HomeMy WebLinkAboutPermit Building 1980-09-23COMBI AP ERMIT 726-3753
Job Address I L/a€79b
l-ega1 Description #z
EIIERGY SOURCES:
Hea
Range)ozz
Access._
0ther
lence-oemo-Chan ge/U se
0ther
Sq
I ter Repl.ler^r Add A
Sq. Ftg
Sq. Fto
Value of l.lork
Owner
.e., Build SingletJo rkn
GaFani I
Bu
C€.E
Address
Construction Lender
P
t ?nu
-O
N
o0
5/74Addres s Phone
nocs
Struc tura.l
Pri ma
El ectri ca I
l'lec ha n i ca I
-2
,
tr6PIbin
Genera l
l'lec ha n i
Ele
MECHAN 1 CALELECTR I CALPLUTlB I NG
l'10 rrr CHARGFFFF{:HARGEFEECHARGENOr10.
Residence of
SQ. FT
furnace/burner to
BTU' sEach single fixture
Fl oor furnace
and vent
New ci rcui ts al ts
or extens i ons
Relocated building
(new fi x. addi tionai )
Recessed wal I
Snacp hcatpr and vpntSERV ICESS. F. Residence(l bath)
Duplex (1 bath) each
Apol iance vent
seoa rateTemporary ConstructionAdditional bath
Chan
rp< 1
ge i n exi sti ng
dencp
Stationary evap
coo l ertqol^Jater service c
Vent fan with
sinole duct,4 .S
"a
0rmultifami ly, comrn
Industrial6fsewer/h 6?.t< 77et
Vent systenr apart from
heatino or A.C.0f an ps.Storm Sewer
Mechanical exhaust
hood and duct-col.il.r./rND. FEEDERS
l'lood stove/heaterInstal I /al terlrel ocatedistrib. feeders
atGIAberce /rbna *,-P.-
ISSUANCF OF PFRI'IIT
TOTAL CHARGESTOTAL CHARGES p.*TOTAL CHARGES 2.*
WHERE STATE Llll REQUIRES that the Electrical work be done by a
shall not be valil until the label has been signed by an Electrica
nEIS lectrical Contractor, the electrical portion of this permit
upervisor and returned to the Building Division
completed apnlication for oermit, and do hereb-y certify that all information hereon is true
and correct, and I further certif_v that any and all r.rork performed.shall be done in accordance with the 0rdinances of the City
of Springfield and the Laws of the State of 0regon oertaining to the.work described herein, and that NC OCCUPAI,ICY will be made
of any structure without the permission of the Building Division, I further certify that my registration vrith the Builder's
Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted hereon, and that
only subcontractors and ernployees who are in comcliance with 0i?S 7n1.055 vlill be used on this project.
liAl'tE(please print)DATES I GIIATU 7 o
I HAVE CAREFULLY EXAI1INED the
t?bOt<e t/ome $ryt<€ &/<?
Fire Zone
Val ue
Val ue
Val ue
ToTAL VALUATI0N_
x
x
X
Zon F
d 5
q
-Typel Con s t Uni ts So
Bedrooms 0ccy Loa
Flood Plain S to r.i es Group.
Ftg. Acces
Ftg.0ther
Itd- t4ain
Plan Ck. Comm/lnd
65%/B1do Per Fee
tems Deve
rqe (1.52
Svs
Cha
opmentBUILDING PERI'1IT
Charges and
Surcha rges Plan Ck. Res
30%/81dq Per Fee
FencePLUI4BING PERMIT
Charges and
Su rcha rges
oeza
flo Dgmo
SidewalkELECTRICAL PERIlIT
Charges and
Surcha rges
L
6aD
I Vo A/C Pavi ng Total Cornb. Permit
Curb Cut14ECHANICAL PET
Charges and
Surc harges TOTAL fl gt.?o
l.later Heater
lf*, C^fr )vld l , H^ /,,'/
0f amps.
