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HomeMy WebLinkAboutPermit Building 1989-12-20Cc)MBi ie. t Construction Lender L L Farn i ng Re \ Hea Sq. Ft9. Si ng et In Value of llork Ranqe 776-37 l,later Hea ter Job Address Legal Description owner Address s i denc Attached Ga ETIERGY SOURCES TI IT 1n Desc B -cR \--) lCu f-) IPhoneAddres s 'I /8 Pri ma Structura I El ectri cal Mechanical exDl res (phone no.addres s (lics. no.name J S/El ectri hani MECHAN I CALELECTR I CALPLUHB I NG a FFf CHARGFFFFTHARGFNOFEFCHARGENON0. furnace/burner to BTLI' s7.5b /2alo Residence of FTSQ,6 Each single fixture tr Floor furnace and vent Relocated building (new fix. additional)/(1 New ci rcui ts al ts or extensions Recessed walI SDace heater and ventSERV I C ESS. F. Residence ( I bath) Duplex (1 bath) each Apol iance vent seoarat-eTemporary Constructi onAdditional bath Stationary evap cool er Change in existing res i dencel,later serv ice Vent fan with s inole duct multifamily, corm. or Indust-rialSewer Vent systern apart from heatinq or A.C.0f amps.Storm Sewer Mechanical exhaust hood and ductc0Mr.1./rND. FEEDERS l'Jood stove/heater=* Insta l I /al ter/rel ocate d'i strih- feeders2,2-D9/% ./-* <,2 ,/<7'0f amps.4 d 7@k24ss72)'z -t--a ,4 fu<a2976ara (,2 ?v*a 6 -4'2172.2H4 Gp?kz4-raFl - =vt ?7€'tqzzbzt- 4/5%rfu-5i:.< >;AfuDdssuANcF oF PFRt,ur4 TOTAL CHARGESTOTAL CHARGESTOTAL CHARGES /?.* WHERE STATE LAI.J sha I I not be val i'l REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of until the label has been signed by an Electrical Supervisor and returned to the Building Division this permit DI\TE/Z- >d-87I'lAl.'lE (pl ease pri n S IGNATU v /o('/ n anyrof 0regon he Buiof any Board permi 'f ect n rmafo t on reonhe t erusfthaticafoonrtrmIadondherecertYepebYEDCARHAVELEFULcomp thwl 0rdthe na nc of cthesn app and nceorda tyaworkshrmedabenedoaandtndafuerthrrtthaLrrerfocorreccefy I,tc wl be madePAnthI.t0andrtathetorwodekrscrtfeanddLtheawsftheSta te DC gSpng Bu der shetthv,ltradsvlonfutherathrutctutwlutssoft0ntDirehothesv nda tthanheotedreonstbanthafesfuforcendaefsredORS ng 701a 055 trequiby 0on ube505nawlnce0t?sth 7utracbconandto rs who rea compIyempoyees Flood Plain Stor:es 1y'2 €r/lZ, occy eroup4L4/Z-Zq. Fts Fire Zone / x x T,'Yle/Const. 4/.V Units x %rEnat,"3744e- Bedrooms r 0ccy load 2OZ Sg. Ftg. Access 0ther Tone CZ Ftq. l1a j n Value Value lvll-l,q 5{l-l Plan Ck. Corrn/Ind 65%/B1do Per Fee rlq3 .33tL Svstems Deve charqe ( 1.51 opment fl"4.BUILDING PERNIT Charges and Su rcha rges _?_?f.,fe__ 4?.za Plan Ck. Res 30%/Bldq Per Fee Zr**v/4?/*b4,< Fence 42r*.*z (Zrzae*< PPLUI4BING PERMIT Charges and Surcha rges _/24-=_ Dgmo z.5s>2.- Sidewalk 7n-?f - //6,26ELECTRICT.L PERIIIT Charges and Surcha rges A/C Paving Total Comb. Permit ,'/ 7r.'24?Mt-#tfltt r ql.soI,IECHANICAL PERMIT Charges and Surcha rges /a 79,6f/na{ b-7,Wn +aB TOTAL 5q. Ftg. Access.- Sq. Fto. 0ther-- I'lew Add Al ter P'eP. -Fenile-oerno C h5-n ge/ U se 0ther :TORS Ott >-x , H \r-r t,or ,P.l.:\la ?,/-tz , ToTAL VALUATI0N_ PERMIT VALIDATION Peimit Clerk Ac(\ br.rLL \\ I COMBINATION APPLICATiON/PERI'IIT (CAP) II. III IV. Applicant to furnish A. Job Address B. Legal DescriPtion l. example- Tax Lot 100, Lane County Map Reference 17 03 43 2. examole- Lot l. Block 3, 2nd Addition to Sprinqfield Estates C. Name, etc. of owner and construction lender D. Energy Sources l. example- heat/elect!