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Home My WebLink AboutPermit Plumbing 1990-04-13f*- INSPECTICN LINE 726-37 69 c0t18l ERi4ITICATI 726-37AP Legal Description Job Address llater Heater Ranqe EIIERGY SOURCES Hea t \I varue of(orlh , Sq. Fto. l'lain_ Sq. Ftg. ncce-] Sq. Ftg. Other- _l{ewJdd_A1 ter_PeP. _Fence_Demo_C ha n gel U se 0ther T Ga ra ge llo rk i .e. , eui ld Single ) Address Phone I Construct i on I)(5 (\tlr.l I r)taa, ) --)Addres s Phone DESIGN TEAI{name addre s s exoi res ohone no. Pri ma ry Structura I E I ectri ca I Mec han i ca I n ame add res s (lics- no- )nhonp no- )exoi res General l(-\ El ectri cal I'techanical PLUI,lB I NG ELECTR I CAL MECHAN I CAL FEE CHARGE NO FFF CHARGF NO FFF (.HAAGF A Each single fixture /sa )Residence of FTSQ furnace/burner to BTU' s Relocated building (new fix. additional) New circuits alts. or extensions Fl oor furnace and vent S.F. Residence(l baah)SERV I CES Recessed wal I SDace heatFr and vpnt Duplex (1 bath) each Additional bath Temporary Construct i on Apol iance vent seDa ra tF l,later service Change i n exi sti ng res i dence Stationary evap. cool er Sewer multifami1y, comm Industrial or Vent fan with sinole duct Storm Sewer 0f Vent system apart from heatino or A-C- coMr.r. / rND. FEEDERS Mechanical exhaust hood and duct I n sta I I /a I ter/ rel oc ate distrih. fcpders lJood stove/heater 0f i ISSUANCE OF PFRIlIT TOTAL CHARGES t5.c,o TOTAL CHARGES TOTAL CHARGES I'IHERE srATE LAI.I REQUIRES that the Electrical work be done by an Elecshall not be valic until the label has been signed by an Electricit srpe trical Contractor, the electrical port.ion of this permitrvisor and returned to the Building Division llAl'lE(please print) S I GNATURE tl 4o Ci ty madeOregon the Buithe perm nd effect L E t e ted ac ontcompap trml an d dol')DE certihereb.y ttha a rmao t 0n nfyhereo s truecodantrrecandcertfu rther ttha a nda a w0r kfyny DC rmedrfo has d e0n n accordabe nc e ht the rd ann oces ,f theSnDrtofedandIthLaeofwstheStaoftenltoethworkoe rta ng des bedcrl he nrel thaand NCt 0c CUPANCY wl beofstutrucwlretthouss0ofndDsnqrfu rt he rtce hat t rast t onfym.y trl theth Bureg der s any rdBoa s n fu force a as ureq red 70Rs 05501 ath fbyt the baexempt s s efor on nsxempt heoted reon a nd th atnosubc0racnttorsdvaneernpar./ho re noye cean thwi 70Rs 0comD 05 wl5 be nusedo th s tDro,j Pl an Ck. Conrm/ tna 65%/B1dq Per Fee Systerxs Deve Charqe (1.5c opment ) Pian Ck. Res 30%/B1dq Per Fee FenceS- I D6mo \ Tota'] Comb. lermit Si deua.\ k Curb Cut A/C Paving Zone Const Uni ts Fire Zone Bedrooms 0ccy Load Flood Plain S BUILDING PERMIT Charges anC iu rc ha rges ,-UI4BING PERMIT ,a rges and rcharges CTRICAL PERI1IT ^ges and ha rges \NICAL PERI,IIT es and lrges an l'la i nFtg Ftg Ftg X Va lue Val ue Value T0TAL VALUATI0N_-- . Access x \ tori es 0c c.y Group 0ther TOTAL IS!S Owne r <1 PERMIT VALIDATION Permi t Cl erk \3)lq?O coMBrNATr0N AppLICATToN/pERMrT (CAp) i. Applicant to furnishA. Job AddressB. Legal Description l. gl.gp.]g- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot l. Block 3, 2nd Addition toSpningfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources1. example- heat/electrical ceilinq/or forced air qast. exampte- waterheater/electrjcal/or solarE. Square footage or valuation,GTjll l. example- 1250 sq. foot house, 500 sq. foot garage?. exampie- ifnew project, check-new - if addition, check add, etc.F. Building permit information: examp I e a t tac hed 1 - construct single family house with an 9arage II. ?. example - remodel existing garage into family room3. elxample - convert single family residence into FEStiIFant (change of-use)G. Value of work as defined in Section 303 (a) of the Structural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or job sitecorrections, etc. 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 theB. Full P] appropriate item(s) to be installed umbing, Mechanical, and Electrical Schedules are available at the 8ui1din9 Division1. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be instal]ed are not covered onthe abbreviated scheduies you should consult the fu'l I schedu lesC. 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 is not authorizedto sign the electrical label.III. Applicant to sign and date l,Jhenever possible, the 'initial application wi'l I be used as a worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to the appi icant at the time the actual permit is issued for his s i gna ture.IV. Fees and Charges P'lan check fees are due and payable at the time of the application, and no plans will be processed until these fees are paid. All other fees and charges are due and payab'le when the permit is issued. V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: Permit applicant exempt from reg'istration with the Builder's Board because Additional Proiect Information : PLANS REVIEWED BY: name s't g na tu re da te