COMBINATION APPLICAT1ON/PERMIT (CAP)
I. Applicant to furnishA. Job AddressB. Legal Description
1. glample- Tax Lot 100, Lane County
17 03 432. example- Lot l. Block 3, 2nd AdditSpringfield EstatesC. Name, etc. of owner and construction ID. Energy Sources
Map Reference
ion to
ender
r lqrced air gas1. example- heat/2. examp)e- waterE. SquarEEotage or
e ctrical cei I in
r e ec or soTar
valuat OIl'
II
1. example- 1?50 sq. foot house, 500 sq. foot garagez. example-.if new project, checkl-ew _ if addition,check add, etc.F. Building permit information:1. example - construct singie family house with anattached garage
?. examp]e - remodei existing garage into family roomJ. exampte - convert s.ingle family residence into
. restaurant (change of use)G. Value of work ai defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAI4 AND CONTRACTORS
To avoid Cesign or construction detays, Bui)dingDivision Staff must be able to contalt appropriitepersons.regarding design information or job sitecorrections, etc.
Abbreviated Plumblng, Mechanical, & Eiectrical SchedulesA. Except vrhere blank spaces occur .in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes adjacent
_ t0 the appropriate item(s) to be installedB. 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 I schedulesC. BUILDING DIVISION STAFF t,llLL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULES0. As noted on the CAp, the label must be delivered to theeiectrical contractor for signature by his electrical -
supervisor. The general contractor is not authorizedto sign the electrical label
Appi icant to sign and date
l/henever possibie, the initial application wilI be used asa.worksheet only. Hhere possible, Building Division Staffwill 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 p)ans w.ii1 be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is .issued.
FoR oFFTCE USE oNLY
III.
IV
V
PERMIT VALIDATION
Permit Clerk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY
74o
b(a 1
,a €
Permit applicant exempt from registration with the Builder's Board because
Additional Project Information :
PLANS REVIEWED BY
name da te -BoSIgnature
C
c0r!81ilA O!.I APPL I ERI4I T
(t 72.6-53iloil L
-e., BU
-/r,Fani I
,\Jd re s s rre
nar
n3
niUi'hon
,-/q
O
5
Hea ter Sq. Ftq. 0
llew Add
ther
Al ter-P.eP
€
nn\J
-0
nf,
Do
UJ ng1 e
a
q
* -->Y1 lr
I
nfo
Sq. Ftq. l'la 'I
0therYaiue of l'iork
t.e,:rl Cercrigtion
AJdrc5r
Drner
L/ <-
Descri be
ed
LEConstruction Lender
Phone
addre
Prirna
S truc tu ra I
EIec:rical
l'!echanicai
Oii i RA
Ge
,=
dence ili
EiIERGY SOURCES:
Hea t
:later
Ranoe -i..* Dilmo Change/Use
Sq. 5tg. Access'-.--
iob Address i 'tC6 ,')'
//J=
MECHAN i CALELECTR I CALPLUIlB I IIG
NOFFFCHARG FCHARGFu0.furnace/burner to
BTLI ' s
Residence of
FTcnEach single fixture
Fl oor furnace
and ventNew ci rcui ts al ts
or extensions
Relocated building
(new fix. additjonal )
Recessed wal I
Snacp heat-er and vent)LKV ILL)S . F. Res i dence(1 bath)
Duplex (l bath) each
Apol iance vent
seoarateTemporary Constructi onAdditional baLh
Stationary evap.
cool erres i dence
Chan.oe i n exi sti ngl.later servi ce ,/?D
Vent fan with
<i nol e ductmu1 ti fami 1 y,
lndustrial
comrn, or-asSewerr,, ti+n< t7t'i$r/Vent systerx apart front
heatinq or A.C.-amp s.0fStorm Sewer Mechanical exhaust
hood and ductCOI4I'1./IND. FEEDERS
flood stove/heaterInstal I /al ter/rel ocate
distrib. feeders
amp s.0f
-/€.dt/WB/.-€ />bma 5;
iSSUAIICF NF PFP,IlIT
TOTAL CI1ARGESTOTAL CHARGES i.o,*TOTAL CHA,RGES
by an Electrical Contractor, the electrical portion.of this oermit
rical Supervisor and returned to the Bu'ilding Division
27I'lAl'lE ( p.l ease pr j nt)TE o(ICiIAT
llHEnE STATE Ll',J REQUIRES that the Electrica I r,rork be done
the for ne
oerfo
fy
1 it n reonhe S rui ecrte.l ath a II n f orrnactaonirmitanddohereetIedb.y fyHcompapPI nan'I oCES thf ce 1lanrdceanth0rd tythe.Srmed h I.t
dobe cc0neIandrreoctndafuIhertcrerItthaaanoIar{orkcny
CYAil I!,/l bI m aden'I CUPt.tc 0cLthaandnIn'I to worthe descrk bed'I reheireIdIndathLavrstheoftStaofon0reortaoeofgSoncl
B Iu dI re SreSjatr,1+n ttri rhh eIhefurtCrrtItthafSonirnyqsuctrretuthLouhetermsi500nothe3uoDin9
h ha tdtanIon'I tedno e reonhaiIc
I bathe i forS exemDtts
any
rd i n'i 1fu IBoa fo erc effecand at res ou red ORS 70i exemotby
th 5'I r0onedus70550IlrlbeIo jnISoubcantrtocarsndIawho.1re n II cean thwi ORSernDoyeescomcv
shall not be valil until the label has been signed by an Elect
FIF SE
ftlcare r/o*te 5q'7'rro€ '{;4<?