-ca-l-cei 1 in3/o 2. example- waterheater/electrlca l/or E. Square footage or valuation, etc. l. example- 1250 sq. foot house' 500 2. diample- if new project' check new check add, etc. r forced air gas solar sq. foot garage - if addition, V F. Bui lding permit information: 1. exampie - construct single family house with an attached garage 2. example - remodel existing garage into family room 3. examEfe - convert single fanrily residence into FESTi-urant (change of use) G. Value of work as defined in Section 303 (a) of the Structural SPecialtY Code H. DESIGN TEAI4 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. Abbreviated Plumbing, Mechanical, & E.lectrical Schedules A. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules' the applicant need fill-in only the No. Boxes adiacent to the appropriate item(s) to be installed 8. Full Plumbing, Mechanical, and Electrical Schedules are avai lable at the Building Division 1. To conserve space on the permit form the schedules have been abbreviated 2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult the ful l schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES D. As noted on the CAP, the label must be delivered to the electrica'l contractor for signature by his electrical supervisor. The general contractor is not authorized to sign the electrical label ' Applicant to sign and date Whenever possible, the initial application will be. used as a worksheet oniy. Where possible, Building Division Staff will prepare a type written copy and return it to the applitant at the time the actual permit.is issued for his s i gna ture. Fees and Charges Plan check fees are due and payable at the time of the application, and no p)ans will be processed until these fees are paid. All other fees and charges are due and payable when the permit is issued. FOR OFFICE USE ONLY PRoJECTCoNDITIoNST0BESATISFIEDBEFoRE0CCUPAIICY: eb aC Su eerdrdSBoahtBeurtnotW1hSItaftromIncaetregPrmatxempepp Addit'ional Proiect Informat'ion : PLANS REVIEWED BY: name Z,€-dat e ,/2-?-87signa tu re IIi'l I NSPEC 726-37 COMBI APPL I CATI ON RMIT 7 4 EIIERGY SOURCES Ftg. Mai Job Address ./) -.{1 - Hea llater Heater Ra Value of l,lor k:/t'YOwner \ N \ \ Address {qr</Y. )4. 7a:. o4\"!na?Builciihq Pernrit info: Descrit Fami'l y Residence I,lith Attachet ra ..e., Build Single struction Lender Address Phone DESIGN TEAM name address tcs. no.exDt res Pri ma ry Structura l E l ectri ca l Hechanical /*Z vff /,h;cA, name a ddres s I i cs. no. ) ( exoi res ohone no. ) Gene ra I Pl umbi nq El ectricai r,rechani ca r,hZYaZ /,Vf.-o PLUI{B I NG ELE CTR i CAL MECHAN I CAL N0.FEF CHARGE N0.FFF CHARGF NO FFF CHARGF Each singie fixture Res.idence of SQ FT ?/ furnace/burner to !/roartHat'' ' a 2.7 /*7& Relocated building (new fix. additional ) New ci rcui ts al ts or extens ions Floor furnace and vent S. F, Residence(l bath)SERVICES Recessed wa l I Snace hpater and vpnt Duplex (l bath) each Addi tional bath Temporary Construction Apol iance vent seDarate blater service Change in existing res i dence Stationary evap cool er Sewer multifamily, conrn. or Industrial 6 Vent fan with sinole duct a ,/P Storm Sewer 0f amps. Vent system apart from heatinq or A.C. COMI"I./IND. FEEDERS Mechan i cal exhaust hood and duct- I nsta l I /a l ter/reI ocate d i stri b. feeders l,Jood stove/heater 0f 4 fuPrerr*:,P ?n ISSUANCE OF PFRI{IT TOTAL CHARGTS TOTAL CHARGES TOTAL CHARGES /tsa WHERE STATE shall not be va LAll REQUIRES that the Electrical wo'Ii:l until the label has been signed rk be by an done by an Electrical Contractor, the electrical portion of this permit E'lectrical Supervisor and returned to the Building Division FUL L E XAM I N ED t he comp e te ap!