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HomeMy WebLinkAboutPermit Electrical 1985-10-29IN 72 LIIIE COIIBINATI ICA 3753IT Job Address ?sz Stunr.r)/ l-eqai Description l€. t i ng'l eFami I Work A l,later Heater Value of l,lork Ranqe Permi t i den EIIERGY SOURCES Hea t q. Sq. Ftg Sq. Ftg llainAcceill-- 0ther Phone525 Owner Address Construction Lender ( Address Phone n Pd ,/22 y'/eal PLUIIBI NG ELECTR I CAL 14ECHANICAL Ca) El o eo/a-c Leo. Hechan i ca l El ectri ca l Structura I Pri ma At NO FEE CHAR6F NO FFF CHARGF NO FFF CHAAGF Each singie fixture Residence of FTsQ BTU' S furnace/burner to Relocated buildino (new fix. additional)New circuits altsor extensions Floor furnace and vent S. F. Residence ( l bath)SERV i CES Recessed wal I Soace heater and vcnt Duplex (1 bath) each Additional bath Temporary Constructi on Apol iance vent seDa rat-e l.later service Change i n exi sti ng res i dence Stationary evap. coo i er Sewer multifamily, corm. or Industrial Vent fan with sinole duct Storm Sewer 0f *Vent systern apart from heatinq or A.C. c0r4r.1./IND. FEEDERS Mechanical exhaust hood and duct Instal I /a.l ter/rel ocatedist-rih. feeders ['Jood stove/heater 0f a 9,,"),4",e- -t-4 160 AS oo atwpn 47"I do u ISSUANCE OF PERI1IT TOTAL CHARGES TOTAL CHARGES Zl" 60 TOTAL CHARGES l,lAl'lE ( pl ease pri nt)-2?-&5l^IGNA REQUIRES that tlre Electricai work be done by an Electrintil the label has been signed by an Electr.ical Supervi cal Contractor, the electrical portion of this permit sor and returned to the Building Division and of of Boa onl any ofng stany rd empt wi'l YL IEXAI1 e ca onti for trmt anI rtddo 1t on reonhe sI ruetn,ltac0mpapl-)DE ceherebycorrectandIerertcIhatLfurthdaIIworkrmedfohasII'I nedonbeanfyper ac cecordan thwt Ordithe ncena ofs Cithe tyrl'It 1 anddSp Lawsthe theof Sta te on rt nat t tto workhe crtdes 't n ha0regoehebedredant NCt CUPANCYOC IWI beI madeng cturu WIre thethout s 'Is ofonpermi the 'I dI I Di sI on1 furt r 'IIn9hecert f tha tras 1t-vlion theth 'IBu deI r Sfyreg imy sI nI Ifu I fo arce nd affect s '|red ORS 07 05 5 itha 1 f ex 'Itherequbys s for 0'I Tn noteds and tthabaexemp t s bconv totrac rs a nd I who Iempre n I a'I nc tw1 h 0r?s 70t 0 55 IoyeescomD be 0nused sthi ectproj I.JHERE STATE LtrIishall not be vali.J u Fire Zone Bedrooms Occy Load Sq Ftg Ftg Ftg Uni ts Valuex TOTAL VALUATI nil I llp 1 Zone____Type/Cons t l4a'i n Flood Plain Stories Group Sq. Acces 0ther P l an Ck . Cornm/ I nd 65%/Bldo Per Fee tems De rqe tlSys Cha ve 5/. opmmtBUILDING PERIIIT Charges and S u rc ha rges Plan Ck. Res 30%/Bldo Per Fee FencePLUI4EING PERMIT Charges and Surcha rges Demo Si dewal kELECTRICAL PERTIIT Charges and Surc ha rges 5, / .6D Total Comb. PermitA/C Paving Curb CutHECHANICAL PERHIT Charges and Surc ha rges dD,7_bTOTAL J^trwd \q D t^) e) A Nechanical hereon, COMBINATION APPLICATION/PERMIT ( CAP) I. Applicant to furnishA. Job AddressB. Legal Description l. !S_!P!C: Tax Lot 100, Lane County Map Referencei7 03 432. example- Lot t. Block 3, Znd Addition toSEn'igFietd Estates PERMIT VALIDATION C. Name, etc. of owner and cons truction lenderD. Energy Sources c I. example- heat/electrical cei I inq/or ?. exa[pt e- waterhEiTETTEiEcrriEi-j7or Square footage or valuation,-eEdI- l. example- 1250 sq. foot house, 500 s2. example- if new project, check-newcheck add, etc. ' forced air oas solar q. foot garage'if addition, (r055FBui l ding perm example - attached it information:I construct single family house with an 2. garage example - example - res ta uran remodel existi ng ga fami rage into family room3.convert si ngl e Iy residence into G. Value of work t (change o as defined f use) Structura l Specia I in Section 303 (a) of the ( ty Code x{H. DESIGN TEAM AND CONTRACTORS II To avoid desig-n or construction delays, BuildingDivision Staff must be able to contact appropriitepersons-regarding des.ign information or job s.itecorrections, etc. Abbreviated Plumbing, Mechanical, & Electrical Schedu,lesA. txcept where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fijl-.in only the No. Boxes iOji6ent_ to the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedu.lesare available at the Build.ing 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 l 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 signature by his electricai - supervisor, The general contractor ii.not authorizedto sign the electricai labelApplicant to sign and date l,lhenever possible, the initial apptication wilI be used asa.worksheet only. Hhere possible, Building D.ivis.ion 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 payabie 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. FOR OFFICE USE ONLY 6/>l D III IV V Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit applicant exempt from registration with the Builder's Board because: PLANS REVIEWED BY: name sig nature date j( Additional Project Information :