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Home My WebLink AboutPermit Curb Cut 1983-06-033 COMBI APT RMIT Legal Description Job Address Sq. Ftg. 0ther t'lew_Add_AtET-ED. _Fence Demo Change/USe 0ther Descr .€.,t eGa Sq Ran l,later Heater Value of llork: nEIIERGY SOURCES Hea t Ftg. Access Ftg. Construction Lender Owner S Phone Addres s PhoneDtr{T CN Ttr1iII s .) 8 PLUIIB I NG ELECTR I CAL MECHAN I CAL, l nl ectr i Mechan i ca I E I ectri ca I Structura I Pri ma Each single fixture Res idence of SQ. FT furnace/burner to ( Relocated bui ding new fix. additional)New circuits altsor extensions FIoor furnace and vent 5. F. Residence {l bath)SERV I CES Recessed wal I Soace heater and ventDuplex (l bath) each Additional bath Temporary Constructi on Apol iance vent sepa rate l,later servi ce Cha res nge in existing i dence Stationary evap. cool er Sewer multifamily, connn. or lndustria l Vent fan with sinole duct Storm Sewer 61 amps.Vent systern apart from heatinq or A.C. cor.fi.I./IND. FEEDERS Mechanical exhaust hood and ductInstai 1 /a l ter/re1 ocatedistrib. feeders [,Jood stove/heater 0f amps. ISSUANCF OF PFRIlIT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES t,,lHERE ST, shall not be ATE LIi,I REQUIRES that tlre Electrical workvali'l until the label has been signed by be done by an Electri ' an Electrical Contractor, the electrical portion of this permit cal Supervisor and returned to the Building Division exemp t55 wi FULCARE e nocaat d do certi ttha Ia Iant onrmatcomppphe re b.y0erm l nhereo s truefy a co rrec t d fu rtheT cer t tan a Ia l.roI r k rmedrfo has IInd be Idone accordan enc thwl nI an f'fy DE 0rdthe ces athe 10 tyf0'l n tt d any ofeIdanLd w5the f Sthe LCtasprI oe rta n1t to workthe crldes hereibed n nda ath t0regonng NC UPANCY0cc 1wt beI madeofuretructtwluthothe1ssofspermitheIBui1dDIs10nIIhefurtcerrtitsIIn9tha,a+F t n0 thvJl Bthe r sIdeultyregmy Boa any rd 1 s n'I Ifu forceI nda cte ffe 1uas red RS0 07 05 5 tha 'It f t bas s1 forthereqby Ion noteds hereon thatandexempti 0 I trs u bcon to'ac andrS I I ,l usvESarewhon1Iance'I tWT 0t?5h 0707 be ed th0n s'Iernr)0ye c0mD roj ectp I'lAl,1E ( pl ease pri nt)IGNA oar/-1-V? Zone_____Tyoe,/Const. Units Sq. Ftg. l4ain x Value-- Rpd rooms LoadFire Zone Ftg. Access x Value, Plan Ck. Conrn/Ind 65%/B1do Per Fpp opmenttemsBUILDING PERt'IIT Charges and Su rcha rges Plan Ck. Res 30%/B1dq Per Fee FencePLUMBING PERMIT Charges and Surc ha rges D6mo Sidewal kELECTRICAL PERI,IIT Charges and Surc ha rges A/C Paving Total Cornb. Permit Curb CutI,IECHANICAL PERMIT Charges and Surcha rges 3q;a-)(.sl.1 , TOTAL --..--.-.- BTLI'S F]oodPlainStories0cc.yGroupSq.Ft9.0ther-----.------xValue- TOTAL VALUATION 14 aB PERMIT VALIDATION (o lO3?) Permi t Cl erk \ COMBINATION APPLI CATION/PERMIT (CAP) I. APPlicant to furnish A. Job Address B. Legal DescriPtion i." example- Tax Lot 100, Lane County Map Reference 17 03 43 2. example- Lot I' Block 3, 2nd Addition to Spiin-ETieto Estates C. Name, etc- of owner and construction lender D. EnergY Sources 1. eiample- heat/electric?l cei'li!q/or fgrced air gas 2. efimEle-- waterheater/electrica l/0r solar E, Square footage or valuation., etc' i.- eiampte-"1250 sq. foot house, 500 sq' foot garage i. EI;;i---- J7i'"* proiect, check n-ew - if addition, check add' etc. F. Building Permit information: f. .i.fipii - construct single family house with an attached garage 2. example --remodel existing garage into family room 3. examFTe - convert single family residence into restaurant (change of use) G. Value of work as defined in Section 303 (a) of the Structural SPecialtY Code H. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays' Building Division Stafi must be able to contact appropriate persons regarding design information or iob site corrections, etc. II. Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except where blank spaces occulin the description portion of the Mechan'ical and Electrical Schedules' the applicant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be installed B. Full Plumbing, Mechanical, and Electrical Schedu'les are available at the Building Division l. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be instal'led are not covered on the abbreviated schedules you should consult the ful l schedulesC. BUILDING DIVISION STAFF I^IILL 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 signature by his electrical supervisor, The general contractor is not authorized to sign the electrical label.III. Applicant to sign and date l,Jhenever possible, the initial application wi'lI 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 actuai permit is issued for his s i gna ture.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 PROJECT CONDITIONS TO BE SATISFiED BEFORE OCCUPAI.ICY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information : PLANS REVIEWED BY: datenamenatures1g