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Home My WebLink AboutPermit Mechanical 1989-09-20I NSPEC 725-37 T Ct)I,IB I APPL I CAII ERMIT 726- 2e7,33Lega1 Description Job Address Hea EIIERGY SOURCES Ranqe l,later []eater Sq. Ftg. Access.--_- Sq. Ftg.in.- Val ue of l,lork: -r4Qfrff>-<_ PhoneAdd r css z-D f.e- Auild Single )Fami l y Res i dence lli th Att4Xe!,-G!rq-g r e ,/rrsry<.-BDFM=,t%s711b?fL.z,,DB-ffi s N N N Ad clre s s Phone ohone no,lics.-no.exn i resaddressnanreD[SIGN TEAM Pri ma ry Struc tura I Electrical l'lec ha n i ca I exD I rps ohone no, )add res s (lics. no.)nameCONTRACTORS Genera I l,lecha n i ca I Electrical Pl umbi n MECHAN I CAL / ELECTR I CALPLUIlB I NG r lla pli FNOFFFFFFCIIARGENOC TIARGENO /316,* -FIL- z furnace/burner tofuZ__attt's/2 zra.z> Each single fixture Fldor furnace and vent Rel ocated bui 1 ding (new fix. additional) Res idence of SQ. FT New ci rcui ts al ls or extensions Recessed wal I Snacp hpatpr and vpntS ERV I CES S. F. Res i dence ( I bath) Duplex (1 bath) each Apol iance vent seDa ra teTemporary ConstructionAdditional bath Stati onar_v evap coo l er ge in existing dence Chan res i[.later servi ce multifamily, Tndrrs,trial comrn. or Vent fan with sinole ductSewer Vent systern apart from heatino or A.C.anps.0fStorm Sewer Mechan'ical exhaust hood and duct-COMI,I./IND. FEEDERS Instal l /al ter/rel ocate d'i<trih- fpeders l'lood stove/heater <54BF^rz-zrz0f___ amp s. ISSUANCF OF PFRIIIT TorAL CHARGE tQqt"-TOTAL CHARGESTOTAL CHARGES I^IIIERE STATE LItl REQUIRES that tlte Electrical work be done by a shall not be vali'l until the Iabel has been signed by an Electrica nI ]S lectrical Contractor, the electrical portion of this permit upervisor and returned to the Building Division and correct, and I further certify that any and all workof Sprinofield and the Laws of the State of Oreoon nerta of any structure without the permission of the Building Board is in full force and effect as required by ORS 701 only subcontractors and employees trho are in comcliance r,rAr'rE(please pr;*) /fiaf /4s./hat,/S rrerformed shall be done in accordance with the 0rdinances of the City ininq to the work described herein, and that l,l0 0CCUPAI,ICY wil I be made Division. I further cert .055, that if exempt the wi th 0l?S 7nl .055 r,ri l)- be{l/ stGttATtlRE 0h'14 the Builder's hereon, and that omrT'2o -7/ I HAVE CAREFULLY EXAIIINED the comple onapplcat rpe t, and do hereby certif,y that all information hereon is true ify that m.y reoistration vtith basis for exemption is noted used on this nro.ject. e/Const. Units Sq.Ft0. l'lain x Val Sq Flood Plain Stori es TOTAL VALUATION Rarl rooms 0 .0ther Val ue cc.y Group Sq. FtS Fire Zone Zone Value 0ccy Load Ft!. Access Plan Ck. Corm/Ind 65%/111do Per Fee BUILDiNG PERI'IIT Charges and Surcha rges Plan Ck. Res 30%/Bldq Per Fee FencePLUi4BING PERMIT Charges and Surcha rge s Dgmo Sidewalk A/C Pavi ng Tota'l Comb. Permi t ELECTRiCAL PERI1IT Charges and Surcha rges Curb Cut 2^>oT,IECHANICAL PERMIT Charges and Surc ha rges 162 22 TOTAL t Owner ff2;-72,;=7y /c:-4 /* 5vster,ls ueve loDment Charqe (1.57")' COMBINATION APPLICATION/PERMIT (CAP) Applicant to furnishA. Job AddressB. Legal Description l. example- Tax Lot 100, Lane County Map Reference 17 03 43 2. example- Lot 1. BIock 3, 2nd Addition toSFifilTieta EstatesC. Name, etc. of owner and construction IenderD. Energy Sources l. exampl e- heat/2. example- water E. Square footage or ical cei I forced air qas r or solar