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Home My WebLink AboutPermit Mechanical 1982-11-23ON LINE. Val ue of l,lork c0rlB I L Owner .Pep. ange/Use 0therSq. Ftqtlater Heaterl-ega1 Description Job Address I RMIT EIIERGY S Hea t Sq. Ftg. Access.-- . Ftg . l'la i Address I LOS A Phonen:10rrd ..t-_nglescr Farni rknt rath q enderConstru co a)a)q \ Pe Addres s Phone noname Structura I Pri El ectri cal Mechan i cal exDt res (phone no.lics. no.)addres sname Pl umbi i cal LL) MECHAN I CAL o ELECTR I CAL A PLUilB/T FFF CHARG FI'10 -FFF CHARGFNOFEE furnace/burner to BTLI' s Residence of FTsQEach single fixture Floor furnace and ventNew circuits alts. or extensions Relocated building (new fix. additional ) l@tn 24y+Recessed wal 1 Snace heater and ventSERV I CESS. F. Resi dence(t bath) Duplex (1 bath) each Apol iance vent seDa rateTemporary ConstructionAdditional bath Stationary evap. cool erChange i n exi sti ng resi dencellater service Vent fan with sinole ductIndustria l multifamily, comm. or Sewer Vent systern apart from heatinq or A.C.amps.0fStorm Sewer Mechanical exhaust hood and ductCOI.IH./IND. FEEDERS l,Jood stove/heaterInstal I /al ter/rel ocate distrib. feeders 2aa??Dco n OLrue0f Jo I ISSUANCE OF PFRIlIT loo' TOTAL CHARGES -qtPTOTAL CHARGESTOTAL CHARGES WHERE STATE LAII REI sha l I not be va l i'l unt QUit IRES that the Electrical work be done the label has been signed by an Elec bytri an El al Su ectrical Contractor, the electrical portion of this permit pervisor and returned to the Building Divisionc -rnnddoherebycertifythata]linformationhereonistrue and correct, and I further certify thit any airb all work periormed shall be done in accordance with the 0rdinances of the City oi Springfield and the Laws of th6 State oi oregon pertaining to the work described herein, and that NC 0CCUPAI'ICY will be made of ahy siructure withoui the permission of the Suitding Diviiion. I further certify that my registration with the Builder's Board is in full force and efiect as required by ORS 701.055, that if exempt the basis for exemption js noted hereon, and that only subcontractors and ernployees who are in compliance with OP.S 701.055 will be used on this nroject' DA|E,/l-23*gzS IGNATUREI'lAl.!E ( pl ease pri nt)ttuo4.?EL 6- Fire Zone Bedrooms Occy Load Sq Zone Ftg Ftg Ftg TOTAL VALUATION- x x x0cc.y Group SqFlood Plain S tori es Val alConstl4ai nnits Sq Access 0the r Val ue Svsterns Deve' charqe (1.52'opmentPlan Ck. Cornm/Ind 65%/Bldq Per Fee Plan Ck. Res 30%/Bldq Per Fee BUILDING PERMIT Charges and Su rcha rges Fence D5rmo PLUI4BING PERMIT Charges and Surcharges Sidewal k Total Cornb. PermitA/C Paving ELECTRICAL PERI1IT Charges and Surcha rges Curb Cut 31 4TOTAL 14ECHANICAL PERMIT Charges and Surc harges ? (D Ll n_-- \^dolY)Y I J COMBINATION APPLI CATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legai Description l. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, 2nd Addition toSpringfield Estatesq. Name, etc. of owner and construction IenderD. Energy Sources exampl e- examp I e- rre footag PERMIT VALIDATION ,.._.AlW lyu 01 (!UD3 nE2- 1 2 hea t/e i ectr i ca ceili r forced air gas wa te e ec tr CA :@-- q. foot garage - if addition, e or valuation,l tc,foot house, 500 sroject, check-i6w, etc. Building permit information rE. Squa I 2. exampl e- exampl e- check add 1250 sq.if new p F II. 1. example - construct singie family house with anattached garage,". llgrp]. - remodel existing garage into family roomJ. example - convert single family residence into - restaurant (change of use)G. Value of work as defined in Section 303 (a) of the. Structural Specialty CodeH. OESIGN TEAM AND CONTRACTORS To avoid design or construction delays, BuildingDivision Staff must be able to contait appropriltepersons.regarding