HomeMy WebLinkAboutPermit Building 1988-05-12I I IISPECT I I
726-37 69
ON LINE
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Owner
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Address Ph"".7il-liztq Bui I tii nq Pernri t Info: Deaari be l.lorkT
l-arxi ly Residence l,li th Attached Garaoe
:e., Build Singie
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address lics. no-exoi res ohone no-
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Structura l
Electricai
Mec han i ca I \
name
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l'1echa n i
PLUTlB I NG ELECTR I MECHAN I CAL
7 Each single fixture 7s>627 Residence of
sQ
rnace/burner to
BTLI ' S
Relocated buildinq
(new fix. additional )r New circuits .la;.-or extensions2 a,B srrz,,=:A:
FIoor furnace
and vent
S.F, Residence(I batrr )SERV I CES Recessed wal i
Space heater and ventDuplex (l bath) each t--fu-7,-o2s G-o R-nAdditional bath Temporary Constructi on Apol iance t'ent
sepa rate
[.later servi ce (fo',-1t/2'Change in existing
re s i dence
Stationary evqo.
cool ero-L }iewer ?.n multifami1y, comrn, orIndustrial Z Vent fan with
sinqle duct v.*/oDL=.(s7'229Storm Sewer ?G Z 0f 74 anps.Zr Vent systern apart from
heatinq or A.C.2 Tzzz;*od,.7*t COI,lI.l./IND. FEEDERS Mechani cal exhaust
hood and ductInstal I /al ter/rel ocatedistrib. feederc l,lood stove/heater
0f (./'tU.-Zats /2 4,
O tr.a-l/k"tulz - azt
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ISSUANCF OF PFRIIIT
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ToTAL VALUATTONZ??? (/. *
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permi t
ALTOT RGCHA ESS;E
STATE
be va'
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EER LAIi RESI hat t tlt Ee ecI ctri Ia rw0 bek don e a En eI Ictr Con tractorbyIca the e ec triI Ica rt 01 n fp0 th sII,j'1 th Ie bea I has nbee Is ned a En Isby e cactri I 'I sor andSupe rv toreturned Buthe 1'I d 1 D 1 'I on'Ing
fy
any
ard
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ffect f exempt
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n UL L E het c Iomp I L1 t on'Iap!-)t anDerml he re cedo rt I th ta Ia Ib.y ni rma tfo 0nI s'Inda truectcorreIndfuarthreertc,l t atha afy a II r kwond orfr srmed Ipeha I be 1done n a rdancecco wl th het 'I0rd n ances f0 ther1ffo c ISp'I Ie d dan tyngLtheofawsStthea
ny
of Ion n.l to eth0reooe rta n9 descrwor k 'I bed 'Ihere n and th NCat 00 CC wlUPAI,ICY 'IIs mabe derut^+w1ure hot tut he i ss 0n'I thof e Iut Id D l s'I 'I nn9 efurth cr 'Iert th atfy 'I tras 'It nom.y reg tv/t thh Bui Isi'I frBo der snuI1foendaeasr1'ed 7ORSrequby 05501 hat t 'I t he sba s'I rfo ex ontiemr)hereonoted n ason nd tthaacubcontrtorsndai1ysr.rh rea ,lernp0yee n 'IIcomc cean thw1 7OPS 0 1 I be sedu n 'Ith s ectproj
zone/fu\__Tyoe/Con st.2.1/ rlnits
IOTAL CHARGES
l,{AllE(p1ease print)IGiIATURE
AL CHARGTS
shal I
TE fi/2#
toad 1/ sq.Ft!
eroup 7-? sq. Fts
. Ftq. l,la iFire zone Bedrooms 0ccy
Flood Plain_stories ,/ 0erv
-
stems 'l \.1
opmen t //?. /6
BUILDING PERMIT
Charges and
Su rc ha rge s .s>
IPl an Ck
Pl an Res
Per
Fence ,- 4ba.\(\_
PLUI4BING PERMIT
Charges and
Surcha rges
/_22=
aO Demo \
A
Sidewal k T?/*'%-\7ELECTRICA.L PERIlIT
Charges and
Surcha rges
?Z
Tota'l Comb. permit 5-rzA/C Paving
curb cut / ^77 \7/.f.5fI,IECHANICAL PERHIT
Charges and
Surc ha rge s
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26u
Z
TOTAL 691 ,6{
Legal Description
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PERMIT VALIDATION
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Perm'it Cl erk
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COMBINATION APPLICATION/PERMiT (CAP)
I. Applicant to furnishA. Job AddressB. Legal Description
l. example- Tax Lot 100, Lane County Map Reference
17 03 43
2. example- Lot 1. Block 3, ?nd Addition to
SFFingField Estates
C. Name, etc. of owner and construction lender
D. Energy Sources
1. examp l e-2. exampl e-
E. Square footag
air gas
e or vaiuation, etc1. example- 1250 sq. foot house, 500 sq. foot garage
2. example- if new project, check new - if addition,
check add, etc.F. Bui)ding permit information:1, example - construct single family house with an
attached garage
2. example - remodel existing garage into family room
3. example - convert single family residence into
r-estaurant (change of use)G. Value of work as defined in Sect'ion 303 (a) of the
Structural Specialty CodeH. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, Building
Division Staff must be able to contact a
persons regarding design information or
corrections, etc.II. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the description
portion of the l'lechanical and Electrical Schedules,
the applicant need fiiI-in only the No. Boxes adjacent
to the appropriate item(s) to be installed
B. Ful l Plumbing, Mechanical, and Electrical Schedules
are available at the Building Division
1. 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 thefulI schedulesC. 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.III. Applicant to sign and date
l,Jhenever possibie, the initiai 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
s i gnature.
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
payable when the permit is issued.
V. FOR OFFICE USE ONLY
propri ate
ob site
pj
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY:
permit applicant exempt from registration with the Builder's Board because:
Additional Proiect Information:
PLANS REVIEWED BY:
s'ignaturname
adate 6