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HomeMy WebLinkAboutPermit Building 1986-07-050/ INSPECTION LINE 7?6-37 69 CITY OF SPRINGFIELD COHBI TIATI ON RPPI- I CNTIOIIIPERMIT m 725-3753 Job Address / 47o l,/ctr/twk ,bl/2 Legal Descri ption Hea Ranqe EIIERGY SOURCES llater Heater 0wner E / ,Y0/ /V 4 ?r7 etlorkuatue j! Sq. Fta. l.lain_ Sq. Ftg. Access._ Sq. Ftg. 0ther_ _l'lew_AddJl ter_Pep. _Fence_Demo Change,/Use 0ther Address '6V/ E?hEHl/1/f L|'/TY Pho""7472tt rni t l,lith Attached Ga I re.r Build Single 9 %Nkrt ELD q74 7 7 TE+ft OtF ,*l/y ,//Elro,r i/rfir{ Construction Lender A/1,,// 9o//ft1 EF_C,T/D/y9 , D/uE/U9 CAt/UhW ?zo Lt//L/ clt*gq 'tA" AmfAddressPhone ,()6'Oqq DESIGN TEAI.,I name addre s s ICS- nO-exot res Pri mary Structura l E I ectri ca I Hechani cal address lics- no-)PXnr rPq )CONTRACTORS name EL,M/UE CXPl umbi nq 4rt+aZEl ectri ca l I'techani cal ELECTR I CAL MECHAN I CALPLUt{B I NG FFF l.HA AGF NO FFF CHARGFFEEC HARGE NO Residence of FTsQ furnace/burner to BTU' S Each single fixture Relocated building (new fix. addit'ionaI) New circuits alts. or extensions Floor furnace and vent SERV I CES Recessed wal I Soace heatpr and vpnt S.F. Residence ( I bath) Duplex (l bath) each Temporary Construction Apol iance vent s eDa ra teAdditional bath Change i n exi sti ng rps i dpncp Stationary evap cool ertlater servi ce Tndrr<triel multifamily, comrn. or Vent fan with sinole ductSewer Vent systern apart from heatino or A.C.0fStorm Sewer Mechanical exhaust hood and ductcoMr.!./IND. FEEDERS Instal I /al ter/rel ocate di slri h. fceders l'Jood stove/heater 0f amps ISSUANCI OF PFRI1IT TOTAL CHARGESTOTAL CHARGESTOTAL CHARGES l.lHERE STATE l-l\li REQUIRES that the Electrical work be done by an shalI not be valiC untiI the label has been signed by an Electrica1 S IGiIATUI'lAtlE(please print) Uni ts x x . Other x . Ftg . Access 'IFtq. l'lainConst. Group Sq. Ftg Electrical Contractor, the electrical portion of this permit Sufrervisor and returned to the Building Division gon Bui 0r?s t tha 'Ia 'I'I forman 'It heon reontcafoonrtdoandcerteted'ItheD Derm i hereb.ycompapr)ofIdanctwltheh0rdnancesndIawoIrksharformedIIdonebeacc0rdanfu rtherI 'Icert tha at a DEandfynycorrect w1 'II'Ir here ibed n nda ath NOt CYOCCUPAI'In'I I thto wor dek scngorlfIdItandLawshetheofteSta0reofDe rtaSong theh Buif1thtas'I ttra on'I tvtl'I f th d 'I ID 1 'IS onI erfurth ert regfrest ructu tw1 utho the s on o es ng v m.ypermi ba 'Is fors ti 1on noteds hereonfexempthe'I ORS 07 051 5 hat t 'IBoa any rd exemptIn,l Ifu forceI nda fectef sa redrequ by n thi tsL tusedIbe'It/l550707'II ncea thwl projnItorsandIawhoIrensubcontracemp0yeesc0mDv Val ue Stori esFlood Plain Load Zone Fire Zone Bedrooms OccY l Value ToTAL VALUATIoII_ i s true the City be made 'l der' s and that opmeotPlan Ck. Comn/Ind 65%/Bldo Per Fee Plan Ck. Res 30%/Bldq Per Fee BUILDING PERNIT Charges and Surcha rges a.o aS,O Fence Demo PLUtlBING PERMIT Charges and Surcha rges Sidewal k Tota'l Comb. ['ermitA/C Pavi ng ELECTRICAL PERIlIT Charges and Surcha rges Curb Cut 5a:€2.-TOTAL IlECHANICAL PERMIT Charges and Surcharges (r (n Svstems ueve Charqe (1.5r, CoMBTNATI0N AppLTCATIoN/PERMIT (CAp) I. Applicant to furnishA. Job AddressB. Legal Descriptionl. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, 2nd Addition toSpringfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources l. example- l?50 sO. foot house, 500 sq. foot garagez. example- if new project, check new - if addition, EEecI-E-dd, etc.F. Building permit information:1. exampie - construct single family house with anattached garage ?. example - remodel existing garage .into family roomJ. example - convert single family residence into - restaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Spec.ialty CodeH. DESIGN TEAI,I AND CONTRACTORS To avoid design or construction delays, BuildingDivision Staff must be able to contact appropriitepers0ns-regarding design information or job sitecorrections, etc. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. txcept where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes adjaient _ to the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedu.lesare available at the Building Division1. To conserve space on the-permit form the schedu.leshave been abbrev.iated2. If the item(s) to be instal led are not covered onthe abbreviated schedules you should consult theful I schedulesC. BUILDING DIVISION STAFF WILL FILL OUI ALL FEES AND CHARGES ON THE SCHEOULESD. As noted on the CAp, the label must be delivered to theelectrical contractor for signature by his electricai - supervisor. The general coniractor is not authorizedto sign the electrical labelApplicant to sign and date I'lhenever possible, the.in.i tial application will be used asa.worksheet only. Hhere possible, Building Division Siaiiwill.prepare a type !.rritten copy ino returi it to theapplicant at the time the actuai 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 procesied until theserees are paid. All other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY II III IV v a ceiIi e or valuat on, etc.E wa e forced air gas or solar hea t/ el1. exampl e-2. examilE- Square footag 6u', Y tre N-7 -Y 6 PERMIT VALIDATION Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: 'lPerm at 'lI ac tn ex tpp from 'lemp S rat 'tt no 'tW treg h the u I1 erd S rdBoa cbe ua es Additional Project Information : PLANS REVIEWED BY: name dates1gnature