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HomeMy WebLinkAboutPermit Signage 1980-04-25ECTION LINE 37 69 6-3 Job Address Lesar Description f 1b3Tl )O :-j l'later Heater Ra EIIERGY SOURCES Hea t Owner a "'H*b,co Sq. Ftg. Access.--- Sq. Ftg. 0ther-- _l{ew_Add_A 1 te r_Re p . _Fence_Demo Change/Use 0ther Sq. Fto llain Address Phone 'it n n hlork Ga t dence l,lith A e., Build Single:ffi -(-,f)^ StmaQ]- Construct i on Lender Phone Jcor! & DES 1GN TEAI{name address lics. no.exD l res e Pri ma ry St ructura I Electrical i'4ec han i ca I n ame a ddres s (lics- no exDl res 'ohone no- ) toOZ u:t El ectri al llechanical PLUI1B I NG ELECTRICAL MECHAN I CAL CHA RG F NO FFF CHARGF NO FFF CHARG F Each single fixture Residence cif FTSQ furnace/burner to BTLI' s Relocated bui'ldino (new fix. additional ) New ci rcui ts al ts or extensions FIoor furnace and vent S . F. Res i dence(l bath)SERV I C ES Recessed wal I Soace heater and vpnt Dupiex (i bath) each Additional bath Temporary Construction Apol iance vent sepa rate tlater servi ce ge in existing dencp Chan res i Stati onar-v evap cool er Sewer Indrrctria l multifamily, comm. or Vent fan with sinole duct Storm Sewer 0f S. Vent systern apart from heatino or A.C, cor.il.l./IND. FEEDERS Mechan ical exhaust hood and duct Instal I /al ter/rel ocate distrih. fpedprs l'lood stove/heater 0f s. ISSUANCF OF PFRIlIT TOTAL CHARGESTOTAL CHARGES TOTAL CHARGES WHERE STATE LAN REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit shall not be valil until the label has been signed by an Electrica'l Supervisor and returned to the Building Division , and I further certif-v that any and all work performed shall be done in accordance with the 0rd'inances of the Cityeld and the Laws of the State of 0reqon pertaining to the work described herein, and that NC 0CCUPAI'ICY will be made cture without the permission of the Building Division. I further certify that m.y reqistration urith the Builder'sfull force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted hereon, and thatonly subcontractors and enrployees who are in comcliance with 0l?S 7n1.055 vlill be used on this I'lAl.1E(p lease pri nt)SIGNA/? I HAVE and correctof Soringfi of any stru Board is in c0mp I information hereon is trueapr)fy that acatcertont, an Dro.j ect Zone Tyoe/Const. Un i ts So Ftt: Ftg Ftg Value Val ue Val ue x x X0cc.y Group Sq TOTAL VALUATI NN Flood Plain S to ri es l4ain Acces s 0the r Fire Zone Bedrooms 0ccy Load Plan Ck. Comm/Ind 65%/81do Ppr Fpp tems Deverse (1.57 Svs Cha opmentBUILDING PERIIIT Charges anC Surcha rges (/--\.-:/-Plan Ck. Res 30%/B1dq Per Fee FencePLUI'4BING PERMIT Charges and Surcha rges Dgrno S'idewa l kELECTRICAL PERIlIT Charges and Surcha rges A/C Paving Total Comb. Permit Curb CutIlECHANICAL PER[4IT Charges and Srirc ha rr:e s TOTAL 5& COMBI IiATION APPLICATION/PERMIT Addres s CONT ,I0RS FFF I COMBINATION APPLICATlON/PERMIT (CAP) I. Appl icant to furnish A. Job Address B. Legal Description 1. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, Znd Addition to SpifiEField Estates C. Name, etc. of owner and construction lenderD. Energy Sources 1. examp-le- heat/electrical ceiling/or forced air gas2. example- waterheater/electricaVor soTarE. Square footage or valuationl-GTc. -1. example- 1250 sq. foot house, 500 sq. foot garage 2, example- if new project, check new - if addition, check add, etc.F. Building permit information:t. glqryle - construct single family house with an ;ttaclEd garage 2. 