HomeMy WebLinkAboutPermit Mechanical 1983-06-27CTI
769
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COI,IBI I1ATI ON APPL ICATION/ PERMIT 726-3
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Str uctura'l
E't ecti ical po.St 5 ,-t 2o-o6i
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Job Address S{Iors
))l-ega 1 Descri pt i on 12
SOURCES:etaBs:tlut"@
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EIIERGY
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. Ftq. 0ther
l,lew Add Al ter Rep.
1-en[oerno Change/Use
0ther
Sq
Sq
Va l ue of l,lork:o{)Owner e ,tcC.
Work
Fami l
n er ng eDescrin
idence l,lith AttacAddres s €,')I Phone U)
{rt (" r- c?
(Construction Len
r)
Addre s s Phone
N
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Stati onar.v evap
coo l er
ge in existing
dpncc
C han
rpc il,later servi ce
I
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Vent fan witlt
sinole duct
multifamily, comm. or
I ndustri a lSewer
0f -dmpS.
coMt{./iND. FEEDERS
Storm Sewe'r
Insta l'l /al ter/rel ocate
distrih. fppders
opmentPlan Ck. Comn/Ind
65%/Bldq Per Fee
Plan Ck. Res
30%/Bldq Per Fee
BUILD!NG PERI-IIT
Charges and
Su rc harges
IFence
Demo
PLU!.,IBiNG PERMIT
Charges and
Surcharges
ISidewal k
Total Comb. PermitA/C Paving
ELECTRICT,L PERI1IT
Charges and
Surcha rges
Curb Cut tS r&TOTAL
t,,IECHANICAL PERMIT
Charges and
Surcha rges
3
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a o
El ectri ca t
il_
tz.3L0 hg $.9-,Co -.- .=0 o bx.SsY=.9 -Eslq ^e-' Er ECTRICAL i
.::.uq ?_b. G-p_81
MECHAN I CAL
'iurnace/bui';rer to
4el,e_ef.__ Biu's
PLUI4B I NG
Each single fixture
Retocated build'i,-'1 :
(now f.ix. .:ddition.l ) '
Duplex (l bath) each
Additionai bath
.t
F1 oor fu rn.tce
and vent
Recessed wal I
-venj
Apol iance vent
t system rtf
heat
Mechan au st
.)G , 9r't
he City
be made
ilcier's
and that
llesi den.:c of 50__ sQ f f
Nelr circuits alts.
oi' exts;rs ions
SERV I CES
Temporary Constructi onl
e
tlood stove/heater
0f _amp It
I
i
t
rssuANcE oF pFRHiT to
TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES
WHERE STATE LAl,l REQUIRES that the Electrical work be done by an
shalI not be valiC until the label has been signed by an Electrical
l-completed app cat r Dermit, and do hereb.y *"tify ini,t ITI tn?6friiTion hereon i s 'Lr ue0n
ond c'lrrect, and i further certi iy that any and al l work performed sha'l I be done in accordance with the 0rdinances.of t
of Springfield and the Laws of the State of 0regon oertaining to the work descri bed herein, and that l'l0
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E'lectrical Contractor, the electrical porL'ion of this permit
gupsrvisor and returned to the Building Divisidn
of any structure without the permi
Board is in full force and effect
ssion of the Building Division. I further certify that m.y registra ti
as required by ORS 701.055, that if exempt the basis for exemption 'ls
only srrbcontractors and ct'rployees who are in comp ]iance with 0l?S 701.055 will be used on this proiect
t'lAl''lE ( pl ease pri nt \S iGNATURE
lIIlcl usE or{_LY_
Zone________Type/ Cons t Uni ts Sq. Ftg. t'laiir----x----V
Load Sq, Ftg. Access---x_----V
| 0CCUPAI{CY }ii I
on +r'i th lhe ,Bu
noted herecin,
H
ii
fl
t
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il
li
ll
ll
Gu)
Fire Zone
Flood Plain Stories x
alue !