-) and ca t 1 on fo r perm ,l t a he re b.y ce rt 'I fy t ha t a I I 'I n frorma t 'I on is true the City'I be made ilder's and that a nd co rrec t an d fu rth er cert 'I fy that any State of sion of a I I t{,0 rk perfo rmed s ha I I be done I n ac cordanc e 'I t h th 0 rd 1 n ances of bed 1 and tha r{0 0 cc UPANCY 'I 'lof Spri of any Board i ng fi e I d an d the Laws 0 t the 0 re!0 n oe r Ld 'I n I n g to th e work desI further i f exempt 1.055 rvi'l I crl he re n t t ru ct ure wt t ho ut the pe rmt s the Bu '1 I d I n9 D I I s I 0n ce rt 'I fy t ha t m.y re g 1 s tr,a t '|o n vir th t he Bu s 'I n fu I I force a nd ef fe ct a s recl UI red by ORS 7 01 0 55 tha t the ba 5 'I s ftor exempt 'I 0n 'I s noted here on on 1y s u bcon tr ac to r s and emp I oyees who a re 1 n COMD I 'I an ce wl th ORS 70 be us ed on th ,l s p roj e t t'lAtlE(please print)IGNATURE T zone <1 1 rype/Const.9,/ Units Ftg. l'lain x Value. Fire Zone Bedrooms Occy Load ?az sq. Fts Acces s Val ue Flood Plain ,,//Z.dr.S, occy erou/l/,?'2sq. Fts. lther4l/,/a- 2?%4 va1 TOTAL VALUATION Stori es BUILDING PER}IIT Charges and Su rcha rges Plan Ck. Conun/Ind 65%/Bldq Per Fee Svstems Deve Charqe (1.5% opmmt Plan Ck. Res 30%/BIdq Per Fee PLUMBING PERMIT Charges and Surcha rges Fence Demo ELECTRICAL PERTIIT Charges and Surcha rges Sidewal k A/C Paving Curb Cut Total Comb. Fermit I4ECHANICAL PERMIT Charges and Surcharge s S2 ?-? a TOTAL 77-?9 Sq. Ftg. Access.- Sq. Ftg. 0ther-- l,lew Add Al ter PeP. _-ienE-e-06-mo-Change/Use -other_--.-- t_ l-egal Description ronp nn a2 -rtz4- .4,/- .- -z-- rE->' M+-7y2r'62 / :TORS' PERMIT VALIDATION Permi t Cl er t3c ('UL A COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal DescriPtionl. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, 2nd Addition to+.SpFlngfield Estates C. Name, etc. of owner and construction Iender D. Energy Sources1. 6xample- heat/electricgl celli!q/or fqrced air gas 2. example- waterheater/electrlca I/0r !9-l3IE. SquaiE-Footage or valuation' etc. 1. example--1250 sq. foot house'.500 sq' foot garage 2. exampTFJT-i-ew proiect, check-i-ew - if addition, EfiecI'-add, etc.F. Building Permit information:1. exaipie - construct single family house with an attached garage 2. example --remodel existing garage into family room 3. AETFTE - convert single family residence into restaurant (change of use) G. Value of work as defined in Section 303 (a) of the Structura'l SPecia ltY CodeH. 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 occur in the description portion of the Mechanical and Electrical Schedules' ttre applicant need fil|-in only the No. Boxes adiacent to the appropriate item(s) to be installed B. Ful I PIumbinb, Mechanical, and Electrical Schedules are available at the Building Division 1. 