valuat on,1. example- 1250 sq. foot house, 500 sq. foot garage ?. example- if new project, check new - if addition, ElecR-add, etc.F. Building permit information:1. example - construct single family house with an attached garage 2. example - remodel existing garage into family room 3. example - convert single family residence into restaurant (change of use)G. Value of work as defined in Section 303 (a) of the Structural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Bui lding Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc.II. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the applicant need fil'l-in only the No. Boxes adjacent to the appropriate item(s) to be installed B. Ful'l Plumbing, Mechanical, and Electrical Schedules are available at the Building Division 1. To conserve space on the permit fonn the schedules have been abbreviated2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult the ful I schedulesC. BUILDING DIVISION STAFF HILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES D. As noted on the CAP, the label must be delivered to the electrical contractor for signature by his electrical supervisor. The general contractor is not authorized to sign the electrical label.III. Applicant to sign and date Whenever possible, the initial application wjll be used as a worksheet on1y. Where possible, Building Division Staff will prepare a type written copy and return it to the applicant at the time the actual permit is issued for his s i gna ture.IV. Fees and Charges Plan check fees are due and payable at the time of the application, and no plans will be proccssed until these fees are paid. All other fees and charges are due and payable when the permit is issued. V. FOR OFFICE USE ONLY PERMIT VALIDATION E.n'ftru€7/ -21-2P fi57ffi a2--c-82/a Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Perm1t appl icant exempt from registration r^lith the Builder's Board because: Additional Proiect Informatjon: PLANS REVIEWED BY: name s i gnatu date -=, VINSPECTION LINE 726-37 69 CITY OF SPRINGFIELD COMBI NATI ON APPLICATION/PERMIT 7?6-3753 Job Address (, tl S SC=...SZ EIIERGY SOURCES:Heat ( sx}t'tn L Ar'AC l'later Heater Ra Val utr.of l,lork: 1' .18 ) .S-'Srf Sq. Fto. l'1ain_ Sq. Ftg. Access.-- Sq. Ftq. other l,tew AddkAl tEF--neo. - _]ence_OEilb Chai'ge/Use -other- oq.-s Ke [-I Legal Description T owner \ R>e{ . ZrJ c. Address- 7 n Sec,ot'.N €.-J (r.Phone t Info Fami l e., Build Single-7V6:7G-7-- 6-x-J-6: F) oFFrcg:s o y'sp h7, o. Qoncse: Construction Lender rt.:DS=SEF )q s-< Addres s Phone DES I GN TEAI4 name addre s s I CS - nO -exn i res ohone no. Pri e-t Structura I El ectri cal -la L. -\.t."^ i oo -) l4echanical ,) n ante addres s'tcs. no.exD l res (ohone no. General -i l-,. J"-lQ{'rn 1 66 - P l umbi nq El ectrical '-7-b PLUI{B I NG ELECTR I CAL MECHAN I CAL N0.FFF CHARGF NO FFF THAAGF I'10 FFF NHARGF 2 Each single fixture 7*/f*Res idence of SQ FT furnace/burner to BTLI' s Relocated building (new fix. additional ) New circuits alts. or extensi ont,..- V Floor furnace and vent S. F. Residence ( I uattr)SERV I C ES Recessed wal l Snacp hpafpr and vent Duplex (1 bath) each Additional bath Temporary Construction Apol iance vent seDa rate tlater service C han rps i ge in existing dencc Stati onar,v evap cool er Sewer multifami 1y, comm. or Tndrrctria l Vent fan with sinole duct- Storm Sewer 0f s Vent systern a heatinq or A. part from C. 6nt.ttuo. FEEDERS Mechanical exhaust hood and duct \f lRs'rw rr r.J InstaI I /aI ter/rel ocatedistrih- feeders !'lood stove/heater I La,v /ra t L.ff I 0f c 4.6 J.