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Home My WebLink AboutPermit Building 1986-09-22L13P iIISPECIION LiNE 726-37 69 Job Address 123O lV 3 sn SPrP @ CONSI NAiTOII AP PLICAT ION/ PERI'II T 726-37 Legal Description / 70 Z 'o43o2/oo l.t l,later Heater Ran EIIERGY SOURCES Hea t Value of l,lork: / O, goo'3 Sq. Ftg. Access._ Sq. Ftg. 0ther- llew Add Alter ReP. -Fence Demo Chl-nge/Use -0ther- tq . tlain owner fiArFfru , AAATT| :e. r Bui ld Single, Builriinq Pernit Info: Describe Work(:Farnilv llesidence llith Attached GaraqeAddress 2AS6 EBr a dal pnoneL/85-727 F+*,f tpa,t/A*xq e.o tt$ (o,l&€t, Frt-'^'/. c t'ttE.,tr{ (, {r .L.t P241y71xt b .ouOG€.6 Ltt HnConstruction Lender SgZt FUUOgO Dsro \ oa(\l Addres s Phone exD I res ohone no.name address lics. no. primary Qa?toe Gfzrff i< C,E, 26&-t4cktqr 0k SOfl.71b*Zziq o EL L(l?-tcrvNo Structura I El ectri cal STPC, c-|u&$ Mechanical name address )tcs. no.exot res ohone no. Genera t SgeF I ir{ 5tAcrtrro-r}lltt,rr- 6atfFt,u LtES-7L1L Plumbins TO Bg nf4f.'trr-O TD lAlfSntLL 3/q" 6^c-g FLrr+.t Electrical No ELIFCTT l^JJ74(r<n"J l.lechanical Nf 6 f4GLt{t^J ,.rf* \r.r fl4r/tfa^y' PLUI{B I NG EL ECTR I CAL MECHAN I CAL FFF CHARGE Nn.FFF .HA PG F NO FFF CHAAGF Each single fixture Res idence of FTSQ furnace/burner to BTLI' S Relocated buildinq (new fix. additioial)New ci rcui ts al ts or extensions Floor furnace and vent S. F. Residence(l bath)SERV I CES Recessed wal I Soace heatcr and vpnf Duplex (l bath) each Additional bath Temporary Constructi on Apol iance vent seDa rate [,later servi ce Change in existing res i dence Stationary evap cool er Sewer Industrial multifamily, corrn. or Vent fan with sinole duct- Storm Sewer .amp s.0f Vent system apart from heatinq or A.C.{3lq" B*.( Ft6r,s 7.sa coMl.r./rND. FEEDERS Mechan ical exhaust hood and duct 9ryt^tzzfr Srszz 7.50 Instal I /a l ter/rel ocate di stri b. feeders ['Jood stove/heater 0f amps ISSUANCF OF PFRIlIT TOTAL CHARGES /f oa TOTAL CHARGES TOTAL CHARGES e by an Electrical Contractor, the electrical portion of this permitctrical Supervisor and returned to the Building Division liAl'lE(please print) ! I DATE a-zz-ae WHERE STATE LAt,l REQUIRES that the Electricat work beshall not be valiC until the label has been signed by an don Ele for oe perfo exempt 055 wi l E NEDI het e I cI ta on'I rtce 1dodantapl')comr)hat at II n1 +forma 0n1 Ihereb.y fy reo nhe s ru+ec0ndatrrecandIcfu rther 'Iert tha t a aand II workfyny srmed Iha I n'|edonbe rdancec0 thwl 0rdthe na'Iac snce theof Ci ty'Ifo 'I andd eth Lasprng fi ws theof tas ofte on rt 'Ia In0regDE to het deswork bedcrl nngheI tand Lha 0cNCre wlCUPAI'ICY II madebefosturetructhwtt0utanyhe'I Ss onI fperm eth u I1 'Id n D I 'I 1 nso I hefurt cer 1rt t fha +S tra 0n'Ifym.y thvlI Buthe I'I der sreq in'I,lrdBoa fu '|Is andrcefo e tffec as 'I r g 0'ed 0Rs 7 AE 5ireqby ha It ft bathe 1'I5 s for e n heoted reon nda tthaIonsuontbcandractorsvIsawhoempoyee'I n II an w1comcCE th 700r?s 'I 1thbeused F r Zone L,tz /Uni ts TOTAL VALUATION x x 457 Flood Plain S tori es 0c c.y Group. So. F a-2 Val Ftg Const lue 7ge. 0the r Fire Zone Bedrooms 0ccy Load Val ue tg. l4ain Ftg. Acces Plan Ck. Comn/Ind 65%/81dq Per Fee 1'as-il-{0, bl Systems Deve Charqe tl.51 opment /62.4 BUILDING PERI'IIT Charges and Surcharges Per F s I an Ck Fence {.oPLUI.IBING PERMIT Charges and Surcha rges r{*l). 6a D6mo Si dewa I k ELECTRICAL PERIIIT Charges and Surcha rges A/C Paving 62.50 Tota'l Comb. Permit 8V, /o Curb Cut I4ECHANICAL PERHIT Charges and Surc harges TOTAL zl, /o COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description1. example- Tax Lot 100, Lane County Map Reference 17 03 43?. ellqqrple- Lot l. Block 3, 2nd Addition toSpFiffiield EstatesC. Name, etc. of owner and construction IenderD. Energy Sourcesi. 