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Home My WebLink AboutPermit Mechanical 1989-12-18r---- TI APPLICATIO 726-3753 )Rt,tINSPECTION LINE 726-37 69 I' Job Address t rlh - c- /1/t A a c.o LA nd, l-ega1 Description DeGn*os A*hFtf<s a,tc.l,later Heater Ranqe EIIERGY SOURCES Hea t firl*rr7 WQktr Plnre BdA I Value 4 of l,lork: q 55a,oo Sq. Ftg Sq. Ftg Sq. Ftg I'lew . Access.=_-- t. 0ther nOa nt terlep. - _rence_DEmo_Chan ge/ U se 0ther l.la i n 0wner Is (*ag (a,,ts tc uc*f o,tt :e., Build SingleB F rG Re ul am Pernrit Info: Describe lJork(' sidence l,lith Attached Garaqe IriiilyAddress Qoo N, lbrun hrut( fu sui+,j nnonef{J-$ll .h+ru.. "4 D-v 6-r-s Construction Lender h \$ N \ N Addres s Phone exDI res ohone no -DLsI GN TLAT.1 name ress - (l ics. no. Pri mary Structura I iEl ectri ca I Hechanical ohone no-CONTRACTORS n ame Genera I Pl umbi nq (-eoE 17 to-)t-?o'7W46el6E OP., PLUI{B I NG ELECTR I CAL MECHAN I CAL FFF .HARCI:FEE CHARGE N0-FFF CHARG F NO 7f,Each single fixture Residence of FTSQ furnace/burner to ,/2ar,?22 BIll's New circuits alts or extensions Floor furnace and vent Relocated building (new fix. additional) 5.F. Residence ( I barh)SERV I CES Recessed wal l Soace heater and vent Duplex (l bath) each Temporary Construct i on Apol iance vent seDa ra teAdditional bath Chan rpq l ge in existing dpncc Stati onar.v evap cool ertlater servi ce Vent fan with sinole duct 7*Sewer I ndu stri a l multifamily, comrn. or 0f S. Vent systern apart from heatinq or A.C.Storm Sewer COMI.I./IND. FEEDERS Mechanical exhaust hood and duct Instal I /a l ter/rel ocate distrih. fpedprs liood stove/heater 0f &t2,2*',^aD ISSUANCF OF PFRIlIT TOTAL CHARGES ToTAL CHARGEs /Vt:?. / fr u TOTAL CHARGES I^IHERE STATE LAI,I REQUIRES that the Electrjcal work be done by an Electrical Contractor, the electrical portion of this permit shall not be valil until the label has been signed by an Electricai Supervisor and returned to the Building Division I HAVE CAREFULLY EXAMINED the completed application for oermit, and do hereb,y certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the Cityof Springfield and the Laws of the State of Oregon oertaining to the work described herein, and that NC 0CCUPAI{CY will be madeof any structure without the permission of the Building Division. I further certify that my reqistration r.rith the Builder's Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted hereon, and thatrs and ernployees who are in compliance with 0l1S 701.055 will be used on this project t'lAl'lE(please pri S i GiIATU /-.? ---)z'U.t T only subcon Val ue Val uexB? r Sq. Ftg Load Sq. Ftg 0 cc.y Group t'la iZone 4/l /Const its Fire Zone Bedrooms Flood Plain Stories Fts.othe@u,r. +<5-}-€Acces s TOTAL VALUATION Plan Ck. Cornm/Ind 65%/B1do Per Fee Svs Cha terns Deve rqe (1.51 opmentBUILDING PERMIT Charges and Surcha rges Fe e Plan Ck. Res 30%/Bldq Per Nf$,.\r) Fence r(\TS.rPLUI,IBING PERMIT Charges and Surcha rges D6mo '')-Y SidewalkELECTRICP,L PERI1IT Charges and Surcha rges A/C Paving Tota'l Comb. Permi t /52,' Curb Cut 31eiI,IECHANICAL PERMIT Charges and Surc harge s "S .* TOTAL "q{ l cYnt rcq It'lechani ca l t)3 ---r _ JL--/L\-/\ r r \f ,t-'t-r'\\tTr\.U PERMIT VALIDATION Permi t Cl erk \*- \t,tq \b=@ COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal Description l. