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Home My WebLink AboutPermit Mechanical 1988-01-05E CITY OF SPRINGFIELD COI,IBI NATI ON APPL ICATION/PERMIT 7 26-37 53 Job Address t EIIERGY SOURCES: Hea l,Jater Heater n Sq. Ftg. Access._ Sq. Fto. Other__ J{ew_.Add_A l ter_P.ep . _Fence_Demo Change/Use 0ther rs o\\ N nt. .i"ss + rh Legal Description 6 -,\1J"-.--l--L^- ^ t -h41 Val ue of l,lork Owner Addres s F s./Phone BuiIciir Farni I y nq Re Pernit Info: Descr'i be l^lork( sidence tlith Attached Garaqe .e., Build Single q7v'7 ?Uo. g ILou<- construcriofl L8naer)d,lr^'- Lnv&uzrt.- Addre s s Phone lg &*2 DESIGN TEAI.I name address lcs- no-ohone no. Pri ma Structura'l El ectri cal q? , Mechani ca l name a ddres s lics. no.exD l res nhonp no d-oa 3t PI 'I I c l,lecha ni ca I - A<,l-*t*t< PLUI.IB I NG ELECTR I CAL MECHAN I CAL FFF NHARGF NN FFF CHARGF NO FFF THAPGF Each single fixture Residence of SQ. FT furnace/burner to BTLI' S Relocated building (new fix. additional) New ci rcu i ts al ts or extensions Floor furnace and vent S . F. Res i dence(l bath)SERV I CES Recessed wal I Soace heater and vent Duplex ('l bath) each Additional bath Temporary Construction Apol iance vent sPDa rate l.later servi ce Change in existing res i dence Stati onar.v evap. cool er Sewer multifam'i ly, comm or Tndrrstrial Vent fan with sinole duct Storm Sewer 0f amps.Vent systern apart from heatino or A.C c0Mr.1./rND. FEEDERS Mechanical exhaust hood and duct Instal I /al ter/rel ocate distrih- fepders l'Jood stove/heater ,s.oo 0f amps S*/o :7{ YT ISSUANCE OF PFRIlIT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES r(.:( WHERE STATE LAll REQUIRES that the Electrical work be done by an Electrical Contractor, the e'lectrical portion of this permit shall not be valiC 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 hereon is true and correct, and I further certif-v that any and all work oerformed shall be done in accordance with the Ordinances of the Cityof Springfield and the Laws of the State of 0regon oertaining to the work described herein, and that NC 0CCUPAI'ICY will be made of any structure without the permission of the Building Division. i further certify that m.y registration vrith the Builder's Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted hereon, and that only subcontractors and employees who are in comcliance with 0l?S 701.055 will be used on this project. t'lAl'lE (pl ease pri nt S IGNA't IAIE /-:-9-8& Zone____Type/ Const.ts Sq. Ftg. l,lain x Value-- Fire Zone Bedrooms Occy Load Sq. Ftg Flood Plain Stories 0cc.y Group Sq. FtS Access x Val ue x: Val TOTAL VALUATION . 0ther BUILDING PERI'1IT Charges and Su rcharges /0. oO150 Plan Ck. Conm/lnd 65"4/B1do Per Fce Svs Cha terns Deve rqe t1.52 opment Plan Ck. Res 30%/B1dq Per Fee PLUI4BING PERMIT Charges and Surcha rges Fence D6mo ELECTRICAL PERIlIT Charges and Surcha rges Sidewal k A/C Paving Total Comb. Permit 14ECHANICAL PERMIT I 5 "oOCharges and Surc harges V 1 Curb Cut TOTAL zL z{ I coMBINATI0N AppLrCATI0N/pERMrT (CAp) L Applicant to furnishA. Job AddressB. Legal Description 1. elample- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, 2nd Addition toSpringfield EstatesC. Name, etc. of owner and construct.ion lenderD. Energy Sources PERMIT VALIDATION 1. exampl e-2. Erffi-e-E. Square foota hea t/air gas water ge or l. example- 14IQ sq. foot house, 500 sq. foot garaget. elample- rf new project, check new _ if addition,check add, etc.F. Building permit information:l. example - construct single family house with anattached garage ?. examp]e - remodel existing garage into family room3. example - convert single family-residence iniorestaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Speciaity CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Build.ingDivision Staff must be able to contact appropriitepersons regarding design informat.ion or job sitecorrections, etc. Abbreviated Plumbing, Mechan.ical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical 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 Building Division1. To conserve space on the permit form the schedules have been abbrev.iated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult theful I schedulesC. BUILDING DIVISION STAFF I'IILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be deiivered to theelectrical contractor for signature by his electricalsupervisor. The genera) contractor ii not author.izedto sign the electrical iabei.Applicant to sign and date lJhenever possible, the initial application will be used asa.worksheet only. Where possible, Building Division Staffwill prepare a type written copy and returi it to theapplicant at the time the actual permit is.issued for