SoTy cel Con s t
0cc.v Group
TOTAL VALUATION
S q
x
x
its
x Val
Value
Val ueBedro oms
Stori esFlood Plain
0ccy LoadFire Zone
Zone
Ftg - Acces
Ftg.0ther
Plan Ck. Comm/Ind
65"/ /?,1rlo Per Fpe
Svstens Develocment
Charqe (1.51)BUILDING PERI'IiT
Charges anC
Su rc ha rge s Plan Ck. Res
30rllBldq Per Fee
Fence
DBmo
PLUI4BINC PERMIT
Charges and
Surcha rges fo
--\ *.<.-.
SidewalkELECTRICAL PERI1IT
Charges and
Surcha rges
L
I . eyc
*e/.n
Total Comb. PermitA/C Pavi ng
Curb CutCharqes and
Surcharrles
I4ECHANICAL PE[tr gt.?aTOTAL
n
)
--\
ddz
055,
1
COMBINATION APPLICATiON/PERMIT (CAP)
Applicant to furnish
A. Job Address
B. Legal Description
1. ellllple- Tax Lot 100, Lane County Map Reference
l7T3-T32. example- Lot 1. Block 3, Znd Addition toSliifrgTietd EstatesC. Ilame, etc. of owner and construction ienderD. Energy Sources ;1. exarnol e- he2. examilE- waE. squaiETGTase
atlelectrical lin or forced air qa
or valuation, etc
PERMIT VALIDATION
CITY OF SPRINGFIELD
City Holl
Springfield, Oregon
Deporlment of Public Works
OFFICIAT RECEIPT
No. B 546f
(
(
e EC ca or sblar-Dote
Received For
9
1. exarnole- 1250 sq. foot house, 50q sq. foot garage?. exa,rple- JT-new project, check-new - if additio;,
ch-EE t-add , etc .F. Buiiding permit information:i. exanDle - construct single fami ly house r^lith anattaclA garage
2. exancle - remodel existing garage into famj'ly root3. efiffile - convert single iafri1y-resioence inioiestilrant (change of-use)G. Value of work as defined in Section 303 (a) of the
II.
III.
IV.
V.
StructuralH. DESiGii TEAI,I
Specia l ty Code
AND COI,ITRACTORS
To avoid Cesign or construction delays, Building
Division Staif must be able to contact appropriate
persons re-oarding design information or job site
correcti ons. etc,
Abbreviateci Plunbing, i,lechanical, & Electrical SchedulesA. Excect 'irhere blank sDaces cccur in the descriptionporlion of the l4echanical and Elect.rjcal Schedu.les,
the applicant need fill-in only the lio. Boxes adjacenito the aopropriate item(s) io be installedB. Full P'lunbinE, llechanical, and Electrical Schedules
are avaiIable at the Building Division1. To conserve space on the permit form the schedule:
have been abb!-eviated?. If ihe it.em(s) to be installed are not covered on
the abbreviateo schedules you shoulC consult the
ful I scheoulesC. BUILDIiiG DI'JISIOi.I STAFF l,JILL FILL OUT ALL FEES AND
CiiARGiS Oii THE SCHEDULES0. As noted cn the CAP, the label must be delivered to thelectrical contractor for signature by his electrical
supervisor. The general contractor is not authorizedto sign the eiectrical Iabel.
Applicant to sign and date
l,Jhenever possibie, the initial appl ication wi II be used as
a uiorksneet onl-v. Ilhere possible, Bui lding Division Staffwill preoare a type written copy and return it to the
applicant al the time the actual permit is issued for his
signature.
