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HomeMy WebLinkAboutPermit Building 1989-6-20 Owner ;(OliN HYiAN/1 address Iq4l L AvRA L-&lVs7. 57" ':I4.tf"<;? Joa It CITY Of SPRINGfIELD ~ INFORI1ATION liNe COMBIIIATlON APPLICATION/PERMIT 726-3753 EIIERr,y SOURCES: Sq. Ftg. 1,Iain lIeat /J "Nt< ~q. Ftg. Access. l,later lIe,1ter~l~ Sq. Ftg. Other flel< Add A 1ter Pep. Range Alt/AlG Fcncc_Oemo_Changc/Use Vll~€of\'lork: .ci:J _Other :r AJc., .1} p.".~ rrn. ' , Bulldino ri~,.j;t Info: Describe Work(i-.e.. fluild Single I'hone Familv Residence Hi th Mtached r.araCle' &,C\..DO-- \: ~Q\ ro Q I - C\ '1lJrr!' y-> [exnires! +1- lo "iJ.-j) <:t ) -' ~ I~ ~ ~ I INSPECTION LINE 726-3769. Job Address /94/'LAu/?fJ 51. Legal Demiption \r') t.->-=s ~l) \n(")rllnlt) '.' '-- Construction lender /Ih:>;J ~ AddrC5!" I'hone UESIGN ItAf~ (name) 'jl' (address' . l.l~' , Primary <:t:.. H:A#/J!iT: S-rEMh'J y WiLL:) Structural .c::;AmE :AS A./."f,t/vJj (ohone no. Electrical i') ~-;~ ) J J) GeMra 1 Nt/IVE ::. (name) . ," 0L,HiJ" (i\ddress) {l ies. no. \ {~x[)iresl (ohone no. ) f1echani ea 1 CONTRACTORS Electrical J: )(. G. J-/Y LoAN/:) uCl/vS7 :J:NC. J9 q I L.,AuK,A ST. :3 45<6/ CUJ ELEcT ::1..1,J:; rJ .DPN.~ ~pFL-.o. olf. 7 L/ b 46.!:'t:. ~3 -'}~ LI$l-<6 Plumbinn ~lechanical PLUIIBING ELECTRICAL MECHANICAL Each single fixture 1, Relocated buildin9 (new fix. additional) R~sidence of SO. FT. furnace/burner to BTlI's "T- I NO, Ffr r.Il^Rr,r liO' _EEL J:IJAIlliE. .JIlL S.F. Residence [I bath) Duplex (I bath) each -'7- ~.New circu~ts alts. " or extenSlons ~ ~ '2.-.R ~~"" ~ SERVICES }Z%t(.:lvJ lIP -.;w ~.o }(wAJ zt,ot/:: '2,.5.A~)'s Floor furnace and vent Recessed wa 11 So~rp hp~tpr nnd vrnt ~.i Storm Sewer 3S-r:> / Temporary Construction Chan~e in existing residc>ncl? multifamily, (oom. or Innustri.1 . .'5"'~A~;;- Of J?/C/ amps.1 cm~,1. IIND. FEEDERS Ins tall lell ter/rel Dei) l.c rli<d.rih. fppopn. Appl iance VCI't seOel r<l te Stationary evap. cooler Vent fan with ~.i1LL,!:>h ~in9le duct Vent system apart from ~.~ heating or A.C, Mechanical exhaust hood ;lnd due t Hood 50 lovel hea ter Additional bath ~Ia ter serv i ce Sewer ", .----: ,--1--- -;; ,'.' ,.:..Ac "/ Of '1mps.! I I I /1/(7 tAl;; I I SSIIANCF or PFRlII T TOTAL CHARGES WIIERE STATE L\\/ REQUIRES shall not be vali1 until the '5'5-':> TOTAL CIIARr,ES ~s-:~ ~ TOTAL CHARGES that the Electrical work be done by an, Electrical Contractor, the electrical portion of this permit label has been signed by an Electrical Supcrvisor and returned to thc Building Division I HAVE CAREFULLY EXArlINED the completed application for permit. and do hereby certify that all information hereon is true and correct, and I further certify that any and all \'1ork oerfonned shall be donc in accordance with the Ordinances of the City of Springfield and the Laws of the State of Ore~lOn !",cl'taining to the work described herein, and that Ita OCCUPAllCY will be made of