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Home My WebLink AboutPermit Signage 1980-06-30? I Address ga1 DescriPtion 0wn Phone ? Addres s WHERE STATE L,1N REQUIRES that tlre Electrical work be done shall not be vali:l until the label has been signed by an Elect JI IT by an Electrical Contractor, the electrical portion.of this pe rlcal Supervisor and returned to the Building Division 7 COMBi rT J rni t EIIERGY SOURCES Hea l,later 5q. Ftg. Access' +:[*1*W; . Ftg Val ue rk (c) S:€. r Bu i1 Fami'l I S Constructi L Addre s s Phone Pri ma Structura l E l ectri cal l''lechani cal ne han MECHAN I CAL ELECTR I CAL PLUIIB I NG fu rnace/ burner to BTLI' sResidence of FTSQEach si ng1 e fi xture Fl oor furnace and ventNew circuits alts or extensionsRel ocated bu ilding [new tix. additional ) Recessed wal I SERV I CESi denceS Duplex (l bath) each Apol iance vent TemporarY ConstructionAdditional bath Stati onar.v evaP. rChange in existing I,la ter serv i ce Vent fan withy, comm. 0r I ndustri a I mul t i fam Sewer rt frompa a Vent system a heatinq or A.amps0f Sto rm au sthan i ca e COMI'I./IND, FEEDERS I'Jood stove/heaterInstal I /al terlrel ocate di stri b. fcelers-- 0f s. ISSUAI']CE (.)F PFRIlIT TOTAL CHARGESTOTAL CHARGESTOTAL CHARGES s in full force and effect as required by ORS 701.055, that if exemp bcontractors and ernployees who are in comcliance with 0l?S 701.055 tti t{At'tE(please print\ 1"2(z.n ('Cd/"/Motv - SIG\IATU DATE that all information hereon is true, and do hereb.y certifyi HRVf CRnffULLY EXAI1INED the completed apnlication nce with the Ordinances of the City for oermit k performed shall be done in accordaand correct, and i further certify that any and all wor work described herein, and that NC OCCUPAI'ICY will be madeaining to theof Soringfield and the Laws of the State of Oregon Dert further certify that my registration vlith the Builder'sDivision. Iof any Board i structure without the permission of the Building t the basis for exemption is noted hereon, and that'II be used on this Droiect.only su ValueFire Zone Bed rooms Val ueFlood Plain Stories Zone X x X lln its al Itp 0c Ftg l4ain .0ther e/ Cons t. Load c.y Grou !q. Fts 5q. Ftg. Access. Plan Ck. Comm/Ind 55"1/Bldo Ppr Fpc Svstems Deve Charqe (1.5q opmentBUILDING PERI.IIT Charges and Su rcharges q Plan Ck. Res 30%/B1dq Per Fee FencePLUI4BING PERMIT Charges and Su rcha rge s D6rno Total 'onb. perni t A/C Paving Si dewa I k Curb Cut PERMI T ELECTRIC;':1. PERI:IT Charges an'dSurcharqes IlECHAAII CALCharges andSurcha rges r-_-':-- c)c) spna rate FON OFFIC TOTAL VALUATION- II COMEINATION APPLICATION/PERMIT (CAP) i. Appl i cant to furni shl. Job Addressts. Lega I Descriptionl. iiO#; Tax Lot 100, Lane County t4ap Reference2. $_eTeJe_ !gt_1. Btock 3, Znd Addition tospringfie)d Estates :. rrame, etc. of owner and construct.ion lenderu. Energy Sourcesi. example- h E f;,.##;,ttilffi :.,#sq-.-.isl 't. tr#jtsl?so so. root riouie, soo sq..roor sarase c_h_EEk_;dd,'elce: proiect, checklew _ if addirio;, f. guilding pernit information:r. example _ construct single fami]y house with an^ dttached garage2. examole -""emodei existing garaqe into family room3. @_ .;;;;;; ;;;;i; ;,;;iIelesioence into- restaurant (change of-use)G. value of *o.t ui-Jerinuj'in'il.tion 303 (a) of theStructural Specialty Code vevervrr J H. DESIGN TEAI,I AND COT1NN.iONS To avoid desion or construction delays, Bui)d.ingDivision stafi must-6;-;;i;";'.;i'iilt rpp"op.iut.persons. regarding des.ign information-or jbo i:t.