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HomeMy WebLinkAboutPermit Building 1989-7-10 IrISPECT I Oil LIilE 7Zq-3~69 . [ NFORrlAT: _':1 L, ;.~ 726-3753 So. F t q. '.la i n ~q. !'tg. Access. Sq. Ftq. Other New Add Alter ~eD. --Fence Demo Change/Use --Other -- -- I I I /Temporary Constructio.n I I /Change in existing " residence ,. , I /multifamily, comm. or ./ I Industrlal I Storm Sewer '~J 10f amps,j / I S ~C>>~7,r;;.n-t.>;~ IU?~ncor1r'1.IIND. FEEDERS I I I'. 'R I I~stall/al ter/relocate " I ,I " dl rl b feders I . Of amps,l I I / I I II 'I I I 'I I I TOTAL CHARGES b 7--50 TOTAL CHARGES ~-yC) TOTAL CHARGES ~~. /> -S> \./HERE STATE L\11 REQUIRES that tile Electrical \~ork be done by an Electrical Contractor, the electrical [lortion of this permit shall not be valiJ until the label has been signed by an Electricaq Supervisor and returned to the Building Division CITY UF SPRIIlGFIELD C0/1BITlATION APPLICATION/PERMIT E!lERGY SOURCES: Hea't-' Hater Heater \. JOb Address (' f".,u +e..JV~'.cJ l.SI Legal Description Ranqe o cl..( wner ,(2.. _ -::s eX F1~(..... Acldrcss (,q I Cp.t0-t.e~;Q..1 Phone frn"#..-77 4...&:>44<::~/.0 h-?s"77~~'''f~~'. . Construction Lender ValuE of Hork: D tt LJ s CD":- IJuih;ino Permit Info: Family Residence Hith Address DE I N TEAll ~ name Primary L c.'-t r'1 1+\[<::10 } Structural Electrical <2,nO t?i -r ) ~1echanica 1 CONTRACTORS (name) General LJ(l;'\)td S, \VI."-':1.,,:11-"<-- -'R1'(l.", Plumbinq Aluk- 'PI<>>-b; ^J . . ElectricallCe'-\l'\.ol.,(!s b(~(J..,- /lechanical &r-.c.<<'''''''-...... .J.Ic.,,",J,:,iv1...) v / PLUl1BING (address) 'i<~.~P:",",<:" 01~ (1 i cs, no,) (exoiresl ~6Sb 13{3, 2o-(S~<:.. S/"'? l~f, "l "7lq{Cfc 7/<&1 )2l26 ,~ L e, .1'<.....""'<- t-I. "" I 27'6Z e.e...+~ 'G/vc.( Lc,-'w-uL. I-l u.-:.-, I L{C]U'1 ELECTRICAL MECHANICAL no, l...li.LJ CHARGE ~I Residence of furnace/burner 'to BTU's -.E.E.L1-.C.1:iMG.Ll ~I / Each single fixture ~~~~. Relocated bui dlng (new fix. additional) Floor furnace' and vent 7 --5P SQ. FT, --- , ~'New circuits alts. t:..--" or extenslOns ~ e:>-;:;:;: ~~r-3'G ISERVICES' I 7:.?~ . I I IS.F. Residence (I bath 1 I Duplex (1 bath) jAdditional bath I Recessed wa 11 Soace heater ilnd , vent each / Apo 1 i ance vent seOil t"il te I Stationary evap. cooler . I Vent fan \~ith sinole duct I Ven t sys ter.l apa rt from /' heating or A,C. , r1echanical exhaust hood and duct I \10od stove/heater i Id:~~ E'X/:5T. " #V.hl= ;:5Y~rE"'~ I I I I Hater service Sewer ISSUANcr OF PFRrlIT (ohone no, ) i i ; 3'{s~ - S~::;- I ~ ~,(3~ 7C7.? J 4~1.f -2 sOi I I ! .E.EL1..GHM.GE... (ohone no. ) ~ol-Z'84J I I , I I I I I /6. -"'I I 1 I r HAVE CAREFULLY EXAmNED the comnleted apnlication for r:>ermit, and do hereby certify that all information hereon is true and correct, and I further certify that any and all work oerformed shall be done in accordance with the Ordinances of the City of Soringfield and the Laws of the State of Orenon oertaininq to the work de~cribed herein, and that NO OCCUPANCY will be made of any structure without the nermission of the IJuilding Division. I further certify that my reqistration with the Builder's IJoard is in full force and effect as required by ORS 701.055, that if exempt the basis for exemntion is noted hereon, and that only subcontractors and employees who are in comDliance with ORS 70r.055 will be used on this project. IIArlE(please print) U/i'/~ ~ /H:Z:4~,"; - " SIr;rJ^TURF;2;/~. FOr; OFF I rE USE orJL Y So. Ftq, Sq. Ftc). Sq. Ftg. ~z~~_-= DATE_ '7/le.J<a'7 l,(~.-:::s-_~' ...;, Zone ..-::::.:.c::::. Fire lone Flood Plain TYDe/Cons t. Bedrooms Stori es Units Occy Load Occy Group 75'-<. r1ain x Value Access x Value Other ~r...&-~,n_-C- Value TOTAL VALUATION I BUILDING PERI.11T Charges anG S u rc ha rge s CD Comm!I nd Per Fee 3Z.~:; Res Per Fee ~ Plan Ck. ---~t:2...~Q__ 65%!BldQ ").. ''":::> Plan Ck. ~. ~~ 30%/IJldq PLUr1BING PERMIT /'''7 :5""0 I Fence Charges and r ---_CI2L-=___,__ Surcha_r~es_ 0 y_ 38 I D~mo ELECTRIUL PERr~1T ~,..( ...?~S-O Sidewalk ~~~~~:~g:~d If -----j-_/y-- A/C Paving 11[(IIANI m P'RI<IT /5 ~ I C",b Cot ~~~~~:~g:~d 6 V - - - ~; ~-/ Systems Development Charge (1.5?:) -[ I !Total Comb, Permit I TOTAL 16-:5. 2 <7 ," COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal Description 1. example- Tax Lot 100, Lane County Map Reference 17 03 43 2. example- Lot 1. Block 3, 2nd Addition td Springfield Estates C, Name, etc, of owner.and construction lender D. Energy Sources 1. example- heat/electrical 'ceilinq/or forced air qas 2. example- waterheater/electrical/or solar E. Square footage or valuation, etc. 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 family residence into restaurant (change of use) G. Value of work as defined in Section 303 (a) of the Structural Specialty Code H. DES I GN TEAr'1 AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or job si te corrections, etc. II. Abbreviated Plumbing, Mechanical, & Electrical Schedules A, Except where blank spaces occur in 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 installed 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 abbreviated 2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult the full schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES 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, III. Applicant to sign and date Whenever possible, the initial application will be used as a worksheet only. Where possible, Building Division Staff will prepare a type written copy and return it to the applicant 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 the application, and no plans will be processed until these fees are pa~d, 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 OCCUPANCY: i: ,e , It ~ , ! ~ ~ ~ .: : , ., i ; ~ ~ ~ ... j ~ ,2 PERMIT VALIDATION J.. r pernitclerd;l/J~) Permit applicant exempt from registration with .the Builder's Board because: I f Additional Project Information: PLANS REVIEWED BY: I name~/f?HF n~~ signature ,~~'7-J? date /-;/0-89 / ' / , ,<.'",,.,, .:::::. - , f. Y._' ..... ",..:",;"_. ."' __,..,_....~-c"". .