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Home My WebLink AboutPermit Building 1989-08-09INSPECTION LII.IE 726-37 69 CITY OF SPRINGFIELD COI1BI NATI OI.I APPL I CATI ON/PERMIT ll 726 Job Address 6FPtC,t EIIERGY SOURCES: Hea t l'later Heater Ranqe tq. l.1ai Sq. Ftg. Access.-- So. Fto.other /4Za _l{ew_Add A1 ter_Pep. Fence Demo Chanqe/Use Vother-ZaraVcafr-zr*:--a-T<--7: E3p \/> S l-ega1 Description )t Val ue of l,lork* Oo,?VcOwner pa, AToloGl 4 oNcar,aat Assoc (*,TDr^") lo'1': 1ss E. llfl{ sr. suffe loo Phone Builciin q Pernri t I nfo: Descri be l,lork ( Residence lii th Attached GaraqeFami 1y :e., Build Single Construction Lender A, Addres s Phone , DES I GN TEAI.!name address I ics . no.exoi res )phone no. Pri ma 9.s Structura I El ectri cal l"lechani ca I name address Iics. no.)exDt res (phone no. ) I I umbi n uecnanicat HA&VEY e ?kP€ Co P LUI.1B I NG ELECTR I CAL MECHAN I CAL N0.FEE CHARGF NN FFF THAAGF NO FFF C}1ARGF /2 Each single fixture 2*7a*Residence of sQ FT furnace/burner to BTLI' s Relocated buildinq (new fix. additional )a-.'-New ci rcui ts al ts.or extensions.2DZ -ZaB€-??5. Fl oor furnace and vent S. F, Residence(l bath)SERV I CES L. Recessed wal I Soace heater and vent Duplex (l bath) each €rzrrrz hzzto,'.73 6 Additional bath Temporary Construct jon Apol iance vent seoa ra te l^later servi ce Change in existing res i dence Stati onary evao cool er Sewer multifamily, comr. or Indust-ria I 2 Vent fan with sinole duct -(2. Storm Sewer Vent systern apart from heatinq or A.C. COMI.1. / I ND. FEEDERS Mechanical exhaust hood and duct I n sta 1 I /a I ter/ rel oca tedistrih. fcedprs Hood stove/heater 0f ,/2o s./s- A i&-.,4.o-z*..ft .< lt /zz.-72- Vr.,F./> 4 {/4v22-a7.ISSUANCF OF PFRIlIT TOTAL CHARGES 72.-rorAL cHARGES ZZ.Sa f/-ge TOTAL CHARGES &rY,/,f-" UHERE STATE Lrl,l REQUIRES that the Electrical work be done by an ElectrishalI not be vali'l untiI the label has been signed by an Electrical supervi cal Contractor, the electrical portion of this perrrrit sor and returned to the Building Division U AVE CARE the comp I et ed ap !')cat on oermit, and do hereb.v certi that al I inf rmation hereon is trueandc0 rrec t a nd I fu rthe r cer t 'I fy tha L any and all work oerformed shall beof 0reoon pertaining to the work dof the Buildinq Division. I furthe done 1 n accor da nc e wt t h the 0 rd 'I n ances o f the c 'I ty0fSori ngfi any stru ard is inly subcon e I d a nd the Laws of the St the permiss and effect as ta t e s c r I bed herei n a nd th a t il 0 cc UP,ANCY w1 I I be ma deocturewtthou10nrcertifythatrnyreqr's +F'a t t 0 n t.Jr t h th e u i I d e r SBofuIIforcereclu'I red by 0 D(0 nc 5 tha t '|f ex emp L th e ba s 'I s f,o r CX emp t '|0n l s her eo n a nd th dLtractorsdIonanefnpoyeeswhoreIncomcIancewlthOPS70i055wlIIbeusedonth,]s ro.j e I'lAt'lE (pl ease pri nt IGiIA DATE 7m"=4.%._typelCon Fire Zone Bedrooms st.fr)&54tnits tq l'lai n x Val ue ccy Load Sq. Ftg Access Val ue Flood Plain Stories4tVjztrzf, Occy Group 7-2_ Sq. Ftg. 0 ther.Val ue4V2.4 TOTAL VALUATION BUILDING PERNIT Charges and Surcharges 8-e Plan Ck. Conrn/Ind 65%/81do Ppr Fep s terns opment rge l. 51 /2,ta,25-Pian Ck. Res 30%/BIdq Per Fee I PLUI'4BING PERMIT Charges and Su rcha rges OE 9a Fence D6mo ELECTRICT.L PERI|IT Charges and S u.rcha rges Sidewalk A/C Paving Total Comb. Permit SolzoNiCiIAIIICAL PERMIT Charges and Surc ha rges /,?'4-/-2:----ar./? Curb Cut TOTAL /7/z-.89 :IoRS Erectricqr JI@ btXot. CoNTRApfaA 0f amps I COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Lega l Description1. gggP_lg: Tax Lot 100, Lane County Map Reference 17 03 43?. example- Lot l. Block 3, ?nd Addition toSpringfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources l. example- heat/electrical ceilino/ot. exampte- waterheater/electrjcal/orL. Square footage or valuat.ion, etc.1. example- 1250 sq. foot house, 5002. example- TI-new project, check-new check add, etc. r lolced air gas t.T. ".- sq. foot garage - if addition, II III. IV F. Building permit information:l. example - construct single family house with anattached garage ?. 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, BuildingDivision Staff must be able to contact appropr.iitepersons 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 adjaient - to the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedulesare available at the Buitding Divis.ion1. 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 l^JILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the labei must be delivered to theelectricai contractor for signature by his electricalsupervisor. The general contractor is not authorizedto sign the electrical labelAppiicant to sign and date Whenever possible, the initial application will be used asa.worksheet only. Where possible, Bui lding Division Staffwill prepare a type written copy and returi it to theapplicant at the time the actual perm.it is issued for hissignature. 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. AII other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY PERMIT VALIDATION Permi t Cl er 5n CJ \ \qt1 PROJECT CONDITIONS TO BE SATiSFIED BEFORE OCCUPAIICY: Permit appf icant exempt from registration with the Builder's Board because: Additional Project information : PLANS REVIEWED BY: name €.',_s i gnatu a'a2, da te