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HomeMy WebLinkAboutPermit Building 1986-08-04I NSPEt?6-3 CITY OF SPRINGFIELD COHBI I{ATI ON APPLICATION/PERMIT 7?6-37 [',ater Heater EIIERGY SOURCES: Hea t0Job Address Legal Description Owner 'w b'b"'Dr(n) Sq. Ftg. Access Sq. Ftg. 0ther llew Add AIte---IeD':- _fence_Oemo Chai-ge/Use 0ther Sq. Ftq. I'lai Address Phone t e sc rDe ht At .e., Build Single o !r.- ^*-\Constructirln LEnder 7 + Addres s Phone oaCc(l + name address I ics. no.exot res lone no, Primary Struc tura I El ectri ca I l{echanical TACTORS name address lics- no-exo l res ohone no- General nl I PI I anl I PLUIIB I NG () ELECTRICAL MECHANICAL FEE CHARGF NN FFF .HAPCF il0 FFF CHAPGF Each single fixture Residence of SQ. FT furnace/burner to BTU' S Relocated bui lding (new fix. additional)New circuits alts. 'L"*EPobtaee 72.e Floor furnace and vent S. F. P.es i dence(l bath)SERV I CES Recessed wal I Soace heatpr and vpnt Duplex (l bath) each 4 Zz*/*rfuz /ao./2.4 Additional bath Temporary Constructi on Apol iance vent sepa rate tlater service rec i dpncp Change in existing Stationary evap cool er Sewer I ndu stri a I multifamily, conrn. or Vent fan with sinole duct Storm Sewer 0f s.Vent systern apart from heatino or A.C. COMI!./IND. FEEDERS Mechanical exhaust hood and duct- Instal I /ai ter/rel ocate di<trih fppdcr<l'lood stove/heater 0f amps ISSUANCF OF PFRI1IT TOTAL CHARGES TOTAL CHARGES 2?,96 rorAl CHARGEs thlg- /g. t' HHERE STATE LlNshall not be vali.l REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this pernituntil the label has been signed by an Electrical Supervisor and returned to the AuiiJin! Division l,lAl.lE (pl ease pri nt )* and of of Boa onl exempt 055 wil CARE het e ted tca on rfo t ancompappDerm cert i ttha a n tiforma on s truereonhereb.y fy atco rrec nd further cert t tha rkwo rformedDE hasandafy donebe n nceaccorda thwl heL na0rd i esnc theof ci tyredndathwsLatheof any of5png fi State n n to theoe rta0regon work crldes hereibed n nda atth NC Y wlgOCCUPANC be madestructuwlretthouhetspermiiosofnButhedDionfurtrInghecerttthastra t on th Bufym.y vn he der sregany rd s n fu eandrcefo tffec s red 0Rs 055701 that frequ i by bas s ofi exr on a ndtheemptihenotedreon tha t bcSU rsontracto andv awho re n cean thwl 7t\0usel,'lp oyees comD 1 be US ed 0n th s D roj ec zon"l-_r9_l_____Jype/const.5/f 5R, units sq. Fts. Fire Zone Bedrooms Occy Load Sq. Ftg. ToTAL VALUATI0N--,,\a tr(o8Df lue 1ue -9-&t6' l'la i n Flood Plain S tori es lue Ftg. Access x Vaotn""h@u^eroup Brt? Plan Ck. Corm/Ind 65%/B1do Per Fee i '17,x,=?Svstens Deve Charqe ( 1.57 opment I /y.4.BUILDING PERI'IIT Charges and Surcharges o6/ 7.72 Plan Ck. Res 30%/Bldo Per Fee Fence f€-€PLUI4BING PERMIT Charges and Surcha rges Dgmo {onrra.rto-- 2.?2 Si dewa l kELECTRICP.L PERIIIT Charges and Surcha rges ZZ,5O ,?d Total Comb. Permit 23?,72A/C Paving Curb CutI,IECHANICAL PERHIT Charges and Surc ha rges Ata .66 TOTAL z%.fu lur :arn )e l^lork ( L Garaoc t I &A- VY 74rvZ*---,n COMB I NATION APPLI CATI ON/PERMIT I. Applicant to furnishA. Job AddressB. Legal Description (cAP)PERMIT VALIDATION II l. example- Tax Lot.100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, ?nd Addition toS[i1n!Fietd EstatesC. Name, etc. of owner and construction lenderD. Energy Sources l. examole- heat/electri_c?l ceili!g/or forced air gasz. examDte- waterheater/electrtcal/or solarE. SquaiE-T66Gge or va luation, et-c.1. example- 1250_ sq. foot house, 500 sq. foot garage2. exarnple- JT-new project, cireck-n-ew - it aaaition, check add, etc.F. Building permit information:I. example - construct single family house with anattached garage ?. examp]e - remodel existing gaiage into famiiy room3. example - convert single famjly res.idence intoiElTilFant (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 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 spaces occur in the descriptionportion of the Mechan.ical and Electrical Schedules,the applicant need filI-.in only the No. Boxes adjaientto the appropriate item(s) to be .installed B. 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 schedules you should consult thefulI 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 theelectrical contractor for signature by his electricalsupervisor. The general contractor is not authorizedto sign the eiectrical Iabel.Applicant to sign and date Hhenever possible, the initial application will be used asa.worksheet oniy. Hhere possible, Building Division Staffwiil prepare a type written copy and return it to theapplicant at the time the actual permit is issued for hissignature. 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 br\fr{ III. IV v Permit Clerk w 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 s'l gna date I - Y-E6