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 the Structural Specia lty CodeH. DESIGN TEAI4 AND CONTRACTORS To avoid design or construction delays, Bui)ding Division Staff must be able to contact appropriate persons regarding design information or job sitecorrections, etc.II. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be instaliedB. Full Plumbing, Mechanical, and Electrical Schedules are available at the Bui lding Division1. 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 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 theelectrical contractor for signature by his electricalsupervisor. The generai contractor is not authorizedto sign the electrical label.IIL Applicant to sign and date Whenever possibie, the initial application w.il'l be used asa !,/orksheet only. Where possible, Bui lding Division Staffwill prepare a type wnitten copy and return it to theapplicant at the time the actual permit is issued for his s i gna ture.IV. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans wil l be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is issued. PERMIT VALIDATION V. FOR OFFICE USE ONLY -Permit Clerk PROJECT CONDIT]ONS TO BE SATISFIED BEFORE OCCUPAI{CY: Perm'it applicant exempt from registration with the Builder's Board because: PLANS REVIEWED BY name Si g natu re date Addit'ional Project Informat jon: liL CI COI|B I iIAT TY ION APPL I CAT I ERMIT 726-3753 Job Address l-egai Description -_J EIIERGY SOURCES Hea t l,later Heater Ranqe Value of t,lork.l z--,,f )tr 1\( \,t-'u-t Rccess] Sq. Ftq. Other _l l e w_A d d _A I t e r- Pe p-l - _Fence_Demo_Chan gel Use -other- intq. Sq. Ftg Ovrne r N-Lb v-\C - \rqc k .e., Build SingleAddressPhonenq Re Bui l1,l Fani i y Pernrit Info: Describe llork( sidence lJith Attached Garacle rl C-Qld,t,,t,l,t StnaL Construct i on Lender D t-p {.\5 Addre s s Phone DTSIGiI TEAM name addres s I i cs. no.exo i res ohone no. Pri ma ry Structura l EI ectri cal l'techan'i cal COiITRACTO RS name (address )(ohone no.'(lics. no. ) (exoires) tcczGenera I Pl umbi I 'I tiechan i ca I ELECTRICAL MEC HAN I CALPLUIlBI IIG FEF CHARI;F NN FFF CHARGF il0 FFF Each single fixture furnace/burner to BTLI' s Floor furnace and vent Relocated building (new fix. additiona) ) New ci rcui ts al ts or extensions S ERV I CES Recessed wal l Soace heater and vent S. F. Res i dence(l bath) Dupiex (i bath) each Temporary Construction Apol iance vent seDa ra teAddi tional bath Stati onar,v evao coo I erl,later servi ce Chanqe in existing res i dence Industrial multifamily, comm. or Vent fan with sinole ductSewer 0f Vent system apart from heatinq or A.C.Storm Seler COI,ITI./IND. FEEDERS Mechanical exhaust hood and duct I'lood stove/heaterInstal I /al terlrel ocate di stri b. feeders 0f amps lSSUANCF OF PFRIIIT TOTAL CHARGESTOTAL CHARGESTOTAL CHARGES LIHERE STATE LAN REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this perr,rit shall not be valil unt'il the label has been signed by an Electrical Supervisor and returned to the Building Division and correct, and I further certif-v that any and all work performed shall be done in accordance wjth the 0rdinances of the City of Soringf.ield and the Laurs of the State of Oregon oertaining to the rvork described herein, and that NC 0CCUPAI,ICY will be made of any structure without the permission of the Building Division. I further certil"y that my registration vrith the Builder's Board is in full force and effect as reciuired by ORS 701.055, that if exemot the basis for exemDtion is noted hereon, and