--corrections, etc.Abbreviated plumbino,, Mechanical, & Electrical SchedulesA. Excepr where btink, ;p;;;;-;;;r; i,l'ii. o.r.riptionportion of the Mechanical ana-ffeltrl'ca) Schedules,the applicant need ritr_in-onfy;;; N;. Boxes adjacent^ to the appropriate item(s) to 6e -lnsti i teaB. Full PtyTbl!s, lrectraniiji, iro-il.lji"icat Schedutesare available at the Building Division1. To conserve space on the-permii iorm tire scheduleshave been abbreviated2. JI tn:. item(s) to be installed are not covered onthe abbreviated schedu.les you should .onrrit-ini'ful I schedul esC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES ANDCHARGES ON IHE SCHEDULESD. As noted on the CAp, the label must be delivered to theel ectrical contractor tor signaiur. OJ ni, el ectricalsupervisor. The general contractor ii not authorized- to sign the electr.ical labelApplicant to sign and date l./henever possible, the initiaj application wiil be used asa.worksheet oniy. Where possible', Building Div.ision Siaiiwill.prepare a type written copy and return it to theapplrcant at the time the actual permit is issued for hissignature. Fees and Charges Plan check fees are due and payable at the time of theapplication, and n.o p)ans wiil-be processed until thesefees are paid. AII other fees and charges are due andpayab)e v,nen the permit is jssued. FOR OFFIC: USE ONLY III. IV. V PERMIT VALIDAT]ON Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI,ICY: Permit appf icant exempt from registration with the Builder's Board because: Additional Project Information: date si gnature name EilED BY: PLANS REVI N RIlA 726-37IIISPECTION LINE 725-37 69 c0rlB I APPL I CATI ON RMIT -r_ --L-- Job Address l-egal Descri ,Jti on EIIERGY SOURCES Hea t l,late r e . Ftg . I'la i n- 5q. Ftq. Access._ Sq. Fto. 0ther__ _l,l ew-__.A.d da1 t e r_P.e p . _Fence_Demo Change/UseW I Val u esbo-Owne Addres s Phone ?Bui ll.inq lPernrit Info: Describe liork( i.e. ' Bui ld Single Constructi o Addres s Phone '---{^T-\ o(\\ire..c---, 'U I name address rexni res ohone no. Pri ma Structural Electricai l'lec ha n i ca i name address (lics- no. )I exoi res ohone no. ) Genera I Pl umbi hanical PLUIIB I NG EL ECTR I CAL MECHAN I CAL FEE CHARGE NN FFF CHARGF NO FEE C HARGF Each single fixture Residence of SQ FT furnace/burner to BTLI' S Relocated bui ldi (new fix. additi ng on a 1 ) New ci rcui ts al ts or extensions Floor furnace and vent S.F. Residence(l bath)SERV I CES Recessed wal I Soace heater and vent Duplex (l bath) each Additional bath Temporary Constructi on Apol iance vent seDa ra te llater service Change i n exi sti ng resi dence Stationary evap. cool er Sewer multifamily, comm. or Industrial Vent fan with si no le duct Storm Sewer 0f .aEp s.Vent systen heatr'nq or A apart from .c. cor,['!. / IND. FEEDERS Mechan i cal exhaust hood and duct Instal I /al ter/re l ocate d'i strih- fpedprs Uood stove/heater 0f ISSUAI.JCE OF PFRIlIT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES I.IHERE STATE L.1I,I REQUIshall not be valil until RES that tlte Electrical work be done by an Electrical Contractor, the electrical portion of th.is permitthe Iabel has been signed by an Electrical Supervisor and returned to the Building Division UL L EXAIl INE D t c0mp L apnl ication' and all wor' 0reqron oert the BuiIdinq fo r 0erm ,l t a n he r'eb.y cer ti fy th a t a I I I n f o rrna t 'I o n hereo n 'I s trueand of of Boa oni c0 rrec t and 1 f u rthe r c er t I fy t ha t anty k Der fo rmed sh a I I be d on e 'I n acco r da nce wl th t he 0rd 'I nan ces o f t he C 1 tySor'I n s fi e I d and the Laws of the Sta te of a ,l n j ng to the wor k des cm bed here i n a nd th dL ilc 0c CUPAI,,rcY wl I I be madanyStructureithothi'I ofuepermss0n D 'I