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 t.lILL 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 contractoris nol! authorized to sign the electricaI Iabel. III. Applicant to sign and date Hhenever possibie, the initial appiication will be used as a worksheet only. Where possible, Building Division Staff will prepare a type written copy and return it to the applitant at the time the actual permit is issued for his signature.IV. Fees and Charges Plan check feis are due and payable at the time of the application, and no plans will be processed until these flbs 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{CY: Permit applicant exempt from registratjon with the Builder's Boa rd because: Additional Proiect Information: PLANS REVIEWED BY dale /ZgnaturenameR€/-< Si L COMBI L T 725-3753 EIIERGY SOURCES:Sq n Job Addres Hea t So. Ftq, Access. l-egal Description llater Heater Value of llork B .0j Add ,\vn ".l1r-.o t n scr l,ri th ..e- Suild Single /r\Iri\ Cons t I , 8'["'l Addres s Phone DESIGN TEAI4 name address exDt res rone no- Primar.y Structura I E l ectri cal llechan i ca I I \7 El ectri cai ilechanical PLUI{BI NG ELECTR I CAL MECHAN I CAL FFF C}IARGE Nn_FFF TIIAACF NO FFF Each single fixture Residence of SQ FT furnace/burner to BTtl' s Relocated building (new fix. additional) New ci rcui ts al ts )', or extensions ,) Floor furnace and vent S.F. Residence ( 'l bath )SERV ICES Recessed wal I Snacp hoater and vent Duplex (l bath) each Additional bath Temporary Constructi on Appl iance vent qpna ra t-e llater service Change in existing res i dence Stationary evap cool er Sewer multifamily, corm. or I ndustri a I Vent fan with sinole duct Storm Sewer 0f amps. Vent systern apart front heatinq or A.C. COMII./IND. FEEDERS Mechanical exhaust hood and duct I ns ta I I /a I ter/rel oca te di <tri h. foeders l'rood stove/heater 0f amp s. ISSUANCF OF PFRIIIT TOTAL CHARGES TOTAL CHARGES HHERE STATE L,1ll REQUIRES that the Electrica'l work be done by shalI not be valid until the label has been signed by an Electri an.ilectrical Contractor, the electrical portion of this pernit ca1 Supervisor and returned to the Building 0ivision comp e ted appl i ca ' and all' 0regon the Buil t I on r pe t a nd do herc by ce f.y tha t a I n t I n hereo n I s true a nd correc t a nd I fu rthe r cert I fy that any State of sion of work nerfo rmed sha I I be done a cco rd 0rdinances of the c 'I ty k desc r t NC 0CCUPAI.ICY wi l l be madeof Spriof any Board i ng t I 'I d and the Laws f the DE r ta I 'I I to the wor he s tructu re without the permis ll force and effect a d ing Divis 701.055, I on I further rt 'I fy m.y_stration rrrith the Builder's ion is noted hereon, and thatsInfusrequrredbyORSthatIf only subcontractors and employees who are in compliance with 0l?S 70 5 s ect I I'lAtlE(please pri I DATE Zone Cons t.i ts So.Ftg Ftg Ftg l{a i n Vai Fire Zone Bedrooms. Flood Plain Stories Load . Access Val ue Group Sq x Value TOTAL VALUATION 0ther BUILDING PERI'IIT Clrarges and Surcharges Plan Ck. Conm/lndiSllBldo Ppr Fpc Svstems Deve Charqe (1.57' opment Plan Ck. Res 30%/Blde Per Fee PLUI4BING PERMIT Charges and Surcha rges Fence Domo ELECTRICAL PERIIIT Charges and Surcha rges Sl dewa l k A/C Paving Total Comb. Permit HECHANICAL PERHIT Charges and Surc harges Curb Cut TOTAL \4,.Ec Sq. Ftg . 