HomeMy WebLinkAboutPermit Building 1985-03-18IIISPECTION L
726-37 69
E TTTY OF SPRINGITETD-
COMBI NATI ON APPLI CATION/PERMTT 37
Job Address 632 Shelley St.
l,later Heater
Ranqe
EIIERGY SOURCES
Hea t
Legal Description Sec 27, TAS, R3W, WM
owner Major & Karla Defoe
v22./o Value of l,lork:
$65,000.0o
Sq. Fto. l.lain_
Sq. Ftg. Access._
Sq. Ftg. other_
_l'lew_Add_Al ter_Rep .
_Fe nce_Demo_C hange/ U se
0ther
Phone 99g_651Address 93370 Hwy. 99 So
BuiIci in Describe t,lork('
0Farni I y
q Permit Info:
Res i dence l,li th Attached Garaqe
.e., Build Single
Jr:nction City Boat Manufacturing
Construction Lender By Owner
Addre s s PhoneSame
ht
N
N
0
DESIGN TEAI.I name addre s s 'I ics . no.exDl res ohone no-
Primary Dennis M. Mccee,84608 Leugbliq Rd., Eugene, OR 97405 344-4920
Structura I
El ectri cal
Hechan i cal
ACTORS name add res s lics- no.)pYnt rpq ohone no.
General Hyland & Sons, Inc.,7 /L9/85 747_4622458395 140 Franklin Blvd.
Pl umbi nq
Electrical
ftlechanical
PLUI{BI NG ELECTRI CAL MECHAN ICAL
FEE CHARGE N0-FFF THAAGF NO FFE CHARGF
Each single fixture Residence of
sQ. FT.
furnace/burner to
BTU' S
Relocated building
(new fix. additional)
New circuits alts
or extensions
Floor furnace
and vent
S.F. P.esidence(l bath)SERV ICES Recessed wal l
Soace heatpr and vPnt
Duplex (1 bath) each
Additional bath Temporary Constructi on Apo) iance vent
seDaratF
tlater service ge in existing
dence
Chan
res i
Stati onar-v evap
cool er
Sewer mult'ifami1y, cornm or
Industrial
Vent fan with
sinole duct
9o Storm Sewer /sn 0f amps.Vent system apart from
heatinq or A.C.
c0Mr'1./rND. FEEDERS hond and drrct
Mechan i cal exhaust
Instal I /al ter/rel ocate
di qtri h fcpdprq l'Jood stove/heater
0f amps
ISSUANCF OF PFRIlIT
TOTAL CHARGES /2.{cod,TOTAL CHARGES TOTAL CHARGES
WHERE STATE LAl,l REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit
shall not be vali'l until the label has been signed by an Electrical Supervisor and returned to the Building Division
I'lAl.lE( p1 ease pri nt)S IGNATURE DATE
Dermi t
rformedany
of 0reg
,he B ng
70 exempt
t55 wi I
an d do here n fo rma onNEXAIl I theED eted c at foron tcert i ttha a t hereon s ruec0mpapb.y fyl')
nda and a v{or k+c0rrec nd fu rrthe cert +hat npehadonebe cca nceorda twl theh 0rd cesnan o the cisfy tyofdandtheoLawsthfStateatrtNIto0nsprngfithedescrworkbederehnathndtaOCCUPAI'INO w1CY madebe0eng
of truc retu thouWI thet rml s on tofs u d s npeD herfurt cert atth s ttra U ynn ht Buthe I der Sfyregmyany
rdBoa ns fu force nda feef'act s red 0Rs 505 t ha freq u t ba s fos r 0nti s hereonnoted tha tndthebyexemp
on subco andntractors who rea n wl tvempance h 7010r?s 0 be 0used thn s +oyees comD Droj ec
Ftg
Ftg
Ftg
. Access x Va.*""@lo
tue G$a.*
ION
Units
Fire Zone Bedrooms Occy
. t{ai
'I ue
Zone
F]ood Pl ai n Sto ri es
Load Sq
eroupfti7t'ftlsq
PIan Ck. Corm/lnd
651"lB1rlo Ppr Fpp U;4{,%"Svstems Devel oommt
charqe tl.5q) 'tlv7,50BUILDING PERI'IIT
Charges and
Surcharges
__?_/_7,::_E.6t Plan Ck. Res
30%/Bldq Per Fee
FencePLU',IBING PERMIT
Charges and
Surcha rges
/ ? €.4,__t@__.__ _o Dgmo
Sidewal kELECTRICT.L PERI|IT
Charges and
Surcharges A/C Paving a68.Total Comb. Permit 3el. "eCurb Cut
/ gva.7EI,IECHANICAL PERMIT
Charges and
Surc ha rges TOTAL
I
COI'IBINATION APPLICATION/PERMIT (CAP)
I. Applicant to furnish
A. Job AddressB. Legal Description
l. example- Tax Lot 100, Lane County Map Reference
17 03 43
2. example- Lot 1. Block 3, 2nd Addition to
Spri n!-fi el d EstatesC. Name, etc. of owner and construction lenderD. Energy Sources
l. exampje- 1250 sq. foot house, 500 sq. foot garage2. example- if new project, check-new - if addition,
check add, etc.F. Building permit information:1. example - construct single family house with anattached garage
?. example - remodel existing garage into family room3. example - convert single family residence intorestaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAM AND CONTRACTORS
To avoid design or construct.ion delays, Bu.ildingDivision Staff must be able to contact appropriitepersons regarding design information or job sitecorrections, etc.
Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur .in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes adjacentt0 the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedulesare available at the Building Divis.ion1. To conserve space on the permit form the schedules
have been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated scheduies you shouid consult theful I schedulesC. BUILDING DIVISION STAFF hIILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to theelectricai contractor for signature by his electricalsupervisor. The general contractor is not authorizedto sign the electricaI IabelApplicant to sign and date
llhenever possible, the initial appl.ication wiII be used asa.worksheet only. Where poss.ible, Building Division Staffwill prepare a type written copy and return it to theappiicant at the time the actual permit is issued for his
s i g nature.
Fees and Charges
Plan check fees are due and payable at the time of theapplication, and no plans will be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is issued.
FOR OFFICE USE ONLY
II
III
IV
Y
WA
or forced air gashea t/el 'I Ca ceili1. exampl e-2. exampl e-E. Square footag e or valuat on, etc.
or solar
PERMIT VALIDATION
Permi t Cl
(
bl.8t3
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
€
Permit applicant exempt from reg trati on wi th the Bu'i 'lder' s Board becau e:
Additional Project Information
PLANS REVIEWED BY:
s i gnatu date 3./8 ffnameLop*a
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