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, 2nd Addition toSIrlnlTieta EstatesC. Name, etc. of owner and construction lenderD. Energy Sources II. Abbreviated Plumbing, Mechanical, &A. Except where blank spaces occurportion of the Mechanical and E the applicant need fill-in only r forced air gas solar - construct single family house with an gara9e Electrical Schedulesin the description lectrical Schedules, the No. Boxes adjacent l. examp_le- heat,/electrical ceiling/o2. exampI e- waterh=eater/eTEETilci-fiorE. Square footage or valuation;-etcll. example- 1250 sq. foot house, 500 sq. foot garage2. example- if new project, checkl6w - .i f addit.ion, check add, etc.F. Building permit information: exampl e a ttac hed2. example - remodel existing garage into family room3. example - convert single family residence into restaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specia)ty CodeH. DESIGN TEAI4 AND CONTRACTORS To avoid design or construction de)ays, Building Division Staff must be able to contact appropriate persons regarding design information or job sitecorrections, etc. to the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedules are available at the Building Division1. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be instailed are not covered onthe abbreviated schedules you should consult theful l schedulesC. 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 I'lhenever possible, the initial application will be used asa worksheet on1y. Where possible, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actuai 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 wi)l be processed until thesefees 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{CY: Perm'it applicant exempt from registration with the Builder's Board because: Additional Project Information PLANS REVIEWED BY: name s1 gnature ate /2 INSPECTION L 726-37 69 RMITTILCOMB I Job Address Legai Description z-z ? -3 tlater Heater Ranqe EIIERGY SOURCES Hea t Sq. Ftg. Access._ Sq. Ftg. 0ther-- Yt'lew Add Al ter ReP. -Fence Demo Cha-nge/Use FZt"4aB4- Ftg . I'la i #Val ue of llork Owner i€ed siscr Attacami l sr rknq Re rmit Info l,t iPhoneAddress ?97 tion LenderCons UU \ r{s I\) PhoneAddre ss Pri Struc tura I El ectri cal Mechanical n Pl umb 'ical MECHAN I CALELECTRI CALPLUI{B I NG furnace/burner to BTU' s2/9 Residence of FTSQzfo7Each single fixture Floor furnace and ventNew circuits alts. or extensions Relocated bui lding (new fix. additional ) Recessed wal I Soace heater and ventSERV I CESS. F. Res i dence ( I bath) Duplex (l bath) each Apol iance vent separateTemporary Constructi onAdditional bath Stationary evap cool erge in existing dence Chan rps i[,la ter serv i ce Vent fan with sinole ductmultifamily, comm. or I ndustri a ISewer Vert systern aPart from heatinq or A.C.0f Storm Mechanical exhaust hood and ductCOMI.I./IND. FEEDERS I'lood stove/heaterInstal I /al ter/rel ocate di ctri h. feeders 7,,u =zr<-,/>*n -zamps.0f 1r*zz_7-?2.A. Ar.< Z7-7.2 aZZnUZA*rrrr- €<Z<r- #,.z?*c_ ISSUANCF OF PFRIIIT6nrZa 2/?-TOTAL CHARGES an Electrical Contractor, the electrical port ca1 Supervisor and returned to the Building Di ion of this Permit visionWHERE STATE LAI.I REQUIRES t sha I I not be val i ,l unti I the I ny of ifv the xempt 5 vril tF n 'I t ruesntformaon1hereotrIhatatIIcehedodf.yreb.yt'I anfor0npermatcIapl-)heDt compFUCARE t C Ihe'I0rd a ncesn of tydacorenctthehwlI'I dbe 'Ione acnkformedrhasaIIworpendatadfu rtherI ertc thaancotrrecdan I1 madebewlOCCUPANCYn'I a thnd ta NCheredrkdsercbe1nI,l theto WOonartte0regn9peddanLawstheofStaofSfi1ngpri I'I der s'I thv/r het ButsIt0ntrafucertrtherIIthVI'Is 0n re-qm.yvIn'lo theof 'IBu diI DiwlhottheutssngatscturuPermireny nda th ta'I n heoted reonIt0nsebaiSforSxemphetfthtIe055redS701ORaforceefndectfsaIrequ i byfuInIs'IrdBoa s'I ec tbeousedthn100r?s pro.i05In'|I cean thwlIwhoesreaInIbcsutraconanto rs c0mDemp0yev i f 0p IGNAS URETtnNAI'1E 'I ea se(p pri TOTAL CHARGESTOTAL CHARGES ,hat the