al ue
Val ue
TOTAL VALUATI
Deve
7.57
0c c.y Group_ Sq. Ftg. 0"cher
l'{echan i ca i
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COMBINATION APPLICATION/PERMIT (CAP)PERIYIIT VALIDATION
Applicant to furnishA. Job AddressB. Legal Description
1. example- Tax Lot 100, Lane County Map Reference
17 03 432. example- Lot 1. Block 3, 2nd Addition to
Sprr'ngfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources
or fofced air gas
2 l@E. Squa or valuat oDt
1. example- 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 an
attached garage
?. example - remodel existing garage into family room3. example - convert single family residence into
restaurant (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, Building
Division 5;taff must be able to contact appropriate
persons regarding design information or jbU iitecorrections, etc.
Abbreviated Plfibing, Mechanica'l, & Electrical SchedulesA. Except where blank spaces occur in the descript.ion
. portion of the Mechanical and Electrical Schedules,
the applicant need fill-in oniy the No. Boxes adjacentto the appropriate item(s) to be installedB. Ful.l Plumbing, Mechanical, and Electrical Schedulesare available at the Buiiding Division1. To conserve space on the permit form the schedules
have been abbrev'iated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult theful I 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 theelectricai contractor for signature by his electricalsupervisor. The generai contractor is not authorizedto sign the electrical 'label
Applicant to sign and date
Hhenever possibie, the initiai applicat.ion wilI be used asa.worksheet oniy. Where possible, Build.ing Division Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit is issued for his
s i gnature .
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
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V Permit Cl
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI'ICY:
Permit applicant exempt from registration wjth the Builder's Board because:
Additional Project Information:I
PLANS REVIEWED BY:
datenames'l g nature
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SPRINGFTELD
CNY OF SPRINGFTELD
Department of Public Works
February 10, 1984
CERTIFIED LETTER
Pac-Trust
1500 Va11ey River Drive
Eugene, 0regon 97401
Dear Business Owner:
The Springfield Building Code Administrative Code requires that, in order for a permitto remain val'id, construction work authorized by it must begin within 180 days from the
date of purchase of the permit. If work is suspended or abandoned during the course of
construction for a period exceeding 180 days, the permit will automatically expire.
If a permit has expired and suspension and/or abandonment of work on a project has not
exceeded one year, a permit to start or resume work may be purchased for one half the
fee requ'ired for a comparable new permit, provided that no changes have been made'in
the original plans and/or specifications.
If a permit has not yet exp'ired and a permit holder anticipates the need for more timeto begin construction work, the Superintendent of Building may choose to grant a one
time extension of the perm'it not to exceed 180 days upon receipt from the permit holderof a written request explaining why the extension is necessary.
The attached form indicates the most recent information in our records with regard to
construction activity associated with your permit. Please adv'ise this office of your
intentions with regard to the permit by ten (i0) days from the date of this letter.
P'lease direct all inquiries to the Springfield Building Safety Division at 726-3659.
si erel y,c
Lisa Hopper
Building Safety Division
attachment
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225 North Sth Street a Springfield, Oregon 97477 . 503/726-3753
JOB ADDRESS: 302 Shelley Street JOB #: 831815
LAST ACTIVITY DATE:
OTHER:
June 29 198 3 NO INSPECTION RECORDED:
CURRENT STATUS OF PERMIT:
VAL I D:However, you permi t w'i I 1 exp rre on
If you wish to request an extension of your perm'it, please not'ify this
office in wrjting prior to the above mentioned date.
xx EXPIRED: Your permit expired on December 29, 1983
If you plan to start or resume work on the projec't, a new permit must be
app'l i ed for.
*If the "expired" box, above, is checked and we do not hear frorn you by February
29-1L8L (ten (10) days from the date of this letter), we will clear
our files of all related'informatjon wjth regard to the permit.
Ih
*