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HomeMy WebLinkAboutPermit Electrical 1990-03-06v INSPECTION L 7?6-37 69 ilE ffi[D CO},IBI i.IATION APPL IcATION/PERMIT 7 Job Address l-ega1 Description )' )fAI Ran Hea EIIERGY SOURCES Value of l,lork Ftg. Hain_ Sq. Ftg. Access.--- Sq. Ftg. 0ther_ __Jlew Add AlfetREE- _Fence_Demo_C ha nge/ U se -other-Owne r Builrlinq Pernrit Info: Describe t^iork(' Far:rily Residence I'lith Attached Garaqe .e., BUild SingleAddress Construction Lender u v^) ca \Addres s Phone name exo t res ohone no. Structura I Pri ma El ectri ca I Mec han i ca I n ame lics. no.'exoires)(nhonp no EI ectri cal ^0.6"o l'lecha n i PLUI.IB I NG ELECTRI CAL MECHAN I CAL FEE CHARGF NN FFF rHA PG F NO FFF CHARGF Each single fixture Res idence of FTSQ furnace/burner to BTLI ' s Relocated buildinq (new fix. additioial)New c i rcui ts al tsor extensions Floor furnace and vent S. F. Residence(l bath)2_SERV I C ES Recessed wal I Soace heatpr end vanl Duplex (1 bath) each n6.)15 D Additional bath Temporary Constrrlti on Apol iance vent seoa rate [^!ater' servi ce ge in existing dencp Chan res i Stationary evap. cool er Sewer'multifamily, coffin. or Lttdlstri a I Vent fan with !inqle duct Storm Sewer 0f s Vent systern apart from heatinq or A.C. c0[,il.1./IND. FEEDERS Mechanical exhaust hood and duct I n sta I I /a l ter/ rel ocate d i st-r'i b. f pedprc l'lood stove/heater ISSUANCF OF PFRI1IT I'lAllE(please print IGNATURE DA F IRES that the Electrical work be done by an Electricalthe label has been signed by an Electrical Supervisor Contractor, the electrical port.ion of this permit and returned to the Building Division formaany of perm ffect exempt 055 wi l I UL L NE XAI1 I eIcomp ca onti rfo rmtapp t dand o tcer I hat athereb.y n'I .It nfy reonhe s'I rutrcodanrec t dn fuI erth r Icert t tha danfy a II Derwo rk DE fo srmed Iha beI ond 'Ie acn th'I 0rdthe na'Ic o rdance snce 0 cthe 'ISof tyefidIdanngpriLatheofwstheStateartn'I Ion0e tto workhe0regng crtdes hebed 'Ire n dan hat NCt OC CU wlPANCY II be madeaoftsureructwlnytht0uhetIss0nIftheB'iu dI n'I D I 1 1qs 0 furt r IIheceirtthattstraonIfyregim.y thv/1 het IBu deI r ss'|rdBoa fu IIn fo andrce u r,las 'edreq 0 RS 7 10 055by hat t 'I f ba 'Is forSthe t on'I sexemr)ednot reonhe haandt tnoIntsubcoctorarsvand1ernpsarewho,l noyee il cean wlcomD th 700t?s be sedu nI s t'I projec TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES WHERE STATE LAt,l REQUshall not be vali:l until Value Zone x xsq its !q l'la iConst Load Val ue TOTAL VALUATION- Fire Zone Bedrooms a lue Ftg Ft9 Ftg . Access . 0therFlood Plain Stories 0cc.y Group Plan Ck. Comm/Ind 65%/B1dq Per Fee Svs Cha terns Deverce (1.52 opmetrtBUILDING PERMIT Charges and Surcharges Plan Ck. Res 30%/B1dq Per Fee FencePLUI4BING PERMIT Charges and Su rc ha rge s D6mo Sidewal k ELECTRICAL PERI1IT Charges and Surcha rges au- 3.75 Total Cornb, PermitA/C Pavi ng Curb Cut MECHANICAL PERMIT Charges and Surc harges TOTAL n5 )n4"lr-llater Heater \./ DES I GN TEAI.I 0f ampr ,r,(lu/,.a COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Descriptionl' example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot I. Block 3, 2nd Addition toSIFiis'f,ieto EstatesC. Name, etc. of owner and construction lenderD. Energy Sources PERMIT VALIDATION ,w l. example- heat/electrical ceiI ing/2. example- waterhealer/electricaT-/oE, Square footage or vaiuation, etc. or forced air gas r sol ar 3(,$1. example- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project, check new - if addition, check add, etc.F. Building permit information:1. example - construct single family house with an attached garage 2. example - remodel existing garage into family room3. example - convert single family residence into restaurant (change of use)G. Value of work as defined in Section 303 (a) of the #1bgl Structural SH. DESIGN TEAM 'pecialty Code AND CONTRACTORS II. III. To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc. Abbreviated Plumbing, Mechanical, & Electricai SchedulesA. Except where blank spaces occur in the description portion of the Mechanical and E'lectrical Schedules, the appl icant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be instal ledB. Full Plumbing, Mechanical, and Eiectrical Schedules are available at the Building Division1. 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 ful I schedul es C. BUILDING DIVISiON STAFF I,IILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the labei 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 initial application wiII be used as a worksheet only. Where possible, Building 0ivision Staff will prepare a type written copy applicant at the time the actual s i gna ture.IV. Fees and Charges and return it to the permit is issued for his Plan check fees are due and payable at the time of the application, and no plans will be processed until these fees are paid. Al'l other fees and charges are due and payable when the permit is issued. FOR OFFICE USE ONLY Permi t Cl erk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: permit appljcant exempt from registration with the Builder's Board because: Add'itional Proiect Information : PLANS REVI EI,JED BY : name s i gnat te