HomeMy WebLinkAboutPermit Building 1989-10-12INSPECTION L
726-37 69
NE CtTY OF SPRINGFITLD
COI1BI IIAii ON APPL ICATION/PERMIT
Job Address i5O North
l-egal Oescription 150 North l-ourth S-treet El_Crte'lea r
EIIERGY SOURCES
Ran
Hea t
tla te
Ftg. l.lain_
Ftg. Access.----
Sq. Ftg. 0ther_
-|{ew
Add AriEaml-
_Fence_Demo_C ha nge/U s e
-other----
Sq
Val ue of llork:
$62tij.AAowner iy655go rnvestrnent
ll
re l.lork (
I Garaoe
:e., Build SingleBuiltiii Far:ri ly nq Pernrit Info: Descril' Residence I'li th Attache(o!"Y<o oiEAddrcss 41t; B streeL
Diwicle e:listinr', offir-e l.lr);ir-o'i ntrr for:rS,rrincifielo OR 9747i
si nc 1c. of f i r.asrConstructi on Lender None
bal
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PhoneAddress N/A
DES I GN TEAI4 name address rcs.. no.exDr res
Primary L)orri:,an & Loftis Construction 89427 Fiil1 lic;. Sprinqfieli DAY 3q4IBZ14J _0877
Structural i$/A
El ectrical IV,/A
l"lechanical lJ,/A
PI
Genera I
rtectricatJKG El-ectric 2-57 Dcn Si:reet Syrini,fieLd 97t;'17 45,29 Ot:-'lt -9O 746--46a'c\
r.tcnanicat FIui Si'teetqetal 54,1 Conrieq ,-!treet Euc;qne 972:aZ O'7-3 L-o'O60995 344-600)-
PLUIlB I NG ELECTRI CAL MECHAN I CAL
FEE CHA,{GE NO FFF CHARG F NO FFE CI{ARGF
Each single fixture Residence of
SQ. FT
furnace/burner to
BTLI' S
Relocated building
(new fix. addi tiona l )
New circuits alts
or extensions
Floor furnace
and vent
S. F. Residence
( I bath)S ERV I CES Recessed wal I
Space heater and vent
Duplex (l bath) eachrl
Additional bath Temporary Constructi on Apol iance vent
s eDa ra te
l,later service ge in existing
dence
Chan
resi
Stati onary evap.
cool er
Sewc r multifanrily, connr. or
Industrial
Vent fan with
sinole duct
S 0f part fronrVent systenr a
heatinq or A.
coMl.t./tND. FEEDERS Mechanical exhaust
hood and duct
Insta l I /aI ter/relocate
di stri b. feeders tlood stove/heater
0f anrp s.A )----n'B/*,z €P.** 7Z:z DzZ /P
-Z/,b,BE.B-
wHtRE STATE L.lN REQUIRES that the Electrical work be done bv an Elshall not be valic untii the label has been signed uy an rieitri.ul s,
ontractor, the electrical portion of this permit
nd returned to the Building Divis.ion
ectrical Cpervisor a
ISSI'ANCF NF PFRI1IT
AL CHANGIS TOTAL CIIARGIS TOTAL CIIARGTS
"10-03-r9sI GIIATUREl,lAl'lE ( pl ease pri nt )
0reqron
the Buiany
rd
0Rs
L E fontcaedte ro t nacompDe rnrapp rehe rce tb1 onfr trma onat nfy t rue5rndarectandtc'u rther ert tha t and nerfowork sharmedfyany donebe n ca rd anc0 ce theth rd n an fce50 hetSnoer:d dan thpriI e La ws of the Sta te 0 f rta n to w0the krpeng rdes c bed nrehe an fd tha ilc OCCUPAI{wtCY beotu retruc WIs thou theL perm on o di vtDi s on fun9 ther ertc tha t t travm.y on theth ul d reregnBoafufoandrceetfecasrequred0ns7U055thatfbytbasrheexemp t fo L on nsexemp tedo reohe n th aand tonsubcontandrac torsv awhoerip0yee re n a nce twl h 701 055 d nubeU th tecproJ
DorrLran & Loftis Constructiori
Tirn Ioftis
F
Fto
F t.J
Ftg
Zone Type/Const. f744 vnits,
Fi re Zone Bed rooms Loa
S q
TOTAL VALUATI ON
x
utu{Z-//._oa
,'va lue
Group l?-? snFlood Plain _ Stories 1 Occy the r
3'lm
