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HomeMy WebLinkAboutPermit Building 1982-04-15INSPECTION LINE 726-37 69 CITY OF SPRINGFIELD COMBI NATION APPL I CATION/PERMIT 726-37 //Job Address €42 Lesat Description t7_or_ 3€-23 5-0rlo 'i., Ranqe EIIERGY SOURCESHeat ?- l,later Heater 4/ct Sq. Ftg. Access._ Sq. Fto. 0ther_=-*- _New Add AITeEIREE. - _Fe n ce_Demo_C ha nge/ U se -other- Ftg . t'lain Value of tlork:Zze:e0wn r .€., Build Single.Bui lr'inq Pernrit Info: Describe [nlork('/FarniIy Residence trlith Attached Garaqevhonfi4i--*t,Addr6ss tq? .A,.,// t/ on LenderConstruc b N o \Al rd aAddres s Phone ohone no.exn i resaddressDESIGN TEAI.I name Ytn -nlan,O)Pri mary Mechanical Structura l El ectri cal umbi PLUI,IB I NG ELECTR I CAL I MECHANICAL 1 furnace/burner to BTLI' SEach single fixture Floor furnace and ventxRelocated building (new fix. additional) Recessed wal l Snacp hpaf.pr and vent New circuits alts. or extensions -1 )73 t\f oR< Residence of SERV I CES SQ. FT S. F. Residence(l bath) Duplex (1 bath) each Temporary Constructi onAdditional bath Apol iance vent seDa rate Stati onar-v evap. cool er ge i n exi sti ng dence Chan rps il^later servi ce Vent fan with sinole duct multifamily, comn. or TndrrstrialSewer Vent system apart from heatinq or A.C.0f .amps.Storm Sewer Mechanical exhaust hood and ductCOMH./IND. FEEDERS'4L1r,=h(Wsrffi ,*re. h l,Jood stove/heaterI nsta I I /a I ter/ re l ocate di<trih. feederst$lraya / P*ry -ampi0f ISSUANCE OF PFRIlIT TOTAL CHARGES aa TOTAL CHARGESTOTAL CHARGES froo be done by an Electrical Contractor, the electrical portion.of this pe an Electrical Supervisor and returned to the Building Division S IGT{ATUREI'lAt'lE (p lease pri nt 4, rmi t Ci ty made fyany rd perm ffect exempt 055 wi] t ru'I sathatIIn'I tforma onI re0nhermltdoandcertonhereb.yaetedIcIcomppapLHAVEI of thenwlcetthOrdihencenasshrmedIabeInedo'I ccordana'I workIandfuhertcerrtitthaaaandIndnyacorrec t fy wl II be'I an td Lha OCNC CUPANCYnttow0rthedescrkbed1hererta0nrl'If I ad nd ofLaws Sthe teta of soeethe0regofSpng I SBuiItraS'It uJlon ht derthefutherrc'Irt tthaIvlon'I reg imys11s00nthef'IBu diI Di Sruttheng+L ctu wlre thouofs n th atndon'I s tedno hereoba'Is forS exemptthethat'I fa'I nI Ifu e a s red'I b 7010Rs 0 55BosforceIandrequv I usbe 0ned 'Ith s ect7o1projIwhoreaIIan'I wlce th 0r?sIonSUonbcandtractorscomovernpoyees 12 WHERE STATE L/\l,l REQUIRES that the Electrical work shall not be valiC until the label has been signed by Valu Val ue Flood Plain x x 'i ts lueto ri es Fire Zone Bed rooms Ftg. l{ain ToTAL VALUATI0N_ Sq. Ftg. Access Group Sq. Ftg. 0ther Occy Load Zone____Type/Cons t opmentSvstems Deve charqe ('1.51Plan Ck. Conm/Ind 65%/Bltlo Per Fee Plan Ck. Res 30%/Bldq Per Fee BUILDING PERI.IIT Charges and Surcha rges _t6 za,oe Fence Dgmo PLUI4BING PERMIT Charges and Surcha rges a-(> za Si dewa I k Total Cornb. Permit ELECTRICAL PERI,IIT Charges and Surcharges a6 . 4,.4 / Curb Cut q/.1TOTAL I,IECHANICAL PERMIT Charges and Surc harges f A/C Paving COMBINATION APPL I CATI ON/PERMI T I. Applicant to furn.ishA. Job AddressB. Legal Description (cAP)PERMIT VALIDATION 1. glample- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, 2nd Addition toSpringfield Estates Name, etc. of owner and construction lender Energy Sources r ?a c D 1. example- heat2. EiamF-f-e- wate Square footage or /el ectrical iti forced air gas er sol ar E va l uation, etc l. examp-le- 1?50 sq. foot house, 500 sq. foot garagea. elampte-.if new project, check new _ if addition,check add, etc.F. Building permit information:1. example - construct single family house with anattached garage ?. examp]e --rem6del existing garage into farm.ily roomJ. exampte - convert single family residence into_ restaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction deiays, BuildingDivision Staff must be able to contait appropriitepersons_regarding design information or job sitecorrections, etc. Abbreviated Plumb.ing, Mechanical, & Electrica.l SchedulesA, Lxcept where blank spaces occur in the descriptionportion of the Mechanical and Electrica.l Schebulei,the applicant need fill-in only the No. Boxes iajaient_ !0_!hg appropriate item(s) to Le insta.l.ledB. Full PIumbing, Mechanical, and Electrica.l Schedulesare available at the Building Division1. To conserve space on the-permit form the scheduleshave been abbreviated2. ff the item(s) to be installed are not covered onthe abbreviated schedujes you shou.ld consult thefull 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 theeiectrical contractor for signature by his e.lectriiai'-supervisor. The general coniractor ii not authorizedto sign the electrical iabelApplicant to sign and date Whenever possible, the jnitial app)ication will be used asa.worksheet oniy. Where possibli, Building oiv.islon iiaiiwill.prepare a type written copy ind return it to theappiicant at the time the actuai permit is issuea io" tis s i gna ture. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans wiil-be procesied until theserees are paid. All other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY &0 60 47. t i {% i5, b0 II 50a,/r, aow 1t bc Ctu{K III. IV V Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: Permit appl i cant exempt from registration with the Builder,s Board because: Additional Project Information: PLANS REVIEWED BY: name s'r gna tu re date 1-t-* e \ b" eP