HomeMy WebLinkAboutPermit Fence 1987-04-21Job Address
l-egal Description T
Ranqe
l.later Heater
EIIERGY SOURCES
Hea t
/)a /1't t
Owner
Value of l,lorklooo
So. Ftq. Iiain_
Sq. Ftg. Access._
So. Ftg. 0ther_
l{erv Add A l ter Peo -
ence_Demo_Cha nge/ Use
rther
F
_0
Addres s 5 #Builr,inq Pernrit lnfo: Describe l.rorkIFanily llesidence llith Attached Garaoe
e U ng e
Constructi on Lender
.\ddre s s Phone
DESIGN TEAII name addres s C exn i res
fird\rrtrStructural
Pri ma r
EIectrical
llechanical
CONTRACTORS n ante address'( exn i rpslics. no.)
Genera I
4{oclPlumi
tr
I'tec ha n i ca I
PLUIlB I NG EL ECTR I CAL
FEE CHARGE NN FFF i IHARGF ilr)
Each single fixture Residence of
SQ. FT
furnace/burner to
BTLr s
Relocated bui Idinq
(new fix. additional )
New ci rcui ts al tsor extensi ons
Fl oor furnace
and vent
S . F. Res i dence(l barh)SERVICES Recessed wal I
Soace heater and vPnt
Duplex (l bath) each
Additional bath Temporary Construct i ol Apol iance vent
5 epa ra te
lrtut..s e rv'i ce Change i n exi sti ng
res i dence
Stati onary evap
coo'l er I
I
Sewer Industnial
multifan'i 1y, comrn. or Vent f an r^Ji th
sinole duct
Storm Sevrer 0f S
Vent systern apart from
heatino or A.C.
c0r.1t.'!./IND. FEEDERS iilechan ica l exhaust
hood and duct
Instal I /al ter/rel ocate
d i stri h. fepdprs lJood stove/heater
0f amp s.
r)
ISSUAIICF OF PFRI,IIT
TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES
I,IHERE STATE L1N REQUI
sha I I not be val i.l unti I
RES that the Electrical work be done by an Electrical Contractor, the electricaj portion of this oerrilitthe label has been signed by an Electrica'l Supervisor and returned to the Building Division
llAtlE (pl ease pri nt )S I CiIATURE
I HAVE CAREFULLY EXAIIINED.he compl eted apnlication for oermit, and do here bv certify that all inforrnation hereon is trueandcorrect, and I further certifv thatSoringfield and the Laws of the Stat
any and all rvork oerformed shall done in accordance with the Ordinances of the Cityofe of Oreoon oertaininq to the work scribed herein, and that ll0 0CCUPAHCY rvill be madeof any s
Board i s
tructure without the permission fy that my reqistration vrith the Builder'sof the Building Division. I furin full force and effect as required by ORS 701.055, that if e the sis for exemntion is noted hereon, and thatonly subcontractors and empioyees who are i n comcl i ance wi th 0l?S 701.055 r,ri Ibe sed on this nro.j ect.
..-JoH .tr1N Fle*eher',0.r, {-2
Zone
s x
0c
0c cy Load Sq Ftg
Const 'i ts So
ToTAL VALUATI0N-_
Val ue
Val ue
alue
Fire Zone Bedrooms
rl ood pl ui n-_-sto"i",c.y Group Sq. Ftg. Other
Pl an Ck. Comm/ind
6511lBldo Per Fee
Svs
Cha
tems Deverqe ( 1.5c
opmentBUILDING PERI,lIT
Charges anC
Su rc ha rges Plan Ck. Res
30rjlBldq Per Fee
Kffi/ra
PLUI4BING PERMIT
Charges and
Su rc ha rges
Fence
Demo rl
ro5,TOTAL
Total Cornb. Permit
Sidewa l k
Curb Cut
A/C Pavi ng
ELECTRICAL PERIlIT
Charoes and
Surcha rges
I,IECHANICAL PERI.lIT
Charges and
Surc ha rges
IIISPECTIOII LIiIE
725-37 o9
CITY UF SPRIIIGFIELD
COI,IBI iIATION APPLIcATION/PERMIT
N
726-3753
i,ri
s
K)
MEC HAN I CAL
?t9 IIlAPGF
PERMIT VALIDATION
BuYilo
4- 2 tal
coMBTNATI0N AppLrCATroN/PERMrT (CAp)
I. Applicant to furnishA. Job AddressB. Legal Description
l. example- Tax Lot 100, Lane County Map Reference
17 03 432. example- Lot 1. Block 3, Znd Addition toSpringfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sourcesl. example- heat/electrical ceilinq/o2. efi 'rdfa- wa terheJiEr]e-lEtr i cilTor
Squarifootage or vai uation,- eTcl-
r fqlced air gas
E
re-Er.-
1. example- 1250 sq. foot house, 500 sq?. !:xamiie- lT-new project, check new -chr:k-add, etc.F. Building permit information:
foot garage
if addition,
1 examo I e
;tGafAd
- construct singie family house with an
9arage
II
2, examole - remodel existing garage into family room3. glqrnStr - convert single iailily-resiaence intoiEsTiFant (chanqe of-use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, BuildingDivision Staff must be able to contact appropriitepersons regarding design information or job sitecorrections, etc.
Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank sDaces occur .in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fill-jn only the No. Boxes adjacentto the appropriate item(s) to be installedB. Ful l Plumbing, l'lechanical, and Electricai Schedulesare availabie 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 onthe abbreviated schedules you should consult theful I schedul esC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULES0. As noted on the CAP, the label must be delivered to theelectrical contractor for signature by his electricalsupervisor. The general contractor is not authorizedto sign the electrical label.Applicant to sign and date
i,Jhenever oossible, the initial application will be used asa.rvorksheet only. Where possible, Bui iding Division Staffwili orepare a type written copy and return it to theapplicant at the time the actual permit is issuecj for his
s i gnature.
Fees and Charges
Plan cneck fees are due and payable at the time of theapplication, and no plans rvill be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is .issued.
FOR OFFICE USE ONLY
III
IV
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY:
Permit appl icant exempt from registration with the Builder's Board because:
Add jtional Project informat'ion:
PLANS REVIEWED BY:
name Si gna tu re da te
Permit Clerk