HomeMy WebLinkAboutPermit Building 1987-03-18NE IT 37COMBI
Job Address
Legal DescriPtion
tJater Heater
s
Nos)
Value of tlork:
nglei€. rscr
P6il
nnPhoneF
r
Phone
name
Ftg.n
EIIERGY SOURCES
Heat
Owner
Addres s
Constructi
Addre s s
Sq. Ftg. Access.--
Structural
El ectri cal
Mechani ca l
I
ELECTRI CALPLUt,lB I NG
furnace/burner to
BTU' sResidence of
FTSQEach single fixture
Floor furnace
and ventNew circuits alts.
or extensions
ding
tionaI )(new fix. addi
Re ocated bui
Recessed wal I
snace heater and ventSERV I C ESSdence
Duplex (l bath) each
Apol iance vent
seoa rateTemporary ConstructionAdditional bath
Stationary evaP
cool erin existingC hange
res i de nceI'Jater servi ce
Vent fan with
sinole ductmultifamily, conrn. or
T ndrrstri a ISewer
Vent system apart from
heatinq or A.C.0fStorm Sewer Mechanical exhaust
hood and ductCOMI.!./IND. FEEDERS
l,lood stove/heaterInstal I /al ter/rel ocate
di stri b. feeders
0f
)/',c
\)
ISSUANCE OF PFRtlIT
TOTAL CHARGESTOTAL CHARGESTOTAL CHARGES
WHERE STATE LAl,l REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion
shall not be valiC until the labe1 has been signed by an Electrical Supervisor and returned to the Building Divisi
only subcontractors and er,'rployees who are in comoliance with ORS 701.055 will be used on this project
llAt'lE(please print)I GNATURE
of this permit
on
fyoermi
rforme
0regon
the Bu iof any
Board
permi
ffect
onnhereTcertthaatdoandetedI'|I ac 'It no rfo t b.ycompapp
has II donebe n'I ccoa anrd wl tth 0rdihe ncna se ofcedndtaIndfurrthe'|cert tha t a II rkWOndacorrecfy oeany
of'|Ie andd th ofLaws het +1Sof th descriwork hebed 'Ire n dan hat NCt CU0c PAHC 1wln'|Iete etosprngfioe rta ng
'I ofn d ,l I T 1 furt r 1rt t tha tras 'It t/I0n theth BuIsturetrucwltthoutheSSIDshecengfyreg im.y
I nI 1 ba 'Is fors 'I n sI henoted reontfIs'|fu foI andrce e red 0Rs 017 505as tha t therequby exemptexemp
'i s true
the CityI be made
ilder's
and that
Va'l ue
Flood Plain Sto ri es
TOTAL VALUATION
XSq
x
S 0ther
Load Sq.Val
ts
ValxGroupq.Ftg
Zone__Tyoe/ Const
Fire Zone Bedrooms
(ta. u*n
Ftg. Acce
Plan Ck. Conrn/Ind
65%/B1ds Per Fee
teris opment
Charges and
Su rcharges
/s.
5
BUILDING PERN
PIan Ck. Res
3O%/B1ds Per Fee
FencePLUI4BING PERMIT
Charges and
Surcha rges D6mo
Sldewalk
A/C Paving Total Cornb. Permit
Curb CutHECHANICAL PERMIT
Charges and
Surc harges TOTAL /3 52
Ftg 0$
(ohone no.(1ics. no.
MECHAN I CAL
au^acF.u^DnFT_FFFrn-_l
ELECTRICP.L PERI,IIT
Charges and
Surcharges
COMBINATION APPLICATION/PER},IIT (CAP)
I. Applicant to furnishA. Job AddressB. Legal Descriptionl. glagplg^ Tax Lot 100, Lane County Map Reference17 03 432. example_ Lot_1. Block 3, 2nd Addition toSFFTig'fi et d Estaiei - -
9. Name, etc. of owner and construction lenderD. Energy Sources
II.
III
IV Fees and Charqes
Plan.check feis are due and payable at the time of theappiication, and no ptans wiit"b; ;.;;.;;ld untit thesefees are paid. All bther rees anO'.ni"S"r'.." due andpayable when the perm.it is issueJ.
