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Home My WebLink AboutPermit Building 1985-03-06s '0 \) N 0 Dennis M. Mccee 84608 La lin Rd. land & oR 91405 45839 34 Structura I El ectri ca I Hechani ca l nl 7 /19/8s 7 HECHANICAL ON LINE 7?6-37APPL I CAT ICOHBI Job Address 632 Shelley St. Legal Descri pt ion Sec 2'7 , TAS , R3W, WM Hea Ranqe EIIERGY SOURCES l,later Heater 72"-/o Sq. Ftg. Access.- Sq. Ftg. 0ther_ l,lew Add Al ter Rep. ]en-e-DEm-'o c hl-n ge/ u se 0ther Sq. Ftq .l.lain Value of l.lork: $65,000.0o0wner Majof & Karla Defoe ;e., Build SingletIDes s Ga raPhone ggg_65rAddress 93370 Hwy.99 so. Boat ManufacturingJunction City Construction Lender By Owner PhoneAddress Same ohone no.address I ics. no.exDt resDESIGN TEAI4 name ELECTRICALPLUI{BI NG Each single fixture Residence of FTSQ rnace/burner to BTU' s New circuits alts or extensions Floor furnace and vent Relocated building (new fix. additional) Recessed wal IF. P.esidence SERV I CES Ouplex (1 bath) each Temporary Construct i on Apol iance ventAdditional bath i n exi sti ngChan tationary evapl,later servi ce ormu'l tifami y, cornm t fan withSewer 0f t systern apart from Storm Sewer cor,[.r./IND. FEEDERS austehanca InstaI I /aI ter/rel ocate l'Jood stove/heater 0f ISSUANCF OF PFRI1IT I TOTAL CHARGES TOTAL CHARGES ; TOTAL CHARGES 4 IIHERE STATE t-trll REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit shall not be vali'l until the label has been signed by an Electrical Supervisor and returned to the Building Division l{Al'lE(please print IGNATURE DATES// fy 0regon the Bui empt wil c a 0n dcomp rtce tha at n tiforma on he ireon trueShedoanfapl")reb.y nda a workandtcorrecandfurrthecertthat per has donbe e accon cerdan thwl heL na0rdi snce ciofthefy tyfany ofedandtheoLawsthfState rt tonsprng fi at workthe beddescri rehe n an thad NOt WIOCCUPAI,ICY madebeoengfostrucretuthoutwltheSSofondisvlonpermiDihefurtcerrtthairattvr'lon theth Bu de r sfymyregiany .rdBoa n fu n9 70forcendfectefasred0Rs tha f055Irequt ex ba s fors on noteds reonhe and tthathebyexempt 0n subcontractors and awho re ncea wl 0t?s be 0nused sthi ec tempoyeesth701055ProjcomD Zone Load_____Sq eroupftfilftZsq Cons t Fire Zone Bedrooms 0ccy Flood Plain tori es ./ 0ccy x VaFAccesstg 0t heFtg -rtALTOT ts Sq. Ftg. t,la i he G$a.* Plan Ck. Conrn/Ind 65%/8ldo Per Fee It){,Zfbo [Svsterxs Deve]ooment Charqe (1.51) 't177,50EUILDING PERI.IIT Charges and Surcharges -A g. e&Plan Ck. Res 30%/Bldo Per Fee FencePLUI,IBING PERMIT Charges and Surcha rges /4oat__w__.____o D6mo Sidewa l kELECTRICP.L PERI|IT Charges and Surcha rges a>63.Total Comb. lermit ael. "e A/C Paving Curb CutI,IECHANICAL PERMIT Charges and Surcha rges TOTAL / s7a.7a tsul OFam COMBINATION APPLI CATI ON/PERI,.IIT ( CAP ) I. Applicant to furnishA. Job AddressB. Legal Description l. ggqplg.: Tax Lot 100, Lane County Map Reference17 03 432. example- Lot 1. Block 3, 2nd Addition toSpringfield Estates 9. Name, etc. of owner and construction lenderD. Energy Sources I exampl e- examp I e- uare footag hea t/ectricaI c n or forced air gas 2 wate e ec r sol ar sq, foot garage - if addition, E. sq e or valuation e exampi e- examp i e- check add 1250 sqif new foot 500 2 project, check-iEw etc. II F. Building permit information:l. example - construct single family house with anattached garage ?. example - remodel exist.ing garage into family roomJ. example - convert singie family residence into - ElTil-rant (change of -use) G. Value of work as 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 contalt appropr.iitepersons.regarding design information or job sitecorrections, etc. Abbreviated Plumbing, Mechanical, & Electrica.l SchedulesA. Lxcept where blank spaces occur in the descriptionportion of the Mechanical and Electrica.l Schedules,the applicant need fill-in only the No. Boxes adjaient _ to the appropriate item(s) to 'be installedB. Ful'l Plumbing, Mechanical, and Electr.ical Schedu.lesare available at the Building Divisionl. To conserve space on the permit form the scheduleshave been abbreviated?. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult theful I schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAp, the label must be delfvered to theelectrical contractor for signature by his electricalsupervisor. The general coniractor ii not authorized- to sign the electr.icaj label.Applicant to sign and date I'lhenever possibie, the initial application will be used asa.worksheet oniy. l.Jhere possible, Building Division Staiiwill.prepare a type written copy and returi it to theapplicant at the time the actual permit is.issued for hisSi gnature. Fees and Charges Plan check fees are due and payable at the time of thea-ppiication, 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 v PERMIT VALIDATION Permit Cle w lrl bu-E)3 PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit appl icant exempt from reg tration with the Builder's Board beca e Additional Project Information : PLANS REVIEWED BY: name s1 gnatu date 3'/8-Ef, t