The URL can be used to link to this page

Home My WebLink AboutPermit Building 1980-03-18Owner Y ON Lln COMB I RMITnPPLCA , I0l't 7?6-3753 Legal Description Job Address I'Jater Heater Rano Val ue of llork:/sa-o.e EIIERGY SO Hea t Addres s Phone b6?L' n 1.' scrl Ga ra nq n 'I I ((_ en9i.e., Bu td s Fa u Constructi on Lender Eo,:.,i1,, SJaun- I rcp rg L Ns. Address Phone nanre address lics. no exDr re5 ohone no. Pri ma El ectri ca l l'!echanica l name (address )lics. no.exo t res (ohone no. PI r cal I PLUIlB I IIG ELECTR I CAL MECHAN I CAL FEE frn EFF NO FFF l^ HA PGF Each single fixture Residence of FTSQ furnace/burner to BTU's Relocated bui ldinq (new fix. additional ) New ci rcui ts al tsor extensions Floor furnace and vent S. F. Pesidence(l uatn)SERV I CES Recessed wa l I Soace heater and vtrnt Duplex (l bath) each Additional bath Temporary Construction Apol iance vent sepa ra te [,later service Change in existing res i dence Stationary evap. coo I er Sewer Industrial multifamjly, comnr. or Vent fan with sinole duct Storm Sewer 0f s.Vent systern apart from heatinq or A.C. COI,II!./IND. FEEDERS l4echanica l exhaust hood and duct Insta I I /aI ter/reI ocatedistrib. feeders l'Jood stove/heater 0f c ISSUANCF 0F PFRt{rT i6,39 TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES I.JHERE STATE L1I,I REQUshall not be valil until IRES that the Electrical work be donethe label has been signed by an Elec ectrica'l Contpervisor and ractor, the electrical portion of this perr,ritreturned to the Building Division E'I Su bytri'an cal omn/ I Per T O x S e SLoa d 0c c.Y Group Sq. Ftg. 6ther e,/Const. Un P an Ck fypermi ffect ,VE EXAIlL eth .I et acomp 'II ac jt onl")p trml andDE here ec rtb.y ath aL lI nIndafy rma ,1t onrrec tCO her Ie0n ts rueaIndfurthreIcertLthaaaIIrt^/o kndafy rre orfr srmed Iha I be nedo n'i cca rdao cen th t 0rdhe nan,lof oces thefnfidI .IcSpriedan tysLathewsthfny ofSeteta re rta n'I0qon ni to eth l^/ODCg rk cdes rt bed Ihere n nda ath NCt CUOCt {cvPAI.IwI bIs mae deanyturet ruc thwl t0u het s 'is of0n t he Bu Ij 'ld D I sI i hefurt r IIngce'Irt hat t re s'I ttra 1Boam.y 0n thl./ I het IBuis'|rd g derI sfuIIfoanrceed'Isa red 0Rs 7 ath €requ by 0 0551 t e bathe ls sxempt for I n0 1lonexem!'J t tedn0Sbcon hereon a thandvtractors tandIswhaernpoyeere'I comn I aI nc w1 h 0 DC 7 n 1 05 5 I II be u sed no 'lth s ectpr0J VC 51 o pmen t Valu Val ue Value Zone Flood Plain Storie Fire Zo Bed rooms Plan Ck l,lAl.lE(pl ease pri nt) I CiJATURE BUILDING PERTIIT Charges and Su rcha rges teris rqe q. Ftg. Access its So. Ftg. l,tain PLUI4BING PERMIT Charges and 5u rc ha rges Fence DBrno Sidewalk ELECTRICAL PERI|IT Charges and Surcha rges Total Cor:nb. permi t A/C Paving Curb Cut IlECHANICAL PERI,,IIT Charces and /< co T0Tr'rL -t , - .. /,.-p /.-/\), -- F, -rl 5q Ftg DES IGN TEAI! Structura 1 General 4 @/U €/O al-tADnF T0TAL VALUATT0N.- ,/electrical ceilin 1 COMBINATION APPLICATION/PERi4IT (CAP) I. App'licant to furnishA. Job AddressB. Lega'l Description CITY PERMTT VAI TNATTNI\I OF SPRINGFIELD CirY Holl Springfield, Qregon Deoortmeit of Public Works OFFICIAT RECEIPT No. B ( I C D l. example- Tax Lot 100, Lane County I'"lap Ref 17 03 432. example- Lot 1. Block 3, 2nd Addition to i.Sp-iTngfield Estates \ Name, etc. of owner and construction lender Energy Sources 53470 ) ea vaIuation,e l. example- i250 sq. foot house, 500 sq. foot?. example- if new project, check new - if ac check add, etc. Building permit information:l. example - construct single family house wi attached garage 2. example - remodel existing garage into fam3. examole - convert single family residence resti-urant ( change of -use) Value of work as defined in Section 303 (a) of Structura l Spec ia l ty Code DESIGN TEAI.I AND CONTRACTORS To avoid design or construction delays, Bu.ildin Division Staff must be able to