HomeMy WebLinkAboutPermit Building 1989-03-20IllSPtCTI0l'l L Illt
726-37 rs c0r1B I L I II 726-3753
Job Address /f2/ y'ttZO.EIIERGY SOURCES
Heat G,ft4
Ftq. I'la
l-egal Description l.later lleater_E!ffi:-
!q. Ftg. Access..--_-
Sq. Ftq. Olher'ilew 'AddYAlTar -filo.
_re nce-o6io-c ha n ge 7 u s e
_other--
Ranqe.
Va I ue of l/ork
Owne r .(
)
Address2aOO Plro -411r
Bu i'l tii n
Farni 'ly q Pernrit Info: Describe Hork(
Residence l,lith Attached Garaqe
.e., Build Single
E q.. I
Construction Lender
(l
I
Address l'hone
n anre address exol res ohone no-
Pri ma Bg3
Structura l
Electrica l
llechanical
nante a rld res s (lcs. no.exDt rPs (ohone no.
Genera l
'l unrb i
Elec t a 2
PLUIlB I NG ELTCTR ICAL MECHANICAL
tiO.l:[[CIIARGF NO FFF CHARGF FFF TIIARG F
Each single fixture Residence of
SQ. FT
furnace/burner to
BTU' S
Relocated bui ldinq
(new fix. addi tion,rl )t/'
New ci rcui ts al ts.
or extensions2 AF ,bAEE 2-<
Floor furnace
and vent
S . F. Iles i dence('l bath)SERV I CIS Recessed wal I
Soace heatpr and vent
Duplex (l bath) each
Additional bath Tempora ry Construct i on Apol iance vent
separate
l,la ter serv i ce Change in existinq
res i dence
Stationary evap
coo I er
Sewer multifanrily, conn. or
Industrial Vent fan with
sinole duct
Storm Sewer 0f Vent system apart from
heatinq or A.C.
cor4il./tND. FEEDERS Mechanical exhaust
hood and duct
I ns ta l I /a I ter/ rel oca tedistrib. feeders llood stove/heater
0f s.
ISSUANCF OF PFNIIIT
TOTAL CHARGTS TOTAI. CIIARGI.S ??-s-2 TOTAL CHARGES
[JllEnE STATE L1N RIQUIRtS that ttre []ectrical workshall not be valil untjl the label has been sicned by
bc done by an [lectri
an Electrical Supervi
cal Contractor, the electrical portion of this permitsor and returned to the Building Division
lt AVt t.xAl'1 I N l. I)t he c0nlp e t ed a p p I c a t on f,o r !le rnl I t a do he b.y rt tha t 1 tandco rrec t a nd fu rthe r rt 'I fy ha
rc ce t 1 on hereon s t ruecettanyanda'I tvork nerfo rmed sha I I be done I n a cco rdan ce wl th t he 0rd i f he IofSpr i
anyrdi
ng f 1 e I d a nd th e La ws of the S ta te of 0reoon rt ,l I to the k
n a nces t c ty
f DC a n nq wo r de sc r I bed here I n a nd th a t ilc 0cc UPAI'ICY wl 1 I be ma destructre without the permi ssion of the 0uildinq Di vt s10n I fuBoasIfu1Iforcendffec rt her cert I fy tha t m.y reg I s tra t I on vti th the Bui I der saetasrequ i red b-y 0ns 70r 055 t ha +f t ba s I s fo r t I on '|noted hereon nd thaon1vsubcontratoand enrfil
?.r.
s acrso.yee s tvh o a re I conrD I I n ce wl th 011s 701 055 us ed proj ect?n
l.lAl.lE (pl ease pri nt )s
Tone C_1 _ Tyoe/Const i ts So . Ftg. l,la i n
Fi re Tone___Bedrooms
Flood Plain Stories
_0ccy Load _ Sq. Ftg. Acces
0c c.y Grou p 0t he x Value ,/A
AL VALUATI
Ft9
b
r
BUILDING PERI.lIT
Charges anC
Surcha rges
_€4-_te__y'.e=
,PIan Ck. furuVfiA-'55Ulldq Per Fee
tems opmen
Plan Ck. Res
30%/Bldq Per Fee
PLUt4BING PERMIT
Charges and
Su rc ha rges
ILTCTRICAI. PtRI:IT
Charqes and
Surcha rges 3
'Fence
Demo
Sidewalk
A/C Pav i nq
Curb Cut
Tota'l Comb, Permi t
IlECIIANICAL PERMIT
Charges and
Su rc ha rqe s T0TITL
1 L<L,),
r/q
bN I Lntl
'RACTOR S
mqn //4.