i S 'I 0n i fu r ther ce rt ,]fy t ha t m.y re s l S tr a t I 0n un th the Bu 1 1 d e r srd'|'1 fu Isn I for ce a nd e ffec t a s req u 'I red by OR C 7 0 I 05 5 t ha t 'I f e xemot the ba S 'i s for exemDt 'i 0n I s not ed he reo nd th tbcnttondInaavUracrsaernDoyeeswhoare'I n c0mc I 'I an ce I,t I th OR S 707 05s '|I I be u sed n t h 1 S p ro.j e t t'lAtlE(please print)a- IGiIATUR DATE ICg Zone ons t Uni ts So Ftq. l'lain.Va I ue_ Val ue xFire Zon Bed ro oms Load Sq. Ftg. Access x Flood Plai Stories Occ.y Grou P Sa. Ftq X Value ToTAL VALUATI0N_ . 0ther BUILDING PERI,IIT Charges and Su rcha rges !-\B-c)Q)Plan Ck. Comm/lnd 65%/B1do Per Fee Systems D Charqe ( 1 eve .5E o pmen t Pian Ck. Res 30%/81dq Per Fee PLUi4BING PERMIT Charges and Su rc ha rge s Fence D6mo ELECTRICTI. PERIlIT Charges and Surcha r 1_es MECHANICAL PERMIT Charges and Surc ha rge s Si dewa I k A/C Paving Total ,Cornb. Permi t Curb Cut TOTAL oc) i r s r\r r.\-\o ln t'o COMEINATION APPL I CATION/PERI'II T ( CAP) I. Applicant to furnish A. Job AddressB. Legai Description l. example- Tax Lot 100, Lane County Map Reference . 17 03 432. examole- Lot 1. Block 3, 2nd Addition to S[rTnlTield EstaresC. Name, etc. of owner and construction lenderD. Energy Sources l. qxalple- heat/q1lg!!i!_q_l__qel-lilg/or forced a ir gas2. fiffiIA waterhEI.EETTEiEEFiIITor soTar --E. SquaFE-T66tage or valuation, etc.l. exanrole-- i250 sq. foot house, 500 sq. foot garage 2. exannpiF if new project, check new - if adOition, check add, etc.F. Building permit information:1. example - construct single family house with an atEcI'a garage 2. example - remodei existing garage into family room 3. example - convert single family residence into restaLirant (change of use) G. Value of work as defined in Section 303 (a) of the Structural Specialty CodeH. DESIGi,I TEAIi AND CONTRACTORS To avoid design or construction delays, Building 0ivision Staff must be able to contact appropriate persons regarding design information or iob site corrections, etc.II. Abbreviated Plumbing, Mechanical , & Electrical SchedulesA. Except vrhere blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the appiicant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be installed B. Full Piumbing, Mechanical, and Electrical Schedules are available at the Building Division l. To conserve space on the permit 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 l scheduies C. BUILDING OIVISION STAFF IIILL FILL OUT ALL FEES AND CHARGES Oi'I 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. III. Applicant to sign and date Hhenever possible, the initial applicat'ion will be used as a worksneet only. Where possible, Building Division Staff will prepare a type written copy and return it to the applicant at the time the actual permit js issued for his' signature.IV. Fees and Charges PIan 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 payable when the permit is issued. V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI'ICY: permit applicant exempt from registration with the Builder's Board because: Additional Proiect Information : PLANS REVI EI^JED BY : name s't gna tu re da te PERMIT VALIDATJON r9 :ITY OF SPRINGFIELD CirY Holl SPringfield, Oregon Deportment of Public Works OFFICIAT RECEIPT No. B 53862 3C) ( ( ived For runt Received Permit Clerk HORIZEO SIGNATURE sHELTON.TUiNSULT PRI!aais EUGaNE oF 9"Ot ts5!!-6 \ ( ( SPECTI^'r r-JrrF 6-37 6t-' - Job Address COtlB I APPL I CATI 726-3753 +o5 l-egal Descri ption EIIERGY SOURCES Heat l,Jater Heater Ranqe Ftg. l'la n_ Sq. Ftg. Access._ Sq. Ftg. 0ther__ J{ew_Ad d_A1 te r_P.e p . _Fence_Demo Change/Use -other- I Fs TJ 14 looO Value of l,lork: Qoo.cf)Owne r Address Phone Bui ltii Fami ly nq Perni t Info: Descri be llork (' llesidence I'lith Attached Garaqe' .e., Build Single J.rllmtll'^l . 