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Home My WebLink AboutPermit Plumbing 1989-10-20C()HB I Sq Sq Val ue 3 terI'lew 7 Ftg. EIIERGY SOURCES: lJater Hea Hea LegaI Description Job Address . Ftg. Access. ,e., Build Single Fami l n sc GaPhoneAddress ph cor'tt*.tTo, uenoel\T I 5 UAddre s s Phone exDt res rhone no.rcs. no.nameDES I GN TEAI.I Pri ma rv Structura l El ectri ca l Hechan i ca I PXnl res ohone no.I ics. no.RS name Genera I l,techan ica I MECHAN I CALEL ECTR I CALPLUI{B I NG FFF l^HARGFFFFCHARGFNOFFFCI{ARGF NO_ furnace/burner to BTL|, s Residence of SQ.FT.Each single fixture FIoor furnace and vent New ci rcui ts al ts. or extensions Relocated building (new fix. additional) Recessed wal I Soace heater and ventSERV I CESS,F. Residence(l bath) Duplex (l bath) each Apol iance vent seDa ra teTemporary Constructi onAdditional bath Stationar.v evap. coo l er Cha res nge in existing i dence[,later servi ce Vent fan with si nole duct multifamily, conm. or Indrrctria lSewer Vent system apart from heatino or A.C,0f amps. Mechanical exhaust hood and duct5(x COMI.I./IND. FEEDERS\E l,lood stove/heaterInstaI I /aI ter/rel ocate di ctri h- fpeders amps.0f ISSIJANCF OF PFRIlIT TOTAL CHARGESTOTAL CHARGESTOTAL CHARGES IGNAllAl.lE ( p lease pri nt DATE 0regon the Bui ng stany rd tcer I ttha Ia ItanforonatcpermrfyhetDcompapp II done I ncaccorda WIe thetha'|I kwor r fo rmedpe ha besndaatndarreccotandIcerfu rther 1t thafy d bedrl nhere i a thnd ta t,l0 ny of alrt In to wothe rk se cngefidIthandLaeofwsStatheteofSpeprt Itthas'I tra tvtDiIsonfuherrtcertiregm.yIIIdioffyureructthoutwlhetssonofperml ba '|s fors t onI sItha1teftheexemp055ORS'I n9 701Bo xemp tIIftIIafo rce eff,nd tec sa redau byrequ tn'|5 'I I'l057oORS be sedu 0 th sIawhoIrenIIwlanceandthIonu bcons torstrac c0mpvempoyees be done by an ElectriI.JHERE STATE LAI.I REQU sha l I not be val i'l unti I IRES that the Electrical work the label has been signed bY an Electrical Contractor, the electrical portion ot this permit ca1 Supervisor and returned to the Building Division rmation hereon is true Ordinances of the CitY I OCCUPAI,ICY w jII be made on vrith the Builder's noted hereon, and that Fire Zone Bedrooms 0ccy Load Sq Fttl Ftg Ft9 Val uex x Val x Vall'la i Group Sq t. Uni ts Sq Flood Plain Stories. TOTAL VALUATION Zone Acces s. 0ther Svstems Deve Charqe (1.51 opmentPlan Ck. Conrn/Ind 55%/BIdo Per Fee PIan Ck. Res 30%/BIdq Per Fee BUILDING PERI'IIT Charges and Surcharges Fence Domo PLUI4BING PERMIT Charges and Surcha rges OC 1 Si dewa l k Total Comb. I'ermi tA/C Paving ELECTRICAL PERI1IT Charges and Surcha rges Curb Cut \b:tsTOTAL T,IECHANICAL PERHIT Charges and Surcharges Owner Storm Sewer COMBINATION APPLICATION/PIRMIT (CAP) L Applicant to furnishA. Job AddressB. Legal Description l. example- Tax Lot 100, Lane County Map Reference 17IT1t32. example- Lot l. Block 3, 7nd Addition to Sprffig-Field EstatesC. Name, etc. of owner and construction lenderD. Energy Sources 1. example- heat/electrical ceilinq,/or forced air qas 2 . E x a m pl-e - w a t e rh e aTe rTlTEEt r f c al-/ o r s o IIF-E. SquaiE-Tootage or valuation;Gfi- l. example- 1250 sq. foot house, 500 sq. foot garage?. example- if new project, check new - if addition, check add, etc,F. Building permit information:l. example - construct single family house with an attached garage 2. example - remodel existing garage into family room3. example - convert single family 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 design or construction delays, Building0ivision Staff must be able to contact appropriate persons regarding design information or job sitecorrections, 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 adjacentto the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedules are avaiiable 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 