- "4 Dtzi*yarc 7",7a +d z '#rrzrr,rs,7&,ts.z2 *>/ ISSUANCE OF PFRI{IT TOTAL CHARGES t {*aL?C TOTAL CHARGES TOTAL CHARGES WHERE STATE Li\I.Jshall not be valiC u REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this perm.itntil the label has been signed by an Electricai Supervisor and returned to the Building Division I HAVE CAREFULLY EXAI{INED the completed and correct, and I further certify that anyof Springfield and the Laws of the State of apolication for oe and al I work perfo rmit, and do hereb,y certify that all information hereon is true rmed shall be done in accordance with the 0rdinances of the Ci ty madeof any Board i 0regon the Bui pertaining to the work described herein, and that NC 0CCUPANCY will bestructure without the permission of lding Division. I further certify that my reqistration vrith the Builder'ss in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted hereon, and thatonly subcontractors and employees who are in comcliance with 0l?S 701 055 will be used on this roj ect tlAl.lE(please print) -ll 27, KaJ€l S i 6-Y S I GNATURE TE : USE ONL' Zone /LZ oe/Const*/r1fr Un its So. Ft g. l'lain x va I ue- Val ueFire Zone Bedrooms Load 5q Fta. Access x Flood Plain Stories 2 Group V-2- s q. Fts. otn""VW /r@zzryu tue /2 c*-* Qri+ * 1354t Lx,z-- rorAL vALUATIoN- BUILDING PERI'.IIT Charges and Surcharges 7a ->4 Plan Ck. Conrn/Ind 65%/81dq Per Fee t5+.71 /^7s Svs cha tems Deverqe (1. sZ opment Plan Ck. Res 30%/Bldo Per Fee PLUI4BING PERMIT Charges and Surcha rges ea -?f, Fence Demo ELECTRICAL PERI,IIT Charges and Surcharges Sidewal k A/C Pavi ng Curb Cut Total Comb. Permit I,IECHANICAL PERMIT Charges and Surc harges TOTAL 2616{ :TORS l.lechani ca l I l- - \t-rl- coMBINATT0N AppLICATT0N/pERMrT (CAp) I. Applicant to furnishA. Job AddressB. Legal Descriptionl. example- Tax Lot 100, Lane County Map Reference 17 03 43?. example- Lot 1. Block 3, 2nd Addition to SFF1nlField EstaresC. Name, etc. of owner and construction lenderD. Energy Sources 1. example- heat/electrical ceiling/o2. eiamEl-e- waterhei-tEiTEEETFici-l7orE, Square footage or valuation, etc. - r forced air gas soTar II l. example- 1250 sq. foot house, 500 sq. foot garage2. example- if new project, check new - if addition, check add, etc.F. Building permit information:l. example - construct single family house with an attached garage ?, example - remodel existing garage into family room3. examEle - convert single iamily-residence inio 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 appropriate persons 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 adjacentto the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedules are 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 theful I schedulesC. BUILDING DIVISION STAFF l.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 electricaisupervisor, The general contractor .is not authorizedto sign the electrical label. Applicant to sign and date l,Jhenever possible, the initiai appl.ication wil'l be, used asa worksheet only. l,lhere possible, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actuai perm.it is issued for hissignature, Fees and Charges PIan 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 VALIDATION Perm'i t Cl erk D PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: c Perm'it applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: name si date /-?/-ggnature n) -A \M I t C\