HomeMy WebLinkAboutPermit Plumbing 1985-01-14oo55 COHBI APPLI CATI TI NSPEC
726-37
Job Address /o4g %. e8'14-
Lesal Description \-lfi72r^r r /\tan,/A llater Heater
Ranqe.
EIIERGY SOURCES
Hea t
0wner
Val ue of llork:
l.'lai n_
Access._
Sq. Fto. 0ther_NewjddjlGIm-
_Fence_Demo Change/Use
0ther
Sq
Sq
Ftq
Ftg
.€., Build Singlenq
Re
Bui I cii
Fami I y
Permit Info: Describe Work('
rsidence llith Attached GaraqeAddress ' )o 1S Zt . AatfU Phone
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ffition t.na""
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Addres s Phone 'lcs- no-exD l res ohone no.DESIGN TEAI{name addres s
Pri mary
Structura I
E l ectri ca i
Mechan i ca I
aq -no-pYnl rpq ohonp nn -CTORS name add res s
Genera l
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E l ectri ca l ca (t fl /6 35t,I
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r" 4 ?oa 5pt'lechani ca l
ELECTR I CAL MECHAN I CALPLUI.IBI NG
FFF CHARGF NN FFF .HA PCF I'10 FFF
Residence of
FTSQ
furnace/burner to
BTL|' s
Each single fixture
Relocated building
(new fix. additional)
New circuits alts
or extensions
Floor furnace
and vent
S. F. Residence
( l bath)SERV I CES
Recessed wal l
Snaap hPatpr and vpnt
Duplex (1 bath) each
Additional bath Temporary Constructi on Apol iance vent
seDa rate
Llater service ge in existing
dence
Chan
res i
Stationary evap
cool er
Sewer multifamily, comm
Industrial
or Vent fan w'i th
sinole duct
0f amps,Vent systern apart from
heatino or A-C-Storm Sewer
k>,/0.@ COMI'I./IND. FEEDERS hnnd and drrct
Mechanical exhaust
Instal I /al ter/rel ocate
distrih. feeders l'lood stove/heater
0f amps.
aq o .qo
ISSUANCE OF PFRI.IIT
TOTAL CHARGES f /o .4o TOTAL CHARGES TOTAL CHARGES
WHERE STATE Li\W REQUIRES that the Electrical work be
shall nor be vali'l untiI the label has been signed by an
done by an Electrical Contractor, the electrical portion of this permit
Electrical Supervisor and returned to the Building Division
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on subco 'acntr rsto nda who rea ,l n nca wl ht 7ot0r?s usvempoyeescomDbe ed th0n s ectrojp
/.
Ftg
Ftg
FtgGroup Sq
x
Up
Fire Zone Bedrooms 0ccy Load
x Val
al
'I ue
l'la i nZone--TYPe/ const.Uni ts
Flood Plain Stori es
. Access
. Other
Plan Ck. Corm/Ind
65%/81rlo Ppr Fpe
Svstems Deve
charqe (1.5c opmmtBUILDING PERI'IIT
Charges and
Su rcha rges Plan Ck. Res
30%/Bldo Per Fee
FencePLUi4BING PERMIT
Charges and
Surcha rges Dgmo
SidewalkELECTRICAL PERI,:IT
Charges and
Surcha rges A/C Paving Total Comb. Permit
Curb CutI,IECHANICAL PEFJIIT
Charges and
Surc harges TOTAL 15 /o.-/ o
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ToTAL VALUATI0N_--
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COMBINATION APPLICATION/PERHIT (CAP)
I. Applicant to furnishA. Job AddressB. Legal Descriptionl. SCqElg.: Tax Lot 100, Lane County Map Reference17 03 432. example- Lot I. Block 3, 2nd Addition toS[FTffiietd EstatesC. Name, etc. of owner and construction lenderD. Energy Sources
1 exampi e-
examp I e-
uare footag
heat/el ectrica ceil i forced air gas
2 wate e sol arE. sq e or valuation,
2
examo i e-1250 sqif new
. foot house, 500 sq. foot garageprogect, check new - if addition,examp I e-
check add , etc
II
F. Building permit information:l. example - construct singie family house with anattached garage
?. examp]e - remodel existing garage into family roomJ. exampte - convert s.ingle family residence intorestaurant (change of use)G. Value of work ai defined in Section 303 (a) of the.. Structural Specialty CodeH. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, BuildingDivision Staff must be able to contait appropriitepersons.regarding design information or job sitecorrections, etc.
Abbreviated Piumbing, Mechanical, & Electrical SchedulesA. Lxcept where blank spaces occur in the descriptionportion of the Mechanical and Electr.ical Schedules,the applicant need fill-in only the No. Boxes adjaient_ to the appropriate item(s) to Le instal]edB. Full Plumbing, Mechanical, and Eiectrical 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 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 general coniractor ii not authorizedto sign the electrical labelApplicant to sign and date
Whenever possib)e, the initial application will be used asa.worksheet only. Where possibie, Building Division Staiiwill prepare a type written copy and returi it to theapplicant at the time the actual permit is issued for hissignature.
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.
FOR OFFICE USE ONLY
III.
IV
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PERMIT VALIDATION
Permit Cler
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PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY:
Permit app)icant exempt from registration with the Builder's Board because:
Additional Project Information :
PLANS REVIEWED BY:
na datesignature
1.