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Home My WebLink AboutPermit Plumbing 1983-11-28COMBl L TI Job Address Legal DescriPtion llate r Heater E}IERGY SOURCES Heat Sq. Ftg. Access...-.- tg. l'1a n- Value of l'Jork 0wner I ng ts PhoneAddress Construction Lender t/u A/ q.) A { Addre s s Phone aname Pri ma Structura l E l ectri cal Hechan i cal -u PI MECHAN I CALEL ECTR I CALPLUI{BI NG FF F'CHARGECI.,IAPGF r'r0FFFCHARGFNNFEENO furnace/burner to BTLI' s Res idence of FTSQEach single fixture Floor furnace and vent New circuits alts or extensions Relocated building (new fix. additional) Recessed wa l I Snace heater and vpntSERV i CESS. F. Res idence ( I bath) Duplex (l bath) each Apol iance vent seDa ra teTemporary Constructi onAdditional bath Change in existing rpc i dcncp Stationary evap coo l erllater service Vent fan with sinole duct multifamily, comm. or I ndu stri a'lSewer Vent system apart from heatino or A.C.0f s.Storm Sewer Mechanical exhaust hood and ductCOMI.I./IND. FE-EDERS Instal I /al ter/rel ocate di ctri h fpedcrs tr'lood stove/heater 0f ISSUANCE OF PFRI1IT TOTAL CHARGESTOTAL CHARGES TOTAL CHARGES WHERE STATE LAhI REQU shall not be valiC unti] IRES that the Electrical work be do the label has been signed by an E1 ne by an Electr.ical Contractor, the electrical portion of this permit ectrical Supervisor and returned to the Building Division 2st,lAl.!E(please print 0regon the Buit the permi and effect ng 70 exemp 055 wi II n'I rmat on1 truesYat-fo hereontheINEDIe ted I c ''|at foron t ancompapp 'eb.y and correct nda I fu rrthe ticer tha at a 1I kw0r rmed has II dobe 'Ine accordan WInce tth he nanc0rdi cioftheesnda tyfyperfony ofrl'if lu theand ofLaws het taS teof art n'I 'I theto rkwo d rlsc here ibed n nda dLth NC wl0ccuPAl,lcY II madebeSpngpeng Iss'I of I 'Id Di .I 1s on fu hert r certi ath f I s Itrat tlrl0n tth Buha 'It der sIres tructu thouwlaofny fy my reg IBoa rd 1S fun I'|force ba 'Is fo r onti 'I ednot hereon thaand thetttha'IL f'I r ORS I 505ased exempreqby Ion s tractorsubcon and I s 'I 'I1 701 sedu on sI tI'lvwhoarenceathwl0t?s be thempoyeecomc orojec Ftg Ftg Ftg lue Flood Plain Stories TOTAL VALUATION- x x xGrou Val ue Value l'la i nts Sn Load Sq Zone_______Type/ Cons t Fire Zone Bedrooms . Access . 0ther Plan Ck. Comm/Ind 65%/81do Per Fee Svstems Deve Charqe (1.51 opmentBUILDING PERI{iT Charges and S u rcha rge s Fee Plan Ck. Res 30%/Bldq Per FencePLUI'4BING PERMIT Charges and Surcha rges D6mo Sidewal k 1?oELECTRICAL PERIlIT Charges and Surcha rges Total Comb. Permit Curb Cut dpt toI,IECHAI'IICAL PERMIT Charges and Surc ha rges TOTAL Ftg.0ther A/C Paving COTIBINATION APPLICATION/PERMIT (CAP) I. Applicant to furn.ishA. Job AddressB. Legal Descript.ionl. glaT?lg: Tax Lot 100, Lane County Map Reference17 03 432. glCgp_lg: Lot 1. Biock 3, 2nd Addition tosprrngfield Estates 9. Name, etc. of owner and construction lenderD. Energy Sources PERMIT VALIDATION I examp l e- examp l e- re footag hea t/el ectri ca ceili o r s forced air s (oNb1 I wate ea er,e tr ca o arE. Squa e or valuation,l ,*o, garage - if addition, I examp i e- examp I e- check add 1250 sq.if new p foot house, 5002.roject, check-new F , etc. G H Building permit information :1. elgmp]e - construct single family house with anattached garage ?. examp_le - remodel existing garage into family roomJ. example - convert single family residence .inio .. _ restaurant (change of use) Value of work as defined in Section 303 (a) of theStructural Specia)ty Code DESIGN TEAI4 AND CONTRACTORS To avoid design or construction delays, BuildingDivision Staff must be able to contact appropriStepersons.regarding design .information or job iitecorrections, etc.iL Abbreviated Plumbing, Mechan.ical, & Electrical SchedulesA. Lxcept where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes adjaient - to the appropriate item(s) to be instailedB. Ful'l PIumbing, Mechanical, and Electrical Schedulesare available at the Build.ing Division1. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult theful I schedulesC. BUILDING DIVISION STAFF WILL 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 electricalsupervisor. The general contractor ii not authorizedto sign the electrical label.Applicant to sign and date Hhenever poss'ible, the initial application w.ill be, used asa worksheet oniy. Where possible, Build.ing Division Staffwill prepare a type written copy and return it to theappiicant at the time the actual permit is issued for hissignature. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans will be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY III. IV V Permit Clerk 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: name S'I I na ture date -,p V