h.is s i gna tu re. Fees and Charges Pian check fees are due and payable at the t.ime 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. FOR OFFICE USE ONLY D V II III IV. V Permit Clerk 1- PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI.ICY: Permit applicant exempt from registration with the Bu'ilder's Board because: Additional Project Information : PLANS REVIEWED BY: name sig nature date I 7 L CTTY OF SPRINGFIELD COMBI NATI ON APPLICATION/PERMIT 726-3 Job Address EIIERGY SOURCES:Heat- llater Heater I'la i n-- Sq. Ftg. Access._ p /Use .0 os)oo() s- Legal Description ,/t1 Value of l,lork Owner Address Z ,(zH Phone n t n sc .e., Btl ng e th A-"\-g-'1-/ Construction Lender Addre s s Phone DESiGN TEAI'{name addre s s cs. no.exot res phone no. Pri ma ry Structura I El ectri cai Mechani cal ACTORS name addres s 'I ics. no.exDt res nhnnp no - l PI Electrical r ) v 0PLUI{BI NG ELECTR I CAL MECHANICAL FEF CHARGE NO FFF CHARGF NO FFF rHA RGF Each single fixture Residence of SQ FT furnace/burner to BTU, S Relocated building (new fix. additional) New circuits alts or extensions Floor furnace and vent S. F. P.es.i dence ( I bath)SERV I CES Recessed wal I Soace heater and vent Duplex (l bath) each Additiona'l bath Temporary Constructi on Apol iance vent spna ratp hlater service Change in existing rpsi dpncp Stati onar.v evap. coo l er Sewer multjfamily, comm. or I ndu stri a I Vent fan with sinole duct Storm Sewer 0f Vent systern apart from heatino or A.C. COMI.I./IND. FEEDERS Mechanical exhaust hood and duct Instal I /al ter/rel ocatedistrib. feeders I'Jood stove/heater 0f S 3n, ISSUANCE OF PFRIlIT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES WHERE STATE shall not be va LAN REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit li'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 hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of 0regon pertaining to the work described herein, and that NC 0CCUPANCY will be made of any structure without the permission of the Building Division. I further certify that my registration vrith the Builder's Board only is in fulI force subcontractors and and effect as required by ORS 701.055, that if exempt the basis for exemption is noted hereon, and that L employees who are in comoliance with ORS 701.055 will be used on this nroject, llAl'lE (pl ease pri nt )nP{zeLL q$V DE- <S DATE Zone_____Type/ Con s t Fire Zone Bedrooms \-- - ..-ts Sq. Ftg. llain x Va lue Load Ftg Access X Val ue Flood Plain Stori es 0cc.y Grou p . 0ther__________l Val TOTAL VALUATION !q. Fts BUILDING PERI.IIT Charges and Surcharges Plan Ck. Conrn/Ind 65%/81do Per Fee Svsterirs Deve' Charqe tl.5%l opment Plan Ck. Res 30%/B1dq Per Fee PLUI4BING PERMIT Charges and Surcha rges Fence D6mo ELECTRICAL PERI1IT Charges and Surcha rges Sidewal k A/C Paving Curb Cut Total Cornb. Permit I4ECHANICAL PERMIT Charges and rSurcharges \, ____15_-@__-15 TOTAL ls.7s ( I COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description 1. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, 2nd Addition toSpringfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources PERMIT VALIDATION 1. exampl e-2. exampl e-E. Square-T6otag heat/e a ceilin o r forced air gas sol arWA e or valuat o[, II 1. example- 1?50 sO. foot house, 500 sq. foot garaget. example- if new project, check new - if addition, check add, etc.F. Building permit information:1. example - construct single family house with anattached garage ?. example - 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 TEAItl AND CONTRACTORS To avoid design or construction delays, Bu.ildingDivision Staff must be able to contact appropriitepersons regarding design information or job sitecorrections, etc. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where biank spaces occur in the descriptionportion of the Mechanicai and Electricai Schedules,the appiicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Full Plumbing, Mechan'ical, and Electrical Schedu'lesare available at the Building Divisioni. 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 l schedul esC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to theeiectrical contractor for signature by his electricalsupervisor. The generai contractor is not authorizedto sign the electrical label.Applicant to sign and date Hhenever possible, the initial appl ication will be used asa 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 h.is s ignature. Fees and Charges Plan check fees are due and payable at the t.ime 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. FOR OFFICE USE ONLY /0 q7ry /-//-ffi III IV. Permi t Cl erk 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 si g nature date