0ther aua pcF TOTAL CHARGES COMBINATION APPLICATION/PERI.1IT ( CAP) I. Applicant to furnish A. Job AddressB. Legai Description 1. CIgrnp_]_C- Tax Lot 100, Lane County Map Reference 17 03 43 2. example- Lot 1. Block 3, Znd Addition toS[Fffiield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources l. example- heat/electrical cei)i1g/or forced air gas2. EIIfrETe- waterhelTiTelect-rTcTilor sdiar _- E. Square footage or valuation, etc.l. example- 1250 sq. foot house, -5_9Q sq. foot garage 2. example- if new project, check new - if addition,cIEFadd, etc.F. Bui Iding permi t information:l. examplg - construct single fanri)y house with an attached garage 2. Crarry-lg - rernodel existing garage into family room3. example - convert single fanrily residence into restaurant (change of use)G. Value of work as defined in Section 303 (a) of the Structural Specialty CodeII. OESIGN TEAI4 AND CONTNACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design infornration or job site corrections, etc.II. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except vrhere 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 installedB. Full Plumbing, Mechanical, and Electrical Schedu'les are available at the Bui ldinq 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 consult theful I schedulesC. BUILDING DIVISION STAFT lJILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be de'livered to theelectrical contractor for signature by his electricalsupervisor. The general contractor is not authorized to sign the electrical label.III. Applicant to sign and date Whenever possible, the initial app)ication will be, used as a worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to the appl'icant at the time the actual permit is issued for his s i gna ture.IV. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans will be processed until these fees are paid, AII other fees and charges are due and payable when the permit is issued. V. FOR OFFICE USE ONLY PERMIT VALIDATION \\# \ + Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Perm'it appf icant exempt from registration with the BuiIder's Board because: Addit'ional Project Information : PLANS REVIEWED BY: name SI gn ature date INSPECTION LINE 7?6-37 69 CITY OF SPRINGFIELD Cr)HBI NATI ON APPL ICATION/PERMIT INMMMTION LINE 726-3753 Legal Description Job Address Ranqe ^\ EIIERGY SOURCES: Hea t 'l'N-/Value of l,lo 4N Sq. Ftg. I'lain- :q. Ftg. Rccess] Sq. Ftg. 0ther__ I'lew Add Al ter Pep. _Fe nc e_l-@o_C h a n g e/ U s e 0ther 0wner [.lf,Ken!i " Ent""pr.ises , Inc.:e., Build Singlenh Re Builriir 1,f ami I y Perr sid scr nce lli th At nAddressPhonZ45eBt?20 tlo. 5t-h Street ;5 I \ \. lll,Construction Lender f]\-it \d'ffr 00 -O E--I Address Phone t hone no-DL5I GN I LAI4 name addre s s I ics, no Pri ma ry \ Structura I El ectri ca l Mechani ca l ohone no-name add res s ( l ics. no. ) (exoires ran anton,ugene,regona,ne, Jr Electrical l,'lechanical ELTCTRICAL MECHAN I CALPLUI.IB I NG FFFFFFCHARGFNOFFFCHARGFNON0. Residence of SQ. FT furnace/burner to BTLI' sEach single fixture New circuits alts or extensions Floor furnace and vent Relocated bui Iding (new fix. additional) SERV I C ES Recessed wal I SDace heatpr and vent- S.F. Residence(1 bath) Duplex (1 bath) each Temporary Constructi on Apol iance vent seDa ra teAdditional bath Change in existing res i dence Stationar.v evap cool erI^later servi ce ormultifamily, conm Tndrrstrial Vent fan with sinole ductSewer 0f s.Vent systern apart from heatinq or A.C.Storm Sewer +I c0Mr.r./IND. FEEDERS Mechan ical exhaust hood and ducthamn] i'Finn nanm InstaI I /a l ter/reI ocate d'i stri h- fpedprs trlood stove/heater r -' "' amp s.0f Demol itt'on pernr i t or ly u0t',tE ISSUANCF OF PFRtlIT TOTAL CHARGESTOTAL CHARGES (TOTAL CHARGES l.lHERE STATE LAI'I REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit shall not be vali,J until the label has been signed by an Electrica'l Supervisor and returned to the Building Division D^IE?