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 vrhen the permit is issued.
FoR 0F F r CE USE 0r'rLY
{col
I
BY
Amount Received
Permit Clerk
ZEO SIGNATIJRE
5HELION.TURXBULL PiINT€RS EU6EH€ OR 97tOI rI
PROJECT CONDiTiONS TO BE SATISFIED BEFORE OCCUPAIiCY:
,Va--*.*b/'r?8
G*.*'EGfc#
M*ryfts.34
Permit applicant exempt from registration t^J'ith the Builder's Board because:
Additional Project Information:
PLANS REV I E!./ED BY :
name Si gna tu re -Eeda te
1
(
(
(
(
l.
+-
f4e@ -IIISPECTION PROCEDURES FOR THE CiTY ^tr SPRINGFIELD
BUILDING DIVISi0N 346 ll":il STREET
INyPECTiONS 726-3769 IllFORI,IATION 726-3753
The fol I orv d in pections are required for your construction at€7 It is the responsjbilj tyte permt t holder to iee that a r nspec ons are made at the pro per time,tthat each address is readable from t he street , and that the permit c ard islocated at the front of the property.
1. SITE INSPECTION: To be made after
excavation, but prior to setup of
forms
2. UIIDERSLAB PLUI4BING ELECTRI CAL &
o ma e ore any
work is covered.
3. FOOTINGS & FOUI,IDATION: T
11. FRAMI NG INSPECTI0II : lrlust be requested
@ouqh olumbinq, elec-trical & mechanical. All roofinq,
bracing & chimneys, etc. must be com-pleted. llo work is to be concealeduntil this inspection has been made and
approved
72. DRYhTALL INSPECTIQN: To be made after
Wace, but prior to
any taping.
13. SEI,,IER WATER & DRAINAGE LINES
or to rng 'rn trenches.
after trenches are excava
forrns are erected, but pr
pouring concrete.
ob
ted
ior
e made
and
to
tr
a4. MAS0NRY WALLS: Steel location , bond
beams, grout r ng. 0r ver tical s in ac-
cordance wi th U. B . C. Secti on Z4l5 .
5. UNDERFLOOR PLUIlBING & MECHANICAL:
e made prior to jnstallation
loor insulation or deck'ing.
6. POST & BEA|I: To be made prior toinstallation of floor insulationor decking.
7. ROUGH PLUI1BING ELECTRiCAL &
)il t^/or sto e
covered unti I these inspect'ions
have been made and approved.
8. FiREPLACE: Prior to p1 aci ng
faclnqrnaterial s.
9. FIRE & SEPARATION I,IALL: Located
& constructed acCordr'ng to pi ans
0.._I NS ULATI ON VAPOR BARRIER INSPECTIOIi:
obema e after a NSU at lon a
14. SIDENALK & DRIVET^JAY: Re quired for all
concre pav ngw t jn street right-
of-way; to be made after all excavat-
ing complete & form work & sub-base
material in p1ace.
15. I^JO0DSTOVES: After instal lation is
cor,rpl eteE.
1.6. SPECIAL INSPECTI0IIS: t^Jhen required byteutnge, special inspector to
be pr esent when work is in proqress. A
copy of the speclal testinq report to
be furnished to the Buildjnq t'ljvisjon.
= Structural Concrete: In excess of 3000P.S.I.
--r Structural l^lelds: Performed on the job:- Glu-Lam Beams: Inspectjon certificate(by approved agency) suppljed to Bujld-ing Division before beams are placed.,l-] Fjre Retardant Roofing: Before 'instal-
I ation.
r
bfTo
of
lequired vapor barriers are in piacebut before any 'lath, gypsum board orwall coverjng is applied, and beforeany insulation is concealed.
7 . OTHER INSPECTiONS:May be requ'ired in
accordance wi t}- Bui I di nq Code, to beindicated in plans or by notice frogrBuilding Inspector. _lfloi /<e tb<aa 4-<<<- 7,?/<
6€avt< €
FINAL MECHANICAL E FINAL FIRE DEPT.
ROVED PLANS SHALL REMAIN ON THE BUILDING SITE AT ALL TII,4ES, AND ALLD IN ACCORDANCE WITH THOSE APPROVED PLAI'IS
FINAL PLUMBING FINAL ELECTRI CAL
All proiect conditions, such as the installation of street trees, cornplet'ion of therequired landscaping, etc., must be staisf.ied before the BUILDII{G FINALcan be requested.