4Do.i1 Sia-,',,-r Construction Lender U 0 Addres s Phone name addre s s (ICS, n0.exoi res phone no. Pri ma r Struc tura I E I ectri ca I l'lec ha n i ca I RACTORS n ame laddress l lics. no.(cxn res )ohone no- nera I Pl umbi PLUIlB I NG EL ECTR I CAL MECHAN I CAL NO FEE CHARGE NN FFF l^ HA ENF NO FFE C HARGF Each single fixture Residence of SQ. FT furnace/burner to BTtl' s Relocated buildino (new fix. additional ) New ci rcui ts al tsor extensions FIoor furnace and vent S. F, Res i dence(l uatn)SERV I CES Recessed wa l I Soace heatcr and vpnt Duplex (l bath) each Addi tional bath Tempora ry Construct i on Apol iance vent separatetlater service Change in existing res i dence Stationary evap cool er Sewer multifamily, cornm. or I ndu stri a I Vent fan with sinole duct Storm Sewer 0f Vent systenr apart irom heatinq or A.C. COI,II'I. /IND. FEEDERS Mechanical exhaust hood and duct I ns ta I I /a I teif.e t oca tedistrib. feeders [,Jood stove/heater 0f amp s" ISSUANCF OF PFRUIT TOT AL CHARG ES TOT,A L C HARGES t,JHER E s TA TE L lI,J TOT AL C HA RG ES sh I 'I REQU Iuntil RES tha t the r .I e ctr 'I c a I r^/0 rk be do ne by an EI ec t rt c a I Co n tra to thenotbeIIJthelabeIhasbeens1gnedbyEI L r e I ec tri c a I po rt I 0 n 0 f th 'I s pe rml tanectr'I c a I 5 upe rV 'I sor a nd re tu rn ed to t he Bu T I di Di vtng on nd EXAMI t\the comp e d ap p ca ti on for DC rm i t an d do he reb.y Iac0rrectandIfurthercert1f,v t ha t a ny and al I 0reqon the Bui I k ce rt tha t a I 'I n forma t 'I o n he reon i s true the CityI be made of Springof any st Board is only subc ,r i I d an d th La of the t{o r DE rfo rme d s ha I I be done .I n a cc o rdan ce th t he 0rd i ofewsStateofDe rta l n I n s to the wor k de ,l bed here na nc e sructurewlthoutthpermIss'I n of d ing 701 nce sc r j n a nd th at NC OCCUPAIIC 1 I'I n fu 1 I fo rce a nd effe ct Dr's 'I 0n I fu rt he r cer ti fy tha t m.y re g i s tra t 'I o n t/I t h th D ul l deraSrequiredbyORS055that'I t exemp t the ba 1 for e sontractorsandIwhossexemD t i o n 'I s no ted he reo ndempoyee s a re 'I n comc I 'I a tvl t h OP S 701 0 55 t{'l 'I I be used thi n a rh a t o n 5 pro,j t I'lAl'lE(please print),/'./v/ Ma,L/S IG|JA r'L TE Zon yoel Cons t its Fi re Zo s o . Ftq. l,la i al ueBed rooms Load Ftg. AccessFlood Plain Stories X Val UC 0c c.y Group Value TOTAL VALUATION BUILDING PERMIT Charges and Su rcharges _5_N an Ck I ster,ls Deve 0 rqe 1. 5qan Ck 3 Ftg. 0ther PLUI4BING PERMIT Charges and Surcha rges Fence Dgno ELECTRICP.L PERIlIT Charqes and Sur'.arges I,IECHANICAL PERMIT Cha*ges and Su rc ha rges Sidewalk A/C Paving Total Comb. Permit Curb Cut TOTAL 50c El ectri ca I va PERMIT VALIDATION Permi t Cl erk COMBINATION APPLICATiON/PERMIT (CAP) I. Applicant to furnish A. Job AddressB. Legal Description I. example- Tax Lot 100, Lane County Map Reference 17 03 43 2 exampl e- sEffigri Lot 1. Block 3, Znd Addition to eld Estates C. Name, etc. of owner and construction lender D. Energy Sources or forced air gas r sol ar E 1 example- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project, check new - if addition, check add, etc.F. Building permit information:1. example - construct single family house with an attached garage 2. example - remodel existing garage into family room 3. example - convert single fami)y residence jnto iE!