FOR OFFICE USE ONLYV
PERMIT VALIDATION
Permit Clerk
)
4h
I '1.fi
a DA
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information :
PLANS REVIEWED BY:
name dates'l g na tu re
DATA-TR-4l5l,r
Superrcdes : Septcrrber 22, 1980
oKU USA, INC.
.80th Strctt.t.lt'uhington 962(X
. Ncu trrr1 070?t
S.W.. f llrct
Ruthcrford Itchilles
iho Lottrn 2.V.e. 1,,fit a^d
Strrrin, Uoauloctsttt n thc
W.rr . achtilrt ,alra?abr.
CtoltDrlncr R,ord. E
UL-TYPE C TIRE RETARDANT OPAQUE TATTETA E}EOSSED FILH
r I : Eeforc Laolnatcd wlth flberglass
Iotc! ttro lnforrutlm la thlr bullctln lr, to thc bcrt of conptnyrr Lnoulrd3:1truc end accurttt. but rll racoutcndetlonr or .ugBattlonr erc ardl ulthout
3urrantcc, llncc condltlonr of urr trc bcyond our control.
Tclcphonc (206) !St.?@
Mrll to: ?.O. lor llt?, Ercrtn, Wr. lil03
Cebtc Addrctt XOHXOXU EVERETT, WAtHINGT
Tclu svmbcz. XOHKOXUUSA EVT tr.S6t
N'PICAL P}NSTCAI PROPERTY VALUES
Propertv Llnit Test Hethod Value
Thlckness lrll
By Gauge
Before Ernboss 3.2
Tenslle
St r ength PSI ASTH-r882
ll
T
2870
2230
I 00u
Hodulus PSI AST}FD-882
lt
T
Z3JO
I 760
Elongatlon A ASTM-D-882
H
T
150
140
Cold Crack oF ASrlr-D-t 790 -3
lolat 111ty 7 ASTI|-D-1203 2.8
Graves Tear Lb/In ASTI!-D-1004
H
T
300
205
Permeance
AST}I-E-96
llethod A
*l
I 02
Spec lf lc
Gr avl ty ASTU-D-792 1.45
Iteld Sq . Ft.
Lb.By Scalc 41.3
T'}|DER}IRITER' S I.ABORATORIES FIRE HAZARD
CI.ASSIFICATION
Ul"-723 Test Hethod F1ln Cmrpocltc
Flarnesprcad ASTH-E-84 r0 2 5--'
Sook: Devaloped ASrH-E-84 55 {5r40
Fucl Contrlbutcd ASTII-E-84 0 o
OKUUSA, INC.
Slroet, 8.W., Everett, Warhtngt'on 9820{
no!d, E. Rutherford' New JerceY 0?0?3
Thc llprt P.V.C. Pllm rnd
Ilchil I gs tfi#ili'*ffit" ""
TYPE C FILM
(Black &Whlte)
FLAME SPREAD
10
UL CISSSIFICATIONS
OF KOHKOKU VINYL FILMS
FUEL CONTRIBUTED
0
SMOKE DEVELOPED
55
45 &4025with tyPe G)
es
0
IYDY JrnurrY 17' tet0
Ehrrlhlng ilrlrrlrlr
xoHxoru usA lNC. EVERETT WA ol20't
Rcpleccr R?679 d.lcd March 15' 1979'
:iil;iil - uncorwrllrrr Lrborrlorlo lnc'o
Vrnyl lilm Fkr Hrrrrd Cl.t3lllcatlon
fpr D2
ill
cI
t5
lrpr
20
0
60
llpr
t0
0
33
?rD.
t0
0
t5
RrtTc (s)
tA c.rd)
Irp. ll
25
0
105.1a0
Flarha SPtaad
Fual conltlbutcd
Smoka alaY.lopad
Flama aPra.d
Ful. conlrlbul.d
tdrota aLrlo?ad
(Conl. o^ ! crr(r)
Ar rm3$9
trF I
t5
0
105.1a0
lvF A
20
0
!+t t5
Flarna aptaad
Fula conlrlbulad
8nrotr dovrloPrd
Fla'tl. aPraad
Flxl contrlbutcd
lmota davolopad
ITclcPbsoe (3061 S69'?000
iili;;i.o. Bor 228?, Everett' wA e82og
Cabh Addre s s :KOH KOI(U EVE-REIT' WASH lN GTON
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