FINAL BUILDING
The Final Building Inspection must be requested after the Final Plumbjng, Electrical andMechan'ical Inpsections have been made and approved. No occupancy of tfle premises canbe made until the F'inal Building Inspection has been made and approved, and a CERTIFI-
CATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DIVISION AND POSTEo oru THe pnilllsEs.
Name of perm'it holder Phone TrfG - /? zor
S'ignature Da te z
BUILDING D
WORK MUST
N0TE: Al I
SION
BE COMPLETE
manholes and cleanouts are to be adjusted at no cost to the city.
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IIIIE-V|EWEO A'{0 Appnovl0, uilTH At?lLttRAItoNS tNotcArED i, llQftrt) q-tdil;fifrL6rucffi
0s'ARTMINIS AS ttitiiA$n
Daie Received....
'r.PE DEPI. CHEUI
:l{GR. OEPf. CHECXEO: Uaie ...
7*i??-8o
.'.........*,.*.*ry- ry_
By
D mtI00. 0EPI. CntCXtD: Date..
*r k, r,,',, , .^ i
TI
L i(t)
PERM I T
It 726-53iC
37
0il L llit5t a aIS l :lAT OIi AP I CAI I {]iI
Jb ..iddreis I "7rai3 ,'i'3,i b 5r
t*-i.e.trl le(crlptton .d(/t
ng1 e
<?{€
Ien
4.
-E c'
i
Use
escr be
c hed
Ftq 'in
.€=
dence lli thFrnilJU
2anae
Va
!q. Ftg. Access.-.---EiIERGY SOURCES:
Hea t
:later lleater
lhonc
-,t-
I
I na
irner
.\JrJ re s r
ConS!ructron Lender €-,
-0
rc
Do
I'hone.\.ii.i rc s s phone noadcire s s
Pri rna
Structural
n ii'e
Elec|-rical
l'1ec na n i ca 1
Genera I
,,1
Electrical
tn
tr6a
v
-t
Itlechan i
PLUtlB i IiG ELECTTI I CAL MECHAN I CAL
it0 I FEi CHARTtF un FFF ftO -FFF I l.}]ARGF
Each single fixture Residence of
FTSQ
furnace,rburner to
BTLI'S
Relocated building
(new fix. addi tiona i )
I
I
I
New ci rcui ts al ts
or,.extensions
Fl oor furnace
and vent
5.F. Residence(l bath)SERVICES Recessed wal I
SBaee heater and vent
Dup lex (.1 bath ) each
Addi ti ona l bath Temporary Constructi on Apol iance vent
separate/qo'l,later service f ge i n exi sti ng
dence
Chan
res i Stationar-v evap
cool er
.ad 5ewe r -*#multifamjly, comrn
Industrial
or Vent fan with
s inole duct
Storm Sewer 0f Vent syster:r apart frorn
heatinq o[ A.C,
coMt1./IND. FEEDERS itlechaniciI eihausL-
hood and ductInstal I /al ter/rel ocatedistrib. feeders l'Jood stove/heater
0f
74;EIYbgt<c ;rbtrz - <-fo.*
I
I iSSUAIICE OF PFRiIIT
S IGiIATUR
DATE 2)
lue
C*<y
Pl an
cI
a
Deve1 F,qan
0cc .y Load
6rou
XI Val ue
x Va Iue
itsoe,, Con s t
L. i;i
ALTOT SCHARGE .taCHARGETOTALS ALTOT HARC SLrI
ERi,JH ST,E T E R U D1 ihaISEQ tlret EI CC rt ca'I r{0I berk do na ILneby Ce Ctri IashI Co tra torcIn eth Ie eL ctr I I rt iIIntU'ibe 0n of thIihp 'I S eIbIShair rnt tbeenISnedansbytIEIECs'I orSuoe retand durne to the uio dI ,i Di I 0nng
any
ofany
rd
YCAR F hetID etedI acomp I c1 tia 0npp fo rm i t nd dDE do henda tcer icorrectreb.y ttha Ia InCaIfyrUther n.I tfo ri-na 0njcrte.I t ireo nhehata erusfyndIaIl^/0 r oe rfok rme0 h Ia I donDCfo 1e acnifiIed NCcorda wlSorandt tth 0rd iheshenq ncna 0estheo tState jhe0 tyregonIrta,]npe to henq ri^/O dek rofsc bI heed 1tutru cs re n andret,l th ta CrlUhothte UPOCC IWI ISSiI bepermon0ft rnaciheIidBuiDIn9SiBofuherrtIiicertfunisthtoIIfofytraItdendfreq irny no I ht eth i.lfeascti_1 Ij d rri sed0Rsreqby701550tthaf.I ex tnoIuSemp the b i sbcon fo rvtracoLarSnd It n0 ierDIexemD s on ted hereo n a ndoyee s drvho '1re thnIIacomDncwithCNSn5lIIbeedU5thon'I s ro,j ecD t
I,lAl,IE (p lease pri nt)
0pmen
r'la i n
Zone
TOTAL VALUATION