2.E. Squa example- heat/electrical ceil inq/ exampTe- wa terEEa teFTETec til cil7o re footage or valuation, etc. or forced air gasr solar 1. example- 1250 sq. foot house, 500 sq. foot garage2. example- if new project, check new - if addition, check add, etc,F. Bui lding permit information:1. e_&mp]*e- - construct single family house with an attached garage 2. example - remodel existing garage into family room3. example - convert singie family residence into restauiant (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, Building Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc. II. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occurin the description portion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be'installedB. FulI Plumbing, Mechanical, and Electrical Schedules are available at the Buiiding Division l. To conserve space on the permit form the schedules have been abbreviated?. If the item(s) to be installed are not covered on the abbreviated schedules you should consult thefull schedulesC. BUILDING DIVISION STAFF hIILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES D. As noted on the CAP, the label must be delivered to the electrical contractor for s'ignature by his electrical supervisor. The general contractor is not authorizedto sign the electrical iabel.iII. Appiicant to sign and date Hhenever possibie, the initial application will be used as a worksheet on1y. Where possible, Building Division Staffwili prepare a type written copy and return it to the applicant at the time the actuai permit is issued for his signature. 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 paid. All other fees and charges are due and payable when the permit is issued. V. FOR OFFICE USE ONLY PERMIT VALIDATION EoYr(l 1-lo-Kb Permi t Cl erk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY permi t appl 'icant exempt f rom reg'istrat'ion wi th the Bui l der' s Board because : Additional Proiect Information: PLANS REVIEWED BY: name /da te 7-7A-86 4I I M qT COHBI TI APPL I CAT I Job Address /23O N J s7, sprp Legal Description / 70 Z 3O 4jo 2t o O EIIERGY SOURCES: Heat rt /n k l,later Heater Ranqe Va I ue of l,lork : / O, $oot3 Ftg Ftg n Sq Sq Use . Access . 0ther owner 6Arffr, , /\4ATTt ,€., Build Singlet In Descr rk Farni l nAddress 2AS6 EI2r a Naf Phone 1 85-727 Edb€v€ orze,6ou rrrltku,* Pt(ltd tt { b ? .L.s*r,t* (aft lltit, Fezxr c t<rG, S(-rr,eetyl4 b, PLA^.i t^t b . F.t*t=-t*ihh/E^tT) . Construction Lender SSZF FuUOgO Ll Hrtq.€ ttttz.it *, €€tc TLru<' t<sc,@- I C<1r O .S ca UT Addre s s Phone DESIGN TEAI.I name address I ics. no.exDt res ohone no. primary Qqfzt"a GAff i< C,E, 7E&-tAq*ton 0k slia)716-z-zso Structural MO .STeu clo fL$ afArq(a-NO ELEl ectri ca i Hechanical ACTORS n ame addres s (pvnirpsi I ics- no- )ohone no. Generat 56zF t^l sta.nr,:rJ thtrr- 6 rztfe,ru LIES-7L1L plumbinq TQ Bf 4rfrr'tr=ro TD lllfsntLL 3/q" tsA<-t< FLo'+t EI r1 t No ELrtcT, IrtrJ?A(kr,5,J PLUI.IB I NG ELECTR I CAL MECHAN I CAL N0.FFF CHARGF NN FFF CHARGF NO FFF CHARGF Each single fixture Residence of SQ. FT furnace/burner to BTLr s Rel ocated bui 1 ding (new fix. additional ) New circuits alts or extensions Floor furnace and vent S. F. Residence(l bath)SERVICES Recessed wal l Soace heater and vent Duplex (l uath) each Additional bath Temporary Constructi on Apol iance vent seDa ra te [^later servi ce e in existing encp Chan g resid Stationary evap. cool er Sewer multifamiIy, conrn. or Industrial Vent fan with sinole duct Storm Sewer 0f amps.Vent system apart from heatinq or A.C. a/'3/q" ts*r* Fror^:7 5i>COI4II./IND. FEEDERS Mechanicai