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Home My WebLink AboutPermit Building 1990-06-28L APPL Ftg Sq. Ftg. Access._ ltt tlllres Legal Description e2-l,Jater Heater EIlERGY SOURCES Hea t Value of Hork:de .e., Buiid Singlermit I Des At cn (rd %ur^,r- / ?zrrrzr. -/>R52.+D-'r1/e-, D,z>ze / flpf,c.*il;fr; Lender / $ \ { .eriab->.r- Addres s Phone exo res ohone nolics. noaddressname Pri ma Structura l El ectri ca l Mechani ca l ohone no.'I ics. no.) (exoiresaddres sname I El ec' MECHAN I CALELECTRI CALPLUI.IB I NG aHApGFFFFFFFNHARGFNOFFFCHARGFNNN0.furnace/burner to BTLI' s Residence of FTSQEach single fixture Floor furnace and vent New circuits alts. or extensions Relocated building (new fix. additional) Recessed wall Snarp heatpr and ventSERV I CESS. F. Residence(l bath) Duplex (l bath) each Apol iance vent seDarateTemporary Constructi onAdditional bath Stationary evap. cool erChange in existing rpc i dpncp[^later servi ce Vent fan with sinole ductmultifamily, comm I ndustri a I orSewer ?;n apart from .c. Vent system heatinq or A0f<a/(torm Sewer Mechanical exhaust hood and ductc0Mr.r./IND. FEEDERS |lood stove/heaterInstal I /al ter/rel ocatedistrib. feeders amps0f ISSUANCF OF PFRIIIT TOTAL CHARGESTOTAL CHARGESToTAL CHARGEI %./> 5> pa )s S IGiIATUREllAl.lE(please print) sh a I L 'lectrical Contractor, the electrical portion of this permit upervisor and returned to the Building Division 0reg the B ng 70 do here 'Icert th at 1I n'I onrmatc'Iat n rfo 'I the b.y fypermYFULL'E tI NED ap r-)comp I I Idone n cerdan thWI t 0rdihe ncena ofstIndIaw0Ikrrformedshabeaccoandco rrec t Iand certfu rther thaafy pe 'Ihenre'l an thad NOt CU0c wlPANCYbed any offdStaf 1rta nt theto descriwork0n'I Ie and Lawsthe theof terlo ngngSpDE r 'I t ts tra onI thvll ButheD'I S'I on'I he cert thafurtIfrml'I of 'IU dI '|fy reg imyos tructu wlre hot theut s s onanype s'I for on'I s'I tedno nhereottha'I bas exempttthef0Rs055exempfuIIaforceeffectndsaredn'IsIrdBoa requi by ect701vJlIIbeonsed'Ith s055I0nsubcontracandtorsIesarewhon'I I ance'I thwl 0t]s rojpoyec0mDvemp tC -nil iln WHERE STAI not be LAl,l REQUIRES that the Electrical work be done by an E i'l until the label has been signed by an Electrical Sval i s true the CityI be made ilder's and that Fire Zone Bedrooms 0ccy Load Sq. FtS Flood Plain Stories Occ.y Group Sq. Ftg Access x Va*n*%u TOTAL VALUAT I tue F !71+ ION- l'la i n Val ueZoneTyoe/ Const ts Sq. Ft{l Plan Ck. Conun/Ind 65%/B1rlo Ppr Fee 1 ve 5'/^ opmen Plan Ck. Res 30%/BIdq Per Fee BUILDING PERNIT Charges and Surcharges Fence Demo PLUi4BING PERMIT Charges and Surcharges --/?:2?-a6 ,}idewal k 25,?r Tota'l Comb. Permit ELECTRICP,L PERI1IT Charges and Surcharges Curb Cut 47.e= I4ECHANICAL PERMIT Charges and Surc ha rges TOTAL Sq, Ftq. 0ther l,levl Add Al ter ReP. 1.-----e n c e-cenro- C h a-n g e / u s e 0ther owner d2ZF--**- FfZaa G__:_ Jl -:t,/Z-?S?1 V/F/24< 4y= fi lLAtl :TORS \ t + llbBa dd (c-28 q0 PERMIT VALlDATION Permi t Cl coMBlNATroN APPLTcATIoN/prRurt (cAP) I tl"ill:l'li::,il;;,". ,00, uane ,:,^*, Map Rererence 2 example- Lot 1' Block 3' Znd Additiorr to sEFfiE;field Estates c. Name, etc. oi'o*.e. and construction lender D. Energy Sources1. examol e-2. e[amil-e-E. Square foota heat/electrical cei l i or'forced air gas sol arwaeec0r ge or valuat o[, 1. example- 1250 sq. foot house, 500 sq. foot garage2. 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 room3. example - convert singie family residence into restaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural 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.IL Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical and Electrical Scheduies, the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be instal'ledB. Fu'lI Plumbing, Mechan'ica'l, and Electrical Schedules are available at the Building Division1. To conserve space on the permit form the schedules .. have beqn abbreviated2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult theful l 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 Hhenever possibie, the initial application will be used as a worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to theappiicant at the time the actual permit is issued for his signature.IV. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans will be processed until these fees are paid. AII 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{CY: Permit app'licant exempt from registration with the Builder's Board because: Additional Project Information:O i gnatuname date €- u PLANS REVIEWED BY: