HomeMy WebLinkAboutPermit Building 1987-04-03l.later Heater Ranqe EIIERGY SOURCES: Hea t Owner O L Job Address l-egal Description Value of tlo ,nn 9q. Ftg. Access._ Sq. Ftq. 0ther_ llew Add Alter--T;D.- Jence_Oemo_C hai-ge/ U se -other- q.Ftg Addres s hone Builr.ino P(/nrrt Info: Describe tiork(FamiIyJesidence llith Attached caraqe ngeS e Constructi on Lender V ,\dd re s s Phone OESIGN TEAII name addres s no exoi res ohone no. Pri ma ry v 4 Structura I EI ectri ca I vl{echanical CONTRACTORS n ame a ddres s ( pvni rps'I i cs - no - )ohone no. /ntGenera I z2 tn o I I PLUI1B I NG ELECTR I CAL MECHAN ICAL FEF CHARGF NN FFF CHARGF NO FFF CHARGF I I Each singie fixture 7b z.*Residence of SQ. FT furnace/burner to BTLI' s Relocated building (new fix. additional )t/.llew ci rcui ts al ts. or extensions2 aB ,zffi€??5 5 Floor furnace and vent S . F. Fles i dence(1 bath)SERV ICES Recessed wal I SnaaF hpatcr and venl Duplex (1 bath) each Add.i ti onal bath Temporary Construct'i on Apol iance vent seoarate l,later servi ce Change i n exi sti ng rps i dpncp Stat'i onary evaD cool er Sewer Industrial multifamily, corm, or Vent fan with sinole duct Storm Sewer 0f amps.Vent system apart from heatinq or A.C. COMI1./IND. FEEDERS i'lechanical exhaust hood and duct Instal I /al ter/rel ocate di ctri h feedcrs l'Jood stove/heater /<4amps.of /@ ?^ \r6l ISSUANCE OF PFR!1IT TOTAL CHARGES 22.5a TOTAL CHARGES 7z-sa TOTAL CHARGES I,IHERE STATE LlIi REQUIRES shaII not be valiJ untiI the that the Electrical work be done by an Electrical Contractor, the electrical portion of this perrilit label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFULLY EXAI1INED the completed apolication for Dermit, and do hereb.v certify tirat att infornratr'on frereon ls tnreand correct' and i further certif-v that any and all work performed shall be done in accoidance with the 0rdinances of the Cityof Soringfield and the Laws of the State oi Oreoon pertaining to the work described herein, and that NC OCCUPAI,ICY will be madeof any structure without the permission of the Buildinq Diviiion. I further certify that m.y reqistration vrith the Buiider,sBoard is in full force and effect as required by ORS 701.055, that if exempt the baiis for bxemption is noted hereon, and thatonly subcontractors and enployees r.rho are in comcliance with Ol?S 701.055 will be used on this nro.ject. l.lAl.lE(please pri nt)[ny (IGNATDou c fitc FFI Load ?? Sq. Ftg. Access x Val eroup FnZ sq. Fts. otn""/rp7. BF)zzsf>gc uut btos 2eue tq. l'lain Stori es ToTAL VALUATI0N_ Flood Plai .Tyoel Const Bed roomsFire Zone Zone Val ue?'/F8 5frfrts sq. Plan Ck. Com/Irid 65.%/B1do Per Fee p5,c3 q-3-g)Svs Cha terns Deve'roe ( t. sz, opment H.4Charges anC Surcharges ^ -ff=/' ,9 BUILDING PERI'IIT Plan Ck. Res 31%/Bldq Per Fee FencePLUMBING PERMIT Charqes and (-7a Demo SidewalkCharges and Surcha rges :> "t ELECTRICAL PERI,!IT A/C Paving Total Cornb. Permit /oz. qq Curb CutI,IECHAN I CAL PE Charges and Surc ha rqe s RMIT L,/oz-77TOTAL 6-69 CITY OF SPRiIIGFIELD COIIBI IIATION APPL I CATION/PERMIT 726-37 D\) N \{\ I COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job AddressB. Legal Description 1. example- Tax Lot 100, Lane County Map Reference 17 03 43 2. example- Lot 1. Block 3, 2nd Addition toSpringfield Estates C. Name, etc. of owner and construct.ion Iender0. Energy Sources PERMIT VALIDATION 1. example- hea2. example- watE. Square footage o t/el ectri ca i cei I i or forced air gas r ea ter,e ec tr ca or sbJar val uation, l. exampie- 1250 sq. foot house, 500 sq. foot garage?, exampie- if new project, check-new - if additio;, EIEER--add, etc.F. Building perm 1. example - a t tac hed rit information: construct single fami ly house with an garage 2. example - remodel existing garage into family room3. example - convert single family residence inlorestaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specia lty CodeH. DESIGN TEAI{ AND CONTRACTORS To avoid design or construction delays, Build.ing Division Staff must be able to contact appropriite persons regarding design .informat.ion or job sitecorrections, etc.II. Abbreviated Plumbing, Mechanical , & E'lectr.ical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Ful I Plumbing, Mechanical, and Electrical Schedules are available at the Building D.ivis.ion1. 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 theful I 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 electricajsupervisor. The general contractor is not authorized b uro 4-f 'f to sign the electrical labelIIIApplicant to sign and date l,Jhenever possibie, the initial app)icat.ion will be used asa worksheet only. Where possible, BuiIding Div.ision Staffwill prepare a type written copy and return.it to theapp'licant at the time the actuai permit is issued for hissignature. Fees and Charges Plan check fees are due and payable at the t.ime of theapplication, and no plans wil l be processed until thesefees are paid. A1l other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY IV, Permit Clerk ((/ PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAITCY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: name E-i gnature date /-2 -A )