design information or job sitecorrections, etc. Abbreviated Plumbing, Mechanical, & Electrica.l SchedulesA. Lxcept where blank spaces occur in the descr.iptionportion of the Mechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes iajiient _ to-the appropriate item(s) to te instal.ledB. Fu11 Plumbing, Mechanical, and flectiical Schedulesare available at the Building Div.isioni. To conserve space on the-permit form the scheduleshave 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 thee'lectrical contractor for signature by his etectricai - supervisor. The general con[ractor is not authorizedto sign the electr.ical label Appl icant to sign and date Whenever possible, the initial application wi.l.l be used asa.worksheet only. Where possibtb, gullding Division Staiiwill.prepare a type written copy ind returi it to theapplicant at the time the actual permit is issued for hiss i gnature. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans wiil be processed until thesetees.are paid. All other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY III IV. V Permit Cler 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: n KO dateSiature J3 CJuLLK- i NSP 726- I irrc Genera l R L COI,IE I IOII APPLICAIION ELECTP. I CAL RMIT IIECHAN I CAL furnace,/burner to BTU' s Job Address -')/7h EiIERGY SOURCES Hea t l,Jater Heater Ranoe so. Ftq. iiain_ Sq. ftg. Access tro Fo ^l Lesai Description / Z _ O Z. - 3A -g\) 0vrn e r soLl- Builr,inq pernrrt info: Describe iriork(. Farri I y lesidence ili th ntE!-!-e!-c-glgeg- e., Bui ld Singie -fr"lAl0rrn't1 -Dau)ru4_1(iil/M._ Constructi on Lender r\ddres s Phone DES i GN TEAII name (,l exni res ( phone no. P ri mary --'- -:CtUfd I E l ectri cal i'ect-,an i ca I I t a 4 'r!\-P]i 2G-Z lr4ri1-.-r '.'echa PLUI1B I Ii6 ::,I FEi i CIjARGE I i\]0 F'3 i 'HARGF Eacn single iixture I I i Res.idence of 5U. r r. I Reiocated bui lding | (new fix. additional ) I ( New circuits aits or extensions t/t d),'(,/, //()AO Floor furnace and vent 1 i S. F. P.esidence(l bath)SERVICES I I I i Recesseo walI i Soace heater and vent I i Duplex (l bath) each Additional bath Temporary Construction Apoi iance vent seDa rate rJa ter serv i ce Chanqe in existing res i dence 'Stationary evap coo I er Sewer multifamily, comrn. or T nd rrs t-ri a I i Vent fan with I sinole duct I I I Storm Ser.ler 0f amps. Vent systern apart from heatino or A.C. I c0r.1f.1. /iND. FEEDERS i'lechanical exhausL hood and duct *: i3.a9 I I Instal I /a I terl rel ocate distrib. feeders lJood stove/heater i I 0f dmp i s.l i I ISSUAI\CT OF PFRI,IIT nO TCTAL CHARGES TOTAL CHARGES /a,ry TOTAL CHARGES l3 "9 xliERE STATE Lil.l REQUIRES that the Electrical work be done shali not be valij until the label has been signed by an Elec by an Electricai Contractor, the electrical portion of this permit trical Supervisor and returned to the Buiiding Division EXAIl I l{ED the comp a p!-)c at I o oermi t an d d o her'eby certi fy tha t I I i n fo rma t ,i on he re 0n S tru e a nd c0 t a nd I fu rthe r cert 'I fy t ha ny a nd a I I l,t0 r k pe rfo rmed ha I I be do ne 1 n acc orda nce w1 th t he 0rdi na nce s of the f I ty of Sori ng lt e I d a nd the Larvs ot L he 5 ta te of 0regon DC rt a 'I nt ng to t he WO rk de S r i bed here n an d tha t ilc OCCU PAI.ICY I I be made C $an-\,S truc ture \,./ I thou t rh perm i s5 i o n of the D u I d I n q D I I S I on I fu rt her cert i fy that my registrati s for exemotion is on this Droject. on v/1 th the Bu i I der 5 Board i 5 n I fiorce a nd r fec L as req u i red by ORS 7 0 05 5 tha t f e xernD t s 'i noted her'e0 a nd tha L only subcontractors and ernoioyees who are in comoliance with 0i?S 701 'I I beu I{AllE(please orint)S IGi{ATU RE DAIE //-2.6-3\ :1CI tJSE Oi.ILY Zone /Cons t Uni ts I S n. Ftq. l'lain Val ue Fire Zone '.