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HomeMy WebLinkAboutPermit Building 1990-01-10I NSPECT I 726-37 69 ICOMBIL L 726-3753 ON IINE Job Addrpss eZ/ 4*p<LG ? 5f Hea Ranq EIIERGY SOURCES: l,later HeaterLega1 Descri ption Sq. Ftg. l'1ain_ Sq. Ftg. access] Sq. Ftg. 0ther-- _l,lew_Addal ter_Rep. _Fence_Demo_C han gel U se 0therVa l ue of l,lork:ffirOwner DescrtI .e., Build Single -Addres s //w Bez->ter G,-\ Phone M%-asa.7 ?-92/ar - Constructi on Lender --7 s \t N Addres s Phone exo t res phone no.addres sDESIGN TEAI4 name Primary Structura l Electrical Mechanical exnl req ohone no.a ddrps s I ics. no.nameCONTRACTORS Genera l Pl umbi nq El ectrical MECHAN I CALELECTR I CALPLUI4B I NG i FFF CHARGFFFFl:I.{ARGF NOCHARGFNNFEE I furnace/burner to BTU' S Residence of FTSQEach single fixture Floor furnace and vent New ci rcui ts al ts. or extensions Relocated building (new fix. additional) Recessed wal i Soace heater and ventSERV I CESS. F. Residence(l bath) Duplex (l bath) each Apol iance vent spna ra t-FTemporary Constructi onAdditional bath Stationary evap coo l erChange in existing rpsi dpncp[,later servi ce Vent fan with sinole ductmultifamily, comm. or I ndustri a ISewer Vent system apart from heatinq or A.C..amps.0fStorm Sewer Mechanical exhaust hood and ductCOMM./IND. FEEDERS tJood stove/heaterInstal I /a l ter/rel ocate di st-ri b. feeders Z6--Vrm0fs, ( /yxltg ISSUANCF OF PFRIlIT ,@ TOTAL CHARGES ea2€-TOTAL CHARGESTOTAL CHARGES I,IHERE STATE LAN REQU shalI not be vali'l until IRES that tlre Electrical work the label has been signed bY be done by an,Electrical Contractor, the electrical portion.of t an Electrical Supervisor and returned to the Building Division S permi t "r)S IGNA DATEt'lAl'lE(please print ,hw- permi t 'formed 0regon the Bui ngfi e struc t heon reon trS ueathaLncertdoandfyhereb.yatconINEEXAMDpapcomp nance s thef cwlcet0rdhe tythhabenedonccordanaaworkndatthaaDerndafucertrtherndarrecc0tfy wl madbe enanfdtha0cNOCYCUPAHtherwodekrscbedhere ny of rta n toStapenganddethwsLatheoftefoSpr B ul rde strastontthehonfucrtherertthta0'0n f di Dr's fy reg im.yerm5swlturetthouhefngofany ha tandtonnohereontedbasforsethefexemptaredORS055701tha+ pr ff'ndfunsrdBoaforcea tec se byrequ n0 ht s ectberojancethwl7OPS0505acrstondawhoreanonsu bcon tr 0yees c0mDemply Flood Plain Stories Occy Group Sq. Ftg TOTAL VALUATION x Ftg st Vai uits So. Ftg. l'lainZone Fire Zone_pedrooms 0ccY Load Val ue Va lu Access 0the r Svsteris Development charqe (t.s/)'Plan Ck. Plan Ck. Res 30%/Bldq Per Fee BUILDING PERMIT Clrarges and Surcharges Fence DBmo PLUI4BING PERMiT Charges and Surcha rges Sidewal k Tota'l Comb. PermitA/C Paving ELECTRICAL PERt,IIT Charges and Surcharges Curb Cut 26;.zSTOTAL MECHANICAL PERMIT Charges and Surc harges -?_?