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Home My WebLink AboutPermit Mechanical 1980-07-30- I IISPECT I1 7?5-37 69 L ?6-3753 00 o oJp qI -7- ngie Phone otl- arnl I .I TCS name /) r'rBbVaqofoor l^ionPe rnt ra q D 6q93 Phone a nameC nf, r.l i 1 e., But cea Ftg. l'1a n Ranqe EIIERGY SOURCES l.later Heater Hea tJob Address l-egal Descri Ption Addrdss 7 Owner Desc ta c hed Construction Lender Addres s l"'lechanical El ectri cal Structura I Pri ma 5q.5tg. Access.-._-- Sq. Ftq. 0ther_-_.-- I'ler^r Add Al ter P.eP. -Fence De-mo ChE-ngP/Use uAther-u,oc/l -sh,r< Pl umbi MECHAN I CALELECTR I CALPLUIlB i I.IG furnace/burner to BTLI' s Residence of SQ. FTEach single fixture Floor furnace and ventNew ci rcui ts al ts or extensionsaI) Relocated building (new fix. addjtion Recessed wal I sna.F heater and ventSERVICES Ctr h Res den ce Duplex (1 bath) each seoarate Apol iance vent Temporary Construct i onAdditional bath Stationary evap cool ere i n exi sti n-o ence Chan-o recidl.la ter s erv i ce Vent fan with sinole ductTnductrial multifamily, comm. or Sewer apart from .c. Vent systern, heatinq or A0fSStorm Sewer iulechanical exhaust hood and ductc0Mr.1./lND. FEEDERS <oollood stove/heaterInstal I /al ter/rel ocate di<trih. feeders amps.0f ISSUAITCF oF PFRT1IT ra,og TOTAL CHARGES (5 (P TOTAL CHARGESTOTAL CHARGES I^IHERE STATE L.ll,l REQUIRES that the Electrical work be done by an E shail not be valil unt'il the label has been signed by an Electrical S only subcontractors and er,rployees who are in comcliance with (}RS 7n1.055 vrill be used on this t/1 C)-l,lAl.lE (pl ease pri nt )S I GiIATURE n t) I TE lectrical Contractor, the electrical portion of this permit upervisor and returned to the Building Division fy f-v a Ia iI forrnan IL n reohe n tr ue'I sonthttrmiadonderehcIertrHULeIdteaIcattheb.yc0mpp!-)DC tth nancei s th Ce 'IIrkt^/o e rmedrfo ash II dobe Ine an occ anrd u/l 0rdhendcco rre t nda fuI rth CCr 'Irt hat t a nd a I p tyaany ,l tv'l I,l eb maCYI,]n n thto WOe kr scde Ir hbed re n'I an td tha OCirc CUPAI,f S r'1 If l ad Lnd Lhe oaws thf Se teta f0 0 rtDE0reqo gpng ht Buthe 'I.l der s'l 'lS 0n fu +hr Cer 'Iert th ta S'I rat 'lt v,1onIfoascturuWIrehottheutrml,1ss n0 theof Bu d Di regm.ypen9fyny nda a tth,l het ba s fors texemD 0n1 si on dte nhereo thfu'II CCfor nda cteffe as bred ORS 0701 55 ta enIsIrdBoarequ i 'v xemDt C E . Ftg . Ftg . Ftg Valueffie/const TOTAL VALUATI x o@Sq /,VTJ Tunitt Load Group Val ue Val ue Bed rooms Sto ri es Fi re Zone Flood Plain Access 0ther I- l'la i n Svstems Devel ocment charqe ( 1. 5q) Pl an Ck. Comm/ I nd 65:1/Bl dq Per Fee Plan Ck. Res 30:i/Bldq Per Fee BUILDING PERI'1IT Charges anC Su rc ha rges Fence Demo PLUI4BING PERMIT Charges and Surc ha rges Sidewalk Total Comb. Permit /5,69 ELECTRICAL PERIiIT Charges and Surcharges A/C Pavi ng Curb CutI'ECHAIIICAL PERI4IT Cha.qes and Surcha rges t -<- AO , (oo TOTAL c0llB I -O--C>- 6g COMBINATION APPLICATION/PERMIT (CAP) I . Appi i cant to furn.i shA. Job AddressB. Legal Description1. example- Tax Lot 100, Lane County Map ReferenceI7-T3-TI2. example- Lot l. Biock 3, 2nd Addition toSFilnsField Estates 9. Name, etc. of owner and construction IenderD. Energy Sources 2 d air s E Squa1. examol e- - 1250 S q. foot house, 500 s q. foot ga it rageIExa;pEr cFeck add if new proj ect, check new - if add ion, F , etc Builciing permit information IT 1. example - construct singie fami)y house with anattached garage2. exanrple - remodel existing garage jnto family room3. eEmpIA - convert single iafiify'resiaence into - restaurant (change of use)G. Value of work as defined in Section 303 (a) of the. Structural Specialty CodeH. DESIGii TEAI,I AND CON1RACTORS To avoid design or construction delays, BuildingDivision Staff must be able to contait appropriitepersons.regard.ing design information or job sitec0rrectt'ons, etc. