HomeMy WebLinkAboutPermit Building 1989-05-2303 351/
f-egal 0escription 74t *
.ll Lt,,i
37i3TI
Ran
IY
ION APPL I
Job Address 9Z
tlater l.leater
S.L?EET
PtcT 1oil L lilt
-37 69 c0rlB I
U
PERH I T
EIIERGY SOUNCES
Hea t
f llorkYt,
. rtg. Acce--
. Ftq. 0ther
So
!q
Sq
IE--TeD. -llel Add Al
_Change/Use
. Ftg. ,.iain
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rY
Arld rc s s
Owner
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rk
F Ga
lles crt ng ernto:t n
i dence l/i
'n<///Gr/[Lo
OR 9U7 z 'E uc E4_71/<E ZnT "ft)t?Construction Lender f87c,t!,1/ J?O/$?68
.\ddress Phonc
DISIGN TIAII ,latne address lics. no. )X
C ON T RACTOR 5 ll (lnle address (ics. ne-) (exoires ohone no- )
at ELl 4,
PLUIIB I IIG
E LECTR I CAL
Each sinqle fixture Res idence of
SQ. FT
furnace/burner to
BTLl' s
Relocated bui ldinq
(new fix. additional)New circuits altsor extens ions
Floor furnace
and vent
I
S. F Pes den ce
SIRVICES Recessed wal I
0uplex (l bath) each
Additiona l bath Ternporary Construc t j On Apol iance vent
llater service Chan in existine ta t i ona r-v evao
Sewer nrul ti f ami ly, conrrn or an $ri tht
torm Ser.rer 0f t
t
systern apartVen rom
n r
c014il./IND. FTEDERS hanical st
lns ta I I /al ter/rel ocate t'lood stove/heater
0f s.
ISSUAIICF OF PFRIIIT
TOTAL CHARGTS 2?-e TOTAL CHARGES TOTAL CIIARGES
UHEnE STATE Lllt REQUInES that ttre Elshal I not be va l i J unti I tha label has b
ectrical work be done by an Electrical
een siqned by an Electrical Supervisor
Contractor, the electrical portion of this permit
and returned to the Building Division
sIGilA 97
It E LLU il tD the e ed tCA noconrpa p!-,DCfor trnr i and do rtcehe reL..v tha d fornran ont-v nhereo etrunadcorcreandfuthrreerhanat./oand oerk for rmed hafyvs tre done an nceccorda thwl t he 0rd ona nces the cro tyDfedcndaethn9l^rSLa fo eth taS ote on0reo r nDEta n to rk!the wo crdes be d nhere a thand lr0t UPAI{0cc t{lCY madebeforUtcareUwlthounyhetrmsopenoutheud0sonurtnqrheectrhattrasonhfymyreqvrtButhedersrdBoanSfocendaUeecasUrreqed0ns0lbyhebassorexemDtonno tes hed nddreon ha tnobcSUnrvctorandwhoeesaerxpoyrecomcnncawieth0nsbeUSedonhDsecro.i
rrAirE(please print) Z/.4uae
Y
F ttt
Fto
Ftg
TOTAL VALUATIOII
I
S rl0ccY Group
x Val
Access x VaInrno"Mro,ue 6rre.*
Sq
Zone
Bed rooms
TyoelCons t ni ts So l'la i n
F i re Zone Occy Load
Flood Plain---stories
Plan Ck nd e 1.5r.
VCtems
rqe
opnren t 2
FeeB
an Ck. Res
Fence *.o
BUILDIIIG PERIIIT
Charges anC
Su rc ha rge s
PLUI4B ING PERMI T
Charges and
Surcha rqes
___2q=7_
/-n"Demo
Sidewalk I ?*TLICIRICAL PIRIlIT
Charqes and
Surcha rges Total Comb. lermit '-t72A/C Pavi nq
7?',€,{
I,IECHAIIICAL PERHIT
Charges and
Surcharges IOTAL /527a
Pri ma
S t ruc tura I
Electrical
llechani ca I
lunrbin E//'u? 971d1
NECHAN I CAL
/r-L /-/ /fl,llL
,1
-7 ,flg|ru-*I .e. r
rps I
FFF r llA ar: F iln Frr rHAPT:E t,t I FFF
seoa ra te
<a 4/-
Y IXAIlI
.055, tha t i f exenrot
.055 r.ri I I
/?z-ra
cor-tB t r{AI I 0N AppL I cAT r or,t/pERf,tI T ( CAp )
l. Applicant to furnishA. Job Address8. Legal Oescriptionl. example- Tax Lot 100, Lane County Map ReferenceT7-01-A32. exanrple- Lot l. Block 3. ?nd Addition toSFFingfield tstaies
Name, etc. of owner and construction .lender
Energy Sources
PERMIT VALI DATION
c.
D.
