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Home My WebLink AboutPermit Building 1989-07-05INS 7?6 ON LI CO}'IR I TI Job Address l-egal DescriPtion iCATI ERMIT llea t 726-375 RI4A llater Heater Ranqe EIIERGY SOURCES Sq. Ftg. Access.-_- Ter TeL Change/Usece_Demo -0t Sq. Ftg. 0ther l,ler^r Add A1 -Fenher Ftq. l'la n-".- Val ue @ Owner d Sing e:€.1DescriPnBuIrGara l^lo Fami'lI)honc Construction onI)honeAddress e1n na Pri nra St ruc tura l E I ectri ca I l'lechan i ca l a ra Pl umb nl rical MTC HAN I CALELI CTR I CALPLUIlB i NG S furnace/burner to BTLI Residence of t'TSQEach singie fixture Floor furnace and ventNew ci rcui ts a l ts or extensions Relocated building (new fix. additional) SIRVICESS. F. Residence(1 bath)Soace hea r and vent Recessed wa l l Duplex (1 bath) each Apol i ance vent seDa ra teTemporary Constructi onAdditional bath Sta t i ona r-v eva P cool er qe in existinq dence C han res il,later servi ce Vent fan with sinqle ductmultifanrily, conm Industrial or Sewer Vent systern aPart from heatinq or A.C.amp 5.0fStorm Sewer l4echani ca l exhaust hood and ductCOMI.I./IND. FEEDERS llood stove/heaterI nstal I /al ter/rel ocate distrib. feeders - --. 0f amps. ISSUANCF OF PFRI'IIT TOTAL CI]ARGESTOTAL CTIARGESTOTAL CHARGES DATES IGIIATUREl,lAtlE (pl ease pri nt) other r4tr, VElasr)*z- ualue 4E- -+ TOTAL VALUATION E X -0cc.y Grou pE'/ sq 0ccy LoadlSq / un u-'e-r,,, fy nDc 'IrftIaInotrma on hereon'IIancet,l t harehedocaotfont.r ,YbypermEteeFULCARELcomp fothw1het0rdndiSnceIIacdacorencn1eondIIrkl{o drforme has app and adanfu rtherI rtce 1 t tharr anyndaCOect ilc PANC0ccU wl 1dbeIherd'Ie n ndd ath ttehworksecrtonIn1IfIanddLoawsthfJtetaof0reoonnrlethene rt.'l !lSofp!l 'I on1 thvn ButherIathttStraII'Id n I t 1s no u t he tcer regrWIhottheutrml,|ss n0 of the Bu fy m.yruturectpeI5aofny n d eoher nIfseorto1otethatIf705thetxempbasandacts'Il.l red DC 0 1 50 xenrpIceforeffereqb.yfuIn,laBo'|rd s tec7oc,)I 1I05 be sedU n0 Ith s'I n II NCa wl ht Irvhoare pro.j.I on su tracbcon antors d I s comcempoyee-Y Zone Acce s s l'1a i n.Type/Cons t.its Srr Value Val ue Ftg Ftg Ftg F'ire Zone Bedrooms Flood Plain Stories lectric,'tl Contractor, the electrical portion of this pernit upervisor and returned to the Building Divisionl^,IIERE STATE L1I.I REQU sha l I not be val i J unti I IRES that tlre Electrical work be done by an I: the label has been sicned lry an Electric.rl S 'i s true the Ci ty I be made ilder's and that rge ( 1.57 Svs Cha tens Deve opment )q.?5Plan Ck. Comm/Ind 65%/Bldq Per Fee Plan Ck. Res 30%/BIdq Per Fee BUILDING PERIlIT Charges and Surc ha rges f 5- no__/ FencePLUi4BING PERMIT Charges and Su rc ha rges Sidewal k D6mo Total Comb. Permit /.r2{ELECTRICAL PERIIIT Charges and Surcharges A/C Paving Curb Cut 2s.f,aTOTAL IlECHANICAL PERMiT Charges and Surc harges Address be D COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description1. example- Tax Lot 100, Lane County Map Reference 17 03 43?. q1qm12le- Lot 1. Block 3, Znd Addition toSTiiisfieta EstatesC. Name, etc. of owner and construction lenderD. Energy Sources l. examp]e- heat/electrical ceililg/2. exampl e- waterheaterlel eEcTFcal-/oE. Square fooGge or valuation, etc. or forced air qas. !o-l*- l. example- 1250 sq. foot house, 500 sq. foot garage2. example- linew project, check-new - if addition, check add, etc.F. Building pernrit information:l. example - construct single family house with an attached garage 2. example - remodel 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 theStructural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid des Di vi s ion Sta ign or construction de)ays, Bui ldingff must be able to contact approp|iate persons regarding design information or job site corrections, etc.II. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules, the appl.icant need fill-in only the No. Boxes adjacentto the appropriate itern(s) to be'installedB. Full Plunrbing, Mechanical, and Electrical Schedules are available at the Building Divisionl. To conserve space on the permit fornr the schedules have been abbreviated 2. If the item(s) to be installed are not covered on the abbrevjated schedules you should consult the ful l schedules C. BUILDING DIVISION STAFF I"JILL FILL OUT ALL FEES AND CHARGTS ON THE SCHEDULESD. 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 [,lhenever possible, the initial application will be used as a worksheet only. Where possible, Bujlding Division Staff will prepare a type written cop applicant at the time the actua s i gna ture.IV. Fees and Charges v I and return it to the permit is issued for his Plan check fees are due and payable at the time of the appl i cati on, and no p l ans wi l l be processed unti l these fees are paid. All 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 OCCUPAIICY: Permit appf icant exempt from reg jstrat'ion with the Builder's Board because: Addit'ional Proiect information PLANS REVIEWED BY: name i gnatur date 7- 7^* jt)