HomeMy WebLinkAboutPermit Building 1989-07-03l-eja I Description
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Desc r r bet Info
Constructlon LGiaer /
,\dd re s s l)hotrc
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Structura l
Electrical
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ectri
PLUIIB I IIC ELECTNICAL
Each single fixture Residence of
SO. FT
f urnace/burner to
_- BTtt' s
Re oc a de bu d n9
new x dda on a r''or ex ten I ons
New circuits alts.F'l oor f urnace
and vent
Pes encet
a SERV I CI5 Recessed wai I
Duplex (l bath) each
Additional bath Temporary Construction Apol iance vent
l,later service Cha nqe in existin !tat'ionary evao
Sewe r nrultifarrri y , conlm. or
I
an t,J thVen t
torm S 0f Vent systern apart rom
c0r4il./lND. rEt0[RS i ca I exhaus t
t',lood s tove/hea ter
.amp s.0f
I ns ta I I /a I ter/rel oca Ce
ISSUANCF nF pFnrtlT
TOTAL CHARGTS TOTAL CIIARGES sa TOTAL CIIARGES
Sl,ilEnE AT T E 1l,r Snt hatREQU t re E ec rt CA rkt.Jo donbe be an I ec rty C r'l raCon t c rshato he e tecbetno r ac no ftUNporo rh tbeahepe rnbench.r s ned a nI t e c r abyc Su r rope reand rntU toed he Bu d 5 onn9
ItA!tE(please print)
I NiIATURE
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CAI?t t_xAl !re c (:oilrl)ted d c r'l nnp o r)r rilt IC a nri do he re cc raLrv tha atndan n o rnta ond he reon sUr erUr the cer hat t-V a nd a t./oany DCrk sr f o rnred ha be done n a cco rd cen t horf 0he rd naada nce o hen9ndeth cLows vShetaoef0reoonrpanntotheworkdICesrbedhterenndahaoilctOCYtrucuilctvlmadbenyrehouehermDCsonohell tr (l t1 D one rBourthe C re t hdrdsnfuv my tra on thoccndreq the uB rdeecct)rc(l red c0ll 7 05 5 ha eon xeil[)he sba for ex telnDvbconcril s no edtornd he reon a th anderxprvhooyeesraecoflrDnnceths0lrl()05 5 U5 onedbe h s tccro.jt)
Value
TOTAL VALUATIOII
Sq xf,-/r ts. otnurfurVe-ry2E< vu
0c cy Load
Iue Gr|
Value
Group
Zone T ynelCons t
Flood Plain..-.stories
tjni ts
Acces s
llainFtt
Ftn
F i re Tone_Bed rooms
P lan Conm/ I nd
rqe 1 .51
stems 0eve opnlen tBUILOIIIG PERI.IIT
Charges anC
Surcha rges
I
Plan
BI
Ile s
Fee
FencePLUt4B IN6 PERI,lI T
Charqes and
Surcha rqes Dcrno
SidewalkTLTCTRICT.L PINI:IT
Charqes and
Surcha rge s
Total llornb. lermi t 38A/C Pavinq
Curb Cut
IrtcltAlilcAL PtRtltT
Charges and
Su rc ha rqe s T0ThL 4?. /v
Pri ma
llechanica I
Pl
anl al
NICIIAN I CAL
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ri
tco rrec t .tof
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COMBINATION APPL ICATION/PERI,IIT (CAP)
I. Applicant to furnishA. Job AddressB. Legal 0escriptionI. example- Tax Lot 100, Lane County Hap ReferenceTTll-[r' 2. exanrple- Lot l. B.lock 3, ?nd Addition tor Sprlrffield EstatesC, Name, etc. of owner and construction lenrjer0. Energy Sources
Pernrit Cler
PERMIT VALI DATION
I . exarnole-Z. examo I e-E. squaiE-?6oG
examo I e-
ex a.rpie-
cFdaf-add
2
Buil
hea t/ectrical ceili /or forced air gas
wa Ier e tr ca solarge or valuati orlr e
1250 s q. foot house, 500 s q . foot g.r ra 9eTT-ri'ew project. check new - if additi oo', etc
F d i ng permi t
crgr!_lg - c
attached g,l
examole -
exarrriiie -
information:
onstruct single farnily house with anrd ge
rcrlodel existi n9
fa nri ly
9a rage
res idence into
2
3 convert s i n gle into fanri ly roorn
res taurant (change of useG. Value of rvorli a s defined in Section 303 (a) of rheStructural Spec ia I ty CodeltDES I GN TEAI.I ANO COI'ITRACTORS
To avoid design0ivision Staff i
or construction dcla ys, tluildingnlust be able to conta ct appropriatepersons regardin g design jntorrnation or job sitecorrec t i ons etc.II. Abbreviated pl unrb i ng , I'lechan.ica I E Electrical SchedulesA. Except rvhe re blank spaces lonportion of the Mechanica
occur in the descrrpt
and E lectrical Schedu les,the appl icant need fi I l-in only the No. Boxes adjacentto the a ppropriate i tern(s) to be installedB. FulI Pl unrbing, l'lechanica
are avai lable at the Bui
I, and Electrical Scheduleslding 0ivisionJ. To conserve space
have been abbrevi
,on the permit fornr the schedules
a ted2. If the item(s) to be installed are not cov ered onthe abbreviated schedules you should consu It thel'ul I schedulesC. BUI LDING DIVISION STAFF I.IILL FI LL OUT ALL FEES ANOCHARGES ON TIIE sCH TOUL ES0. As notetl on the CAP, the label rrrust be deliv ered to theelectrical con tractor for si gnature by his electricalsupervi sor.The general con tractor is not authorizedto sign the e lectrical labelIII. Appl icant to sign and da te
!'lhe never oossible, the ini tia l appl ication wi I I be used asa worksheet onlvwill prepare a t Hhere pos sible, Building 0ivisi on Staffype wri t tenapplicant at the time the ac
s i gna ture
PLANS REV I tI^/[D BY :
Fees and CharoesPIan check feis are due arrd payable at the time of lheapplication, and no plans,riii'tre p."."rruo until thesetees are paid. All orher fees antl.;;;;;;'are <Jue andpayable when the permi t is issuea.
,rvr rLJ
FOR OFFICI USE OIILY
copy and return it to thetual pernrit is issued for h.i s
IV
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY
Board l-:ecause:
P e rm t a cI na tpp e eill t f ronl erp i tS r a jt wong tj Ir t he uB ed r S
Additjonal project Information
name signature da te
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