-ta u ra n t ( c hange of - u se )G. Value of work as defjned in Section 303 (a) of the Structural Specialty Code H. DESIGN TEAI.1 AND CONTRACTORS To avoid design or construction delays, Building l. example- heat/electrical ceiling/2. examiTe- waterhEaterTeTecEFl cllTo Square footage or valuation, etc. Div'ision Staff must be able to contact a persons regarding design information or corrections, etc, ppropri atejob site II. III IV Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules' the applicant need fi l I-in only the No. Boxes adiacent to the appropriate item(s) to be installed B. Full Plumbing, Mechanical, and Electrical Schedules are available at the Building Division l. To conserve space on the permit form the schedules have been abbreviated 2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult the ful I schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES D. Ai noted on the CAP, the label must be delivered to the electrical contractor for signature by his electrical iupervisor. The general coniractor is not authorized to sign the electrical label. Applicant to sign and date Wh!n.r.. possibie, the initial appl'ication will be used as u ,o.lin.Li oniy.- l,lhere possible, Building Division Staff will prepare a type wr'itten copy and return it to the ippiiiu"t-ui in.-iir. the actual permit is issued for his signature. Fees and Chargespiin cneck fe6s are due and payable at the time of the appiiiiiion, and no pians wiil be processed until these i!!t it. puio. All other fees and charges are due and payable when the Permit is issued' FOR OFFICE USE ONLYV PROJECTCoNDITIONST0BESATISFIEDBEFoREOCCUPAIICY: eSecbuardBoaSruBedhthetoIw'lnsIrattreromftgxemnatpaIcePIrmtpp Add jtional Proiect Informat'ion: dates i gnaturename PLANS REVIEWED BY i Ij I 7 CTION LIIlE 7 6:-ON COTIB I ,T RMIT 7 Job Address 1qp caj l-egal Description EIIERGY SOURCES: Heat l.later Heater Ranqe tq. l.ia n_ Sq. Ftg. Access._ Sq. Ftq . Other _l{ewJddaiter Pep. _Fence_Demo Change/Use 0ther :sUul Cx3 Value of l.lork: Qr:o COOwne r Address Phone n t Des arn d Gara .e., Build Single \ LaI o,nti I r r z { )rr.0-0 Si n,."--r Constructi on Lender 0 0 Addres s Phone name address I i cs. no.exDl res ohone no. Pri ma ry S tructura I E I ectri ca I l'lec ha n i ca I RACTORS name add res s lics. no- )(exnire<)ohone no. -e"n..ur -l^flCLL\ \A ft-,\ c+c . F C Sc.f mbq F ux*c-,1\*q--3Ll) - t-)(r,cl Plumbinq 0 Electrical l'!echanical PLUI1B I NG ELECTR I CAL MEC HAN I CAL ilo.FFF CHARGE NO FFF CHARCF NO FFF CHA RGF Each singie fixture Residence of SQ FT furnace/burner to BTU' S Relocated buildinq (new fix. addjtional ) New c i rcui ts ai ts or extensions Fl oor furnace and vent S. F. Residence(l uatn)SERV I C ES Recessed wal I Soace heater and vcnt Duplex (l bath) each Addi tional bath Temporary Construction Apol iance vent seoarate l.later service Chang resid e in existing ence Stationary evap cool er Sewer multifamily, comrn or Indrrstrial Vent fan with sinole duct Storm Sewer 0f Vent systenr apart from heatinq or A.C. COI4I.I./IND. FEEDERS Mechan'i ca'l exhaust hood and duct Instal I /al ter/rel ocate di qtri h, fpedprq llood stove/heater 0f ISSUANCE OF PFRtlIT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES WHERE STATE LlN REQUIRES that the Electrical work beshall not be valil until the label has been signed by an done by an Electrical Contractor, the electrical portion of this perr,1.itElectrical Supervisor and returned to the Building Division I HAV E D the .comp leted apol icat any and al1 te of 0reqon n of the Buil t 'I on fo r DE rmi t and do hereb.y cert I fy tha t a I I i n rrna t 'I 0n he reo n 'I s t ru eandc0rrectandIfurthercertTfythaworkperforrnedshaIIbedone,l n accor