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Home My WebLink AboutPermit 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