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HomeMy WebLinkAboutPermit Building 1980-12-31' SPEC 5-37 LIIi . - C I-TY c}F SPR i NGF I ELD COI1BI iIATI ON APPL ICATION/PERMIT TJl l-eqal DescriPtion <S'O Ranqe l.Jater Heater EIIERGY SOU Hea lue of t,iorkAo0 T/_ 7100 Sq. Ftg. Access._ So. Ftg. Other_ ---1{ewlfdd_AlGt[ep.-_Fence_Demo Change/Use _other--- . Ftq. l.lai E, Build single Family l'lesidence },lith Attached Garace)Addriss "1-i /ddtD\o Phone dr1,4r-'n .4?/ond .n4at m' 'u- /7&3 oofficL (;36'* Construction Lenoer $D 7 4 @ C Ptinvl arlr)^d-)n'/rr/-n -rtevlt: Pr,:n/", .Address lSOO Vo-lleq iiosZ no.)exDt res phone no.addres sDESiGN TEAI1 name CONTRACTORS Ltanq n tri ca I PI FFF CHARGF NOt',to ELECTR I CAL FEE CI!ARGE ":chanic:'l MECHAN I CALPLUI16 I IIC _ I CHARG,I Eacn st,rgle fixture t-!rfu furnace/burner to BTU. S Floor furnace and vent New ci rcui ts a'l ts or extensions Relocated building (new f ix. addit'ional ) Recessed wall Snace hpatpr and ventSERV I CESS.F. P,esidence(l bath) 0uplex (1 bath) each Apol iance vent seDa rateiiTenporary Constructi onAdditional bath Stati onar,v evap coo I er ge in existing dence C han res il,la ter serv i ce 4Vent fan with sinole duct-IIndustrial multifamily, comrn. or Sewer apart from .c. Vent systern heatinq or A0famps.Storm Sewer Mechanical exhaust hood and ductCOI,1I.l. / IND. FEEDERS [,lood stove/heaterI nsta I I /a I ter/ rel ocate distrib. feeders 0f amp s. ISSUANCF 0F PFRI{IT i '1 !';' / +,€-rTOTAL CHARGESt5"!TOTAL CHARGESTOTAL CHARGES WHERE STATE LIN REQUIRES that the Electrical work be shall not be valil until the label has been signed by an do ne E'l ec bytri an Electrical Contractor, the electrical portion of this permit cal Supervisor and returned to the Building Division S I GiJATUREllAl''lE( pl ease pri nt )€An 5s P flaroruJ fyDermi rforrne fythe pe nd effe rmatfo on ereonh s ruetncertathatandhereatnforctbyetedtULCAREFLEcompl")ap na0rdi esrrc ciofthe tyhencc0awlthancerdthasdonebedkrDEafuerrthcerttthaaandakocotrrecndnyndaf_v YPAilC'wt be madendanfthaNCOCCUdesc r b heed reworkntothdndawstheteStafoonrtaeatheL0regnclf0ngfispr theth Bu der Strastvri0nonhefu rt cer rt hat trmls0ntofheudD rn.y req ingtsturucwlreuthotf0any he nreo a nd th atnsotedthaftbasforSexemDtthe5exempctsared7ORS050requbyfunsrdBoarce0aect70tOP.S tr'l055 usbe oned th swhoreanancerhwi ProjsnubcoactorstrandCScomconempoyev Value ToTAL VALUATIoN 2.O ZA':j,(i xrVa lueFire Zone -* Bed rooms Val 7o i Ftg.0ther ne F.l Type/Const y r(J unlts I so. Fto.t,la n cy Load - Sq. Ftg. Acce Flood Plain - Stories T- 0cc.y Grou Svsteris Develooment Charqe f1.52) 'lan Ck.n '.46.-asq BUILDING PERNIT Charges and Su rcha rges : t'.l ee Plan Ck. Re 30%/Bl dq Pe srF ww,m Fence Demo Sidewalk Total Comb. I'ermitA/C Paving Curb Cut Sl+0, "13 TOTAL l,a .,ll1 ,-- -t,ta-! laJ PLUI4BING PERMIT Charges and Surcharges ILECTRICAL PERI:IT Charqes and Surcha rges IIECHANICAL PEP.HIT Charges and Surc ha rges Pri ma Structura I El ectri ca I iiechani ca I "tob Address 0wner l Inhono no'I ie < nn pYnt rFs ..;') Residence of SQ. FT. /0 ov' I COMBINAIION APPLICATION/PERMII (CAP) I. Applicant to furnishA. Job Address B. Legal Description 1. examole- Tax Lot 100, Lane County Map17T3l.:.. 2. exampje- Lot 1. Block 3, Znd Addition Springfield EstatesC. Narne, etc. of owner and construction IendeD. Energy Sources t. examole- heat/electrical ceiling/or for?. exampl-e- waterFeaiE7efEdEFJtI r soTit. square iootage or valuation, etc. PERMIT VALIDATION CITY OF SPRINGFIELD 'CirY Holl Springfield, Oregon Deportment of Public Works OFFICIAT RECEIPT No. B 55508r1. example- 1250. sq. foot house, 500 sq. t (S?. exampidiT-new project, cheik-iEw - it c-fiEEf-I-ad, etc-F. Building permit informatjon:1. examDle - construct single fami-ly house th atTacnEa garage 2 exanole - remodel existing garage .into 3. C19!91E - convert single iai'i ly-resiienr FEsTlIiFant (change of -use) G. Value of work as defined in Section 303 (a) '., Structural Speciajty CocjeH. DESIGII TEAI.I AND CONTRACTORS To avoid design or construction delays, Buil t!Division Staff must be able to contact appro :. persons regarding design information or job corrections, etc. Abbreviated Plumbing, i'lechanicai, & Electrical S, nu,A. 9xcept vhere blank spaces occur in the descr \^. oortion of the i'!echanicai and Electrical Schtthe applicant need fill-in only the No. Boxelfo the appropriate item(s) to be installed /B. Full Plumbing, Mechanical, and Electrical Scl (r. are available at the BuiJding Division1. To conserve space on the permit form the have been abbreviated /?" If the icem(s) to be installed are not co \a the abbreviated schedules you should cons.ful I scheduiesC. BUILDIIIG DIVISI0N STAFF HILL FILL OUT ALL FEE: rD CHARGES Oi,I THE SCHEDULES \ r9 R ( { II III. 0. As noted on the CAP, the label must be deliverelectricai contractor for signature by his e1eSupervisor. The general contractor .is not aut ttto sign the electrical label Applicant to sign and date l,lhenever possible, the initial application wilI bea-worksneet only. Where poss.ible, Building Divisi, ,,.will prepare a type written copy and return it to ( applicant at the time the actuai permit is issued isignature. Fees and Charges Plan check fees are due and payable at the time of ( application, and no plans will be processed until t,fees are paid. All other fees and charges are due tiupayable when the permit is issued. FOR OFFICE USE ONLY A 1( Amount Received BY (, b E 5XELtot lurl!u!! PRIiTERS SIGNATURE alcEie oR 97aol !tlt!'6 IV V Permit Clerk PROJECT CONDITIONS TO BE SATISFiED BEFORE OCCUPAIICY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information : t OE ( a { PLANS REVIEWED BY: date /2-3 /-8onamef,; Saar gna tu rtLon si I { ( { \