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Home My WebLink AboutPermit Building 1988-07-12INS 726 L INE -=.-.--.--.- CITY OF SPRINGFIELD COI{BI IIATI ON APPLI cATION/PERMIT 726-3 Job Address a ru Legal Description I'Jater Heater Ranqe. EIIERGY SOURCES: Hea t Owner Value of llork: Se, b-j) Sq. Ftg. Access._ Sg. Ftg. 0ther l.lew Add Al tEF-TAo. - _-Tence_oenro ChanqeT UseOther . Ftq. I'lain. Builciinq Perntit Info:Farnily Residence I'lith A oescii@ ttached Garage) Address a \.Phone? ?{2 €r/nO**bO)Z7ra-ts-ffu s.E Address Phone Nu tA m Structural oEl ectri cal Mechan i cal [!anE addres s I ics- no- )exD I res (phone no. ri cal I P'I 7l General nl Pt-lUrAX;1G ELECTR ICAL -7 MECHANICAL FFF C[U1RGE NO FFF l^HAAAE NO FFF CHARGF Each siagle f,ixture Residence of SQ. FT furnace/burner to BTU' s Relocated hrildinq (new fir- addr-tidal)New circuits alts. or extensions Floor furnace and vent S. F. Residrence ( l uattr)SERV ICES Recessed wal I Soace heater and vpnf Duplex ,(1 bat$! each Additional battr Temporary Constructi on Apol iance vent sepa rate Hater serwice in existingChange res i derncp Stationary evap coo l er Sewer multifamily, conrn. orIndustrial Vent fan with sinol e duct Storm Ser.en 0f Vent systern apart from heatino or A-C. COMI.I./IND. FEEDERS Mechanical exhaust hood and duct I nsta I I /a I ter/ rel ocatedistrih- fepders l'lood stove/heater 0f s ISSUANCF OF PFRIlIT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES WHERE STATf, X-AId sha l 1 not be vatr i.l u REQJIRES that the Electrical work be done byntil the label has been signed by an Electri, an E'lectrical Contractor, the ca1 Supervisor and returned to electrical portion of this permit the Buiiding Division Fire Zone Bedrooms 0ccy Load Sq. Ftg. Access x val l{Al.lE ( p1 ease print)S IGNATURE DATE ToTAL VALUATI0N_ Flood Plain S tori es iln0ccy Gro Ftg 0ther ngfield and structure wi Y IEXAM II tica foron tr)apcomp rtce 'I hat at II 'I he 1reon truesonthereb.y fy nda co rrect,aad fu rther ertc '|+tI DE fohaaandIaworkIfyny srmed Iha be'I Idone acn rdance twl hDer the 0rd nanceI ciofthes tyofeofLawsStathethSpriofteonrtnalItto0reqDCworkhecrldeshebed'Ire n thaandng NCt wlOCCUPAI,ICY I1 madebeoftthou t he s 'Ipermis on theof 'l'I Id Di svl on.Ing hefurt certr '|hat t s tIfyttra on thl,J l Buthe I'|der smyreg iany rdBoa I nI Tfu 1 fo erc and tffec a Is red ORS 0 505 tha I frequbyt the ba 'Is fors 'I n 'Iexempt s henoted reon thaand texempt n0 I rssubcontracto ndav awho 'Ire n 'II ncea twloyeesemplcomc h 0Rs 7nl 550 'lwl beI us ed on thi s ectProj Uni ts So. Ftg. t4a.ifns Val ue Val ue Plan Ck. Conrn/Ind 65%/B1do Per Fee Svstems Deve Charqe (1.51 opmeltBUILDING PERT,IIT Charges and Su rcharges Plan Ck. Res 30%/81dq Per Fee FencePLUI,IBING PERMIT Charges and Surcharges Demo Sidewal kELECTRICAL PERI1IT Charges and Surcharges A/C Paving Total Comb. Permit Curb CutI.IECHANICAL PERHIT Charges and Surcharges TOTAL tvo ft-€ 7?6-Z:ST4?Fb fan fi4ppa 4 Z%,ro7,Ld:/ry44,s<z:->*are (addrpsqLATt( naole I PYNI TPS ohone nn I IKAU IUI(5 , COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Descriptionl. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, Znd Addition toSFifngTietd EstatesC, Name, etc. of owner and construction lenderD. Energy Sources PERMIT VALIDATION 1. exampl e-2. exampl e-E. Square footag heat,/electrical cei I i r forced air qas wate ea ter.e ec ca sol ar e or vaiuati on, II. 1. example- 1250 sq. foot house, 500 sq. foot garage2. example- JF-new proJect. cheikl6wi- if d.ditio;. EIEEI-E-dd, etc. \ " F. Building permit information:1. example - construct singie family house with an attached garage2. example - remodel existing garage into family room3. example - convert single family residence intorestaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Speciaity CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriite. persons regarding design information or job sitecorrections, etc. Abbreviated Plumbing, Mechanical, & Electrlcal Schedules -A. Except where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes adjaientto the appropriate item(s) to be instal'ledB. FuIl Plumbing, Mechanical, and Electrical Schedulesare available at the Building 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 the fu lI schedu'lesC. 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 general contractor is.not authorizedto sign the electrical labelApplicant to sign and date lrlhenever possible, the initial applicat.ion will be used asa worksheet on1y. llhere possible, Building Division Staffwill prepare a type written copy and return it to theapp'licant at the time the actuai permit 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{CY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information : PLANS REVIEWED BY: name Si g nature date a