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HomeMy WebLinkAboutPermit Building 1984-10-02iISPECTiON LIIIE ?6-37 69 CITY OF SPRINGFIELD COIIBI IIATI ON APPL I CATION/ PERMIT 726-37s3 Legal Description Job Address Ga ra € en9 A Sq Ftq. 0ther f s dence Sq . Ftq . l.la i llater Heater Ranqe t EIIERGY SOURCES: Hea t Sq. Ftg. Access._ 0wner TfE' gnUv,+tran AA,,Y , A 4gp , Aop. phonelfl,@rAddless v1*ba rir(.6 VLEN 4,56 tq.l'F. OilbtE :gk)qt \w WIZE Miu- ail. f,millro"rsb , &, T1117 Construction Lender 6Odalfico1 erfi.,a,a1 ? arnil\urt|.1 &.bttl%, 04 -CDceo Arldres s Phone DES I GN TEAI,I name address exD r res ohone no. primary U:tes ,/ 6*tfiEt- Aeoil. frc. AO OAIL 4.3Z.Un (L RID Structura l E I ectri ca l Hechanical fu*Ze @ld **2.cE ltGar.r fur- tacp pYnt rpq nhnnp nnn ame addres s 1 CS. nO. Generar Fana 4r.*z 4, /7* Dlr * - Elxs,,uz,??q-s2s Plumbinq 7ylI 6 ELECTRI CAL MECHAN I CALPLUHB I NG FFFFFF.HARGF NN FFF T.HARGF NO /e-'t Residence of FTSQ furnace/burner to BTU' suEach single fixture se Floor furnace and vent Relocated building (new fix. additional) New circuits alts or extensions Recessed wal I Snaae hcatpr and ventSERV ICES{l bath) S. F. Residence 6.-/a*7 V4i,7/arubDuplex (1 bath) each Temporary Constructi on /an Apol iance vent seDa ra teAdditional bath / Stati onar-v evap. cool przd,"Change in existing resi dencellater service pt z5''I ndus tri a I multifamily, corm. or Vent fan with sinole duct ,*Sewer 7A /.(Y ?.o'of lilro amps.fl,*a apart from .c. Vent system , heatinq or AStorm Sewer f,16'ffi*//.vcor,lr.t. /IND. FEEDERS /Mechanical exhaust hood and duct lJood stove/heaterInstal l /al ter/re1 ocatedistrih. feeders 4,-*,'z ot 22f, anp*, /2r//o2 +5€trANTfffTT".fllT' TOTAL CHARGES 3/..'aTOTAL CHARGES /?o.ooTOTAL CHARGES .?z?.* HHERE ST, shall not be ATE L]\I,I REQUIRES val i'l unti I the that the Electricaj work be done by an Electrical Contractor, the electrical portion of this pernit label has been signed by an Electrical Superv'isor and returned to the Building Division mEDthecomp1etedapn.|.icationforoermit,anddohereb.ycertifythata.llinformationhereon.istrue and correct, and I further certif.v that any and all work performed sha1l be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oreqon oertaining to the work described herein, and that NC 0CCUPAI'ICY will be made of any structure without the perm'ission of the Building Division. I further certify that my registration vrith 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 that only subcontractors and empioyees who are in comcliance with ORS 701.055 will be used on this project. r{A}.rE(please printl (srh R-}\ F6Lk€-Q- srclrn T Ftn Ftg Ftg Vat,la /+aaa.e r0the"t / occ.Y Gro nsto, TOTAL VALUATI Fire Zone Bedrooms 0ccy Load. Uni tsZone lue Flood Plain Stori 'I ue. 'lue z4u=t a3 Svsteris Develocment charqe (1'5t') 'ffi1.4oPlan Ck. Conrn/Ind 65%/81do Per Fee Plan Ck. Res 30%/Bldo Per Fee BUILDING PERNIT Charges anC Su rcha rges f"-4_/ t^ r?-{arfrPr4;YfcryFence Demo PLUI4BING PERMIT Charges and Surc ha rges zza.* & srdewatk {O' Tota'l Comb. Permit qgl.y{{6.o0 ELECTRICAL PERI|IT Charges and Surcharges __-/4,?:_b ,-t C-t/1-3/' A/C Paving Curb Cut 2{ra.?TOTAL I,IECHANICAL PERMIT Charges and Surc ha rges ---3/-:{f-/.26 n :TORS I COMBINATION APPLICATION/PERTlIT (CAP) I. Applicant to furnishA. Job AddressB. Lega'l Descri ption l. glaTple- Tax Lot 100, Lane County Map Reference 17 03 43?. example- Lot l. Block 3, Znd Addit.ion toSffingf,ield Estatesq. Name, etc. of owner and construction lenderD. Energy Sources exampl e- examp I e- re foota d air gas ? E Squa 1. example--1250 sq. foot house, 500 sq. foot garaget. example- if new project, check new - if addition,dhtiEEF;-dd, etc.F. Building permit information:1. example - construct single family house with and,:tached garage2. l21q4ple --rer6del existing garage into family room3. exaffi'Ie - convert single iarii ty"iesiaence intoFEsTiIFant (change-of"ui")- " - G. Value of work ai defined .in Section 303 (a) of the. Structural Spec.iaity CodeH. DESIGN TEAI.I AND CONTRACTORS To avoid design or construction delays, Building0ivision Staff must be able to contalt appropriitepersons.regarding design information or job iitecorrections, etc. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Lxcept where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedu.les,the applicant need fjll-in only the No. Boxes iajiient_ to-the appropriate item(s) to 6e installedB. Full Plumbing, Mechanical, and Electr.ical Schedulesare avai lable at the Building Divis.ionl. To conserve space on the-permit form the scheduleshave been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult thefu l'l schedu lesC. BUILDING DIVISION STAFF I.IILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESq. As noted on the CAp, the label must be delivered to theelectrical contractor for signature by h.is electrical - supervisor. The general coniractor ii not authorizedto sign the electrical labelApp)icant to sign and date Whenever possibie, the initial application will be used asa.worksheet only. tJhere possibtb, auiia.ing 0ivision Siaiiwill.prepare a type wr.itten copy ind return it to theapplrcant at the time the actual permit is issued for his s i gna ture. Fees and Charges Plan.check fees are due and payable at the time of theapplication, and no plans wiil-be proceised until theserees are paid. All other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY II. III IV. '/ ($l}Dbx/'l ) \3s4 -fO.l.d- t-I\rnxr PERMIT VALIDATION Permit Clerk lo3to3-l b3o3Y PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: t applicant exempt from registration with the Builder,s Board because:Permi Additional Project Information : na*" l*ye Pq*<;ignarure PLANS REVIEWED BY: da t" 7-??*A V