HomeMy WebLinkAboutPermit Mechanical 1990-03-22rt tl9
COMBI APPL ICAT IT 726-37s3
Job Address --t\Legal Description
EIIERGY SOURCES
Hea t
llater Heater
RanqeContact Person
Owner Ihurst-on Chrislian Chrrrr.h
Value of l,lork:
$5765.00
Sq. Ftg. Access._
Sq. Ftg. 0ther-_
_l,lew_Ad d-A I te r_P.e p .
_Fence_Demo Change/Use
0ther
Ftg n
Addres6680 Thurston rd Phone Builci inq Pernrit Info: Describe t^lork(
_Family Residence liith Attached Garaqe
,e., Build Single
746-4228sptdr ot-g747g
Tncl.r'l 'l i nd narJ f'lov Arrnl- rnzl'ltr a:a n.ini
InstaLl 2 Day & Night Gas furnaces
Construction Lender B0% plus efficient
Addre s s Phone
DT,sIGN TEAI4 name address l ics, no exDl res ohone no.
Pri mary
Structura l
Electricai
Mechanical
ectr i ca I
han i
PLUI,,lB I NG ELECTRI CAL - MECHANICALinstall two qas furnaees
FEE C HARGF NO FFF l^ HAPAF NO FFF CHARGF
Each single fixture Residence of
SQ. FT
furnace/bumer to
+48$l4r$r''d N:rht F,*Relocated buildinq
(new fix. additioial)New circuits alts
or extens ions
Floor furnace
and vent
S. F. Residenie(l bath)SERV I CES Recessed wal I
Space heater and vent
Duplex (1 bath) each filtu rrfrtd^d L.otAdditional bath Temporary Constructi on
l,later servi ce ge in existing
dence
Chan
res i
Apol iance vent
sepa rate
Stationary evap
cool er
Sewer multifamily, comm. or
Industrial Vent fan with
sinole duct
Storm Sewer 0f amps.part from
c.
Vent systern a
heatinq or A.
c0Mr.1./IND. FEEDERS Mechanical exhaust
hood and ductInstal I /al ter/rel ocatedistrib. feeders l,Jood stove/heater
amps.0f 'e! fqin,2.a
TOTAL CHARGES TOTAL CHARGES
/ISSUANCF OF PFRIlIT
TOTAL CHARGES 2.
I'lAl"lE ( pl ease pri nt)
S IGNA
In
Per F
\.
s
s
I Ip0c
DAIE 3/22/90
st.
c.y Gro
Deve
(1. 5z
by
ri,
I.JH EER TESTA LI\I',REI ts haREQU t Ethe ecI rlt I ecakwordonbe el rct caI IEan Con rat ctor ethe I e 'Ictr Ica 'I of0n ht s'|tIshaportnItobeIa:1'|permitunI'I Ithe a be has'I sbeen 1 ned na IEsby e ct ca I s 'I s0r a retund torneduperv t he B Iul ld n Di I s on'II
the permi
nd effect
i FUL YL he et 'II atc onIr)apcomp t'I an dDerm rehe ce 'Irtb.y th ta Ia '|I formanfy 1t 0n re0nhe 'I snda trueandrreccotIcerfu rther 'It tha atfy a and II rwo kny 0e rfo rmed Iha I be 'Idone an 0cc w1rdance tth 0rdhe nat ofnces het ICofS1Ieadnd typrngfithLaofwshettaSofte0renqon'|'I n thto ePe rta g wor desck Ir bed h 1ere n nda th at OCCUPAI,ICYNC wt I beI madefostutrucwIretthoussIofnButheI1'Id D i s'I on'I Ing fu certrther I ttha sIfy atr '|t no tt{l thh
any
rdBoa s'|I reqrn.y Be Iul der snIfu1forceasau1redb0Rsreqty70t550thaItfttbaheexempIsf,s or I o .In no tedexempt hereo n tha tandIonsuonbctracvtorsdanIwhorea'Iempoyees n I a'ICOMD l,{lnce 0t?sth 707 055 wl 1
'I be us ed on t h 'I ectsrojp
TOTAL VALUATION
opmmt
Zone Uni t
Fire Zone Bedrooms 0ccy Load
Fl ood Pl ai n Stor.ies Val ue
an Ck
an Ck
Marshallrs Oil & fnsulation
Marshall Dannen
Ftg. Acces
Ftg. 0ther
BUILDING PERI'IIT
Charges and
Su rcha rges
Ftg. t,lain x Value_
FencePLUI4BING PERMIT
Charges and
Surcha rges D6mo
SldewalkELECTRICAL PERtlIT
Charges and
Surcha rges
Total Comb. perm.i tA/C Paving
Curb Cut
HECHANICAL PERMIT
Charges and
Surcha rges
)t.5 D
D{TOTAL ,)>.5Y
O
n amP I a ddrac c t aq nn pxn l rps
Genera I
PERMIT VALIDATION
Permi t Cl erk
-k
ilv
t&{7
COMBINATION APPLICATION/PERMIT (CAP)
i. Applicant to furnishA. Job AddressB. Legal Description1. example- Tax Lot 100, Lane County Map Reference
17 03 432. example- Lot 1. Block 3, 2nd Addition toSffiffiield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources
example- 1250 sq. foot house, 500 sq. foot garage
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 fami)y room
3. example - convert single family residence into
iETGIiant (change of use)G. Value of work as defined in Section 303 (a) of the
To avoid design or construction delays, Building
Division Staff must be able to contact appropriate
persons regarding design information or iob site
corrections, etc.
Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in 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 insta'lledB. Ful I Plumbing, Mechanical, and Electrical Schedules
are avaiiable 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 consuit thefulI schedulesC. BUILDING DIVISION STAFF l,lILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULES0. As noted on the CAP, the label must be delivered to the
electrical contractor for signature by his electrical
suDervisor. The general contractor is not authorized
to sign the ejectrical label.
Applicant to sign and date
Hhenever possible, the initial application will be used as
a worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to the
appiicant at the time the actual permit is issued for his
si gnature.
Fees and Charges
PIan check fees are due and payable at the time of the
application, and no plans wi11 be processed untr'I these
fees are paid. All other fees and charges are due and
payable when the permit is issued.
H
qrr gasexamp l e-
exampl e-
are foota
V. FOR OFFICE USE ONLY
1.
2.E. Squ
1.
a.
;pecialty Code
AND CONTRACTORS
Structural S
DESIGN TEAI'I
II.
III.
IV.
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
permit app'licant exempt from registration r^ljth the Bu'ilder's Board because:
Add'itional Proiect Information:
PLANS REVIEWED BY:
datenamenatureS'I g