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HomeMy WebLinkAboutPermit Mechanical 1983-06-27CTI 769 LIIIE m COI,IBI I1ATI ON APPL ICATION/ PERMIT 726-3 Pri ma.lv__ Str uctura'l E't ecti ical po.St 5 ,-t 2o-o6i -) __L_e e Ul_.?B__k3o 81 ---(-e-;<nj-rgsl(l.ics. noJ itq ra'i Job Address S{Iors ))l-ega 1 Descri pt i on 12 SOURCES:etaBs:tlut"@ Ranqe EIIERGY Hea t . Fto . l'la i n--- . ftg. Rccess.-_ . 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 I Ij Stati onar.v evap coo l er ge in existing dpncc C han rpc il,later servi ce I I I 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 -\ 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 l I L- L_ 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 i I 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 -l l I I I ; i I i, \ 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 \t, \ q 63 )t .{- III IV 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 { i 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 Ih 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 *