HomeMy WebLinkAboutPermit Sidewalk 1989-05-18L r? Legal Description Job Address Sq.'Ftg. Access.- Sq Value of l,lork: 4>-> Owner 6,qn.-rr-.5...e- Suild SingleIoDes chedFarniI fz.zp co*t*.fron Lender / \0 --V7-- Addre s s Phone Struc tura l Pri ma E l ectri cal Mechani cal Iicq- no-exDt resadd res sn ame.OI'ITRACTORS MECHAN I CALELECTRI CALPLUI{B I NG furnace/burner to BTU' S Residence of FTSQEach single fixture Floor furnace and ventNew circuits alts. or extensions Relocated building (new fix. additional ) Recessed wal I Soace heater and ventSERV I CESS. F. Residence ( I bath) Duplex (1 bath) each Apol iance vent seoa rateTemporary Constructi onAdditional bath Stationary evap. coo l erChange in existing resi dencel.later servi ce Vent fan with sinqle ductmultifamiIy, conrn I ndustri a'l or Sewer Vent systern aPart from heatino or A.C.0fStorm Sewer Mechanical exhaust hood and ductCOMI.I./IND. FEEDERS llood stove/heaterI nsta l I /a'l ter/rel ocate di ctrih- feeders 0f s. ISSUANCT 0F pFRtlIT L1!l bytriQU'it SHARGE ,AL CTOTESCHARGALTOT,ESCHARGALTOT,of sthi teectrIcaI1on'I 1a ntraCo ctor het port permidoneEecctrian1cabew0rktriEIecthetthaRESII,JH STATEERE RE vl 0n1BuIIdiDisandortoreturnedngthecSuIrvtsEecIpeans'I nedIbeahasI bybeentheha5IItnoVAbe1Iucnts l.lAt''lE ( pl ease pr j nt) Fttt Fto Ftg Fire Zone 0therFlood Plain Stories. TOTAL VALUAT DATEI Zone Bed rooms 'lu e Acce cq 1 st. Uni ts Value Ci ty made perm ffect f exemp .055 wi s trueonlhereonn'|rt tha t acehedodtanfyreb.yctao,l forn permeted.I Y comp pp ofnances the0rdihetthcewlIhaIaccordanIndonebe'I w01 perk srformedrIthandaataIndfurthecertanyndarrec tco fy Y vfl I'I ben'|NO OCCUPAHCtthaanddesbedcr1rehe,|rta nt theto workofhettaSofteng'|f I andd Lawsthe DE0regonSofn9pri Bu 1'I der Sthets tra onI thvr1cerr1tthatdDi1sonhem.y reg iIfurt'I Iss ofon th uB 1 '|1 fyn9turucWIretthouethtsaofny tha tand0n1sItednohereontbassIforthethaIt0557exemptred10Rs01sa'I fun 'II andforce bye1Boardsrequ ed th0n s'I ect'I I u roJpbe701IInceathwi011sreawho'Iand s comp10nsuontractorsbcoyeeempv l'la i n Group Sq Load opmentSvstems Deve Charqe (1.5%Plan Ck. Conrn/lnd 65%/Bldo Per Fee Plan Ck. Res 30%/Bldq Per Fee BUILDING PERNIT Charges and Su rcharges Fence D0mo PLUt,lBING PERMIT Charges and Surcha rges Sldewal k Tota'l Comb. PermitA/C Paving ELECTRICAL PERi,IIT Charges and Surcharges <'4 eCurbCut<?4 c>2>32TOTAL COMBI L EIIERGY SOURCES Hea t l,later Heater Ran . Ftg. --22 lnpxnl rps( addres sDE5I GN I LAI.I ( name NECHANICAL PERMIT Charges and Surc ha rge s COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Descriptionl. example- Tax Lot 100, Lane County Map ReferenceIf05-432. example- Lot l. Block 3, Znd Addition toSfiiiffiield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources PERMIT VALIDATION I air gas 2E. Squa II l. example- 1250 sq. foot house, 500 sq. foot garage2. exa;pie- JT-new'project, cheik-i-ew - if additio;, check add, etc.F. Building permit information:1. example - construct single family house with an attached garage2. example - remodel existing garage into family room3. exampTe - convert single iaiily-residence inioEtIFant (change of-use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. OESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Build.ingDivision Staff must be able to contact appropriitepersons regarding design information or job sitecorrections, etc. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fill-in oniy the No. Boxes adjaientto the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedu'lesare available at the Building Divisionl. 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 thefull 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 electricaisupervisor. The general contractor is not authorizedto sign the eiectrical label. Applicant to sign and date l,lhenever possib]e, the initial application will be used asa.worksheet only. Where possible, Building 0ivis.ion Staffwill prepare a type written copy and return it to theapplicant at the time the actual perm.it is issued for his s i gna ture. 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 III IV V Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI,ICY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information : PLANS REVIEWED BY: name s'l g nature date A E'=:_ =.----.