that only subcontractors and ernployees who are in comcliance with OPS 7n1.055 vrill I'lAilE(please print)S I Gi,IATURE)/-1_ ac-tl nforrnation hereon is truethe comp e apnlication for oermit, and do hereb.y certify that a used on this pro.ject L t-/7FOIl OFFIC! USE Oi{LY TOTAL VALUATION x al Occy LoadI Sq.Ftg 0c c.y Group Sq. Ftg 'i ts Bed rooms /ConstZone Fire Zone Val ue Flood Plain Stories. Acces s. 0the r Fto. l'lain x Value opmentPlan Ck. Comm/lnd 651/81do Ppr Fee Svstems Deve chutqt (1'5qBUILDING PERiIIT Clrarges anC Surcharges -=/-Plan Ck. Res 30i,/81dq Per Fee FencePLUI,lBING PERMIT Charges and Su rcha rges Derno Sidewalk Total Comb. lermit ELECTRICAL PERIIIT Charges and Surcharges A/C Pav i ng Curb CutIlECIIANICAL PERMIT Char_oes and S"ra:ir.tc_s r 0TAL 5CD Residence df SQ. FT. COMBINATION APPLICATION/PERi'tIT ( CAP) I. Appi icant to furnishA. Job AddressB. Lega) Descriptionl. examole- Tax Lot 100, Lane County Map Re 17-T3-432. example- Lot 1. Block 3, 2nd Addition toSpringfie)d EstatesC. Name, etc. of owner and construction lenderD. Energy Sources el ectrica l cei I i eater ca or s /or forcr oTa r +e ec val uat 0il , PERMIT VALIDATiON clrY oF SPRINGFIEtD c CirY Holl Springfield, Oregon Deportmenl of Public Works OFFICIAL RECEIPT No. B 53334 't9 I\,D-( 1. exampl e- heat/2. Exar:riTe- rvater SquaiE-i6-otage or C r Rec'd F Received For ( E c l. examole- 1250 sq. foot house, 500 sq. foc2. eGmple- ji n-ew project, check-new - .i f achecr-add, etc.F. Bui)ding pernrit informatjon:1. example - construct single family house r.rattached garage2. examole - remodei existing garage into fa3. llqncle - convert singie iaii'ly-residence - rdtafant (change of-use)G. Value of work as defined .in Section 303 (a) oStructural Specialty CodeH, DES IGN TEAi..i AI,ID COIiTRACTORS To avo'id design or construction delays, BuildDivision Staff must be able to contatt approplpersons regarding design.information or job s.corrections, etc. Abbreviated Plumoing, ilechanica'1, & Electrical SclA. Lxcept r.rhere blank spaces occur in the descripportion of the l{echanical and Electrical Schecthe applicant need fill-in only the No. Boxes _ to the approoriace item(s) to be insta.lledB. Full Plumbing, I'lechanical, and Electrical Scheare available at the Building Div.isionl. To conserve space on the permit form the shave been abbreviated lO0'L (r (t II (- f G (o () (E () (! (! 2. If the item(s) to be installed are not covthe abbreviated schedules you should consu (n, ful I schedulesC. BUILDIiIG DIVISiON STAFF I^JILL FILL OUT ALL FEES CHARGES Oi{ THE SCHEDULESD. As noted on the CAP, the label must be delivertelectrical contractor for signature by his e)ersupervisor. The general contractor ii not auilto sign the eieccrical label.Applicant to sign and date Hhenever possible, the initiaJ app'lication will bea.worksheet only. Hhere possible, Building Divisiowill prepare a type r./ritten copy and returi it to tappiicant at the time the actual permit is issuecj f s i gna ture. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans ni)) be processeC untr.l thesetees are paiC. Ail other fees and charges are due andpayable vrhen the permit is issued. FOR OFFICE USE O|,ILY - Amounl Received /) (B (E III IV. (EY rN ti, ORIZEO SIGNATURE EUGENE Oi 97aol t- Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit appl icant exempt from registratjon with the Builder,s Board because: Additional Project Information: PLANS REVI EI.JED BY : da tenameSIgnature -w ( ( 5BE IIOil.T U i H EU LL )