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Home My WebLink AboutPermit Building 1980-04-08, fdil-€4 4-q' '|' rlON LIIIE 69 'a')4 A,A, - d \'.rrrrFD -APR-__ 8 .1980 - Ci;/ OF SPRIi,iGFIELD COHBI iIATION APPL i cATI ON/PERMIi s 'I Descri pti on .) Z ablrc ner I ddrutt Construction Lender Address Phone Ranoe lr EIIERGY SOURCES; 1 Heat o'tItl ttL-<. lrater Heater ' i . Ftg. l'lain_ . Fto. Access. - . Ftg-0ther (ab H l',lewlAdd Al ter Reb. _Fen-e_Derno Chan-'ge/ U se 0ther So Sq Sq u""d{trO,co /' l/ Farni l U n cr Work r:d n o e ng e J exD I res ohone no.addressDES IGN TEAI,I ( name \ Primary fVlA )<cJ fi 7- Puti-t'',s--- -,iq< ((.({ (e S tructura I l'lechanical E l ectri cal I i cs. no.exo i res ohone no-addres sCONTRACTORSname l)1 a- ELECTRiCALPLUI{B I NG .!.{A PG FTHARGFNNtFt"trEtr MECHAN I CAL Soo to,@ Residence of FTsQaEach singie fixture l€,*t Floor furnace and ventl/New ci rcu'i ts al ts or extensions ..4 '*i-l*clYrL Relocated building (new fix. additional ) Recessed wal I Soace heater and ventSERV I C ESS. F. Residence ( l bath) Duplex (l bath) each Apol iance vent seoa rateTemporary Construct i onAdditional bath Stationary evap coo.l er Change in existing res'i dencel,later servi ce 3.*tmultifamily, comm Indrrctria I or /Vent fan with s inoie ductSewer Vent systern apart from heatino or A.C.0fStorm Sewer Mechanical exhaust hood and ductCOMI.I./IND. FEEDERS InstaI i /al terlrel ocate di<frih fpcdprs liood stove/heater ISSUANCE 0F oFRHIT /2,arl I T0T,1L CHARGES /3.oo/ f,o,TOTAL CHARGESTOTAL CHARGES /o,od I{HERE STATE Lll,J REQU I RES tha t the El ectri ca I wo shall not be valiJ until the label has reen signed rk be done by an ilec by an Electrical Contractor, the electrical portion of this pernit trical Supervisor and returned io the Building 0ivision and correct, and I further certif-v that an-v and all work oerformed shall be done jn accordance with the Ordinances of the City of Soringfield and the Laws of the State of 0regon oertaining to the work described herein, and that l{0 0CCUPAIICY will be made of any structure without the permission of the Building Division. I further certify that my registration vlith the Builder's Board is in full force and effect as required by ORS 70i.055, that if exemDt the basis for exemotion is noted hereon, and that oniy subcontractors and ernnloyees who are in comciiance with OPS 701.055 will be used on ls I{At'lE(pl ease pri nt)S iGIIATURE f DA5oc- /4,"1. LLY t i on hereon 'i s trueINED IhE cOmD I ineted apD t, and do hereby certify that aca0n0erm Flood Plain Stories 0ccy Group Sq lue Val ue TOTAL VALUATrcN SSCO.CO...........'...- Zone x " 7S@:{0c x ValuF ire cy Load So nst. Un i ts Ftg. Acces Ftg. 0ther Fto. l4ain x Va opmeotterxs 576591/Bldo Per Fee P'l an Ck. Conm/ Ind Pl an Ck. ,Res 30ilBldo Per Fee BUIL0ING PERt'lIT Charges and Surcharges ,ty'_s:!-' Fence \PLUI4BING PERMIT Charges and Surcha rges l-o-rp- Demo Sidewal k Total Comb. PermitA/C Pavi ng EI-ECTRICP.L PERI:IT Charges and Surcha rges _/s,H_ ,bD I1ECHANICAL PERHIT aar--?f :nii /9.00' rsd Curb Cut {aY.Lt Gt Phone ( furnace/burner to BTU' s 0f amPs- q-a >* C0MEINATI0N APPL I CATT0N/PERI{IT ( CAp ) I. App l i cant to furni shA. Job AddressB. Legal Oescriptionl. example- Tax Lot 100, Lane County Map Reference r-tro"rT:?. examDle- Lot 1. Block 3, 2nd Addition to-ffis?ield EstatesC. Name, etc. of owner and construction IenderD. Energy Sources PERMIT VALIDATION :ITY OF SPRINGF!ELD Ciry Hoil Springfield, Oregon Deportment of public WorkrOFFICIAI RECEIPT ( (t r) 2E. Squ I, exarnol e- heat,/electrical cei I ino/ gXarnO I e-'r/atFrhpatcr/e lertrirr I ln are footage or valuation, ETE.- examole- 1250 s exampie- if new check add, etc. or forced airrsoar q. foot house,500 sq.foot gara s ge, No. B 54956 t l9project, check new -'if additio ,lt F. Building pemit information:1. examole - construct single family house with anattached garage2. examole - remooel existing garage into family room3. Exam6-f-e'- convert singie iafritv"iesiaence intoresffianc (cnange of-use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. OESIGN IEAM AIID CONTRACTORS To avoid design or cons.truction delays, Build.ingOivision Staff must be able to contaat appropriitepersons regarding design information or job sitecorrections, etc. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descripcionportion of che iilechanical and Electrical Scheduies,the applicant need fill-in onjy the No. Boxes adjacentto rhe aopropriate item(s) to be .instal.led B. Fu11 Plumbing, l'lechan.ical, and Elecrrical Schedulesare available at the Buiiding Division1. To conserve space on the permit form the scheduieshave been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult thefuI I scheCulesC. EUiLDING OIYISION STAFF WILL FILL OUT ALL FEES ANO CHARGES ON THE SCHEDULES0. As noted on the CAP, the label must be dei.ivered to theelectrical contractor for signature by his electricalsupervisor. Ihe general contractor is not author.izedto sign the electrical labelApplicant to sign and date llhenever possible, the initial application wil l be used asa.worksheet only. 'rJhere poss.ible, Building 0ivision Slaffwil'l prepare a type written copy and recurn it to theapplicanr at the time the actual permit is issued for h.issi gnature. Fees and Charges Plan check fees are due and payable at the time of theapplicaiion, and no plans will be prccessed until thesefees are paid. All other iees and charges are due andpayable when the permit is issued- FOR OFFiCE USE ONLY . 1F 'f rived II.( (c t )u nl Received III )( ZEO SIGNATURESHELtO(.TURiau!L Permit Clerk IV V PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI,ICY: Permit applicant exempt from registration with ttre Builder's Board because: Addit'ional Project information : nature A0*,-J.,*U PLANS REVIEWED BY name date E {- 7-9OS1g