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Home My WebLink AboutPermit Building 1989-10-19Ftg. 0ther TIOII z4*2- TION L 69 Zone Z./-. Tyoe/Const Fire Zone Bedrooms 726 1!fi2!t _ua1ue .l^/rA- I7a.7evd1 Value Load Sg eroupR€?'VQsq COMBI its APPLI CA IT Ftg Ft! ln x a5 -A Flood Plain Stori es---/- EIIERGY SOURCES Hea t l,later lleater Ranqe . Ftg. Acces s. tnSq Sq Value of llork:7'3s-7?;*,mOwne r l-egal Description Job Address -work(i .e., Build Single Garaqe ) Descr i be At tached liiTfinq Pernfllnfo: Farnily Residence l'li thA<ld res s Phone 'Con s t ructi Lender $ N \$ -f Addres s Phone ICS a Electrical St ruc tu ra I Primary Genera I )- I 'II Pl umbi I'lec ha n i ca I I'IECHAN I CALELECTR I CALPLUI1B I NG FFF CIIARGI:FFF CHARGF NOFEFCHARGENONO 77 furnace/burner to BTLI' S5z*Residence of SQ. FT7Each single fixture Floor furnace and vent New ci rcui ts al ts or extensionsaI) Relocated bui ldinq (new fix. addition Recessed wal I Snace heat-er and ventSERV I CESS.F. Residence ( I bath) Duplex (l bath) each Apol iance vent seoa rateTemporary Constructi onAdditional bath Stati onar-v evap. cooi er5*ge in existing dence C han res i<Sd'[.la ter serv i ce 4P 7 .. d,(--2 Vent fan with sinole duct*.n I ndu stri a l nrul ti fami 1y, cornm. orlsewer ffi Vent systenn apart from heatino or A.C.;.fr-n 0f S.Storm Sewer /."7Mechanical exhaust hood and ductCc)MIl./IND. TEEDIRS llood stove/heaterI nstaI I /a l ter/re1 ocate dictrib, feeders amps.0f -2v)',27. ,z'>t*7a>rz -r>,6, ,42 >€7;y 5*rzz Vn,t/,'38/4tc,4 r7-ISSIJANCF OF PFRIIIT TOTAL CHARGES *U//- ,6 o>TOTAL CHARGIS /4"-5a t^JliERE STATE Lll,l REQUIRES that the Eiectrical work be done by an ilectrical Contractor, the electrical portion of this permit shall not be valil until the label has been signed by an Electrical Supervisor and returned to the Building Division TOTAL CHARGES I HAVE CAREFULLY EXAIIINED the completed application for pernrit, and do hereby certif.y that all information hereon is true and correct, and I further certify that any and all work rrerformed shall be done in accordance with the Qrdinances of the Cityof Sprinofield and the Laws of the State of 0regon oertaining to the work described herein, and that HC 0CCUPAI,ICY will be madeof any structure without the permission of the Building Division. I further certify that m.y reqistration vrith the Builder's Board is in full force and effect as required by ORS 701.055, that if exempt the balis for exemption is noted hereon, and thatonly subcontractors and employees who are in comcliance with 0l1S 70i.055 will be used on this Droject. t'lAl'lE(please pri I Gi{ATURI:Oc/? fZ FOI1 OFFICE USE OI{LY Plan Ck. Corm/Ind 65%/81do Per Fee Szza)Svster,rs Deve Charqe (1.5q opmend 5/ /3. ?aBUILDING PERt'IIT Charges and Su rcha rges a6 Plan Ck. Res 30%/BIdq Per Fee FencePLUI4BING PERMIT Charges and Surcha rges 52 oo Domo Sldewalk ?22 /c1-a;ELECTRICAL PERIIIT Charges and Surcha rges 799.*Total Comb. Permit /r'/A?8A/C Paving Curb Cut 655?la -__/f,_I,IECHANICAL PERMIT Charges and Surcha rge s d da TOTAL .Ftg. (ohone no.I NFS T GN TFAI{( name (address I COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description 1. example- Tax Lot 100, Lane County Map Reference t7 03 432. example- Lot 1. Block 3, Znd Addition to S[FinlTieto EstatesC. Name, etc. of owner and construction lenderD. Energy Sources I. exampl e- heat/qEllr1l3Llqll_lu/or ISr!gg--qf_L_9€z. exampT-e- waterhEaTEflEfeclFi ci-l]o. :!E-E. Square footage or valuation, etc.1. example- 1250 sq. foot house, 500 sq. foot garage ?. 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 fanrily room3. example - convert single fami)y residence into restaurant (change of use)G. Vaiue of work as defined in Section 303 (a) of the Structura'l Specialty CodeH. OESIGN TEAI4 AND CONTRACTORS l'o avoid design or construction dclays, Bui lding Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc.II. Abbreviated Plunrbinq, Mechanical, & Electrical SchedulesA. Except vrhere blank spaces occur in tlre 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 instailedB. Full Plumbing, Mechanical, and Electrical Schedules are available at the Bui lding Division1. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult thefulI schedulesC. BUILDING DIVISION STAFF I1lILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be del'ivered 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 initia) application will be used as a worksheet on)y. Hhere 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 tirne of the application, and no plans w'il1 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 PERMIT VALIDATION \ 0 b1 Permit Clerk U,rrY., PROJECT CONDITIONS TO BE SATiSFIED BEFORE OCCUPAIICY: permit appljcant exempt from registration w'ith the Builder's Board because: Additional Proiect Information : PLANS REVIEWED BY: name S1 gnature date ,/O,Z -87 to