single fixture furnace/burner to BTLI' s Relocated building (new fix. additional)A New circuits aits.or extensions 3,9 ;0 Floor furnace and vent S. F. P,esidence(l bath)SERV I CES Recessed wal I Space heater and vent Duplex (1 bath) each Additional bath Temporary Constructi on Apol i ance vent seDa rate [,later servi ce ge i n exi sti n-o dence Chan res i Stati onar-v evap coo'ler Sewer multifamily, comm. or Industrial Vent fan with sinole duct Storm Sewer 61 amps.Vent systern apart from heatinq or A.C. cor,il.l./IND. FEEDERS Mechanical exhaust hood and duct I ns ta I I /a I ter/re1 ocate distrih- fppdprs l'Jood stove/heater D>^0f amps ,Ya Z,tzt. Ca.srn. l,-<>4 4o Dr,>ABra./rrlrZ ,+'B 7**..r ISSUANCF OF PFRI1IT TOTAL CHARGES TOTAL CHARGES z<-:;o TOTAL CHARGES by an Electrical Contractor, the electrical portion of this permittrical Supervisor and returned to the Build.ing Division t{Al.lE(please print IGiIATURE,) I 9o€Jas ' 0reqon the Bui xempt 5 vril HAVE etedI I ca'I It nthe r t acomp here erta 'Iapp 'Irmat hereonon s'I tnb.y at a ruefy cond trrec a Ind rtfu rhe '|cert t tha nd Ia woIfy rk Isha beI 'Idone anperformed rd cean thwl het 'I0rd a ncesn ofcc0 the Ci ty'If efi dI nda theSorng Laws theof taS te any of n n'I 'I theto kwor 'Idesc r bedrtas he Ire n thaand NCt wlOCCUPAHCY IDE I madebeftust ruc wlre tthou the 'Iss no ofpermi d 'I Di 'ls onI fu crther IertIng that s'I rat 0nti thl,rt the I'IfyregmyBu der sany rdBoa '|Is n Ifu forceI a nd aseffect redulreq ORS 070r 55 atth I f 'Ibathebys s for 'It I0n noteds hereoexemp tha fandnIbcSUractorsont)anv I es arewho n1emp0ye I an'I wice 7 nth0t?5 i 05c0mD I usedbe n0 1th s tecproj WHERE STATE LAt,l REQUIRES that the Etectrical work be doneshall not be vali.l until the label has been signed by an Elec FOP. OFF] Valuex Load Zone ,z'thR Iyoe/S q. #tn. tl.i n C:5'8, S q. Ftg. Acce 0ther xr Value lue Const.?-zV . Units s / Occ.y Group Sq. FtgFlood PIain S tori e ToTAL VALUATI0N_ Fire Zone Bedrooms 0ccy Plan Ck. Conrm/Ind 65%/81dq Per Fee 27€Svs Cha tems Deverqe ( 1.5% opmentBUILDING PERI'lIT Charges and Surcharges ---,/5.=--2 Plan Ck. Res 30%l91dq Per Fee FencePLUI,IBING PERMIT Charges and Surc ha rges Demo li X!{ewarrELECTRICAL PERt|IT Charges and Surcha rges I Total Cornb. FermitAF-eaving Curb CutHECHANICAL PERMIT Charges and Surc ha rge s 255oTOTAL c Address Residence of SQ. FT. I COMBINATION APPLICATION/PERMIT (CAP) Applicant to furnish A. Job AddressB. Legal Description 1. example- Tax Lot 100, Lane County Map Reference 17 03 43 ?. example- Lot 1. Block 3, 2nd Addition to Sprin-gfield Estates C. Name, etc. of owner and construction lenderD. Energy Sources hea t/el tri cal or forced air gas wa ea EC or solar 1.,example-2. exampl e- Square footag e e or valuat ot] ,1. example- 1250 sq. foot house, 500 sq. foot garage 2. exampie- if new project, check new - if addition, check add, etc.F. Building permit information:1. example - construct single family house with an attached garage 2. example - remodel existing garage into family room3. exa1np|q - convert single family residence into r-estaurant (change of use)G. Value of work as defined in Section 303 (a) of the Structural Specia)ty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Bui)ding Division Staff must be able to contact appropriate persons regarding design information or job site corrections, 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 adjacentto the appropriate item(s) to be installedB. Ful1 Plumbing, Mechanical, and Electrical Schedules are avai lable at the Building Divisionl. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult theful l 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 genera) contractoris.not authorizedto sign the electrical label Applicant to sign and date Hhenever possible, the initial application will be used asa worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit is issued for his s i gnature. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans will be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is issued. V. FOR OFFICE USE ONLY E II. III. IV PERMIT VALIDATION 6-n qD )-1 ts3 Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit app'licant exempt from registration with the Builder's Board because: Additional Project Information : PLANS REVIEWED BY: s i gnature ate 5e-Zname