The URL can be used to link to this page

Home My WebLink AboutPermit Building 1979-10-26NOTTFTED $n:t8 Legal Description 1a-L- IT Job Address ON APPL 7LLa,o. llater Heater EIiERGY Heate/z COMBI owner //y'1/ U f&'-,Val of oo . I'tain Sq. Ftq So. Ftg Access. 0ther pnone7y'7-22Address {b Z t 1 ..e., Bui1d Single Le Pe" q/'rt??G*r, Construction Lender ,vfiL )rt Address Phone I t-r lu)ItIr -sl address exDt res ohone no. Pri yte.E/tvG E l ectri ca l I t<-C-Pl L64-Ct, ,=Gle-4 PLUI{B I NG ELECTR I CAL MECHAN ICAL FFF CHARGE FFF CHAPGF NO FFF CHARCF Each single fixture FTSQ of efo furnace/burner to - BTU'S Relocated building (new fix. additional)New circuits altsor extensions Floor furnace and vent S.F. Residence(l bath)a6a S ERV i CES Recessed wal I Soace heatpr and vant Dup'l ex (1 uath ) each Additional bath I Temporary Constructi on /o4 Apol iance vent sepa rate l"later servi ce Change in existing res i dence Stati onar,v evap cool er Sewer multifamily, corffn. or I ndus tri a l ,..Vent fan with sinole duct 2no y@ Storm Sewer 0f Vent system apart from heatino or A.C. c0Hr.1./tND. FEEDERS I Mechan ical exhaust hood and duct 3alnstal l,ra I ter/re1 ocatedistrib. feeders l./ood stove/heater 0f amp s. ISSUANCE oF PFRf,trr 39. TOTAL CHARGES 4aOO/IAJ 'TOTAL CHARGES 2e-@ IOTAL CHARGES /oQ /o(please print)//el z,b/{"-o r'I WHERE STATE LAtl REQUIRES rhat the Electr.ical work be doneshall not be valil until the label has been signed by an Elec by an Electrical Sufie trical Contractor, the electrical portion of this permitrvisor and returned to the Building Division and of of Boa onl f.v Ci ty madethe permi nd effect ng 7Cr exempt 55 wil he c eted I ca'I t nI0mpap t an d do heDDerm l ce rt hat at i1 forma t on nreb.y he reo s truec0rrectaIndrefu rth 'it hat t IandaI rwo k srmed 1ha Ioerfo be Idone n rdcc0 eanc th t 'Ihe0rd an nc f theSo'I e dI ndspr eth ofLaws Sthe tangfi te nj i rhto ny of oe rta0r.egon e rr/0 rk beddescri Ihere nng th La 0ccNO UPAIIC Iw1 beI s 1retructuthw'l out 0 ofn th IBu dI 1S vl1 'IanyD 0n fu certher 'IrtIS tha t si ttra on'I thldl t ,lBu I r,fy regm.y he de S'I,lrd fu I1 rcefo an5 'Iu r 0Rsareged U5 5 th at 'I fby nnoS1ba1sfoser0nthe ha tandtre0tedhexemfJtisubcontracndvtorsa ,I s arewho IemDoyee n .II cean t 0h 0 1 be edu5 th0n s1 tc0m01ro,j ecD 8r, An Fire Zonelff_pedrooms 3 Occy Load Sq Flood Pl ain Mo Stories / 0cc.y 6roup P-3 Sq ( nd rge Res an an Const.'IV-N un (l TOTAL VALUATI .0ther Value ue Ftg Ftg Ftg BUILDING PERI'1IT Charges and Surcharges -'ltl,pp- S,bg Zone R- |ttain lAOb xay.zq_ua1 access *o4* x-7,-{0-u^1 Fence IPLUI.IB ING PERMIT Charges and Surcha rges A€.so- Dgmo Sidewal k (o3,37 b,3q Total Comb. Permit "238,bLA/C Pavi ng Charges and Surcharges 3_€.A8_ELECTRICA.L PERTII]' t (.goCurb Cut tg'-1'{1.45-.#TOTAL I{ECHANICAL PERHIT Charges and Surc ha rges lo.aQ _ I 4:t )escri re WorkI Garaor . -.4*p, 5 Hechan i | ruo- Res and 0r?s -iE.(o9Dila PERMIT VALIDATION Permit Clerk COMBINATION APPLICATION/PERMIT (CAP) I. Appl icant to furnishA. Job AddressB. Legal DescriPtion1. example- Tax Lot 100, Lane County Map Reference T7@3?. exampie- Lot 1' Block 3, Znd Addition to Sp-ffiE?ielo EstaresC. Name, etc. of owner and construction lenderD. Energy Sources r forced air gas sof* sq. foot garage- if addition, F. Building permit information:1. example - construct single family house w'ith an attached garage?. example - remodel exist'ing garage into family room3. exainple - convert sing)e family residence into reslEurant (change of use)G. Value of work as defined in Section 303 (a) of the Structural Speciaity CodeH. DEsIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design informat'ion or iob site corrections, etc.II. Abbreviated P'l umbing, l,techan.ical, & Electrical SchedulesA. Except where blank spaces occur in the descript'ion portion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be installedB. Ful l Plumbing, Mechanical, and Electrical Schedules are available at the Building Division1. 