exhaust hood and duct )?ztuztzffi Srsn >3 a<a Insta.l I /al ter/rel ocate di stri h fcpdpr<l'Jood stove/heater 0f ISSUANCF OF NPBI111 TOTAL CHARGES /f oo TOTAL CHARGES TOTAL CHARGES [^/HERE STATE LAt,l REQUIRES thatshall not be vaii.l until the labe the Electrical work be done by an Electrical Contractor, the electrical portion of this pern.itI has been signed by an Electrical Supervisor and returned to the Building Division llAl.lE(please pri nt)TE f-zz-ae nermi t rformedte of 0reqon n of the Buiof any Board exempt 055 wi'l the comD aeted at oc!-)p an d certd0 tha t fo Lrma on reo nhenahereb.y s t rU eandcorrectndafurrthecerttthaandawokrfyanyDEShabedoneACncordancewlhthetna nc0rd i ofes t he ci tyrlfdSofDeathendLawsfngthestanltoworkthecrldesbedoe rta ng he nreI a nd th ta OCCUPAI.ICYt,tc wt be maderutcturetwluthothermtpesdnsohefurtcertrIhattres,atr t no thv/tfym.y g Bthe U de r ssnfuforcendafeefactsred0Rs ng 701requi thefttha055by ba s fors noted hereon an td thaonu bcon tr torac and,s1y who rea nernpoyees an wice 0t?sth 70 htbeus edcomD Ftg. Ftg. Ftg. Val ue 0c 0c cy Load xiVa 0 l,la i lue 7ge. c.y Gro 1ue - -az (,5 Uni tsZone _L&/__J yoel Con s t AccesFire Zon Bed rooms Flood Plain Stories TOTAL VALUATION /O,9AO . * Plan Ck. Cornm/Ind 65%/B1do Per Fee t), b')Systems Deve Charqe (1.5q opment /62.4BUILDING PERiIIT Charges and Surcha rges PIan Ck. Res 30%/Bldq Per Fee Fence {.coPLUi4BING PERMIT Charges and Surcha rges e 6o Dgmo Sidewal kELECTRICP.L PERI|IT Charges and Surcha rges A/C Paving 62.50 Total Comb. lermit 8V, /o Curb Cut I,IECHAIIICAL PERMIT Charges and Surcharges TOTAL 21; /o l,lechani cal 1\(o (vlet-L{ fttl ,c,tr* \rt S1fiurtr'+J I'I I Slr,sr%f ) ) ,'r'"-t*l;' .,.u Y Job Address Legal Description 1. glarlple- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot l. Block 3, 2nd Addition toSpringfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sourcesl. examol e-2. *rFI-.-E. Square footag o heat,ielectrical cei wa te ter e e or valuation, lo1ced air gas or sblar 1. examp_le- 1?50 sq. foot house, 500 sq. foot garage2. example- if new project, check-i-ew - if additio;,check add, etc,F. Building permit informat.ion:1. q{!.lnp]_e- - construct single family house with anattached garage ?. example - remodel existing garage into family room3. example - convert single fam.ily residence intorestaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construct.ion delays, BuildingDivision Staff must be able to contact appropriitepersons regarding design information or job sitecorrections, etc,II. Abbreviated P)umbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fill-.in only the No. Boxes adjaientto the appropriate item(s) to be installedB. Fu'll Plumbing, Mechanical, and Electrical Schedulesare 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 onthe abbreviated schedules you should consult thefull 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 s.ignature by his electricalsupervisor. The general contractor ii not authorizedto sign the electrical labelIII. Appiicant to sjgn and date l,lhenever possible, the initial application will be used asa-worksheet only. l,Jhere possible, Build.i n9 D.ivision Staffwili prepare a type wr.itten copy and return it to theapplicant at 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 theapplication, and no plans will be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is issued. V. FOR OFFICE USE ONLY PERMIT VALIDATION Permit Clerk Ecr7ttl 1-lo-Kb PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: Permit applfcant exempt from registration with the Builder's Board because Additional Project Information: PLANS REVIEWED BY: nane /-a/?/V€date 7"VO-86Rsignature CE