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Home My WebLink AboutPermit Building 1988-02-01TION L 69 NE CI-TI OF SPRTNGFIELI COMBI NATI ON APPL ICATION/PERMIT 726-37 Job Address l-egal Description 0 .2 o/l,later Heater Ranqe EIIERGY SOURCES: Hea t varue of ,t""f {qp0., Sq. Fto. l'lain_ Sq. Ftg. AcceEl- Sq. Fto. 0ther_ J,lew_Add_A1 ter_Rep. _Fence_Demo Change/Use 0ther 0wner g Permit Info: Describe tlork(i.e., Build Single Residence l,lith Attached Garaqd) Bui ldin FamilyAddress G/!-2urz-na 836r a Constructi on Addres s COql E ba v Ut5IGN I tAI.l name \ V (address I ics. no exDt res (phone no. IPnimary t nK ll\1Structura'l El ectri cal lg- ) l''lec ha n i ca I , a ddres s I ics. no.exD l res ohone no.CONTRACTORS Jlame / Genera I Pl umbi nq El ectri ca l l.lechanical ELECTR I CAL MECHAN I CALPLUI.lB I NG FFF r:HARCF NO FFFFEECHARGENO Residence of FTSQ furnace/burner to BTU' sEach single fixture New circuits alts. or extensions Floor furnace and vent Relocated bui lding (new fix. additional) SERV I CES Recessed wal l Snace heater and vpnt S.F. Residence ( I bath) Dup)ex (1 bath) each Apol iance vent seDa ra t-PTemporary Constructi onAdditional bath ge i n exi sti ng dence Chan rps i Stationary evap cool erl^later serv ice mul ti fami 1 y, Indrrstrial cornm. 0r Vent fan with sinole ductSewer Vent systern apart from heatino or A.C.-amps.0fStorm Sewer Mechanical exhaust hood and ductCOMI.I./IND. FEEDERS Instal I /al ter/re1 ocate di stri h. feeders trlood stove/heater 0f amp s. ISSUANCE OF PFRI{IT TOTAL CHARGESTOTAL CHARGESTOTAL CHARGES WHERE STATE LAtl REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this perm shall not be vali,l until the label has been signed by an Electrical Supervisor and returned to the Building Division only subcontractors and employees who are in comoliance with 0l?S 701.055 will llAtlE(please print)IGNA q{a it 0req the Bany rd the permi nd effect hat at II n'I tforma ont reonhe s'I ruetEt'II ac 'It no rfo t a donda.Derml hereb,ycompp l-) n1 nc tw.l theh I0rd sna nce Ciofthenda1awoIkrrformedpeIshabeInedoccordae tyICfu rther 1ert tha atandandcorrectfy n ath NCt ANCYOCCUP Ivvr beI made ny of n'I I thto wor dek rsc bed'I here i ndaonfrlfeIdItandLawshetheofteStaDertangSpng 1 n tvn theh IBu derI sIulIdnD1s1Incfu rther 'Iert I t oIssson'I frutctutw.l ut vreho nhereo tha iand'I noteds1ttha'I fs'I n'I Ifu forI a sa 'I ORS 7 g 0 05 51Boa exemptceredrequby that my registra s for exemption on this Droject I opmentPlan Ck. Conrn/Ind 65"/"/B1t1o Per Fee Svstems Deve charqe ( t.5z SG,soPlan Ck. Res 30%/Bldq Per Fee BUILOING PERMIT Cltarges and \Surcharges +r (s,gFence \-{I PLUi4BING PERMIT Charges and Surcha rges D6mo Zone Llni ts TOTAL VALUATION x x x. 0ther0c Val IP Const c.y Group Sq. FtS Val ue Val ueFire Zone Bedrooms 0ccy Load @ Flood Plain Stories Ftg. Access So . Ftg . t'la i Sidewal k Tota'l Comb. Permi t ELECTRICP.L PERI,IIT Charges and Surcha rges A/C Paving Curb Cut t46,st MECHAI'IICAL PERMIT Charges and Surc harges TOTAL r/ D^,,1,0 "/4J /,J ___t_ COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description 1. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, Znd Addition to SFFiiE-field EstatesC. Name, etc. of owner and construction lenderD. Energy Sources PERMIT VALIDATION 1. exampl e-2. Exffi-e- E. Square footag hea t/cei I in or forced a i WA ea e so ar ,1, e or vaiuation,etc II. 1. example- 1250 sq. foot house, 500 sq. foot garage2. example- if new project, check new - if addition, check add, etc.F. Building permit information:1. example - construct single family house with anattached 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 Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be ab'le 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 PIumbing, Mechanical, and Electrical Schedulesare available at the Building Divisioni. 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 l schedulesC. BUILDING DIVISiON STAFF t.lILL 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 Whenever possible, the initiai application will be, used asa.worksheet only. 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 /0r12 ,5(, '5D .tb.5D /L&,d- 2-(3 l5-oo n/l a"-l/-15.00III. ^(75 IV./q6,ss V Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI,ICY: Permit applicant exempt from registration with the Builder's Board because: Add'iti onal Project I nformati on : PLANS REVIEWED BY: name s i gnature date CL