onthe abbreviated schedules you should consult theful I schedu lesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEOULESD. As noted on the CAP, the label must be delivered to theelectrical contractor for signature by his electricalsupervisor. The general contractor is not authorizedto sign the electrical label.III. Appl icant to sign and date Whenever possible, the initial application will be used asa worksheet only. l,Jhere possible, Building 0iv.i sion Staffwill prepare a type written copy and return it to theappficant at the time the actual permit is issued for his s i gna tu re.IV. 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. V. FOR OFFICE USE ONLY PERMIT VALIDATION ) \5rE5 Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY Permit applicant exempt from registration with the Builder's Board because: Additional Project Information : PLANS REVIEWED BY: name SI gnature date ei\!R lilSl'iCIl0ll LlirL 725-37 b9 nf 0RnA -ll Lr,,;L coilB I ilA 7?6-37 iERMITAP 5''Rlil0t lIL PLICATTON/ l-e9al Description Job Address tlater lleater. Ra nqe EIITRGY SOUNCES llea t V,.llue of l./ork So. Ftq. tiain !q. Ftg. AcceF- Sq. Ftq.0ther llerv Add Al t#--Id:- _Fence_Demo Change/Use 0 ther Owner Arld res s l'lron en NQ n d SingleBu(rl e e i n 0 rDeSC l.lo r ed enc Ili t hedc aF,rni I 45Fr Construction Lenrler ,\drl re s s I'hone naIte d Structural E l ectrical ll (l Genera I RAC T ectnical PLUIIB I IIG I ILECTN I CAL i;0.FTF CIIARGF frn FFF CHARGF ilo. I Each single fixture IiltN,t<u Res i dence of SQ. FT 3 furnace/burner to lJaQ L- rnu's ? ttoC,ERelocated bui ldinq (new fix. addrtional)II I Floor furnace and vent S. F. Ees i dence(l bath)SERVICES New circuits altsor ex lens i ons . Recessed wa I I 0uplex (l bath) each Additional bath Apol iance vent se0arate +l l.later service Chanqe in existine !'es i dence Stationary evao cool er Sewer nrul tj fanrily, connr. or lndustria l Vent fan rvith 5inole duct Storm Ser.rer 0f Vent system apart from heatinq or A.C. COI4I.I. / IND. FIEDERS Ins ta I I /a I ter/relocatedlstrib. feeders [/ood stove/heater hood .rnd du ct ;ttecnan i ca I exnaus t 0f -- amps,2-ALfa< Extsr. s?stu,a6 l^ao oo ToT^L cil^RGEs btllS0LlltnE STATE L1r,J REQUIntS that ttre Electrishall not be valiJ until the label has been s cal r.rork bc done by an Ilectric.rl Conigned by an Electrical Supervisor and ractor, the electrical portion of this pernitreturned to the Bui lding 0ivision ISSIjANCF 0F pFnrilT TOTAL CIIARGES TOTAL CIIARGES llAllE(please print)s I /iil^TtiRtD TI&.,^ r.1P City made 55 I YUL l)iltx lro C tede Doiltl)ac no rmorpDC ndil tlo he Lrvre rce ha a o rnta on n-v he reo t ruenadco rre c a dn rU he cr ter tha dv tvo rk ranyoe fo rrned h b e nedo n c corda nc e theh 0rd ann fwloces eho05rfedndn9theoheSter'l o on0reo rDE n n o he rwoI de c r hebed re rI a nd h Cll COC lvl'AIC Y beoacruuIr^y re tlt U e pc rm 5 Orl o he tl rl nDso t.l rnq he r tcer tha t ra o vtn thvm.y re{l he der srdBoafsnUrCor'Ie nd tC tcc a rC (lU red 0ns 0ltty Ita t cf x t the ba s s oemt)xernDe no tedno rehe on nda ha tnosubnotrvacoandrsoearvhoempyerecnomDancnewi0nsh55Ubeednorht)r cco.j G roup. 1a .Sq. F t I /Dq Yt,sE oil Occy Lo.rd Tone 0ther Val T0T^L V^LU^T ton / z I 7 /2e F i re zone-Bedrooms Flood Plain Stories rto. nain *bltVol) x // 4 uatueTyoe,/Const. V-N Uni ts l-sq. rt!kjrzlFw,)E/:__x_ .- _ua1ue 53rqg @ P lan Ck, Conm/ I nd 651/8ldq Per Fee 377.?o Sysiems Develoonrent Charqe ( 1.5r.fu e,6 1&8,!ZPlan Ck. lles 302/0ldq Per Fee Fence Wfr*btr BUILDIIIG PERI.IIT Charges anJ Surcha rges PLUI4BING PERMIT Charges anrJ Surcha rqes /4 do, J.- ,7.' 5*1 so 2?,Oo Demo TotaI Corob. lermit z6b/ 6: __N/* (! ___1 Sidewalk Curb Cut A/C Pavinq ^ooU.