--._--- ON LINE COHBI APPL I CAT I .lcb Address l-eqal Description Ran Hea tEIIERGY SOURCES: Sq. Ftg. 0ther -llew Add Alter tlep. -Feni6 D6ilo Chl-nge/Use -0ther- sAcces Sq 5q Fto Va1ue. of tlork a:* Owner F-€ax' n9 escri be !ilo Fami 1 nAddress?Phone Constructi on Lender \0 Addre s s Pri ma Struc tura I Electrical Mechani ca I n E'l ect hanic MECHANICALELECTRICALPLUI{B I NG furnace/burner to BTLI' S Residence of FTSQ Floor furnace and ventNew circuits alts or extensions Relocated building (new fix. additional ) Recessed wal I sna.e heater and ventSERV I CESS.F. Residence(t uath) Duplex (l bath) each Appl iance vent <FDarateTemporary Constructi onAdditional bath Stationary evap cool erge in existing dence Chan resil"later servi ce Vent fan with sinole ductI ndrrst-ri a 1 multifamily, comm. or Sewer apart from .c. Vent system heatino or A0fStorm Sewer Mechanical exhaust hood and ductCOMH./IND. FEEDERS llood stove/heaterI n sta I I /a I ter/ re1 ocate distrib. feeders 0f ISSUANCE OF PFRTIIT TOTAL CHARGESTOTAL CHARGES S I GNATURTI'lAtlE(please print)DATE 0regon the Buiperm ffectof any Boa rd s trueIa11onformatrtce'I thatheredoandtb.y fytcaoIfornItedepermXAMNIEDap r)I comp of cthe thetnances tyOrdicordanceacthwlsIha'I ne'Idonbe'Ia WO1 rk rformed1hattndDEandaftrthUrecertanyIndarreccotfy Y wl 'II madebet0cCUPANC'NOnhereiandthatheworkdcrlesbed'Irta tonlngtheofStetaofDEIfIanddLawstheofngSpr i Bu '| 1 r sde5'I ttra onI th1,, I the1tthaonv1fuherrtcertregm.yIdi'I Di s fyss1onIon9ruttucw1retthouthes hereon a tha tndtonIsInotedbassIrfoItftheexempthaxempt1ORS701055redassIn1IfuforceIeandrequbytnS1705051wtbe'I used proj ec1 'I cean thwl 0Rs 1Iawho'Ire nontrac tors and comp10nsubcempoyeesv electrical portion of this permit the Building Divisionrk be done by an'Electrical Contractor, the by an Electrical Supervisor and returned toLll,l REQUIRES that the Electric 'I i'l unti I the Iabel has been si al wo gned TOTAL CHARGES WHERE STATE shall not be va Fire Zone Bedrooms - 0ccy Load - -- Sq. ts Ftg . l4a i Group -Sq' FtS . Other '| Flood Plain S tori es luenst. UniZone ToTAL VALUATI0N_-- Ftg.Access - - x Value- tems 51,Pl an Ck. Conrn,/ Ind 65%/8ldq Per Fee Plan Ck. Res 30%/Bldq Per Fee BUILDING PERI.IIT Ctrarges and Surcharges Fence DEmo PLUI4BING PERMIT Charges and Surcha rges SldewaIk Total Comb. PermitA/C Paving ELECTRICP.L PENt!IT Charges and Surcha rges ?,-7 d" <) ,/.curb cut <?4:e32TOTAL NECHANICAL PERMIT Charges and Surc ha rge s l,later lleater-.--- n (lics. no.( a ddres sCNNTRACTORS rrr auaonFNN Each single fixture th COMBINATION APPLI CATION/PERMIT ( CAP ) Applicant to furnishA. Job AddressB. Legal Descriptionl. example- Tax Lot 100, Lane County Map Reference17ITlf32. elgmple- Lot l. Block 3, 2nd Addition toSEffiETield EstaresC. Name, etc. of owner and construction IenderD. Energy Sources I .ITY OF SPRINGFIELD t CltY Hall Sprlngfield, Oregon Otlice ol Community and Economic Development OFF]CIAL RECEIPT 'r4590 19 From ived For: Q. 2' examD'le- examp I e- ET66::tas Address forced air gi 2. E. Squa 2. example- , examol e- check addF. Buildi ng perm e or valuation, foot house,500 projec t, check new or soTar sq. foot garagt - if addition, hea t/e I tri ca wate 1250 sqif new examp l e a ttached 2 example - example - res tauran 3. G. Value of work t (change of as defined Structural Specialty Code , etc.it information:- construct single family house with an garage remodel existing garage into family roc convert sin le f,amily residence into C'O 1 I use in Section 303 (a) of the DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, BuildingDivision Staff must be able to contact appropriitepersons 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 Eiectrical Schedujes,the applicant need fill-in only the No. Boxes adjaiento the appropriate item(s) to be installedB. Ful I Plumbing, l"lechanical, and Electrical Schedulesare available at the Build.ing Divisionl. To conserve space on the permit form the schedule. 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 tlelectrical contractor for signature by his electricalsupervisor. The general coniractor ii not authorizedto sign the electrical labelIII. Applicant to sign and date llhenever possible, the initiai application wjll be used asa.worksheet only. l.lhere possible, Building 0ivision Staffwill.prepare a type written copy and returi it to theapplicant at the time the actual permit is issued for hissignature.IV. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans wiil-be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is issued. V. FOR OFFICE USE ONLY H Amounl Received 37a-o BY I SIG FlAffthf eusrru;ss FoBMs. rNc. 15031342-8149 r587i Permi t Cl erk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI,ICY: Permit applicant exempt from registration with the Builder's Board because Additional Project Information : PLANS REVIEWED BY: name s1 date I ^ g-A-=g nature r,fffz6/6