HomeMy WebLinkAboutPermit Curb Cut 1990-09-24COMB I
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Demo_Change/Use
Legal Description
Job Address
Owner
Address
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PLUIlBI NG ELECTR I CAL MECHAN ICAL
FEE CHARGF NO FFF CHA RGF NO FFF cHApGF
Each single fixture Residence of
SQ. FT BTtl' s
furnace/burner to
Relocated building
(new fix. additional)New circuits altsor extens ions
Floor furnace
and vent
S. F. Residence(l tatn)SERV I CES Recessed wa'l i
Space heater and vent
Duplex (l bath) each
Additional bath Temporary Constructi on Apol iance vent
seDa rate
l.later servi ce ge in existing
dencp
Chan
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Stationary evap
cool er
Sewer Tndrr<irial
multifamily, corm. or Vent fan with
sinole duct
Storm Sewer 0f amps.Vent system apart from
heatinq or A.C.
COMI.I./IND. FEEDERS Mechanical exhaust
hnod and drrct
Instal I /al ter/rel ocate
di<trih- fppdprs ['Jood stove/heater
0f amps.
n\rI J *,oP ^.t.ttv()'" Q/(vQ I)'- q ISSUANCF OF PFRI,IIT
TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES
WHERE STATE LAl,l REQUIRES that the Electricai work be done by an Electrical Contractor, the electrical portion of this permitshall not be vali,l until the label has been signed by an Electrical Supervisor and returned to the Building Division
I HAVE CAREFULLY EXAMINED the completed application for oermit, and do hereb.y certify that all information hereoand correct,. and I further certify that any and all work oerformed shall be done in accoidance with the 0rdinances oof Springfield and the Laws of the State of Oregon oertaining to the work described herein, and that l,l0 OCCUPAI,ICy wiof any.structure without the permission of the Buitding Diviiion. I further certify that my registration vrith the BBoard is in full force and effect as required by ORS 701.055, that if exempt the balis for Lxemption is noted hereononly subcontractors and ernployees who are in comcliance with 0l?S 701.055 r^rill be used on this Droject.
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TOTAL VALUATION-
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Fire Zone Bed ro oms
Group
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0ccy Load
Plan Ck. Conrn/Ind
55%lB1do Per Fee
Svstems Deve
charqe (1.51 opmentBUILDING PERMIT
Charges and
Surcha rges Plan Ck. Res
30%/Bldq Per Fee
FencePLUi4BING PERMIT
Charges and
Surcha rges Demo
Sidewalk
Tota] Cornb. Permi t
ELECTRICAL PERIIIT
Charges and
Surcha rges A/C Paving
Curb Cut e l+t .so,L/.SAr TOTALji6r.' l- rQ( P1r Q,u
IIECHANICAL PERMIT
Charges and
Surc harges
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COMBINATION APPLICATION/PERMIT (CAP)
I. Applicant to furnish
A. Job AddressB. Legal Description
l. example- Tax Lot 100, Lane County Map Reference
17 03 432. example- Lot 1. Block 3, 2nd Addition to
Springfield Estates
C. Name, etc. of owner and construction Iender
D. Energy Sources
i. example- heat/electricai ceil ing/or forced air gas
2. example- waterheater/electrical/or solar
E. Square footage or valuation, etc,1. example- 1250 sq. foot house, 500 sq. foot garage
2. exampie- if new project, check new - if addition,
check 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, Building
Division Staff must be able to contact appropniate
persons regarding design informat'ion or job site
corrections, etc.II. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occulin the description
portion of the Mechanjcal and Electrical Schedules,
the applicant need fill-in only the No. Boxes adjacent
to the appropriate item(s) to be installedB. Full PIumbing, Mechanical, and Electrical Schedules
are avaiiable at the Building Division1. To conserve space on the permit form the schedules
have been abbreviated2. If the item(s) to be installed are not covered on
the abbreviated schedules you should consult theful l schedulesC. BUILDING DIVISION STAFF hIILL 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 is not authorizedto sign the electrical label.III. Applicant to sign and date
l,lhenever possibie, the initial application will be used as
a worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit is issued for hissignature.IV. Fees and Charges
Plan 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.
V. FOR OFFICE USE ONLY
PERMIT VALIDATION
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Permit Clerk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY:
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information :
PLANS REVIEWED BY
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SECONDAB.Y CONDITIONS OF APPROVAL
A. The panhandle dniveway shall be paved'
B. The applicant is nequined to notigy the Project Engineen for driveway and
sewer tap locations.
C. A drainage plan is requined for the site'
D. water lines "r" ad"qra-te/must be extended from the west side of the stneet'
E. The panhandte lot "ddr.t" shall be located on the stneet (minimum 3'r high
light reflective matenial) .
This drawing does not constitute
a boundary survey, and is subiect
to any inaccuracies a boundarY
survey may disclose.Assessor's l4ap t7o336t t 7t 2ooo
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DRAWN: G. X.r TTIIEE
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FILE NO.PROJECT NO.BOOK NO.APPROVED:
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CITY OF SPR INGFIELD. OREGON
ENGINEERING DIVISION
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