Electrical work be done by abel has been signed bY an Electri -_-_7 IndPl an)JD 2e,* .2o s Deve 7.s7, an s s S o-€)4 __/8_ 5'4-PA)n:t' I 'ld lueq. Ftg. Acce 'lue'2A-eFtg.0theGro opmen Load TOTAL VALUATI BUILDING PERI'iIT Charges and Surcha rges q. Ftg. l'lain - xI Val ueZone CZ typelConst Fire Zone Bedrooms 0ccY Fence D0mo PLUI4BING PERMIT Charges and Surcha rges ___z_z-5e- Sldewalk 2/6. A5Total Comb. Permit ELECTRICAL PERI|IT Charges and Surcha rges A/C Paving Curb Cut 676-BvTOTAL IIECHANICAL PERMIT Charges and Surcha rges .7" ( addressDES I GN TEAI4 ( add res sCONTRACTORS <4 of Flood plain Stories / occ.y COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job AddressB. Legal Description l. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, Znd Addition to SpTingfi el d Estates C. Name, etc. of owner and construction lenderD. Energy Sources exampl e- exampl e- re footag hea t/air gas 2 wa ter E. Squa eorl. 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 room3. example - convert single family residence into FEsTauFant (change of use)G. Value of work as defined in Section 303 (a) of the H Structural Specialty DESIGN TEAM AND CONT Code RACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc.II. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportjon of the Mechan.ical and Electrical Schedules, the appiicant need fill-in only the No. Boxes adjacentto the appropriate itenr(s) to be installedB. FulI Plumbing, Mechanical, and Electrical Schedu'les are available at the BuiIding Divisionl. To conserve space on the perrnit form the schedules have been abbreviated2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult the ful I schedui esC. BUILt)ING DIVISION STAFF l^JlLL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the label nrust be delivered to theelectrica'l contractor for signature by his electrical supervisor. The general contractor is not authorizedto sign the electrical label.III. Applicant to sign and date Hhenever possible, the initial application will be used as a worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to the applicant at the time the actual permit is issued for his s i gna tu re.IV. Fees and Charges PIan check fees are due and payable at the time of theapplication, 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 PERMIT VALIDATION \> Permi t Cl erk C^-/ PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit applicant exempt from registration with the Builder's Board because: Addi t'ional Project Informati on : PLANS REVIEWED BY: name s'l gnature date ,//- - l2Ll2,C()MB I ION IT PRI I\t lclINSPECTION LINE 726-37 69 Job Address LD pca n Lega1 Description I Hea Ranqe EIIERGY Sc)URCES I Sq. Ftg. l'lain_ tq. Ftg. Access.] Sq. Ftc. 0ther__ I'ler,r Add Al ter Rep. ence_Demo_Change/Use-F-0 therVal ue of I'lork Owner TI E5AI .e., Bui1d SingleBuiltiinq Perntit Info: Describe l^lork( Family llesidence llith Attached Garage.Address Phon€$ 1LlK Construction Lender 9)A )) Addre s s Phone ohone no.'I ics. no.exDt resaddressDESIGN TEAI.{name Primary ikStructura I EI ectri ca l Mechani cal cxDt re Dhone no.a ddres s (lics. no.)nameCONTRACTORS Genera I Plumbi {.fr I'lECHAN I CALELECTR I CALPLUI{B I NG t,l qL FFFl^ HAPGF fl0FFEFEECHARGENON0.furnace/burner to BTLI' s Residence of FTsQEach single fixture Fl oor furnace and vent New ci rcui ts al ts. or extensi ons Rel ocated bui 1 ding (new fix. addjtional) tl*,cr)Recessed wal l Soace heater and ventsERvrcEvdp 4 - +0nS.F. Residence ( I bath) Duplex (1 bath) each Apol iance vent se pa ra teTemporary ConstructionAdditional bath Stationar.y evap, cool er Change in existing rpci dpncphlater service