- )-,?;--- TLTCTR ICT,L PtNI:I T Charqes and Su rcha rge s IlEC}IAN I CAL P Charges and Su rc ha rqe s IOTAL F zao4e Prima !4echanical Pl hanica l s N N MECI1AN I CAL Be I 3 e FFf Snlrp hprtor rn/ rront Tcmporary Construct ion L t t t t t stIas La ws s t Bui s s PERMIT VALI DATION coMBtNATI0N AppLICATI0N/pERHIT (cAp) I. Appl icant to furnishA. Job AddressB. Legal Descriptionl. gtsIllg: Tax Lot 100, Lane County Hap Referencet7 0l 43' 2. exanrple- Lot l. Block 3, Znd Addition to, SprT,rgfield tstares :. Name, e^tc. of owner and construction .l enderu. Lnergy Sources Additional project PLANS REVITWID BY: II . l. ffi: fft:f:tr#r.*i:ii#ijl',rflsre-gi. sasE. squaiE-?6oTagu o. ,uiroti;ffit. examole- IZ50 sq. foot house, !0Q sq. foot garage2. exarxpE Tf iew project, ir,u.k:*, _ if addition,EEeEE-I-dd, etc.F. Building permit infep163 1.i66.l. CxllfU_]-C. - construct single farnily house with ana t tached garage2. examole --.y6Oe1 existing 9ara9e into family room3. .**T" -.convert single farnily residence intorestaurant (change of use)G. Va'lue of r,rork as <Jefined in-iection 303 (a) of the.. Structura I Spec ia I ty Co<Ie}I. OESIGN TEAI.I AND COI{]RACTONS To avoid desiqn.of.cgnstruction delays, IluildingDivision Stafi rrrust be able to.oniult appropriatepersons regarding design infornration or job i i te - corrections, etc.Abbreviated plunrbing,. Mechanical, & Electricar schedulesA. Except rvhere blink ,pu..r-o.irl ;;';;. descriptionportion of the Mechanical unJ-Ef.lt.i'.al Schedules,the appl icant need fi I I_ in ".fy it,i'No. Boxes adjacent. to the appropriate itern(s) to'Ue-i'nslalteaB' Fult prunrbing, lrechaniiai, Jia-ir".irical Scheduresare avai lable at the Bui ldinq 0iviiionl' To conserve space on the permit iornr the schedureshave been abbreviated?. !.f tt,g item(s).to be instalIed are not covered onthe abbreviated schedule, yor-rf,orfa consul t thel'ulI schedulesC. BUILDING DTVISION STAFF l.IILL FILL OUT ALL FEES AI,ID- CHARGES ON THE SCHEOULES0. As noted on the CAp, th; label rrrust be rie livere<J to theelectrical contractor for^ siqnalr.i i, n,s electricalsupervisor. The generai.onIru.ioi ii not authorized Appl icant to sign and date Whenever possible, the jnitial appljcation will be used asa.worksheet only. Ljhere possibte, gui iaing Oivision Staffwill.prepare a type writtln.opy-urJ-.",,,.n lt to theappl icanr at the time the u.trii pu.n,ii'i, irrruo for hissignature. Fces and CharqesPlan check feis are due arrrl payable dt the time of theappl ication, and no plans *iii'b; p.".*rr.o until theserees are pa id. Al I orher fees an,j'.;;;;;;'are <Jue andpayable when the permi t is lssreJ. --vr YLJ IOR OFFICE USE OIILY Bu_* l4rts Permit crerk lllLJ, III IV. v PROJECT CONDITIONS TO BE SATISFIED BIFORE OCCUPAIICY: the Bui I der's Boarcl because Permit app) jcant exempt from registration wiilr name Information: i gna tu re da te L INE CITY OF COMBIIIATION AP PL IINGFIELD CAT I ON/ PERMI T 7 Job Address TH0t s l-egal Description D llater Heater e Hea EIIERGY SOURCES 30 /LD j rfr 0wner Address Phone / Value of l,lork:# 1ry.5 anC Sq. Ftg. Access.-- TeaTep'd 1 |.hange/Use Sq. Ftg. 0ther Sq. Ftq n_ -\ i t I Descr Attac ..e., Build Single qs7 7 c r Construction Lender Addre s s Phone DES I GN TEAII name addre s s l ics. no.exo res phone no. -26/a/7E o {-.'. PI Genera HechanicaI El ectri ca l Struc tilra I Pri ma EI ectni ca l -1 l'lechanical PLU14B I NG ELECTRI CAL MECHAN I CAL N0.FEE CHARGF NN FFF CHARGF NO FFF CHAAGF a Each single fixture 2e Q.oo Residence of FTcn furnace/burner to BTU' s -z*/ Relocated building (new fix. additional ) u-'New ci rcui ts a l ts. or extensions2 q<1tut>A; Floor furnace and vent S.F. Residence(l bath)SERV I CES Recessed wal I Soace heater and vent Duplex (1 bath) each Additiona'l bath Temporary Construction Apol iance vent seDarate l.later servi ce ge in existing denccres l Chan Stationary evao cool er Sewer multifamiIy, conrn. or I ndustri a I Vent fan with