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. txcept vrhere blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedulei,the applicant need fill-in oniy the No. Boxes adjiient_ to_the appropriate item(s) to 6e installedB. Full PIumbing, Mechanical, and Electiical Schedulesare available at the Building Division1. 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 I schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAp, the label must be de.livered to theelectrical contractor for signature by his e.lectrical - supervisor. The general contractor .ii not authorizedto sign the electrical labejApplicant to sign and date Whenever possibie, the initial app)ication wil.l be used asa.worksheet only. !{here possible, Building Division Staiiwiil prepare a type written copy and returi it to theapplicant at the time the actual permit is issued io. f.,i, s i gna tu re. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans wi1) be processed until thesefees are paid. All other fees and charges are due andpayable when the permit js issued. FOR OFFICE USE ONLY III. IV. V PERMIT VALIDATION Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit applicant exempt from registration with the Builder's Board because: Add'itional Project Information : PLANS REVIEI'JED BY: da te s'i gnature name IiISPECTION LIIiE 726-37 69 COiIB I iiAT L I 0 N APPLICATIO ERMIT IIF(] RiIAI I 7?6-37 53 *7_ .)Job Address l-ega1 Description So. Ftg. l.:ain_ Sq. l-t9. Access._ 50. Ftg. 0ther ce_Demo AAddller.r en-F c SCU VU erth l.later Heater Ranoe EIIERGY SOURCES Hea t 0wner q leBui I Fani Pernrit Info: Describe ilork( sidence llith /tttached Garaoe (, lnlv e. , Bui ld Sing leAddressPhone,2e iqQs I,raia / /, ],t n .=c. h ya rlu.. Construction Lender uood salw. lCd7O --3a52 Addre s s Phone I Ioo lo Iol-l il qt name address exoires ohone no. V\J-A.Primary C) W Structura I El ectri ca I l'lec ha n i ca I n ame address 'I ics. no.exp i res )ohone no. eenerar O \Al \A_LAL Pl umbi nq El ectrical l'!echa ni ca I PLUIlB I IIG ELECTR i CAL MECHAN I CAL I FEE C HARGF N0.FFT CHARGF No. i FFF I cHARGF Each singie fixture Residence of FTSQ furnace/burner to BTTI' S Relocated buildinq (new fix. additional)New ci rcui ts al tsor extensions FIoor furnace and vent S.F. Residence(l bath)SERV]CES Recessed wal i Space heater and vent Duplex (i bath) each Addi tional bath Temporary Construction s eoa ra te Apol iance vent [,la ter serv i ce res i dence Change in existing Stationary evao cool er Sewer multifamily, comm Industrial or Vent fan with sinole duct Storm Sevrer anrp 5.0f Vent system apart from heatina or A.C. c0l4l.!./lND. FEEDERS llechanical exhausl hood and ductInstal I /al ter/relocate d i stri b. feeders llood stove/heater oO amps.0f ISSUANCF 0F PFP.IiIT /O,cg I,JHERE STA shalI not be bytri L,1NTE I RES tha tREQU EI tCC Ir ac tJ0 rI kthe be nedo E eI 'Ictrna Ica raCon t rcto the Ie tec ')r Ica 'lrt no f thip s 1 tpe rr,1VA11JUNit1theIIabehasnbeeIsdanE]ec ac I Su9neby 'I s0 ar rend tupe rv rned thto Bu II 'Id Di svt on1ng TOTAL CHARGES ()ctTOTAL CHARGES TOTAL CHARGES I and coof Sprof any Boa rd only s l,lAi.lE (pl ease pni nt )S IGiIATURE N TEI O- fyty fo LEFUL t ec0theD arn2 rmcta0frnro t nda hedo ret',p DC rtce t tha ab.y n ormaf t n nreo +rueecrrLandu rtheft r rce t f Lha nda a rt{o k foany0er rmed ha dobe ne an coc crdan v/1e hL 0rdthe na snce th e c tyefidndethw5Lafn9oSthetate0reofn00nttowohekrDertangedcrhbedenreandLthaCOCCUrucPAlvlmabedesrUCtul^, lre OUth tL he erm ss 0 on fp t Buhe d D S onq hefurt r tcer th ta re rac+tvm.y no thvt1 hetg Bu der snsrcendafuffeceatsUredS0nreqi70550thtabyextrhbaSem9froextonemDnostedhereonandhat tutracbcontordanernDoyeehoareconncatvleth0PS70l,t I beC55 us 0ned th s t . Ftt: . Ftg . Ftg So TOTAL VALUATI rr-D !q x ue,@ U ni ts 0cc y Load ValGroup oelCo n s t 'alueX Flood PIain - Stories