-ZllAl.lE ( pl ease pri nt S IGNATURE Valuex x.0ther Ftg l'la i n Access its Load Ftg Group Sq. FtS Zone___Tyoe/Const. _ Un EXAtlINED the completed appl o hereb.y certif,y that all information hereon is truecatt, anon!'re fy ny of 0regon ,he Bu iof any Board permi'fect xempt 5 vri'l nIIworDerkofrsrmedIhabeInedoIndadanfu rtherI ertc I tha atdanrrecc0t art n'I ,l theto rwo dk sce 1rSrlefidIdanLatheofwsStatheteofpen9png v'lDi IS 0n fu rtherIsIdirutcttwluthothesson1tofure fytsbaathtIfe055InI'Ifu I a I ORSa ng 701sforcendefredsrequby u'Ion I 1 7 0 05 IsutracbcontorandIawhorenIceanthwl011svempoyeescomp Val ue ValueStori esFlood Pl ai n BedroomsFire Zone nce with the 0rdinances of the City PAI'ICY wiII be madein, and vrith the Builder's noted hereon, and thatfortiat m.y Plan Ck. Corun/Ind 651"/91tlo Ppr Fpe Svsterns Develooment Charse (1.5U)'BUILDING PERNIT Charges and Su rc ha rges Plan Ck. Res 30%/Bldq Per Fee FencePLUI,IBING PERMIT Charges and Surcha rges Dgmo SJdewal k Total Comb. Permit ELECTRICAL PERI,IIT Charges and Surcha rges A/C Paving Curb Cut tE,10TOTAL I,IECHANICAL PERMIT Charges and Surc ha rge s { [,later l{eater TPlrt {)l Ynr rpq :TORS ToTAL VALUATIoN_ COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job AddressB. Legal Description l. example- Tax Lot 100, Lane County Map Reference 17 03 43?. example- Lot 1. BIock 3, 2nd Addition toS[iffiTield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources 1. example- heat,/electrical ce.iling/or forced air gas2. EiEmEl-e- waterfiEETEiTeTEE[fitl-l7or soTli---E. Square footage or valuation, etc.1. example- 1250 sq. foot house, 500 sq. foot garage 2, example- if new project, check new - if addition, EIec[--add , etc.F. Building permit information:1. example - construct single family house with an attached garage ?. example - remodel existing garage into family room3. example - convert single family residence into reitaurant (change of use)G. Value of work as defined in Section 303 (a) of the Structural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid des'ign or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc.IL Abbreviated Plumbing, 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 adjacent III to the appropriate item(s) to be installedB. Full PIumbing, Mechanical, and Electrical Schedules are available at the Building Divisionl. 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 consult the ful I schedulesC. BUILDING DIVISION STAFF t.JILL 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 electrical supervisor. The general contractor is not authorizedto sign the electrical label. Applicant to sign and date Whenever possibie, the initial application will be used as a worksheet oniy. Where possible, Bui)ding Division Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit is issued for his signature. Fees and Charges Plan check fees are due and payable at the time of theapplication, 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. FOR OFFICE USE ONLY IV. PERMIT VALIDATION ID'&'tq Permit Cler PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information : PLANS REVIEWED BY name Si gnature date