II
l. examole_ heat/electrical ceilinq/or forced air oas_ z. examit-e- wat;;[eaTE;iEi;t#')o. ,ol;--\ E. squai6-T6-tag" o'^ ,uiruli;#
I gxamole- .13!9 rq. foot house, 500 sq. foot garaget. exanrple- if new project, check-new _ if aAOitioil- ch-eil add , e rc .t. Building permit information:l. gll!?,1u.- construct single farnily house with an
^ attdched garagez. examole _ rcrnodel existing garage into family .oom3. gl3llli. -. converr ii.gi. i.r',it]'residence into- restaurant (change of use)G. Value of work as defined in iiction 103 (a) of the.. Structural Specia I ty CodeH. OESIGN TEATI AND CONTRACTORS
To avoid desiqn or.constr.uction delays, IluilrJingDivision Stafi must be able to.oniult appropriatepersons_regarding design infornration or job ilte--corrections, etc.Abbreviated prunrbing,. Mechanicar, E Erectricar scrreduresA. Except r.rhere btirrk ,puiui-o.JrI ;;';;" descriptionportion of the Mechanicaf inJ-ffeltricat Schedules,the applicant need fiff_tn-onfy';;;'N". Boxes adjacentto the aDoroDriate itern(s) to'6e-i'n=stattea8. Fuu pryl,bllb, HectranicJil .'^a"ir.l,iiicar schedulesare avai Iable at the Bui lding Divisionl' To conserve space on the permii io, the schedureshave been abbreviated2. I.f tt,: item(s) to be-installed are not covered onthe abbreviated schedule, yor-rtorfa consuit the.t,ull schedulesc. qyl!q!NG 0rl/rsroN STAFF-I^,rLL FrLL ouT ALL FEES ANo^ CHARGES ON THE SCHEOULESu. As noted on the CAp, the label must be de.livered to theelectrical contractor fo";i;;ul;;J o, n,s electricalsupervisor. The general .ou[.uiior i's not authorized. . to sign the electiical Iabel. -'--'
Apptlcdnt to sign and date}Jhenever possible. the jnitial application wi.ll be used asa $rorksheet only, !,there possibtu, griioing Oivision Staf flllJ.!I:?tl^: g ivp" written i"py-i"i".",rrn it to theapprlcant at the time the actual peinrii-ii irrr"O for hiss r gna ture.
Fees and CharoesPlan.check feis are due arld gayable at the time of theappl ication. and no nrans wii i';;';";;";;lo unti I thesefees. are paid. A'l I otner i"u, .r,1".i.;;;;'u." due andpayable when the pernn E rs tssued.
FOR OFFICE UST OIILY
III
IV
V
Permit Clerk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUI'AIICY:
Pe rm t a I ci na tpp e t fromxemp r e i S rat tI no iW t h het UB ed r IJs rdoa ubeca s e
Additional project Information:
PLANS REVIEWED BY:
name sl 9na tu re da te
i II
but.r.yr..- PI{_II
/tt = o"OREGONS"RANGEIELD'
Pulol-i-c Notks
lnspectorts $emo
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Phone 747 -422L INSPECTOR
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Iid trr. Cruto? sdo..- . @vddtrl lloa....thqy q-re ....laurully ..b.d ln I...lmPl. o, ah. obdi Cfiit'd
mnldlro1'6lllddnbron..r ercept casotrents,.conditlon5 and rottrlcllst"of". '' recoid,'anrl l9E0-81 tExcs,. o.lie.n not.yct p8yabl9, vlrich Gran!qc. sErclr
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ard St ta d Or.r'oir aeEla:
Bc8lnnln8 8t s point on thc rost boundary of Lot 9, Plst of Xrrhburn'!Addltlon to Springfr.cld, rs fla!tcd and rqcorded in Eook 2, Prtc 72,Ltno County OrcSon Plst Records, yhich ls South 0'22'00" Esst 230.25fcct fror tho Northucst cortror of ssld Lot 9i thcnce Elst 92.28 fcct: th?ncc
South 0'22' o0" Esst parrllel ylth ssid llcat boundary of Lot 9 209.28feot to thc North rrrgin of South A Strect, as convcyed to thc Strto of
oregon by d6ed recorded Xarch 5, 1953, RcccDtion No. 981!S, Lrno County
Or.gon Decd Rccordsi thcncc North fest 91,15 fcct slon8 lrldNortherly Errgln to slid l{cst boundrry of Lot 9i thcncclctvlng sald Northcrly nargin and runninE lorth o' 22t oo* llo3t 197.19fcct rlon8 sEid l{cst boundrry of Lot 9, to the point of BctlnnlnL sllln SprinSfiold, Latr€ county, orcgon.
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lot 9 bGlng thc South li)'{r
to bc ulcdl Jolntl P ! .'
Co.lcct ol Lt l0 of llanhlrrrr '' '
durg tho South llne or: trr,.
br, urcd Jotntly bY EnIl . ';i:P&duct, oo.d.tcrlboA agr IJe-
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SPRINGFIELD UTIL ITY BOARD
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