Vent fan with sinole duct multifamily, comm. or IndustrialSewer Vent systern apart from heatinq or A.C.amps.0fStorm Sewer Mechanical exhaust hood and ductCOMI.I./IND. FEEDERS trlood stove/heaterInstal I /al terlrel ocate di ctri h- fepders amps.0f a1,,fiRoK m ou^u?Ala, /t/41-3,75 I SSUANCF OF PFRI.IIT5lo nsas4 TOTAL CTIARGESTOTAL CHARGES 78.75TOTAL CHARGTS WHERE STATE LAtl REQUIRES that the Electrical work be done shalI not be valid untiI the label has been siqned by an Elect by an Electrical Contractor, the electrical portion.of this permit rical Supervisor and returned to the Building Division S IGNATUREllAl.lE ( p1 ease pri nt )TEpB._ fy permi 'f ect xempt 5 vril rma t hereonon s trueotcertthaarmttandocatonhe re b.y f.ye tedcomp DapE na ofnces cithenccordaancthwl0rd tythe pe ,fo rmed ha be nedoworkcertfu rther t hat and aandany Derandco rrec t wt madebenathndil0atOCCUPAI.ICnthetorwodkscrherbedeffidandLawstheteStatoonrta0rlethe0regngpeSpngt Bu der sItasttraonthv,r heonVIfuthe rr cert thfutss0ofnhetBudiDisv reqm.yoasrutrectuLwlhothen9ny nda th tafrt0nnsheotedonrehetbasoefexempthatsaredORS055701rdBoasnfuforcendaefrequibyt0besedun0rhecreananthwl7050PSnro,jn0bcsutraconandto rs whoemp0yees compv Lawt Flood Plain Stories Occ.v Group Sq. Fts ToTAL VALUATI0N-- x Val.0ther al Val ue Zone Type/Const Uni ts Fire Zone Bedrooms 0ccY Load Ftg. tlain Sq.Ftg.Access opmentSvstems Deve Clrarqe (1.5%Plan Ck. Comm/lnd 65%/81dq Per Fee Plan Ck. Res 30%/Bldq Per Fee BUILDING PERMIT Charges and Surcharges Fence Domo PLUI4BING PERMIT Charges and Surcha rges Sidewalk Total Comb. PermitA/C Paving ELECTRICA,L PERIlIT Charges and Surc ha rges Curb Cut 18,'15TOTAL I,IECHANICAL PERMIT Charges and Surc ha rges tlater lleater r'l lI lvl PERMIT VALIDATION .\T, \a Permit Clerk .p \sb?g 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, Znd Addition to SpiingTield Estates C. Name, etc. of owner and construction lender D. Energy Sources 1. example- heat/eleclll_rrql_caL1_!nglor forced air gas 2 . exanrpTe- wa te rlGa te r7?Tec t r i C-a 1-l o r s oTfF- E. Square footage or valuation, etc. l. example- !319 sq. foot house, 5!9 sq. foot garage 2. example- if new project, check new - if addition, check add, etc.F. Bui)ding permit information: 1. examplg - construct single farnily house with an attached gdrdge 2. example - rernodel existing garage into family room 3. example - convert single fanrily residence into re!tauFant (change of use) G. Value of work as defined in Section 303 (a) of the Structural 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 site corrections, etc. II. Abbreviated Plumbjng, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the appl icant need fil.l-in on)y the No. Boxes adjacent to the appropriate item(s) to be installed B. Full Plumbing, Mechanical, and Electrical Schedules are available at the Bujlding Divis ion 1. 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 the ful I schedu les C. BUiLDING DIVISION STAFF l,llLL FILL OUT ALL FEES AND CHARGES ON THT 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.1II. Applicant to sign and date Whenever possible, the initial application will be used as a worksheet on1y. l,lhere possible, Building Division Staffwill prepare a type written copy and return it to the applicant at the t.ime the actual permit is issued for his s i gnature. IV. Fees and Charges PIan check fees are due and payable at the time of the application, and no p)ans 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{CY: Permit applicant exempt from registration wjth the Builder's Board because: Additional Project Informatjon: PLANS REVIEWED BY: datenameatureS1gn