HomeMy WebLinkAboutPermit Building 1986-12-22s$uRCES:EIIERGY
Hea t
l,later Heater GdS
Ranoe N. Al--
Job Address L677 NA 18th
Leqal Description See attaChed IZO?.?fir
Schuck's Auto Su0wner
200 000.00
Va lue of l.lork
Sq.:t9. Access._--
Sq. Ftq. 0ther
X l!er^r_Add-c. I IE--TEE.
nce_Demo Change/Use
her
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So. Ftq. f.iain
.\ddress 15395 . 30th Pl.,te.rk t.e SingledG
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07 BeriBWA Chri sti nsen Demolish exist. restaurant, build new au
Construction Lender NOng retail store in same relative location.
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PLUIlBI NG ELECTRICAL
ri0 FEE CHARGE NO FFF CHA RG F un I FFF
ach sinqle fixture-lavs:2-w. c. :n r ^' a a a'r,
?.5o 9.9 Residence of
FTsQ
1
furnace/burner to
BTU'S 7lo
addi ti ona I )(new fjxfed New ci rcui ts al tsor extensions
Fl oor furnace
and vent
S. F. Residence(l bath)1 SERVTcES 208U ,30 Recessed wal l
Space heater and vent
Duplex (l bath) each
Additional bath Temporary Construct'i on Apol iance vent
s eoa ra te
1 l,later service /s."o res i dence
Change in existing Stati onary evao
cool er
1
Sewer 2a.n 1
mult'ifami ly, comm. or
Industriai
Vent fan with
1i4o1e duct
1 Storm Sewer zo,oo of 200 amps.37@ I
I
Vent systern apart from
heatinq or A.C.
cor.il.l./IND. FEEDERS Mechanical exhaust
hood and duct
Instal I /a I terlre1 ocatedistrib. feeders llood stove/heater
amp s.0f 1 Water Heater I .re/
1 Space Heater o.4
o'sr 7rrzm"'5 o€3t
ISSUAIICF OF PFRIlIT
TOTAL CHARGES /or.so TOTAL CHARGES ?Zf,O ,/s.50TOTAL CHARGES
I^IHERE srATE Llt'l REQUIRES that the Electrical work be done by an E'l ectrshall not be valil untii the label has been signed by an Electrr-'cal superv
llAtlE(please print)S I GiIA'DA rcl9Wdz
fy
AVEi-l eI atedDINEthe dL n0ccomr)for ierm t an d do he rtce i!')p P hat aL II trrna oni nhereo ,]ronf,Ireb.v f.y s tandcorrectaInd.+fu rhe tcer i ttha nd Ia I rafyl^r0 k rft0eo Srmed Iha I nidonbe rdanco c t thhwi e 0 ird ann faceoces th c 'I tyrfSoIfIIdnda
any
ofngLatheofwshettaSte 0reo on rtaDC n'I ,]to th worke des bedcrt he re n'I a thnd ta il Cncl OCC 'At,lUP lrlCY 'II eb demafatrucretutwlSnyuhothteInofpermithedD1sIoInfu rt cr ,]n9 he rte t tha re i trs ta 'I n0 htrn.y q eth IBu derI sfuIIn'IsIrdBoa aforce dn feef Lc as 1ureQ red RS0 07 055I t thaby the ba 'Is fS exemD tor 0,l sexempt no ted nhereo a thnd taonSbcutraconanto rs dv ol rvho rea nIernr),ve Icomc an'I h S0t?7o E'Ir.J l I be US ed on t Ih S c teroD.j
'ical Contractor, the ejectrical portion of this pernitisor and returned to the Buiiding Division
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zone nVPC.,Units
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oaa /42 so
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+TOTAL VALUATIOII
Fire Zo Bed ro oms Val ueAcces s
0therFlood Pjain Stories / 0cc.y G-----_--'--: Val ue
Pl an Ck. Comm/lnd
657/81dq Per Fee 1 r4al.lO tz-/?82 Systerns Deveiocment
Charqe (1.5q)'fu.o2,BUILDING PERI.IIT
Charges and
Surcha rges
__6_qA co
26,92 Plan Ck. Res
30%/81dq Per Fee
FencePLUI4BING PERMIT
Charges and
Surcha rqes ?*_
Demo /9.*
SidewalkELECTRICAL PERI,IIT
Charqes and
Surcha rges
___32?_"__.f,o Total Cornb. Permit atrl.zyA/C Pavi ng
Curb Cut v967," ?TOTAL
I{ECHANICAL PERHIT
Charges and
Surcharges
___/€.-fe__.62
IIISPECTlOI,I LII{E
7 26- 37 69 COI,IBI
ITY ()F SPRIIIGFIELD
TION APPLICATION/PERMIT
Prima Barnett Schorr Architects 108 S. Jackson, Seatile t{A 98104; #2722
726-37
6/ 30 /87 ;682-5284
O
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Structurat Kenneth L. Craft BI,1A, Penn Tower , Kansas Ci , 140 64141; #11 ,081; 5/7 /87;
Electrical I neer 1600 T r Bld Seattl e t.JA 98104 #5887 ;7 -14-87; (206)682-G4sz
Ge R.A. Chambers & Assoc., 1819 Garden Ave Eugene, 0R 97403
MECHAN I CAL
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PERMIT VALiDATION
B ez ?c/
z4-47
Permit Clerk
COMBINATION APPLICATION/PERMIT (CAP)
I. Applicant to furnish
A. Job AddressB. Lega l Descr i pti on
1. example- Tax Lot 100, Lane County Map Reference
17 03 43
2. example- Lot L Block 3, Znd Addition to
Sprffiield Estates
C. Name, etc. of owner and construction lender
D. Energy Sources
1. exampl e-2, examp I e-
E. Square foota
heat/eiectrical cei l i or for"!qq_!,1!_gt:
wa ter r CA or solar
ge or valuation,
1. exampl e-1250 sq. foot h ouse, 500 sq. foot garage
2 examp I e-
aIea";d
if new project, check new - if addition,
d, etc.
F. Building permit information:
1. example - construct single family house with an
attached garage
?. examole - remodel existing garage into family room
3. exampTe - convert single family residence into
restaurant (change of use)
G. Value of work as defined in Section 303 (a) of the
Structural Specialty Code
H. DESIGN TEAI.1 AND CONTRACTORS
To avoid design or construction delays, Building
Division Staff must be able to contact appropriate
persons regarding design information or iob site
corrections, etc.
II. Abbreviated Plumbing, Mechanical , & Electrical Scheduies
A. Except urhere blank spaces occur in the description
portion of the Mechanical and Electricai Schedules,
the applicant need fill-in only the No. Boxes adiacent
to the approprjate item(s) to be installed
B. Full Plumbing, Mechanical, and Electrical Schedules
are available at the Building Division
1. 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 the
ful 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 the
electrical contractor for signature by his e.iectrical
supervisor. The general contractor is not authorized
to sign the electrical label.III. Applicant to sign and date
Whenever possibie, the initial app)ication will be used as
a worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to the
applicant at the time the actuai permit is issued for his
signature.IV. Fees and Charges
Plan check fees are due and payable at the t'ime of theapplication, 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.
V. FOR OFFICE USE ONLY
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information :
PLANS REVIEWED BY:
name nature dat e /z-22€€Si g