Acce s s
l'la i n x Value
/ ro?* /
Plan Ck, Conurr/lnd
651/8ldq Per Fee th, b3 Systems Deve
Charqe ( 1.51
opment -j1 -rZ
BUILDING PERNIT
Charges and
Surcha rges -_62-.5e_Plan Ck. Res
30%/Bldq Per Fee
FencePLUI4BING PERMIT
Charges and
Surcha rges D6rno
SidewalkILICTRICAL PERI,IIT
Charges and
Surcha rges A/C Paving Total Comb. Fernrit
Curb CutI1ECHANICAL PERHIT
Charges and
Surcha rges
-6
7,f g/-78TOTAL
J
ln rnnp nn
Ci ty
made
I al
I
ss'I
'I IIcompl
PERMIT VALIDATION
Perrni t Cl e
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COHBINATION APPLICATION/PERI'IIT (CAP)
Appl icant to furnishA. Job AddressB. Legal Description1. example- Tax Lot 100, Lane County l'lap Reference
T7-0f4'32, example- Lot 1. Block 3, ?nd Addition to
Fr'fr!-fiela EstatesC, Name, etc. of ovrner and construction lenderD. Energy Sources or lqlqc!--9i-r. s3:r sblar
1. examp'le- heat/electrjcal ceil jnq/
2. example- waterhelter/electrical/o
Square footage or valuation, etc.
II
1. 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 farnily house r.rith an
attached garage
2. example - remodel existing garage into faruily roonr
3. exanrple - convert single fanri ly residence into
restaurant (change of use)G. Value of rvork as defined in Section 303 (a) of the
Structura l Special ty CodeH. OESIGN TEAI.I AND CONTRACTORS
To avoid design or construction delays, Bui lding
0ivision Staff must, be able to contact appropriate
persons regarding design infornration or job si te
corrections, etc.
Abbreviated Plumbing, I'lechanical, & Electrical SchedulesA. Except r.rhere blank spaces occur in the description
portion of the t'lechanical and Electrical Schedules,
E
B
lhe applicant need fill-in
to the appropriate item(s)
FulI Plumbing, l'lechanica1,
only the No. Boxes adjacent
to be installed
and Electrical Schedules
]II.
IV.
are available at the Buiiding Divisionl. To conserve space on the perrnit forrn tlre schedules
have been abbreviated2. If the item(s) to be installed are not covered on
the abbreviated schedules you should consult thefull schedulesC. BU]LDING OIVISION STAFF lIILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULES0. As noted on the CAP, the]abel must be delivered to theelect4ical contractor for signature by his electrical
supervisor. The general contractor is not authorizedto sign the electricaj label,
Applicant to sign and date
Whenever possible, the initial application will be used as
a worksheet only. l,lhere possible, Building 0ivision Staffwill prepare a type written copy and return it to thi
applicant at the time the actual permit is issued for his
signature.
Fees and Charges
Plan check fees are due and payable at the time of theapplication, and no plans vrill be processed until these
fees are paid, All other fees and charges are due and
payable when the permit is issued.
V. FOR OFFICE USE ONLY
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
Permit appl icant exempt from registratjon wjth the Bu'ilder's Board because:
Additional Project Informat'ion
PLANS REV I EI^IED BY :
name LaZ.+---signature date /p //-E"st .