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Home My WebLink AboutPermit Building 1988-01-22I NSPECT I ON 726-37 69 CITY OF SPRINGFIELD COHBI NATI ON APPLICATION/PERMIT Job Address 2 c6n Legal Description tlater Heater EIIERGY SOURCES Heat owner/ .7 4V SfZ.ooFzg42, Val ue*z of tlork:26.o" Sq. Ftg. Access._ Sq. Ftg. 0ther_ _llew_Add-AlIer-][EEI_ _Fence_Demo_C ha n gel Us e -other- n ^ddressFa4€f €ZZ?)zthone nq Permit Info: Describe Work(' Residence l.lith Attached Garaqe Bui I cii FamiIy ..e., Build Single ru€s7-7^,v 4,,-- O..SPr<b. - DR. Construction Lender 4 7?- 3,a. l*R.. ,/.s (=-xe- 5%,e UN N 0 G/, dor Addre s s Phone DES I GN TEAI.I name ( addre s s exD l res ohone no. Pri ma Q\(. l)o(tStructura l El ectri ca l Mec han i ca I CONTRACTORS name addres s lics. no-)pYn I rpq ohone no. IPt Genera I EI ectri ca'l I'lechani cal PLUI4BI NG ELECTRI CAL I'lECHAN ICAL FFF CHARGF NO FFF CHARGF NO FFF CHARGF Each single fixture Res idence of FTSQ furnace/burner to BTU' s Relocated buildinq (new fix. additional) New circuits alts or extensions Floor furnace and vent S. F. Residence(l hath)SERV I CES Recessed walI SDace heater and vent Duplex (1 bath) each Additional bath Temporary Constructi on Apol iance vent sPDa rate [,later servi ce Change in existing rpsi dpnnp Stationary evap. cool er multifamily, comm. or IndusfrialSewer Vent fan with sinole duct Storm Sewer 0f amps.Vent systern apart from heatino or A.C. COMI.I./IND. FEEDERS Mechanical exhaust hood and duct Insta l I /al ter/rel ocate di ctri h fppdprs tJood stove/heater 0f ISSUANCF OF PFRI{IT TOTAL CHARGESTOTAL CHARGES TOTAL CHARGES WHERE STATE LAI.I shall not be valiC I REQUIRES that the Electnical work be done by an Electrical Contractor, the electrical portion of this permit until the label has been signed by an Electrical Supervisor and returned to the Building Division and correct, and I further certify that any and all work performed shall be done in accordance with the 0rdinances of the Cityof Springfield and the Laws of the State of Oregon oertaining to the work described herein, and that N0 0CCUPAI,ICY will be madeof any structure without the permission of the Building Division. I Board is in full force and effect as required by ORS 701.055, that if only subcontractors and employees who are in comc1iance with 0l?S 701. TE(€E.J o ol.lAl'lE ( p1 ease pri n S IGNA t,-/tr*.,-- S[. n s truermatonhereb.y cert that aapprcaton the Builder's hereon, and that cfurt he r '|ert S1 0ntra ti thv|latfyregm.y 'It 10n stheba I be 'Ith ec tproj t,the comp Flood Plain Stories 0cc.y Group Sq Ftg Ftg Ftg x I I Load Con st.ts SoZone TOTAL VALUATION ValueFire Zone Bedrooms. l4ain Access 0ther Plan Ck. Corm/Ind 65%/B'ldo Per Fee ,vsterns Deve' :ha rqe (1 . 57' opmentBUILDING PERI'1IT Charges and Su rcharges _ua_k_Plan Ck. Res 30%/81dq Per Fee FencePLUI4BING PERMIT Charges and Surcha rges D6mo Sidewal kELECTRICAL PERI|IT Charges and Surcha rges A/C Paving Tota'l Comb. Permi t Curb Cut la ftvI,IECHANICAL PER},IIT Charges and Surcharges Z<ZZ aP/yEZ rcrN,aFA77, / \r----r ...- COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description1. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, 2nd Addition to S[nT-g'Fi e ld EstatesC. Name, etc. of'owner and construction lenderD. Energy SourcesI. exampl e- heat/el ectrical cei I inq/2. exa;El-e- water6Ea tGF/GTEETiI ca-l7oE. Square footage or valuation,-eTI- or forced air gasr soiar l. example- 1250 sq. foot house, 500 sq. foot garage2. erdmpie- ifl-ew project, ctreir-i-ew - it aOOition, check add, etc.F. Building permit information:1. example - construct singie family house with anattached garage ?. examp]e - 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 desigr Division Staff n or construction delays, Building must be able to contact a pj propri ate ob sitepersons regarding design information orcorrections, etc.II.Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechan'icai 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 Buiiding 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 consult theful I schedulesC. BUILDING DIVISION STAFF WILL 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 ii not authorizedto sign the electrical iabel.Applicant to sign and date Whenever possible, the initial appl.ication will be. used asa.worksheet only. Hhere possible, Building D.ivision Staffwill prepare a type written copy and returi it to theapplicant at the time the actual permit is issued for hissignature. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans w.iil be processed until thesetees are paid. All other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY III IV Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI,ICY: Permit applicant exempt from registration with the Builder's Board because: Additional Project information : PLANS REVIEWED BY: name s1 gna ture date /^ 2 >-8.B. \ PERMIT VALIDATION