--?-?:€-?___
/2A,/6
PERMIT VALIDATION
\ss{t
Permi t Cl er
st,
COMBINATION AP?LICATION/PERI'IIT (CAP)
I. Applicant to furnishA. Job AddressB. Legal Descriptionl. example- Tax Lot 100, Lane County Hap Reference
TfTTrf3
2. example- Lot l. Block 3, Znd Addition to
ffi'67ietd EstatesC. Name, etc. of owner and construction lenderq. Energy Sourcesl. example- heat/electrical ceilinq/o
. 2. Examill-e- waterh-erErTETEdEiiti-i7or
E,.'Square footage or valuation, etc.1. example- 1250 sq. foot house' 500 I' 2. example- if new proiect, check new
EfiEEI--add, etc.
r forced air clas
soTai
sq. foot garage
- if addition,
II.
III.
IV
F. Building permit information:l. example - construct single family house with an
attached garage2. example - remodel existing garage into family room
3. exampTe - convert single family residence into
iffiaurant (change of use)G. Value of work as defined in Section 303 (a) of the
Structural Specialty CodeH. OESIGN TEAM AND CONTRACTORS
To avoid design or construction delays' Building
Division Staff must be able to contact appropriate
persons regarding design information or iob site
corrections, etc.
Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the description
port'ion of the Mechanical and Electrical Schedules,
the applicant need fill-in only the No. Boxes adiacent
to the appropriate item(s) to be installedB. Fu'l'l Plumbing, Mechanical, and Electrical Schedules
are available 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 the
fu lI schedu'lesC. BUILDING DIVISION STAFF t.,ILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULES0. 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
Hhenever possible, the jnitial application will be used as
a worksheLt only. Where possible, Building 0ivision Staff
will prepare a type written copy and return it to the
applilant at the time the actual permit is issued for his
signature.
Fees and Charges
P'lan check feis are due and payable at the time of the
application, and no plans will be processed until these
fbbs are paid. All other fees and charges are due and
payable when the Permit is issued.
FOR OFFICE USE ONLYV
PROJECTCoNDITIoNST0BESATISFIEDBEF0REoCCUPANCY
ua eSoBrdabecuBerdSt'i th herat'lt no wSifromtiIactnregerm'l at exemppp
Additional Proiect Information:
PLANS REVIEWED BY:
name
3-s7s'l date /-g nature
'l I
rhl S
ITY OF T)IN PEzu,tIT HOLDER TO SER IHAT ALL INS]?ECTIONS ARE MADEREADABLE rRO}{ T}!N STRNET, NXN_TrrAf 'iIIA
PNN.I'rr CAND IS LOCATEDr'rsroN Appp.ovED ,LANS lrusi iir-6'r.i'.lcn srrn AT ALL T,rEs.
PROCIIDURI| FOR. REQUnSTINc INSPECTIONS: .Ca.Il 7.26_3769 (rccorder) srare you CITy DESIGNATED JOB NUMBER,job addrcss' cvpc of inspccEion iu.r"."rua r'a-o,to,', i",; riii-;;'rIiiy"i6i thc inspecricn. conrracrors:;":H:5""?:x: ;:3n""ni";rlflf!';ol"lilE'i;.i*:i;;S::i.:ff:,:Eo'li""f ii'bu o.ru th;-;;;; day, requesrs
SI_TE INSPECTION: To bc ma<.lcnttcr cxc:rvation, hut priorto sctup cf fcrms.ffi"any r,.orll i s covcrcd .
C0I!CnETE S|.AR INSPECTIoN: Tc bc:u3dc:lrtcr rll insl:rb buildingscrvicc equipmcnt, conduir, piping,acccssor-ics and othcr ancillary
cqrripmcnt i t cms arc in pl ace trirtbcforc an),ccncrctc is pour.cd.
FQoTINGS I I:OUNnATIONS: 'l.o l:c madcarttcr trcnchcs al.c cxcavntc(l alndfolms er.c crcctcl!, all stccl in
1:lacc, lrut pr.ior to pouring concrctc
t,.\nEnQno\tNn: Plrrmtring, Elccttic:rl,Cus, Sanital.y Scwcr, Storm Scr.,cr,Itl:rtcr an,J Dr.lrinagc I incs. To bem:rdc prior to covcrirrg or filling
t rcnchcs .
t,lii.DcRFLoCR:, pltrmbing, Elcctrical,l,lccharrical, To bc tna(lc prior toinstal ltrticn of flcor insulation,rlccking cr ltoor shcething.