contact appropri persons regarding design information or job sit correcti ons , etc. Abbreviated Plumbing, Mechanical, & Electrical ScherA. Except where blank spaces occur in the descript'portion of the Mechanical and Electrical Schedul the applicant need fill-in only the No. Boxes ac to the appropriate item(s) to be installedB. Full Plumbing, l"lechanical, and Electrical Schedu are available at the Building Division1. To ccnserve space on the permit form the sch have been abbreviated 2. If the item(s) to be installed are not cover{ the abbreviated schedules you should consultfull schedulesC. BUILDIIiG DIVISION STAFF l^lILL FILL OUT ALL FEES AI\ CHARGES Oi,I THE SCHEDULESD. As noted on the CAP, the 'label must be delivered electrical contractor for signature by his electr supervisor. The general contractor is not author to sign the electrical label. Applicant to sign and date Hhenever possible, the initial application will be ust a worksheet only. l^lhere possible, Bui lding Division 5will prepare a type written.copy and return it to the applicant at the time the actual permit is issued for signature. Fees and Charges Plan check fees are due and payable at the time of the )s (-,0 --( I -,---{ z/)^A \4_i fr>r-(.?'r-t-t- l. example- heat2. examETE- wate Square footage or or forcet rf ec tr ca 0r !sI*- IU L e '- c F. G. H. te ,1.. o () !-)a\tt lr'ir I l, r 'l-i D ?1 a rl C For 'i\ i r -- 6A 6t1ilA/r-;*() II. III. IV. ( { t iD (tn unt R eceivedAmo --(AUTHORIZEO SXELTON'IUNXSULL PRINTETS St6NAAURE EUGEiE ot 97'ol application, and no plans will be processed until these fees are paid. All other fees and charges are due and payable vrhen the permit is issued. V. FOR OFFICE USE ONLY'Permi t Cl erk PROJECT CONDITIONS TO BE SATISFiED BEFORE OCCUPAIiCY: abec SCuerdoUrdaSu'l I1Whthetrat1tonerISf+L rom+an e gaIcemprmPetipp Additional Proiect Information : PLANS REVI EI,.IED BY : dates i gnaturename (l I' f.a\.+) \r rAI LI ( ( \r- ( I l-egal Description IIISPICTI 726-37 69 C()I{B I ;N APPLICAi 7 26-3 Job Address Y 0 L Ranqe l.later Heater EI]ERGY S Hea Owner Va l ue of l.lork: /gr-r:. e -Fe n c e-o-mo1,c hii'g e / U s e 0ther 5q C Sq. Ftg t,lew teF--neD. -Add IA . ird ce5 5 her e., Build SingleAddres s Phone thAn F I Ga b67z'Tc-E O 3=c[ O Construction Lender Ea ,,id -Slou e Address Phone h l8 -g Ns. name address ics. no.exD I res Pri ma Structura I El ectri cal llechanical TR n ame addres s (lics. no.exDl res (ohone no. Pl umbi EI I PLUIlBI IIG ELECTR I CAL MECHAN i CAL ri0 FEF CHARGE ut,FFF NO FFF rHA PC F Each single fixture furnace/burner to BTU. s Relocated buildino (new fix. additionaI)New ci rcui ts al tsor extensions Floor furnace and vent S . F. Res i dence(l uatn)SERV I C ES Recessed wal I SPace heater and vpnt Duplex (1 bath) each Additional bath Temporary Constructi on Apol iance vent seDa rale l,later service res i dence Change in existinq Stati onar.v evap. cool er Sewer multifamjly, comrn. orindustrial Vent fan with sinole duc! Storm Sewer 61 amps.part from t' Vent system a lreatinq or A. COMI',!./IND. FEEDERS l,lechanical exhaust hood and duct I ocateInstali/alter/re di stri b. feeders ['lood stove/heater 0f ISSUANCF OF PFRIIJT cc S I GiIATURE DA.T Uni ts So. Pl an Res O x x n I ee Tyoel Cons t lue a 0% TOTAATOT.L CHARG ES CHARGESL ALIOT C HARGE S REI.JHE s T TA L.E 1t/RE5I thaREQU +het I,e ctr c'l Ia rkt/0 nadobene El tec rt I tracConca tor the Ieash1 rtect IcaIbnot .I of0n thVAIIunIieport 'I S tttIIhepermiIabehassbeen1nedsanEecI bytriby ac I s u rvt!le s r0 and dreturne to the 1Bui 'Id n Di sI on'Is fy ng st q0n Bui nDc YL het c eomrJ ted Ica!