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HomeMy WebLinkAboutPermit Building 1990-06-08CITY OF SPRlNGFIELD COMBl I{ATION APPLICATiON/PERMIT 726-37PECTIOIi L -37 69 N Job Address o rh- l-egal Oescripticl /[,later Heater Ranqe EIIERGY SOURCES: Heat Sq. Ftg. Access.-.-- n Val of l,lork a>Owner ng le Nith At Construction Lender N b \ tu Addre s s Phone frame Pri ma Structura l E l ectri ca I ical MECHAN I CALELECTR I CALPLUIIBI NG FFF CI.{ARGFFFFNHARGFNO:HARGE NO-FEE furnace/burner to BTU' sEach single fixture Floor furnace and ventNew circuits alts or extensions Relocated building (new fix. additional) Recessed wal I Snacp heater and ventSERV I CESS. F. Residence ( I bath) Duplex (l bath) each Apol iance vent seoarateTemporary Constructi onAdditional bath Stationary evap. cool erChange i n exi sti ng rps i denceblater service Vent fan with sinole ductTndrrstri a I muitifamily, comm. or Sewer Vent system apart from heatinq or A.C.0fStorm Sewer Mechanical exhaust hood and ductCOI,lI.1. / IND. FEEDERS llood stove/heaterInstal I /a l ter/rel ocate distrib- feeders 0f a ISSUANCE OF PFRI1IT TOTAL CHARGESTOTAL CHARGESTOTAL CHARGES _ _DA.IE / - g- ?aS IGiIATUREl.lAl'lE(please print Uni ts Ftg Ftg Ftg TOTAL VALUATION- xZone e I Const Val u cal Contractor, the electrical portion of this permit sor and returned to the Building DivisionREQU unti I triecE1anIbeworkdonetthaEtheectrIca'IRESISTATEt.lHERE L1\l,l I SucaIanecEl bytri pervihaa bel beensI gned byhetbe'Iva j1Ishanot'| ' 0regon the Bui 'Ireon ts rueonta1IItcertiddohereb.yantonI1catr)apheNEDtIcomp ofs fthe 'Iwltheth0rdn'I ance tyIIdo'Ine an ccordancermedhabeaIIworkandtaIndfuerrth1certthandatcorrecfy wl 'II madebetht.l0 ,ANCYOCCUPatandbed'|Ihere nknthetorwodescr anyrof '|1rta gDEdndaLawsthet0Stathete'I Ieofsprngfi 1ul rde Ststirav,r0n theth B'Irt tha t0n'IV1 CE my regiIfu rthe rd1 ,l 1D s fyngwItthoutheIssn0ofstutrucpermireofany tha tandInsIhereonnotedbaIsfortha'It f the exemptexemptORS0170s5'Iaseffect redu'IBoard 'IS fun I1 fo and byreqrce 0n th sI ect7ol550w11 'I usbe ed roj'II wiance ht 0lls pIwhos'Iare n comDandonubcontrsactorSemp0yee1y 0the r Va'l ueFire Zone Bedrooms Flood Plain Stories l4a i n. AcceLoad Sq Group__ Sq ^/z ^ Svsterils Deve' Charqe (1.57. opment I//.74_Plan Ck. Conm/Ind 65%/81dq Per Fee Plan Ck. Res 307,/8ldq Per Fee BUILDING PERNIT Charges and Surcharges a8s2 Fence Demo PLUMBING PERMIT Charges and Surcha rges SldewaIk Total Comb. PermitA/C Paving ELECTRICF.L PERI'IIT Charges and Surcha rges Curb Cut ??.?6TOTAL I,IECHANICAL PERMIT Charges and Surc ha rge s iur:arl )e l^lork (I GaraoeAddress {ZS 6non" =-;D'P;>?,I nhnno nnpxnt res( addressI)h5IGN ILAI'1 Mechani ca l Residence of SQ. FT. PERMIT VALIDATION bltho Permi t Cl erk \99 #,) COMBINATION APPLICATION/PERMIT (CAP) Applicant to furnishA. Job Addressts. Legal Description1. example- Tax Lot 100, Lane County Map Reference 17 03 432. exanple- Lot L Block 3, 2nd Addition to SEffiETield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources 1. exampl e-2. example- E. Square foota1. example- 1250 sq. foot house, 500 sq. foot garage2. example- if new project, check new - if addition, check add, etc. air gas it information: construct singie family house with an garage F Building perm 1. example - attached 2. example - remodel existing garage into family room 3. example - convert single family residence into restaurant (change of use)G. Value of work as defined in Section 303 (a) of the Structural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc.II. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occulin the description portion of the Mechanical and Electrical Schedules, the applicant need fill-in onl iate item(s) to v be the No. Boxes adjacent instaI Iedappropr umbing, to theB. Full Pl Mechanical, and E)ectrical Schedules III are available at the Building Division1. To conserve space on the perm'it form the schedules have begn abbreviated2.'lf the item(s) to be installed are not covered on the abbreviated schedules you should consult the fui 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 electrical supervisor. The general contractor is not authorized to sign the electrical label. Applicant to sign and date Whenever possibie, the initial application wilI be used as a worksheet only. Where possr'ble, Building Division Staffwill prepare a type written copy and return it to the applicant at the time the actual permit is issued for his signature. Fees and Charges PIan 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 permit is issued. FOR OFFICE USE ONLY IV. V PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit applicant exempt from registration with the Builder's Board because: Add'iti onal Project Informati on : PLANS REVIEWED BY: name s't gnature date 6 I