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HomeMy WebLinkAboutPermit Electrical 1982-08-21NSPECT i ON 26-37 69 COMBI ITI CAT 726-3753AP Job Address t_tn Lesal Description llOC EIIERGY SOURCES: Hea f, Ranoe llater Heater Owner 7a,o Vai ue of l,lork :q. Ftg. Access._ Sq. Ftq. other _l{erv_Ad d_At te r]en - _Fence_Demo_C ha nge/ U s e 0ther Sq . Ftq . l'la i PhoneAddres s B\o$ -{\ \$Vn Builc,inq Pernrit Info: Describe l^Iork(' Farnily Residence tlith Attached Garacle' :e., Build Single I rl Construction Lender \ Addres s Phone O boD -o DESIGN TEAM name addre s s lics. no exDt res n0 Primary Structura I Erectricat C.UD t[0-P-\t-\oB Yna'r n :l qJo laSl '74b-5c{53 l''lec ha n i ca I name a ddrps s (lics. no-)ohonp no- ) Genera I Pl umbi nq El ectri ca I Ittechanical PLUIIB I NG E LECTR I CAL MECHAN I CAL NO FEE CHARGE NN FFF CHARG F NO FFF CHARGF Each singie fixture Residence of SQ. FT furnace/burner to BTL| ' s Rel ocated bui 1 d ing (new fix. addit'iona1 ) New ci rcui ts al ts or extensions F.l oor furnace and vent S . F. Res i dence(l bath)I SERVICES I r';,JO Recessed wal I Space heater and vent Duplex (1 bath) each Additional bath Temporary Construction Apol iance vent seDa rate l,Jater serv ice ge in existing dence Chan res i Stationary evap cool er Sewer multifamily, comm. or IndustriaI Vent fan with sinole duct Storm Sewer 0f amps.Vent systern apart from heatinq or A.C. c0r,1r.1. /IND. FEEDERS Mechanical exhaust hood and duct- instal I /al ter/re1 ocate di stri h fppdprs l'Jood stove/heater 0f ISSUANCF OF PFRIlIT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES WHERE STATE LAN REQUIRES that tlre Electrical work be doneshali not be vali,l until the label has been signed by an Elec by an Electrical Contractor, the electrical portion of this permittrical Supervisor and returned to the Building Division DATE 7 €/-va the pe nd effe YFULL NEXAMI theED e trmr and d 0 tirfo0ntcac0mpapr)0e cer tha athereb.y c0 trrec anda nd uf hert cer rt t tha a and work rmed ah befyanyperfo done n oracc ncda W1 ht dI0e a thend Laws thf se taSprngfi te fo n rta to WOthe r dOregoDC e c bert hered n a thnd tasfstut ruc wtre Lthou rml s o ofn Buthe d Di sVI on fu rngrt he cer ti ttha re trSfym,y soa any rd s n fu force a tha cactsreuld70rORS055t t heL bas s rfo ex t 0nreqexempbyemp o bcsu nt to rsrac danv who rea nernpoyees ance thwl us0 7 n1 055 1,,/ l be u onedcomD th s r0 ectp 7 ENAI"I ed rse ntpp S TUREGiJA nformation hereon is true the 0rdinances of the City . I'lC 0CCUPAI{CY will be made'ation r.rith the Builder'sis noted hereon, and that Zone Tyoe/Const. Un.i ts So T0TAL VALUATi0N_ x.0ther0c I Ftg Acces s c.y Group Sq. Ftg Val ue Value- Ftq. l'lain. cy LoadFire Zone Bedrooms Flood Plain Stories Plan Ck. Comm/Ind 65%/8ldo Per Fee Svster:rs Devel ocment Charqe (1.5c)BU]LDING PERI.IIT Charges and Surcha rges Plan Ck. Res 30%/Bl dq Per Fee FencePLUMBING PERMIT Charges and Surc ha rges Dgrno Si dewal k Total Cornb. Permit ELECTRICP,L PERIIIT Charges and Surcharges I A/C Paving Curb Cut .iOTALI{ECHANICAL PERMIT Charges and Surc harges l I PERMIT VALIDATION Permi t Cl erk ++ * 5r{3"q 6t6b iZ".*pL \ajot< Applicant to furnish A. Job Address B. Legal Description 1. exampie- Tax Lot 100, Lane County Map Reference 17 03 43 2. example- Lot 1. Block 3, Znd Addition to Spri ngfi e1 d Estates C. Name, etc. of owner and construction lender D. Energy Sources 1. example- 1250 sq. foot house, 500 sq. foot garage 2. exampie- if new project, check new - if addition, EIecF add, etc.F. Bui lding permit information:1. example- - construct single family house with an attached garage 2. example - remodel existing garage into family room 3. example - convert single family residence jnto restaurant (change of use)G. Vaiue of work as defined in Section 303 (a) of the Structural Speciaity CodeH. DESIGN TEAM AND CONTRACTORS ign or construction delays, Building ff must be able to contact appropriate persons regarding design information or job site corrections, etc. Abbreviated Plumbing, l4echanical, & Electrical SchedulesA. Except where blank spaces occur in the description portion of the l,lechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be installedB. Full Plumbing, l"lechanical, and Electrical Schedules are available at the Bui lding Division1. To conserve space on the perm'it form the schedules have been abbreviated ?. If the item(s) to be installed are not covered on the abbreviated schedules you should consult the ful I schedulesC. BUILDiNG DIVISION STAFF l^IILL FII.L OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to the electrical contractor for signature by his electrical supervisor. The general contractor is not authorized to sign the electrical label. Applicant to sign and date Whenever possible, the initial appl ication wi'll be used as a worksheet on1y. l,Jhere possible, Building Division Staffwill prepare a type written copy and return it to the applicant at the time the actual permit is issued for his s i gnature. Fees and Charges. PIan check fees are due and payable at the time of the application, and no plans will be processed unt'il these fees are paid. All other fees and charges are due and payable when the permit is issued. Ii III IV example- heat,/electrical ceiling/ exampl e- waterheater/el ectri cal /o are footage or valuation, etc. or folcegla]1 gq9 r so.l ar COI4BINATI ON APPLICATiON/PERMIT ( CAP ) V. FOR OFFICE USE ONLY 1. 2.E. Squ To avoid des Division Sta PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Informat'ion : PLANS REVIEWED BY: name da teSigna tu re --'--