da nc e wl t h t he 0rd i na nc e s of the ci tyofSortngfieIdandtheLaws0fthestaoertaining to the work described herein, and that NC OCCUPAI{CY w.ill be madeofanystructurewlthouttheperml55Iodin!i Di v'r S 'l 0n I fu rt he r cer t I fy tha t m.y re c 'I s tr,a t I 0 n vrl th t he B u I I der sBoard is in fuil force and eff ct as required by ORS 70 05 c t ha t I I exemp t th e ba s 'I s fr0r exemD t i 0 n 1 s noted h ere0n and t ha tonIvsubcontractorsandernrlIoyeeswhoare'I n co mc I i a nc e 1 t h 0i?S 701 0 55 tJt I l be us ed on t h 'I S a ro,j I'lAl.!E ( p I ease pri nt ) cc L/I D Zone oel Con s t.its So. Ftg. l,lain ValueFire Zone Bedrooms Load Sq. Ftg Acces s. 0ther .x Val tlp Flood Plain Stories_ 0cc.y Group Sq. Ftg Value TOTAL VALUATIOII BUILDING PERI'IIT Charges anC S u rc harges ao5 Plan Ck. Comm/Ind 65:(/Bldo Per Fee Svstens Deve Charqe (1.5q I opment ) Plan Ck. Res 3l%/Bldq Per Fee PLUt4BING PERI.4IT Charges and Surcha rges Fence D6mo ELECTRICP.L PERI:IT Charges and Surcl ta rges 14ECHAN I CAL PERII{IT Chq"ges and Surc ha rges Sidewalk A/C Paving Curb Cut Total Comb. fermit TOTAL 5cc GN TEAII s PERMIT VALIDATION :ITY OF SPRINGFI ELD CirY Holl Springfield, Oregon Deportment of Fublic Works OFFICIAT RECEIPT No. B 53862 3D,r8O ( ( For: (. runt Received O SIGRATURE 3HELTON.TURNBULL PRiNTERS EUGERE, Oi O7'OI 3'5II'A Permit Clerk COMBINATION APPLICATION/PERTIIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description 1. example- Tax Lot 100, Lane County l4ap ReferenceI7-0tT32. examcle- Lot 1. Block 3, Znd Addit.ion toSfFffiield EstaresC. Name, etc. of owner and construction lender0. Energy Sourcesl. exarnole- heat,/electrical ceiling/o2. ExIffiIE waterhEE terTETecTrl ca ITor SquaiE-Tiitage or valuation, etc. r forced air gas sol ar E 1. examole- 1250 sq. foot house, 500 sq. foot garage 2. exa;pE: if new project, check-new - if adaition, check add, etc.F. Building permit information:1. example - construct single family house with an attached garage 2. examole - remodel existing garage into family room 3. example - convert single family residence intoiesfurant (change of-use)G. Value of work as defined in Section 303 (a) of the Structural Specialty CodeH. DESIGN TEAI.i AND CONTRACTORS To avoid des Divis ion Sta ign or construction delays, Buildingff must be able to contact appropriate II. III. IV. persons regarding design information or job site corrections, etc, Abbreviated Plumbing, i4echanical, & Electrical SchedulesA. Except vrhere blank spaces occulin the description portion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be instailed B. Full Plumbing, Mechanical, and Electrical Schedules are available at the Building Division 1. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be instailed are not covered on the abbreviated schedules you should consult the ful l scheduiesC. BUILDING DIVISION STAFF I^IILL FILL OUT ALL FEES AND CHARGES Oi{ THE SCHiDULES D. 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 appJication will be used as a worksneet only. Where possible, Building Division Staff will prepare a type wnitten copy and return it to the applicant at the time the actual permit is issued for his signature. Fees and Charges Plan check rees 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 payable vihen the permit is issued. V. FOR OFFICE USE ONLY I PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: perm-it applicant exempt from registration with the Bu'ilder's Board because: Additional Proiect Information: PLANS REVIEWED BY: name sig nature date \ ( .4€.#€-+ffopj.c L1 O Z NJ. ZB ry EI. B h .'- I il_:--AD t-= s I -