_,4 )e l.lorkI Garao PERMIT VALIDATION /2ea 2 /{P4r Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal DescriPtion 1. example- Tax Lot 100, Lane County Map Reference 17 03 43 ?examol e- Sprl ngt'l Lot 1. Block 3, 2nd Addition to el d Estates C. Name , etc. of owner and construction lender D. En air gas 2E. sq 1 ga ra9e a 'i tion, F. Bui lding permit information: I. exampie - construct single family house with an attached garage 2. example - remodel existing garage into family room 3. example - convert singie family residence into FesTiFant (change of use) G. Value of work as defined in Section 303 (a) of the Structural SH. DESIGN TEAM pecial ty Code AND CONTRACTORS To avoid design or construction delays' Building Division Staff must be able to contact appropriate persons regarding design information or iob site corrections, etc. Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adiacent to the appropriate item(s) to be installed B. Ful I Plumbing, Mechanical, and Electrical Schedules are available at the Building Division 1. To conserve space on the permit form the schedules have been abbreviated 2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult the ful I schedu'les C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES D. As noted on the CAP, the labe] must be delivered to the electrical contractor for signature by his electrical supervisor. The genera) contractor is.not authorized to sign the electrical label. Appl icant to sign and date Whenever possibie, the initial application will be used as a worksheet only. Where possible, Building Division Staff will prepare a type written copy and return it to the applicant at the time the actual permit is issued for his s i gna tu re. Fees and Charges Plan check fees are due and payable at the time of the application, and no plans will be processed until these fees are paid. All other fees and charges are due and payable when the permit is issued. II III IV. V. FOR OFFICE USE ONLY permit appl'icant exempt from registration with the Builder's Board because: Additjonal Proiect Information PLANS REVIEWED BY: datei gnaturname CITY OF SPRINGFIELD Department of Planning and Devel^nment Building Safety Divi 225 North 5th StreetSpringfield, 0regon 97477 726-3753 (sus. ) 726-3769 (Insp. ) OCCUPANCY INSP|_ APPLICATION 'l SPRINGFIELD OF Y ?2 DATE:o JOB ADDRESS:JI 2 OWNER:[) OI,INERS ADDRESS# At^^arj.rr. ol APPLICANT:b APPLICANTS ADDRESS: FOR ACCESS To PRoPERTY--rLEASE TNCLUDE TELErHoNE NTTMBER, ]r\g*^ r.,IL PROPOSED USE:6t"4r A $ 35.00 INSPECTIoN FEE IS REQUIRED AT THE TIME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE Otr.INER OF THE PROPERTY TO BE INSPECTED. IGNATURE OF TY OI,ilNER t #\1-,r4, FOR OFFICE USE ONLY DATE OF I}ISPECTION: DATE OF REPORT: la t&qb RECEIPT NI]MBER: DATE PAID , /2- '/'2D DATE OF CERTIFICATE OF COMPLIANCE: COMMENTS: lt *tMLfri0l,o@,a O0- 4'l ryP ?4o1. fu ?,?t tJU, OyJVY CvWW, tJ L/, r1,0 tJ t t) b,Al.LT 2pryWA.0# #teiFLLb, Jt'i;##p t'tlW 0 tt4*d*W,.lrtMLD'l wbT'U\\AI'€*A M\nl. ItttV rvlfr @wtow' a t @'llto r4D* :rIl, !f' [f<- B l0a rLP/* ;rt?. ruf f ,l[+ ,+fl + 4/Ao wrr.l+ ?alMq. # 11 -O4-?-1 -lD_ Olqoo MlffiJe,qb W-%1. 1-*}} *ffi-l N- HA"loLr-1o.r*!w 1fu-4-uo1 , 'Vl.YA''rJet ALq14bftr N,@A/4A4B*\il*S-pu r uk. "ftrfmq-e $bs{ e}trT 0 h*[ "' #f/4-? Wl+t4 l?,o 11,O WrTw ffisT 1o MrTw lLt; ' ' I r> s\r44f.4 ltLQ/.,1 Q' AAA\Ll.fyvaal et .lttWry bWA.Esy* \LboPUl-taV^.V-t A3tu. ,#2,F*",t#up tT ?q.wo**t T twP YVt'Ae--,bw Mffia lADpA2 4zag4tt + ffwlt^:*se,ry,a 1 ?r4 wr,jw,ffi IA.d " . d;*ry flqu,,r,, ltur e-t"? 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