sinole duct //d'Storm Sewer ffi*0f amps.apart from (. Vent systern heatinq or A COMI.,I./IND. FEEDERS Mechanical exhaust hood and duct Instal I /a1 ter/re1 ocate di stri h, fppdprs l'Jood stove/heater 2-v0f -2ac>T*u*ssP L .E ,ft,I ISSUANCF r)F NFPI111 TOTAL CHARGES 75*TOTAL CHARGES /S-"TOTAL CHARGES IRES that the Electrical work be done by an Electrical Contr;r,:tor, the electrical portion of this perm.itthe label has been signed by an Electrical Supervisor and re'.urned to the Building Division i.lAllE(please print S IGNATU t, for oe oe rfo any ard t the perm and effect EX INEAM tDY c ta onII rmt +l-)apcomp here cer I ttha 'Ia I 'I rmafo 0ntify 1hereon truesandtc0 rrec Ind fu hert cerr t fI tha at a and II wo rk shrmed I 'Ivny .I an nceorda thwl tabedone he na ncesOrdi '|the cof tyoSmIfIdeathendofLawshetStapngteofonartnIn'I to0req WOthe kr scde 1r rbed Ire n thand atpeg NO PANCYOCCU 1 1I madbeofructutwtrethouIs'Iss ofon th U I'I d fu certrther '|I t s1 0ntra ti thvn het u 'II der sfyregm.y Bo s,I n1 Ifu forceI as red'I ORSrequ t het baf1 rfo 'Ibyexemptt 0n s'I hereonnoted an thad texemp u tracbcon anto rs ds0n I whos 'Iare n 11yempoyee I a 7oL 505 '|I'Ic0mp be sedu 'Ith s tn roj ec WHERE STATE LXII REQU sha l l not be val i C unti l li ng Divi sion.i 701.055, tha Lnce wi th 0l?SBt-nrN / Fon 0F Fire Zone Bedrooms Occy Flood Plain Stories Z- 0ccy /1 /'f, Val ux E-6 Ftg. l'lai Val Zone a,t. 5=zV units so TOTAL VALUATION lue ,r3r ?fO ue_-/-4_dw_ (o-?-c -FC ue 2L7 j-.,* Load 60 s___:_-=_ Group /f 'Z S q. Ftg. AeeEss q. Ftg. 0ther -7 PIan Ck. Conrm/lnd 65%/B1dq Per Fee izt vs,, S? 1 , t{terns Deverqe (1. 5.% Svs Cha opment Y/ZJ2< BUILDING PERi[IT Charges and Surcharges a1a,4_)_2_/_ 2 ,5?_ Plan Ck. Res 30%/BIdq Per Fee Fence ?r= C- 1-J/2€>7/<o.ru-rPLUI4BING PERMIT Charges and Surcha rges b ab 2{D6mo /,1r Sidewal k d VELECTRICP.L PERTIIT Charges and Surcha rges <-.<A/C Paving t5*-sa Tota'l Comb. Permit ga/.73 Curb CutI,IECHANICAL PERHIT Charges and Surc ha rge s vz6?.76TOTAL ?_{ I ta (^'- \ COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description l. example- Tax Lot 100, Lane County Map Reference 17 03 43?. example- Lot 1. Block 3, 2nd Addition toSffiffiield EstaresC. Name, etc. of owner and construction IenderD. Energy Sources PERMIT VALIDATION ti or forced air gas r or soTar E I uat on, etc II l. exam1lle- 1250 sq. foot house, 500 sq. foot garage?. example- if new project, cheik-new - if aOAition, check add, etc.F. Building permit informat'ion:1. example - construct single family house with an attached garage 2. gMple - remodel existing garage into family room3. ExampTe - convert single laiily-resioence inio restaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, BuildingDivision Staff must be able to contact appropriate persons regarding design information or job site corrections, etc. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occulin the descriptionportion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedu'les are available 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 onthe abbreviated schedules you should consuit the fu l I schedulesC. BUILDING DIVISION STAFF HILL 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 electr.icalsupervisor. The general contractor is.not authorizedto sign the electrical labelApplicant to sign and date l,,lhenever possible, the initial applicat'ion will be, used asa worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit is issued for hissignature. Fees and Charges PIan 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 ,\( ,\'[t10 / III IV V Perm'it Cl erk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Perm'it applicant exempt from reg'istration with the Builder's Board because: Additf onal Project Information : PLANS REVIEWED BY: flaefiE'1a6.ye Pc:t, Erl siname gnatu date 7/-?-B= \