any structure without the permission of the Building Division. I further certify that my re~istration .../ith the Builder's l3oar.d is in full force and effect as required by ORS 701.055, that""'if exempt the basis for exemption is noted hereon. and that only subcontractors and employees who are in compliance with Or.S 701.055 will be use~ on this rroject. IWIE(please print)~ Lill/J/vO _SIr;IIATuRt7-../ 0/' 4P I'~A~E b-26-'i"~ FO~ OrFICE lI~EJ()IIL Y. _/ Zone L/Y1'L: Type/Const...s::-N Units S~. Ftg. lI"n ~~ ,oM;?o value:f?I.lOZe:;........ Fire Zone Bedrooms Occy Load /t::> Sq. Fla. Access x Value Flood Plain Stories I Occy Group 79-2 SI1. Ftg. Other x Value , I 4 04 ,~~ \0. tD,~qTOTAL VALUATION ,'27-'19 Plan Ck, cOIrmlInJ \A '" (""~ Systems De\elopment /~// /!:},.., --' ,/, 65%lRlna Per ree '-t\), JT)" Charqe (1.51,) "':'/F-;? DC/' ----'-/.----~r=Piiin Ck. lies ~ - ~ A . 7: - '$.?'..::> 30%!Blda Per Fee /<;;<""'<O..q..y //~_o...."yC n"",,,,, A''?0-.!!'W' , ' .-,E::.--e> Fence ( J~A/' "2";{6. 3S' .f:'Ec- p.,E.7- ~/ __ tHr:V4= ---,fj--!~7:?- D!lI'1o' I (;;//,,,urG r/~. 27 I BUILDING PERMIT Ch(wges anc Surcharges PLUI1BING PERMIT Charges and Surcha rges ELECTRICAL PERIHT Charges and Surcharges .... SIdewalk ---:-~"';'''''''=.,--.::_- , , " TOTAL 'If5/. ?S I\J~5\1:'Y7 A/C'Paving Total Comb. rermit 11ECHANICAL PERMIT Charges and Surcharges ii'; l'i" Curb Cut .~ - .' - -' io II COMBINATION APPLICATION/PERMIT (CAP) ,PERMIT VALIDATION , I ~ . ,. I. Applicant to furnish A, Job Address B. legal Description 1. example- Tax Lot 100. Lane County Map Reference II uj 43 2. example- Lot 1. Block 3. 2nd Addition to sprlogtield Estates C. Name. etc. of owner and construction lender ' O. Energy Sources 1. example~ heat/electrical ceilincr./or forced air qas 2. exanple- waterheater/electr;cal/or solar E. Square footage or valuation, etc. 1. examole- 1250 sq. foot house. 500 sq. foot garage 2. exam~le- ITnew project. checknew - if addition. check. add, etc. F. Building penn;t information: 1. example - construct single family house with an attached garl)ge 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 3D3 (a) of the Structural Specialty Code H. DESIGN TE~1 AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or job site correct i ens, etc. ' II. Abbreviated Plumbing. Mechanical, & Electrical Schedules A. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the appl icant 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 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 prepar~ 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 paid. All other fees and charges are due and payable when the permit is issued. .' ., ;,1:" t '. : ~ '. ., . " . .--- - V. FOR OFFICE USE ONLY clerKffi' } Permi t . PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: I ' l~ PLANS ,REVIEWED BY: name ~;;:...: hcc:;.~ signature /'?~...-7~.:;;~ da~e ?? - /' . 7-/.::9-8'9 ... - '" - ... ~:..> . '"