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HomeMy WebLinkAboutPermit Building 1985-10-05.!{IhID\ u^,ill tt^tu * TION L 69 CITY OF SPRTNGFTEID- COIIBI IIATION APPL I CATION/PERMIT 726-37s3 Job Address o2 e Hea EIIERGY l,later Heater Ranqe l-egal Description o Owner r'Vaiue of l,lork:30 z,e-z Sq. Ftg. Access._ Sq. Ftg. other _l'lew_Add7!gr IErjnep._ _Fence_Demo Change/Use -other--- Sq . Ftq . l.la i Address eId :e., BUin ti ng ehAtDesclrlork Ga ra Construction Lender 24c<zG)ta / khzcrrt ru:tc .% Address Phone fu Wor tVt <,qa aRtruYcs - /rv <, Structura I Pri EI ectri cal Hechan i ca I CONTRACTORS name address''l ics- no.(cxni res )ohone no. 4a, I ectri ca 1 d-?r PLUHB I NG ELECTRI CAL MECHANICAL { N0.FEF CHARGF N0-FFF CHAPGF NO FFF CHARGF 2 Each single fixture /a*Residence of FTSQ furnace/burner to BTU' S /* Relocated bui lding (new fix. additional)New circuits alts or extensions2 all EroBG Floor furnace and vent S. F. Residence(l bath)SERV I CES Recessed wal l Snace heatpr and vpnf Duplex (1 bath) each /Ht/tr Ds/r /zue. Additional bath Temporary Construct i on Apol iance vent seDa rate [.later servi ce in existingChange res i de nce Stationary evap cool er Sewer multifamily, corm. or I ndust ri a I /Vent fan with sinole duct voo Storm Sewer 0f Vent systern apart from heatino or A.C. COMI'I./IND. FEEDERS Mechanical exhaust hood and duct I n sta I I /a I ter/ rel ocate distrib. feeders l'lood stove/heater 0f amps. ISSUANCE OF PFRI1IT TOTAL CHARGES 10.n TOTAL CHARGES O,rorAl CHARGEs lWry, ,/A,a-o WHERE STATE LlN REQUIRES that the Electrica'l workshall not be valii until the label has been signed by be done by an Electri ' an Electrical Contractor, the electrical portion of this permit cal Supervisor and returned to the Building Division I HAVE CAREFULLY EXAMINED the completed application for permit, and do hereb.y certi oertaining to the work described herein, and that NC 0CCUPANCY will be made Building Division. I further certify that my reqistration with the Builder's only subcontractors and employees urho are in comcliance with Ol?S 701 l,lAl.lE ( pl ease pri nt )S IGNA \ and 0regon fy that all information hereon is truecorrect, and I further certify that anypringfield and the Laws of the State of and all work performed shall be done in a ccordance with the Ordinances of the CityofS permission of theffect as required of any structure without the Board is in full force and e by ORS 701.055, that if the basis for exemption is noted hereon, and thatexempt 055 wil]be used on this project. Zone /Ul.tO tyoe/const."7/lr5?3)n Fire Zone Bedrooms 0c Flood Plain Stories / 0c cy xFtgc.y $lq . os stozf P*i n its Sq. Ftg Ftg. Access Val ueLoad Sq. c,^oro-Ei?;q..0ther Val ue TOTAL VALUATI Plan Ck. Comm/Ind 65%/B1do Per Fee wg@5+19 , n -f' b13r-tems Deverqe ( 1.57 Svs cha opment /y.A.BUILDING PERMIT Charges and Surcharges __/zz_'_75.oE Fee Plan Ck. Res 30%/Bldo Per FencePLUI4BING PERMIT Charges and Surcha rges /o.*.{o Dgmo faa /?.af, Sl dewa I kELECTRICAL PERIlIT Charges and Surcharges 6 .60 Total Cornb. Permit /68. {aA/C Paving Curb CutI{ECHANICAL PERMIT Charges and Surc harges ae, , //o /sz 55TOTAL u"_Vl&.o" V,%<5-oE. COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description l. g$Iglg-: Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot l. Block 3, Znd Addition toSpringfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources hea t/e I ec tri ca ceilin forced air gas1. examol e-^+a. examp le-E. squaE-66-ta example- 1250 sq exampie- if new check add, etc. wa e ge or valuat on, etc r solar 1 . foot house, 500 sq. foot garageproJect, check new - if addit.ion,2. F. Building permit information:1. example - construct s.ingie family house with anattached garage ?. examp-le - remodel existing garage into family roomJ. example _ convert single family residence iniorestaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAI4 AND CON1RACTORS To avoid design or construction delays, BuildingDivision Staff must be able to contact appropr.iitepersons.regarding design information or job iitecorrections, etc.II- Abbreviated Prumbing, Mechanicar, & Electricar scheduresA. Except where blink spu.es o.ir" in the description--portion of the Mechanical and Electrical Schedules,the appl.icant need f.iIt-in only the No. aoiei-idjui.nt _ to-the appropriate item(s) to be instal.ledB. FulI PIumbing, Mechanical, and Electrical Schedu.lesare available at the Building Division1. To conserve space on the permit form the scheduleshave been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult iheful I schedulesC. BUILDING DIVISION STAFF I.IILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAp, the label must be delivered tortheelectrical contractor for s.ignature by his eteciriiai"-supervisor. The generai coniractor ii not authoriied - to sign the electrica'l labei.III. Applicant to sign and date lJhenever possibie, the initial application wil.l be used asa.worksheet only. Where possibie, Bui)ding O.ivision-iiaiiwill.prepare a type written copy and return it to theapplicant at the time the actuai permit is isiueJ io" f,is s ignature.IV. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans wiil be processed unti.l thesefees. are paid. Al l other fees and charges are due andpayable when the permit is issued. V. FOR OFFICE USE ONLY 6Us 4s? PERMIT VALIDATION Permit Clerk E -( b (nt PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI.ICY: d Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: gna date ./O-8.,a.s-nane Latrye VG6 si