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HomeMy WebLinkAboutPermit Demolition 1980-04-14INSPECTION LiNE 726-37 69 Cc)14B I CATI ERMIT 726-3753AP Job Address l-ega1 Description Hea Rancle EIIERGY SOURCES l,later Heater \) 0wn Value of l.lork:\\,i A Access..- Sq. Fto. 0ther--_ l{ew Add--Al ter Pep. -rence(ffi\hanqe/Use0ther.- Sq. Fto. l'lai 5q. Ftg. Addres s Phone e., Build SingleDest ence trii th AFarni u I^]ork Ga Constructi on Lender I t/\ rnr rI If,\F{\ Phone w DE5lGN TEAI.I name address 'I ics. no.exD l res phone no. Pri Structural El ectri cal l'lec han i ca I CONTRACTORS n ame address )lrcs- no. ) (expires phone no. ) Pl umbi nq El ectr.ical tlechanicaI PLUIIBI NG MECHAN ICAL N0.FEE CHARGE NN FFF CHARGF NO FFF CHARGF Each single fixture Residence of FTsQ furnace/burner to BTLI ' S Relocated buiIdinq (new fix. additional ) New ci rcui ts al tsor extensions Fl oor furnace and vent S. F. Fles i dence(l bath)SERVICES Recessed wal i Soace heater and vFnt Duplex (l bath) each Additional bath Temporary Construct'i on Apol iance vent sepa rate l,Iater service e in existing ence C hang resid Stati onar-v evap cool er Sewer Industnial muitifamily, comm. or Vent fan with sinole duct Storm Sewer 0f S Vent systern apart from heatinq or A.C. \Quurgl-c0r,1r!./IND. FEEDERS Mechanical exhaust hood and duct\n(()Instal I /al ter/rel ocatedistrib. feeders l'Jood stove/heater 0f s. ISSUANCF OF PFRI1IT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES Group s r L nd Fee x eFire Zone Bed r00ms X 0c cy Load Val I b.y e be P q I ts ED the comp eted apnl icat on for Dermit, and do here certify that a 'information hereon is t, and i further ruecertifv that anvof the State oi and all work oerformed shall be done i n accordance with the 0rdinances of the City NC 0CCUPAI'ICY will be made eld and the Laws oregon Dertaininq to thethe Building Division. I urork described herein, and thatcture without the oful.l force and efi, ermi ssion of further certify that my regist ration with the Builder'sect as requir ed by ORS 701.055, that if the basis for exempti on i s noted hereon, and thattractors and ernpl oyees lvho are i n comcliance with Oi?S 701.05 xempt 5 wilI n this project 4tt4 '" L--{(/zIGNA DATE Val u Re Pe30i6BI WHERE STATE LAN REQUIRES that the Electricshall not be valil until the label has been si al work be done by an Electrical Contractor, thegned by an Electrical Supervisor and returned to electrical portion of this permit the Building Division tems rge Deve I.5.1 0pmen Cone/Ls TOTAL VALUATION=.- F]ood Plain Stories al ue Pl an P'lan Ck Zone BUILDING PERTIIT Charqes and \UlChtrges Ftg. Access Ftq. 0ther Ftg. l,la in and correctof Springfir of any stru, Board is in only subcon I'lAt'lE ( pl ease FencePLUl,tBiNG PERMIT Charges and Surcha rges Demo Sidewal k L- ELECTRICI.L PERIIiT Chorges and Surcharges A/C Pavinq Total Cornb. Permit Curb CutMECHANICAL PERI,IIT Charqes andti , '..- '. I r-::-..:IOiN L ll 40 Addres s ELECTR I CAL \ PERMIT VALIDATION CITY OF SPRINGFIELD Ciry Holl Springfleld, Oregon Deportment of Public Works i OFFICIAL RECEIPT Dlo. B 532S9 COI'|BI NATION APPLI CATION/PERMI T ( CAP) I. Applicant to furnishA. Job AddressB. Legal Description1. example- Tax Lot 100, Lane County lrlap ReferenceI7-I3-q32. gxarlple- Lot 1. Block 3, Znd Addition toSpringfie)d Estates Name, etc. of owner and construction lender Energy Sourcesl. exarnole- heat/electrical ceilinq/or forced air oas2. exarn: I e- waterheaTErTEGctiJZi-l r so-lar- I examole- 1?_50 sO. foot house, 500 sq. foot garagez. examole- rt new pro;ect, check new _ if addition,check add, etc. Bui )di'ng permit information :1. example - construct single family house w.ith anattached garage ?. exan:p]e - remodel existing garage into family roomJ. example - convert single family res.idence .into restaurant (change of use) Value of work as defined in Section 303 (a) of theStructural Specialty Code DESIGN TEAI.I AND CONTRACTORS To avoid design or construction delays, Bu.i ldingDivision Staff must be able to contact appropriitepersons regarding design information or job sitecorrecti ons , etc. ?. c F. u. h. 9 ved For Ii. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except vrhere blank spaces occur in the descr.iptionportion of the Mechanical and Electrical Schedules,the appl icant need f.i I l-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Full Plumbing, Mechanicai, and Electrical Schedulesare available at the Building Div.ision1. 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 thefull schedulesC. BUiLDItiG 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 is not authorizedto sign the electrical Iabel.III. Applicant to sign and date Whenever possible, the initial application will be used asa worksheet only. Where possible, Building Division Staffwill preoare a type written copy and return.it to theapplicant at the time the actual permit is issued for his si gnature. 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 vrhen the permit is issued. V. FOR OFFICE USE ONLY -- PLANS REVIIWED BY unl Received AUTHORIZED EUGENE OR 97'01 ( Perm'i t Cl erk I L From PROJECT CONDITIONS TO BE SATiSFIED BEFORE OCCUPAI{CY: Permit applicant exempt from registration with the Bu'ilder's Board because: Addjtional Project Information: ) name s 'i gnatu re da te ( (. (' ( (