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 shouid consult the f u'l I schedu lesC. BUlLDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON IHE SCHEDULES0. As noted on the CAP, the labei must be delivered to the electrical contractor for signature by his electrical supervisor. The general contractor is not authorized to sign the electrical iabelIII. Applicant to sign and date lihenever possible, the initial application will be used as a worksheet only. Where possible, Building 0ivision Staffwill prepare a type written copy and return it to the applicant at the time the actual permit is issued for his s i gna ture .IV. Fees and Charges P'lan check fees are due and payable at the time of the application, and no plans will be processed until these fees are paid. All other fees and charges are due and payable when the perm'it is issued. V. FOR OFFICE USE ONLY i. exampl e- heat/e l ectri cg'l cei 1 i !g/o2. example- waterhelter/electri-cal/or Square footage or valuation, etc.1. example- i250 sq. foot house, 500?. example- if new project, check new check add, etc. PROJECT CONDITIONS TO BE SATISFiED BEFORE OCCUPAIICY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information : PLANS REVIEWED BY: name s'l gna tu re \5.26.eaate // E NONFJED COHBi ERMIItJob Address /Z Z,zc-*4 Lan Lega I 0esription -lI-r\-I EIIERGY Hea t lr/ater Hea ter Ranqe. '^H,\Woq oo Sq Sq n Add A1 nge/Use Ftg . Access Ftg.?ther Ad&ess gfl 2 ,A-<r'a.,enone/y'/-lZ tunGl ng e LE Construction Lender Addres s Phone name address exD t res ohone no. Primary ,HrAg tA--, /l-.r- . /.,u6 {f-* yteE Structural \\- El ectri ca l Hechanica I name addres s 'I ics. no.exD t res (ohonp no- I Pt ,r--CL CEectrica l 4-q2'= E/a-4 Hechani ca l PLUIIBING ELECTRICAL MECHANICAL N0.FEE CHARGE NO FFF CHAAAF NO FtsF .HA ACF Each sing'le fixture ,/Residence of/A{rb Sq. FT efo furnace/burner to BTU' s Reiocated bui lding (new fix. additional) New circuits alts. or extensions Floor furnace and vent S.F. Residence(1 bath)nc@tdl) Recessed wal l Snarc heaipr rnd veni Duplex (l bath) each Additional bath /Temporary Constructi on /a4 Apol iance vent seoa ra te llater service ge in existi.ng dencp Chan res i Stati onar.v evap. cool er Indrr<frial mult'ifami ly, comrn. orSewer J.Vent fan with sinole duct aO2 yo 0f amps.apart from -c- Vent systern heatino or AStorm Sewer 4@c0Mr'1./rND. FEEDERS /Mechanica l exhaust hood and duct Insta l I,/a I ter/reI ocate distrih fppripr<l'Jood stove/heater 0f amp s- ISSUANCF oF PFRTIIT 34, TOTAL CHARGES TOTAL CHARGES /oQTOTAL CHARGES ,?sg I{HERE STATE LAtl REQUIRES that the Electrical work be shall not be valil unt'iI the label has been signed by an done by an Electrical Contractor, the electrical portion of th'is permit Electrical Supervisor and returned to the Bu'ilding Division I HAVE CAREFULLY EXAHINED the compieted apr-rlication for oermit, and do hereby certify that all information hereon is true and correct, and I further certify that any and all work oerformed shall be done in accordance with the 0rdinances of the Cityof Soringfield and the Laws of the State of or"egon oertaining to the work described herein, and that NC 0CCUPAI'ICY will be madeof any structure without the permission of the Building 0ivision. I further certify that my registration vlith 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 emnloyees who are in comoliance with ORS 701.055 will be used on this Droject. nAttE(prease p";ntl /?