Loading...
HomeMy WebLinkAboutPermit Electrical 1989-06-29Owne r q iq Sq Add A1 t er Pep. Cha nge/ U se-Fence llemo -0ther- L NI COIIB I IIAT I NAP I CAI I ON RI,lI T l-ega1 Descri ption Job Address tla ter llea ter Rtl rl rle 726-37 l'la i n_-- varu€[t Access 0ther .Ftg . Ftg .Ftg llew EIIERGY SOURCES Hea t e., Build SingleBu i I tii n.r Pefar:rily llesi rnrit Info; Describe t'/ork( dence l'li th Attached Gatqiel'lroncAtltl rc s s L QL.,cor,rt.r.ti or\ Le\oei- I a l'honcAdtl re s s reSs Pri ma name Structura l E I ectri ca I i''lec han i ca I PI nl I-4[CHAN I CALELTCTRICAI- tri ca PLUIlBI NG I furnace/burner to BTLI, S Residence of SQ. TTEach sinqle fixt.ure Fl oor furnace and ventNew ci rcui ts al Ls or extensions Relocated building (new fix. additional ) Recessed wa'l I Soace heatet and ventSERV I CESS. F. Res i dence ( l bath) Duplex (l bath) each Apol iance vent seoa ra teTenrporary ConstructionAdditionaI bath Stati onar.v evaP coo l erblater servi ce Vent fan with sinole duct Change in existing _resl-dcn.cl--_- mul ti f ami 1y, conm. or IndustrialSewer Vent systern aPart from heatino or A.C,0fStorm Sewer Mechanical exhaust hood and ductc0r4t1./lND. FTEDERS Instal I /al ter/rel ocate dist.rib. feeders l'lood stove/heater amp s.0f-- ISSUANCF OF PFRIlIT I r Con and thi s permi trk be done by an [lectrica by an Electrical SuPervisoWHERE STATE Llt.l REQUiRES shal l not be vali,l untiI the that the Electrical wo label has been signed TOTAL CHARGESTOTAL CHARGESTOTAL CHARGTS tractor, the electrical Portion of returned to the Building Division tjni ts .Occy Load Per Fee xSo XSq xSq terxs l,lAtlE (pl ease pri nt ) 0cc.y Group Val 7o (1.5 Total Comb. Permit f.v fy0reg the Bany rd nreoIIheonno nnaf ItIItthaatcerdodfYhe rebydhort'lnopermIIctIeapphetLFULI:comp fhet0rIdnnasceCEnthwlordaaccn'IdobeneforsrmedharDCndr'l Ia kIrvotrrthetcerIthafuandnac0drrec t II IdanhatNCtn'IkderscbedIreheworhettonII any of arton nrlpetof,he S tetafor1f1dIndaLawstheSpn!J Iu()1 n t1 th BheS1atrtertcItthaf'IS on rthe r reqnlyr,lIIu(JI i Din{ltheISonIosructretul. houw't permo I noted hereononIsthetba'I s exemptforatht'I eIOR701055 xempeecffatsredS'I nI fu II rceo and requ b.yBoa ec tUSonedrhs'I ro.jIbepI0557o1'II cean th ORSWIIltreilrvlioscompntCrat'sto nda InoISUbcoemp o.yeev ,TEISGiiRII,Ttl A/C Pav i ng Val ue TOTAL VALUATION l4ainTyrle/ Cons t Bedrooms Stori eFlood Plain Fire Zo SidewaIk Dento Fence Plan C P lan e ,,t opnlent Ftg I'tg Ftg BUiLDING PERI.lIT Charges and Surc ha rges PLUi4BING PERMIT Charges and Su rc ha rges TLECTRICT.L PERIlIT Charges and Surcha rges Vai ue Access 0ther i s true the Ci ty be made I der' s and that Curb Cut (1/)TOTAL I,IECHANICAL PERMIT Charges and Surc ha rges J\\oral , o\ CONTRACTORS oIl OCCI.IPAHCY ,/ COMBINATION APPLICATION/PERMIT (CAP) I Applicant to furnish A. Job Address B. Legal Description l. example- Tax Lot 100, Lane County Map Reference 17 03 43 2. example- Lot 1. Block 3, 2nd Addition to SdFiilTieto Estates C. Name, etc. of owner and construction lender D. Energy Sources 1. exampl e- heat/2. Exam6'Te- water E. Square footage or el ectri al ceili or forced air ilas e or sol ar valuat On, e 1. example- 1250 sq. foot house, 500 sq. foot garage 2. examp'le- if new project, check new - if addition, check add, etc. F. Building permit informat'ion:1. examplg - construct single family house with an attached garage 2. example - renrodel existing garage into fanrily room 3. example - convert single fantily residence into restaLrrant (change of use) G. Value of work as defined in Section 303 (a) of the Structural Special ty CodeH. DESIGN TEAM AND CONTRACTORS To avoid des ign or construction delays, Bui lding Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc. II. Abbreviated P)umbing, Mechanical, & Electrical SchedulesA, Except where blank spaces occur in the description portion of the Mechanjcal and Electrical Schedules, the appl icant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be installed B. Full Plumbing, Mechanical, and Electrical 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 thefull schedulesC. BUILDING DIVISION STAFF t.JILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. 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 authorjzed to sign the electrical label. I I I. Appl icant to sign and date Whenever possible, the initial application wil'l be used as a worksheet only. l,lhere possible, Building Division Staffwill prepare a type written copy and return it to the applicant at the time the actual permit is issued for his s i gna ture.IV. Fees and Charges Plan check fees are due and payable at the tirne 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 pernrit is issued. V. FOR OFFICE USE ONLY PERMIT VALIDATION lo 7-1 Perrni t Cl er PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: Permit appl icant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: name signature da te zq