- Bedrooms Load Sq . Ftg. Acces . Ftg. 0ther lue Group .lR 2 sqFlood Piain rr--O Stories lue , TOTAL VALUAT ,o,,qibp!! BUILDING PERI'IIT Charges and 5urcharges Plan Ck. Comm/Ind 65%/B1do Per Fee Svslems Deve charoe (,1.51 opmen t Plan Ck. Res 30%/B1do Per Fee PLUI4BING PERI4IT Charges and 5urcha rges Fence Demo ELECTRICAL PERI1IT Charges and Surcha rges /C,<92 ,40 Sidewal k A/C Paving Total Cornb. Permit I,IECHAIIICAL PERMIT Charges and Surcharges _ /.,<.) Curb Cut iOTAL 1ther lC{) OFtq. I ter Phone,\dCres s cq no_a drlrP s s (1 e( nnaddrpssname ] I I \ COMBINATION APPLICATION/PERHIT (CAP) I. Appiicant to furnishA. Job AddressB. Legal Description l. examole- Tax Lot 100, Lane County Map Reference1713-43 PERMIT VALIDATION CITY OF SPRINGFIELD City Holl Springlield. Oregon Deportment of Public Works OFFICIAT RECEIPT I{0. B e 60 Rec'd From c D ?. examole- Lot 1. Block 3, 2nd Addition toSEFinlfield Estates Name, el'c. of owner and construction IenderEnergy Sources 1, exanole- heat/electrical ceilinq/or forcedz. exa:c ie- waterhGa ieFZeTeETii cEU-or s6TIFSquaie i-oot-tage or va luatio 1. examole- l?_50 se. foot house, 500 sq. foot.. exansle- lf new project, Check neyr _ if .rd checx add, etc.F. Euilding pernit information:1. examole - construct. single farnily house wiatracned garage2. exancle - renode] existing garage into i.am3. examoie - convert singie iamiiy"residence ^ ;esraurant (change of"uie)G. Value of work as defined in Section 303 (a) ofStructural Soecialty CocleH. DESIGi,I iEAI-! AilD COI,IIRACTORS To avoid design or construction cjela-ys, Bui.ldii0ivision Scaff must be able to contait-approprpersons.reqarding Oesign information or job siccrrections, etc. Abbreviare: Plunoinq. ilechanA. S.rcepE r.rnere o iank soaceccr::on of :he ilech.rnica the dpplicant need fill- - to the aooropriate item(B" Fui l PIunoing, i{echanica A*v €Of-l*,,t e\^q Crt ,I t 55284cp Dote //'-( (n II. ]II. ical, & Electrical Schrs occulin the desc:-ic.I and Electrical Sche::in oniy the No. Boxes ,s) to be installedI, and Electrical Scher M ddress Received For !-e- (! (E (l ri ,l a 0 G 0 are avaiiabie at the BuiJding Division1. To conserve space on-the permit form the s(have been abbreviated2. If the item(s) to be .instailed are not covrthe abbrevlated schedules you shouid consu.ful l scne,lulesC. BUiLsIiiG DIVISiOii STAFF I.JILL FILL OUT ALL FEES CHARGES OiI TI.IE SCHEDULES0. As notei on the CAp, the label must be de.liverreiectrical contractor for signature by his elersu9ervisor. The generai contractor ii not auilto sign the electrical label.Applicant to sign ano date l,lhenever possibie, the initial application wilI bea.worksneet oniy. ijhere possible, tsu.ilding Divisicnill orepare a t-ype written copy and return it to tapplicant at the rine the actual permit is issueci f s i gna tu r.e. Fees anci Charqes Plan check i'ees are oue and payable at the time ofa-pplicauion. and no olans wiil be processed until tfees are paid. Aij other: fees and charges are due Payable when the oermit is issued. FOR OFFICE USi C:.iLY lu' ,Cd u ( Ete clrtc 1c,a! 40{,,,a_o _Lh- &t<oo <- td\i, iv Amount Recei g? AY AUIHORIZEO 5lGNATURE 5F'LTOi.IU'NAULL FIITYER5 €UGEiE OE 9"OI PROJECT CONDITIONS TO BE SATISFIED BEFORETUCCUPAIICY. rom registration with he Builder's Board because:Pe rmit appl icant exemp Additional Project Information : PLANS REViEi,JED BY: da tenamesignature t ( ( DeTg REcreveo ZoNe UNITs STORIES LEGAL DEscRrprtcN loo*."" OwNER THE coNTENTs APPRovEo By //-N" &rUS-fJoB OccupANcy GRoup Occupatrcv Lceo TYPE CoNsr OF HAVE BEEN REVIEWED, WITHALTERATIoNS INDICATED IN CoLoRED PENCIL. CHaNGesOR ALTERATIONS MADE AFTc-R DATE BELoW 5HALL BEAPPRoVED BY THE BUILoIN3 oFFICIAL. CITY OF SPRINGFIELD, OREGON [1.ArE