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Home My WebLink AboutPermit Building 1990-06-18ff-r /o s3 CITY OF SPRINGFIELD COMBI NATI ON APPLICATION/PERMIT Job Address 4 l-ega1 Descrintion I Q,5 or0cr\ Ran l,Jater Heater EIIERGY SOURCES Heat Val ue of l./ork:{Zdooo 5q. Ftg. Access.-- Sq. Ftg. 0ther__ _llewldd-A1 ter_Rep. _Fence_Demo Change/Use 0ther n ownerBr2[drj A t-O)rt^ lc-tu| -. BuilrI Fam i'l inq Perntit Info: Describe Work(v Residence tlith Attached Garaqe .e., Build SinglePhoneT(b-6$LAddress 4-lO S >4 SP.e( &rxrnv Gt^a+. cP I otCt ?aw, So< 3q Constructiin Lender I Q+xt- e@rsq) Addre s s Phone exo l res ohone no-DESIGN TEAI{name address lcs. n0. 3 El ectri cal Structura I Pri Mechani cal nhnnp nnACTORSaddres s 'I i cs. no.exot res Plumbi T EI cal ELECTR I CAL MECHAN I CAL FFF CHARGF NN FFF CHARGF NO FFF C HARGFN0. Residence of SQ. FT furnace/burner to BTU' S Each s'i'rngle fixturre New circuits alts. or extensions Floor furnace and vent Relocated tuilding (new fix- addit"imal) SERV I CES Recessed wal I SDace heater and vent S. F. Resr-dernce(l bath) Duplex (X hatlh) each Apol iance vent sF Da ra teTemporary Constructi onAddit'ional bath Stationary evap cool er in existingChange res i de ncel^later service multifamily, conrn Indrrstrial or Vent fan with sinole ductSewer Vent systern apart from heatino or A.C..amps.0fStorm Seurcl" COMH./IND. FEEDERS Mechanical exhaust hood and duct !,lood stove/heaterInstal I /al terlrel ocate distrih- feeders ?rRamps.0f f/-b.aa;z.,4 5'r*a.<lcza*z-S ISSUANCE 0F pFRl,lIT roTAL CHARGE s ,Z,y . /5.*TOTAL CHARGESTOTAL CHARGES WHERE STATE LAti REQUIRES that the Electrical work sha'll not be valiC until the label has been signed by be do an El ne by an Electrical Contractor, the electrical portion of this permit ectrical Supervisor and returned to the Building Division only subcontractors and ernployees who are in comcliance with 0l?S 701.055 will be used on this oroiect l,lAl'1E(please orint IGNATU Ci ty made any of 0reqon the Buithe pe nd effe a n tforma on reonhe S ruettticaforontandodhertceha+tpermlreb.y fyapcompp na nce ofs theaworksrmedhadanacrdanc0cewlht0rdthenedonbeandamdfuerthcertrhattperfofy w1 benrta i theto work d crlES hebed re n thaand NCt CUPAHCY0cfandLawsthefSta teofeldtherl 0e ngngSp Bu dervtDionherfurtcertthatrestrtaontvJ'l thehdiw1utrmrssonoffymygofsructurettho n th atandtha1tfthetsbasforonstednohereo055 any rd n a ORSasct ng 701 exemp exemptBoasfutrforceredrequby Flood Plain Stories Occ.y Group !q. FtS Dcro-d. b- \e -R o #h4l Y-'* Val ue 0ther r Vatue?€,eO x Val 0c cy Load lq. Const.Qa! units Sq.Ftt]. Fire Zo Ftg. l4ain xarr"ian2fu4, UATION- Zone opment 425: *Plan Ck. CoinnTInd 65%/81do Per Fee \\D.K3 Svstems DEve Charqe (1.51 Plan Ck. Res 30%/81dq Per Fee BUILDING PETqIT Charges and Surcharges Sa Fence Dgmo PLUI4BING PERMIT Charges and Surc ha rges SJdewal k A/C Pavi ng Tota'l Comb. Permi t /7{?a ELECTRICAL PERI|IT Charges and Surcha rges Curb Cut S,LZ7A HECHANICAL PERMIT Charges and Surc harges ,/r-e .29 TOTAL IIcorrect, I I coMBINATT0N AppLTCATIoN/PERMIT (CAp) I. Applicant to furnishA. Job AddressB. Legal Descriptionl. example- Tax Lot 100, Lane County Map Reference 17 03 432. eaample- Lot 1. Block 3, Znd Addition to SpiTngfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources PERMIT VALIDATION 1. 2.E. Squa exampl e- examp I e- re foota a ir gas II l. example- 1250 sq. foot house, 500 sq. foot garage?. example- if new project, check new - if addition, check add, etc.F. Building permit information:1. example - construct single family house with an attached garage 4. example - remodel existing garage into family room3. example - convert singie family residence .inlo restaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Division 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 only the No. Boxes adjaientto the appropriate item(s) to be installedB. Full 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 consutt thefull schedulesC. BUILDING DIVISION STAFF HILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the Iabel must be delivered to theelectrical contractor for signature by his electricalsupervisor. The general contractor ii not authorizedto sign the electrical Iabel.Applicant to sign and date Hhenever possible, the initial appl.ication will be used asa.worksheet on1y. Where possible, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actual 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 # l'l lso III \ebq0 IV V Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit applicant exempt,from registrat'ion with the Builder's Board because: Additional Project Information: PLANS REVIEI,JED BY: name ig nature dat e 2/)-7o