-)ap t on for rmi t an d he r lt t handareb.y t a Il l fontc0 rrec fy trma on'I ehandI Ireon ts rufu rther c '1 eerttthaand'Ia Iany tvo kr DC DE rfo srmed Iha I n'IedonbeoS ca rdanc0rt ce t hI1tedp the rd0 n'I anIanthd ces fo hetLaeofws CiheLtas tyofte0reDC1rta'In n thto r{ore kg de rsc 1ofa bed h 'Ire n dan hat Lrucny NC CUPOC Ailturewl CY Iwl Ithouthte bE madess'1 o'I ofnperm the ,]d D VII I Ingson fu r the rrdBoa 1cert th La,|n'is fy SI tfuIlm.y ra 0nti thv/tforeg Buthe I1aeffndrce der sctesaredrequi0RS710c05bythat'I t LnIexemp he Sba s1 rfobcSU ex 'It on-v racont to rs emp l nots edand1 he onre a ndwhoa tha ternr)oyees re 1 c0mDn Il nca w'le ht 701 0 55 t/l Il be us ed 0n t 'ih s ec tDroj 0pmensteris _ Deve rqe 1. 5% tlAl,lE(please print) TOTAL VALUATIO Zone alue0cc.y Group Sq Loa d Value BUILDING PERTIIT Charges anC Su rcha rges Fire Zone Bedrooms Flood Plain Stories Ftg. Access Ftg.0ther Ftq. l'la i n Fence PLUI4BING PERMIT Charges and Surcha rges Demo Sidewa l k I I ELECTRICAL PERI:IT Charges and Surcha rEes Total Cornb. permitA/C Paving Curb Cut I1ECHANICAL PERMIT Ch::^ces and r'.J jO ,'^ ()T0TiiL d7;1 e? r|rt Infpnce lli rnnP nn lHA0ntr Residence of SQ. FT. 't COMB I NATI OIi APPL I CATION/PERI,lI T I. Applicant to furnishA. Job AddressB. Legal Description (cAP) l. example- Tax Lot 100, Lane County tlap Re{ 17 03 432. example- Lot 1. Block 3, 2nd Addition to Springfield Estates Name, etc. of owner and construction Iender Energy Sources 1. examole- heat/electrical ceiling/or forcet2. ExamETE- waterheIteiTeTEETil ca7or sofar SquaiE-T6oEage or valuation, etc.l. example- i250 sq. foot house, 500 sq. foot 2. example- if new project, check new - if ao check add, etc. Building permi t information :1. examole - construct single family house wj ;tGaled sarase2. exanple - remodel existing garage into fam 3. examole - convert singie family residenceiesfurant (change of-use) Value of work as defined in Section 303 (a) of Structurai Specialty Code DESIGN TEAI.I AND CONTRACTORS To avoid design or construction delays, Buildin 0ivision Staff must be able to contact appropri persons regarding design information or job sit correcti ons , etc. CITY PERMIT VAI TNATT^iI OF iPNINGFIELD ci! Holl SPringfield, Oregon Deportmeit of Public works OFFICIAT RECEIPT No. B ( .a c. D.53470 I t?- E F G H D .^'.n ? tl t I ,n to \ \A T I'r\,t) zr. ed For: 'i-. rI*r {2\.1 1'-i a* ri \r 6A { ( ( t.t rA?r.ln,,{ I II III Abbreviated Plumbing, i{echanical, & Electrical SchetA. Except r.rhere blank spaces occur in the descript' ...portion of the Mechanical and Electrjcal Schedul i the applicant need fill-in only the No. Boxes ac to the appropriate item(s) to be installed B. FulI Plunrbing, Mec'hanical, and Electrical Schedu are ava i lable at the Bui lding Divislon i l. To conserve space on the permit form the sch have been abbreviated 2. If the item(s) to be installed are not covert the abbreviated schedules you should consuit ful I schedul es C. BUILDING DIVISiON STAFF 1,lILL FILL OUT ALL FEES A[ CHARGES ON THE SCHEDULES D. As noted on the CAP, the labe'l must be delivered electrical contractor for signature by his electr supervisor. The generai contractor is not author to sign the eiectrical label. Applicant to sign and date (ir,Received lr<(,U -(.---=< 0Y\/'J'" t'-*frri --(^UTHORIZEO SIGNATURE EUGENE OF 97'Ot \Whenever possible, the initial application will be ust a worksheet on1y. flhere possible, Building Division ! will prepare a type written.copy and return it to the applicant at the time the actual permit is issued for signature. Fees and Charges I- Plan check fees are due and payable at the time of the application, and no plans wiil be processed until these fees are paid. All other fees and charges are due and payable vihen the permit is issued- FOR OFFICE USE ONLY - SHEL,Oi'IUi!6U!L PRINTERS IV Permi t Cl erk PRoJECTCoNDITIoNST0BESATISFiEDBEFOREOCCUPAIICY: Permit app'licant exempt from registration wjth the Bu'ilder 's Board because: Add'itional Proiect Informat'ion: PLANS REVIEWED BY da te name natu reSig (l (. (