€l l)/$".o A, t6* srGi,rATURE TE Flood Pliinj--Stories J Occy 6roup P-3 sq. Ftg Fts. rlain /AAQ x.4{.za uatu 0the r Zone [?- | Tyoe/Const. \1=N !q. r tg. Access floL x- ?.fO value0ccy Load x TOTAL VALUATI Uni ts Fire Zone JE Bedrooms. r Value Plan Ck. Comn/Ind 65%lBldo Per Fee Svstems oeveiopmeot Charqe -t1. 52) {$ t 9ro zu# BUILDING PERI.IIT Charges and Surcharges It2oe- s,bg Plan Ck. Res 30%/B1dq Pef Fee Fence 0emo PLUI,IBING PERMiT _ Charges and Surcha rges A€.so- b,s4Sidewalk (4,37 Tota'l Comb. Permi t J38,bLA/C Paving ELECTRICAL PERI1IT Charges ano Surcharges '3,rr.48- Curb Cut tg't (.goHECHAIIICAL PERMIT Charges and Surcharges l0-0Q_hI TOTAL # :'{r.4s- 0wner lAs %art+G*>,2. .IURs SERV I CES .1# Stb. g3 I PERIvIIT VALI DATION Y OF SPRINGFIELD Ciry Holl , Springfield, Oregon Deporlmenl of Public Works OFFICIAL RECEIPT No. B 51937 l9 j om nl Received oo ( ( I <A { iUrdoFeJslcxeruae (SXEL1ON'iUFNBULL PRINIEhS . EUG€IE, OR 97'O! !A!t''6 ( Permit Clerk I COMBINATION APPLICATION/PERMII (CAP) I. Appl i cant to furni shA. Job AddressB. Legal Descriptionl. example- Tax Lot 100, Lane County Map ReferenceT7-I',r4-3 2 example- Lot l. Block 3, 2nd AddSpringfield Estates, etc. of owner and construction ition to I enderC. Name0. En ergy Sourcesl. examo'le-^+z. examo I e-+1,. 5quare foota heat/trical cei 0r' forced air oas - solarwaterecorge or valuati 0[r 1 exampl e- examp I e- check add 1250 s, I t neb, q. foot house,500 sq. foot garage new - 'i f addition,2.project, check, etc.F. Bui i ding permit informa example - construct attached garage tion 1 single family house with an 2 examole - example - res ta uran remod e1 existing garage into family roomrt singie family residence .into3convet(c hange of use) defined in Section 303 (aG. Value of work AS ) of theStructura l S pec i AND al ty Code CONTRACTORSH. DESIGN TEAM II. To avoid design or construction delays, Bui.ldingDivision Staff must be able to contait appropriitepersons.regarding design information or jbo iitecorrections, etc.Abbreviated Plumbing, Mechanical, & E.lectrical SchedulesA. E,xcept where blank spaces occur in the descriptionportion of the Mechanical and E.lectricat Scneautei,the applicant need fit't-in only the No. Boxes iajiient_ to-the-appropriate item(s) to be instal.ledB. FulI Plumbing, t'lechanical; and-a.l e;irical Schedulesare available at the BuildinE 0ivfsion1. To conserve space on the-permit form the scheduleshave been abbreviated2. II ttr: item(s) to be instal'led are not covered onthe abbreviated schedules you should .onruit-it.fuI'l schedulesC. EUILOING OIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON IHE SCHEDULES0. As noted on the CAp, the labej must be delivered to theelectrical contractor for signature by his etect"iiai'-supervisor. The general coniractor ii not authorized- to sign the eIectrica'l label.Appiicant to sign and date l'/henever possible, the initial application wi.l .l be used asa-worksheet only. Where possible, Building 0ivision t[uiiwlu.prepare a typg written copy and return it to theapp[cant at the time the actual permit is issued for hiss i gna ture. Fees and Charqes Plan.check feis are due and payable at the time of theapplication, and no plans wiit-Ue p"oceiieo unti.l theierees are paid. All other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY IV e-xempt from reg'istrat'ion with the Builder's Board because:Permit app'licant- Additional Project Information : name gnatu re aate,4. Za .n PLANS REVIEWED BY: ?, \0 'v 0 /l ,, il III. s1