Bedrooms Value l'la i n Zo Fi re Zone Acce s 0ther Comm/ I nd 6 P an Ck steris 0everqe ( 1.5q opmen tBUILDING PERI,iIT Charges anC Surcha rges Fee C I kan FencePLUt4BING PERI4IT Charges and Surcha rges D6nro SidewalkELECTRICAL PERI:IT Charges and S u 16 i16 pgs5 A/C Paving Total Conb. Permit ()/5, Curb Cut IlECHANICAL PERi,IIT Charges and Su rc ha rqe s TOTAL aio ,6o Go \- Va I ue of iiork :'fr AoC ,oe GN I FAI{ L I -o- s of ,1 I I ll COMBINATIOII APPLICATION/PERI4IT (CAP) I. Applicant to furnishA. Job AddressB. Legal Descriptionl. exanDle- Tax Lot 100, Lane County t,lap Reference --- 17T3-T:2. gxample- Lot 1. Block 3, Znd Addition toS['iingField EstatesC. Name, etc. of owner and construction lenderD. Energy Sources PERMIT VALIDATION CITY O F SPRINGFIELDE so.l a r 1. exarnoie- 1250_ sq. foot house, 500 sq. f2. qCqpi* r't new project, check*new - if iIEci< a-dd, etc.F. Euilding permit information:1. exar,:ole - construct singie family house ;ttachEd garage?. exancle - remodel existing garage into3. examcle - convert single iamily-residen< TElta u r-u ran t ( c han ge of - u se )G. Value of work as defined in Section 303 (a) Structural Specialty CodeH. DESIGi1 TEAI.| AND CONTRACTORS To avcid design or construction delays, Buil Division Staff must be able to contact appro persons regarding design informatjon or job corrections, etc. Abbreviated Plumbing, l'lechanical, & Electricai SrA. Except vrhere blank spaces occur in the descr:por';ion of the Mechanical and Electrical Sche the applicant need fill-in only the No. Boxesto the acpropriate item(s) to be installedB. Full Plumbing, Mechan'ical, and Electrical Sch are available at the Building Division1. To conserve space on the permit form the have been abbreviated2. If the item(s) to be installed are not co\ the abbreviated scheduies you should consL ful I schedulesC. BUILDING OI','ISION STAFF l^JILL FILL OUT ALL FEES CHARGES ON THE SCHEDULESD. As noted on the CAP, the Iabel must be deliverelectrical contractor for signature by his e1e supervisor. The general contractor is not autto sign the electrical label. Applicant to sign and date l,lhenever possible, the initial application wi lI be l. exanole- heat/electrical ceiling/o2. exa-de- rvaterhEETEflE iEITiltIl 7-or SquaiET66Gge or val uation,- etc. r forced air gas ldi CirY Holl Springtield, Oregon Oeoort-"nt of Public Works OFFICIAL RECEIPT ilo. B s4175 (. ./-i Ln 6tt ion , le. L te Rec' le= F II iII ( |.r-l+ GI (Q-lza/*/ rutxontzeo stcre TURE ? ived For: Am ount R L{.ui:u - k ra C:,L) LDP l, iV a worksheet on1y. Where possible, Bui lding Divisicwill prepare a type written copy and return it to t applicant. at the time the actuai permit is issued f s'i gna ture. Fees and Charges. Plan check fees are due and payable at the time of application, and no plans vrill be processed until tl fees are paid. All other fees and charges are due i payable when the permit js issued. V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE tc, ( (F B G ( ( i <=JiD>-1[5H€LTON'IURXOU!L PRIXTERS Permit applicant exempt from registratjon with the Builder's Board because: Additional Project Information: da tesignaturename PLANS REVI E!.JED BY : ( 7- ( l I C . qCCUPANCY INSPT](;TION APPLICATION. EXISTING BUILDINGS Y OF SPRINGFIELD BUILDING DII'ARTMENT Date:7 * Job Address:s Owner: Appl icant: For Access .to Property - Telephone: Address: Address: No. of Units: 1 Co E Remarks: A $20 inspection fee is required at the time of application. TIIIS APPLICATION FORM MUST BE SIGNED BY THE OWNER OF THE PROPERTY TO BE INSPECTED. -1 -!-e ,L (. J La,(!)- SIGNATURts OF ROP FOR OFFICE USE ONLY Date of CofC: Receipt No.: OI^INER \/ Date of Inspection: Date of Report: -': {J 6 ...-.--\-I crrY oF SPRT.NGFIELD, oREGoN .-.- Public Works JOB AD}RESS TO BUILDING DEPARTMENT PI^I- 1L Inspectorrs l"lbmo 3y' Phone 747-4221 INSPECTOR