Flood plain Stories
Fire Zone rocms
rL
Coirm/ I n
Res
s tems
rqe
BUILDING PERT1IT
Charges and
Surcharges
Acce s s
0the r
thl>erc€ d*rve $avyTaa,
Ftg
Ftg
PLUI4BING PERMIT
Charges and
Surcha rges ffe
--,
it6<i-'.Fence
D6mo
Sidewa l k
ELECTRICAL PERI:ITunarqes and
Surcha rges .?c
Total Conb. permit
A/C Paving
Curb Cut
IOTAL 3/.70
I{ECHAN I CAL PERI{iarges andrc ha rge s
T
Ch
. Ftg
| . H. /,,'/
Plunhino 9'L,-
-
/-,:r1',2 a--. C r;a I
tr
I
I
r e
COMBINATION APPLICATION/PERMIT (CAP)
I. Applicant to furnishA. Job AddressB. Legal Description
l. example- Tax Lot 100, Lane County Map ReferenceI7T3-4-32. gxar,nplq- Lot l. Biock 3, Znd Addition toSpringfield EstatesC. Name, etc. of owner and construction lender0. Energy Sources ;
PERMIT VALIDATION
CITY OF SPRINGFIELD
City Holl
Springfield, Oregon
Deportment ol public Works
OFFICIAT RECEIPT
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exampl e-
exa;pl e:
Fe-Toota
examo I e-
examp 1 e-
ch-eakTdd
heat,/eiectricai cei I in
wa ter ec CA
or forced air oa
-
olar
No. B 5466
2 r 0rs
foot house, 500 sq. foot ga rage
, etc
project, check-new -if addition,Rec'd
F. Building permit information:1. exanple - construct singie family house with analtaaned garage2. exanole - remodel existing garage into famjiy rooi3. exampTA - convert single iam.ity-"esiJ"n.u jnto --
restaurant (change of use)G. Value of work as defjned in Section 303 (a) of theStructural Speciaity CodeH. DESIGi.I TEAI.I AND CO|..ITRACTORS
To avoid Cesign or construct.ion delays, BuildingDivisicn Staff rnust be able to contatt approprjitepersons regardi ng design information or job si tecorrections, etc.il. Abbreviated Piunbing, i,lechanical, & ilectrjcal SchedulesA. Except vrnere blank spaces occur in the descriot:onportjon of the i4echanicai and Electrical Schedules,the appl icant need fill-in only the No. Boxes adjacentto the aoprocriate item(s) to be instajleciB. Full Plunbing, l,lechanical, and Electr-ical Schedulesare available at the Building Division1. To conserve space on the permit form the schedule:
have been abbreviated2- If the item(s) to be installed are not covered on
the abbreyiated schedules you ihould coniult thefull schedulesC. BUILCIIIG DIYISION STAFF WILL FILL OUT ALL FEES AND
CHARCES OII THE SCHEDULES0. As noted on the CAP, the label must be delivered to thelectricai 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,ihenever possible, the injtiai app)ication will be used as
a rvorksheet oniy. l.Jhere possible, Building Division Staff
will prepare a type written copy and return it to the
applicant al the time the actuai permit is issued for his
s i gna tu re.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 paiC. Ail other fees and charges are due and
payable vrhen the permit is issued.
ge or valuat on, etc.
1250 sqif new (
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ress
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Amount Received
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V. FOR OFFI CI USE O}II,Y Perm'it Cl erk
PROJECT CONDITIOI'IS TO BE SATISFIED BEFORE OCCUPANCY
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Add'itional Project Information :
PLANS REViE','IED BY
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i:-s i gnature
name
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