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Home My WebLink AboutPermit Plumbing 1990-08-29L COMBI CATI RMTTL 7?53 Job Address {rrt l-egal Description EIIERGY SOURCES Hea t Ran l,,ater Hea ter .\ho nnt 0er )'"'ffi'ffi.@ . Ftg. Access . Ftg. 0ther Sq Sq Sq . Ftg Phone Gara 5C'l n I'l'i :e., Build Single Cons t I Len Addre s s Phone t at! Structura I Pri mar El ectri ca'l Mechanical n I PI l'lec ha n i ca l PLUIlB I NG ELECTR I CAL MECHAN ICAL FEE CHARGE NN FFF CHA PAF NO FFF CHARGF Each single fixture Residence of FTSQ furnace/burner to BTLI' S New ci rcui ts al ts. or extensions Fl oor furnace and vent Relocated building (new fix. additional ) SERV I CES Recessed wal l SDacp heater and vent S. F. Residence(l bath) Duplex (1 bath) each Appl iance vent spDa ra teTemporary Constructi onAdditional bath Stati onar.v evap cool er Cha rpq nge in existing i dencphlater servi ce Vent fan with sinole duct- mul t'i f ami ly, cornm Tndrrstrial orSewer part from c. Vent systern a heatinq or A.9'o 0f s./n Storm Sewer ? Mechanical exhaust hnod and ductCOMI.I./IND. FEEDERS liood stove/heaterI n sta'l .l /a I ter/ re I ocate di<trih. feeders 0f amPs" ISSUANCT OF PFRIlIT TOTAL CHARGESTOTAL CHARGESTOTAL CHARGIS G done by an Electrical Contractor, the electrigal portion.of this pe Electrical Supervisor and returned to the Building Division Flood Plain Stories Occ.v Group Sq' Ftg' IGNATUt'lAl'lE(please pri nt)DA Bedro PC Acces s a I Val al dsq FoaL t0 rmi t q0n Buiany rd exempt t55 wi l hereoon n s true1Ice rt tha at I1 n1 rma to 1tIadondherernofytedt'|ca'I permEIXAI-l EDN theY comp app f f Ithethwlhet0rdnances1 tyha1Idoneben'I ccordanceand1al^loI rk rformedtt0endarreccotIandefurthcer1rthaty wl I'I madebenthaandNOtOCCUPAI'ICYthekworbeddescr i 1here any of n'I 'I tofSteta0reoe rta ngofSfiIeanddhe+0Laws th epring Bu I'I rde sitirav,lon tth herfu rt he rtce 'I ttha'I o'I n fy regimythedI'I 1D sIofofn9ruturecttwluthothessnspermi ha tandtonIsIotednre0nheba1sforsetheIfxemptthatI7RS055'I fun II afo rce efnd asfect redBoarequ bys1 +1h s ectIbeusedonproj1'II ncea twl h 07010l?santorsd1whosarenIonsutracbconoyeecompvemp WHERE STATE LAN REQUIRES that tlte Elec shall not be valiC until the label has bee TOTAL VALUATION Fire Zone . Ftq. l4ainZoile'ype/ Cons t.it trical work be n signed by an ue==----- ue ""-Wm- an>c>6242-Svsterns Deve charqe tl.57 opment\TY ,llMof-Plan Ck. Comm/Ind 65%/Bldo Per Fee IPlan Ck. Res 30%/Bldq Per Fee BUILDING PERI.IIT Charges and Surcha rges €'-fFence DEmo PLUI4BING PERMIT Charges and Surcha rges __fu==__ /?-?aSidewalk 56 9 ?/.2 fTotal Comb. Permitz,vg_"'ELECTRICAL PERI.IIT Charges and Surcharges /?.*/2-<< A/C Paving Curb Cut 1^2, '/a2:_7//2f,MECHANICAL PERMIT Charges and Su rc ha rge s 5:nnirrl 0"n"1 .1\\ maress 4f]l (nhone nn' E I ectri ca I TOTAL PERMIT VALIDATION Permi t Cl erk \8 tto COMBINATION APPLICATION/PERMIT (CAP) I. APPlicant to furnish A. Job Address B. Legal DescriPtion I' example- ii*"Lot 100' Lane County Map Reference 17-03-T32. .*urpf"- Lot 1' Block 3' Znd Addition to SIFlilFi et O Estates c. nare,'lti' or'o*ntt and construction lender D.le IC I in 0r forced air gas sol areaeEC0r E al uation '500 sq. foot garageqfoot house, project, check new -'i f add iti on , II F. Bui lding Permit information: i. .iufipr. - .onitt'Cl single familv house with an attached garage Z. .*irpf. -"rem6del existing garage into family room 3. example - convert single iamily residence into ilstaurant (change of use) G. Value-of work ai defined in Section 303 (a) of the Structural SPecialtY Code H. DESIGN TEAM AND CONTRACTORS io-iroiO design or construction delays' Building Division Stafi must be able to contact appropriate ;;;;;;; t;s;rdins desisn information or iob site corrections, etc. Abbr;;iaa;d Rlumbing, Mechanical, & Electrical Schedules A:- E;;;;i-r,,,rreie urinr spaces occur-in the description po.tion of the Mechanical and Electrical Schedules' lne appticant nqed fill-in only the No' Boxes adjacent to thb'appropriate item(s) to be installed B. irfi prrinbinb, Mechanical, and Electrical Schedules are avajlable 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 abbrev.iited schedules you should consult the full schedules C. BUILDING DIVISION STAFF t.JILL 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 iupervisor. The general contractor is not authorized to sign the electrical Iabel. Applicant to sign and date llhenever possibie, the initiai application will be used as a worksheet on1y. 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 s i gna ture . 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. AI I other fees and charges are due and payable when the Permit is issued' FOR OFFICE USE ONLY III. IV V PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY perm.it applicant exempt from registratjon with the Builder's Board because: Additional Proiect information : PLANS REVIEWED BY: datei gnaturename ,92>?a n,L%D