. POSI' I ttti^,M: To bc rn::tlc prior tcrnstill l:tt ion of (,locr ir:srrlation,dccking or floor :;hcating.
FIRI:P:.ACE: prior tc placing facinpmatcrials and bcforc framinI
inspect ion.
:i!.]ll$rloN fr_ v^P.oR BARRr rR: ro bcmadc xftcr all insulation andrequircd vapor barricrs arc in placcbut bcforc any lath or gypsur.r boardinterior wal I covering ii' appticd. -
I:$AMI_NC: To bc madc after the roof,all frarning, fire blocking andbracing arc.in place and "tt pip"s,chinrnel,5 and vcnts arc complcte'an<lthc rough clcctriclrl, plumling an<llrcat rng r.'ir.cs, pipcs and ducts arcapprovcd.
f I RI:. f, SIil{RATION IIIALL: Locatcd Iiccnstructcd accor.ding to plans.
I{oO|)ST0\,ESr Aftcr installution is
compl ct cd .
SJlDtr'ALX I DRIVnWAy: Rcquircrl forill concretc puving within strcetright-of-way, to be rnadc after allcxcavating ccmplcte li form ,*ork 6sub-basc matcrial in place.
CTJRR ANn lqpROAcll AFRON: Aftcr formsarc crcctcd but prior tt pouringconcrctc.
In acc ordancc rhSccon6oBuilding Code a spccialinspcctor shall bc cmplol,ed by thc Owncr/Ccntractor duri ng construciion of thcfcl lowing work A copy of thc spccialtcsting r3ports shall bc furni shcd to t hr-.tluilding Division
TIlE PROPER TII1E,
TIIE FRONT OF THE
(u.B.C
ON .qND
ng eJrt a. 1l
Inspection Ccrt i ficatc,gency, furnishcd toing Division bcforc. (2501-u.D.c. srDs.
IT IS THE RESPONSIBIL
THAT EACII ADDRDSS ISPROPIiRTY. BUILDINC D
Your Cily Designated Job llumber Is
Jcb Ad.drcss:
Owner:
Contractor:
Phone:
Phone :
ATTIC NRAFT f, CI'RTAI}I }1'At.t,s.
NANTINC I,OT
AT
AT
,//
B
m tr
m
STRUCTURAL CONCRETE: In cxccss of 300,)r.sli-. 1136'il.11-
STRUCTUIL{1, I{ELDS: prcformcrl on thcjob. (2722 f)
l!9H frREN!,TIt BoLTING: During allDolt rnstallation and tightingopcrations (306 a.S)
SPRAYED ON FIREPROOFII.:Cffi
CD AL GRADI
NC
cr 29)
CLll- L/rl,,l BIlAttS :
by -n-ippioiia a
the city,s Build
bccms tre placcd
2S-10,11).
rr.0cR I,A1'I ON I EN.S
n:rdc pr oI to nstal l::t onof dcckir:g or floor sheuting,
S:II}IG INC Prio rtonstrl I i ng ilny roo n8
I'IASONllY: Stccl locltion, hond bcarnsgroutir:g or vcrticals in accct.rlanccr,,ith U.l].C. Sccticn 24 15,
x r'ttic!
ut':t
P I,UTIN I NG
,: No r,'o sto
c insircctioas havc
Aftcr gravel is in,r'to placing asphclt
* In addition to thc inspcctionsspecificd hcreon, thc BuildingOfficial nay nakc or rcquire ithcrinspcctions of any construction
work to asccr.tain conpliance withthc Building, City or 3oning Co<les
c covcrcd
l;ectt
placc but n-prioor concrete.
nr:rrlc and approvcd
FIN.\L PI,UI\|BlNC
t:INAl.5t.nc'tntcAt.
l:tNAl, NICIANlCAt.
tr
CIT\"S SITE PI,AN RNVII......:-,i.r,i,1',,:';':ooi"I;::ff:::',o*Ii,;",lt,:i;;,:I,.::.:,;:,I*
bo conpletcd lrefcre re(uciting this inspcciron.
l;INAL BIIII'rlING: ltlust be rcqrrcstcrl aftcr the final plumbing, Electricel, llcchanical anc Fi:.ct)cpartm3nt inspcctions arc mnde.an.t approvc.t. No o..upn;;;'";';i" prcmiscs can bc ma<lc until:t ccrtificatc of occupancy has becn isiucd-b1,thc iiriiii.s'ciriii"n,na posrcd on thc prcmiscs
PI:C I AL I;CTI
Fl I.rAL Fl nE Dnt'AnTltnlt.r
s
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