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Home My WebLink AboutPermit Mechanical 1981-11-25Prima Strucir,ra i Job Address l-ega1 Description Ran l.Jater Heater EIIERGY SOURCES Hea t Sq. Ftg. Access._ ence Demo Chan-F ge/ U se -0t l.lew Add A I ter P.ep. her Sq . Ftq . I'la i Sq. Ftq. 0ther Owner Value of llork: .e., Build SingleBuiltiinq Pernlit Info: Describe [,lork(' FaniIy Residence l,lith Attached GaraqePhoneAddress \ c.*t*;.1;U-d". , * N \Addre s s Phone lcs. no.exDt res (phone no.DES I GN TEAI4 name ( addre s s E'lt'c.i:r'i ca ! Mec han i ca I Gcnera I P lumbi h jes.-- j!-l--(err-iresl-----'id.l.hone I t cal PLUI,IB I NG Each sing'l e fixLure Rel ocated bui 1 ding (new iix. additional ) ELEC'iR I CAL MECH}\t! I CAL Residence oi sQ. rT. New circuits alts or extensions S . F. Res i dence Duplex (1 bath) each Additional bath TOTAL CHARGES WHERE STATE LAl,l REQUIRES that tlre Electrical work be done by an Electrical Contractor, the electrical shal'l not be vali,l until the label has been signed by an Electrical Supervisor and returned to the Buildin portion o',f thi, permi t s Divisioh INED the completed apnlication for oermit, and do hereb.y certify that a and correct, and I further certify thatof Springfield and the Laws of the State anyr0f and all work performed shall be done'in accordance with the 0rdinances pertaininq to the work described herein, and that NC OCCUPAI,ICYof any structure without 0reqon ,he Bui tion hereon is tiue - of the Citywill be made ssion of t as required by,0RS ldi ng 70 1.055, that ifDivision. i further certify that rny registration vrith the Builder'st the basis for exemption is noted hereon, and that n Board is in full force a the permi nd effect exemp 055 r.rionly subcontractors and employees who are IN compl i ance with 0l?S 701 'lt ed on this Droject lll\l'lE (p1 ease pri nt IGN NOFEE \ t! tI j I furna,celburner to BTU, S Floor furnace and vent SERV I CES Recessed wal I Soace heater and vent IIl Temporary Constructi on.seDa rate Apol iance vent rpq l C han ge in existing dpn cp Stati onar.v evap coo l erl,later servi ce Vent fan with s'i nol e ductSewermultifamily, conm. or I ndu stri a I 0fStorm Sewer c0Mr.1./IND. FEEDERS Insta l I /aI ter/rel ocate di cfri h fppdprs 0f S l'lood stove,/heater t en systern e 'l-n ca rt from TOTAL CHARGESTOTAL CHARGES Plan Ck. Comrn/Ind 55%/B1da Ppr Fec Svsteris Deve CIarqe (1.51 0pment Fire Zone Bedrooms 0ccy Load Sq, FtO. Access__ x Va Flood Plain Stonies 0cc,y Group Sq. FtS TOTAL VALUATION- 0 ther lue x lueCons t,Zone Val ue i ts Sq. Ftg. l'la in _ x.Va BUILDING PERMIT Charges and Su rcharges Plan Ck. Res 30%/Bldo Per Fee FencePLUMBING PERMIT Charges and Surcha rges D6mo Sidewal kELECTRICP,L PERI,IIT Charges and Surcha rges A/C Paving Total Cornb. Permit Curb CutI4ECHANICAL PERMIT Charges and Surcharges _L:1.LQTOTAL n_ iri' i Iii i I I _t I i-t ii i t I ll I IJ ISSUANCE OF PFRIIfT tl I COMBINATION APPLICATION/PERMIT (CAP) I . Appl i cant to furn.i shA. Job AddressB. Legal Descriptionl. 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 1. 2. Sq 1. 2. exampl e- exampl e- .re footag hea t/e ca iti or forced air qas wa ea or solar E ua e or valuati on, etc examp-le- 1250 sq. foot house, 500 sq. foot garage example- if new project, check new -.if addition, check add, etc. III F. Building permit informat.ion:1. exampie - construct single family house with anattached garage ?. examp]e - remodel exist.ing garage into family roomJ. example - convert single famiiy residence intorestaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. OESIGN TEAM AND CONTRACTORS To avoid design or construction delays, BuildingDivision Staff must be able to contact appropriitepersons regarding design information or job sitecorrections, etc. Abbrev'iated PIumbing, Mechanical, & Electrical SchedulesA, Except where blank spaces occur in the descriptionportion of the Mechanical and Electrit:al Schedules,the applicant need fill-in only the No. Boxes adjaientto the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedu'lesare available at the Building Division1. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be instal'led are not covered onthe abbreviated schedules you should consult thefull schedulesC. BUILDING DIVISION STAFF I^IILL 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 electricai labelApplicant to sign and date Hhenever possible, the init.ial 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 his s i gna ture. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans will be processed until thesefees are pa'id. All other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY IV V PERMIT VALIDATION Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI,ICY: Permit applicant exempt from registrat'ion with the Builder's Board because: Additional Project Information : PLANS REVIEWED BY: name dateSIgnature II. IiISP -;26-LIIIE cor,rB i i APPL I TI ERMIT 726-37 Job Address l-eqal Description EIIERGY SOURCES Hea t l.Jater Heater Ra Sq. Ftg. llain_ Sq. Fts. Rccei] Chan 9el Use -0t her l.lew Add A Iter Pep. -FendE Derno Sq. Ftq. Other Owner Value of l'lork ie., Build SingleBuildinq Pernrit Info: Describe Work( Farnily Residence tl'ith Attached GaraqePhoneAddress \ co.'t^,.tiTUd""I \ ! N Addres s Phone address 1 exD'l res (phone noDESIGN TEAI{name Struc triia l El ectri ci1 Mec hani ca I El ec Li' i c3-1- I 'i; l,i-l: i: i' ir dt:! ii i llPLUIIB I NG Each single fixtui'e ELECTR I CAL MECHANICAL I.-,-'---:-i--. Residence oi sQ. rT. Relocated bui lding (new iix. addi Liona l ) New circuits alts or extensions SERV I CES FFF NOFEEN0. 1:\ I! t I furnace/burner to BTU' S Floor' furnace and vent Recessed wal 1 i Snace heater and vent I I Temporary Constructi on Apol iance vent seDara teAdditional bath S. F. Residence ( l bath) - Duplex (1 bath) each Stati onar.v evap. cool er ge in existing dence Chan res iblater service Vent fan with sinole ductI ndustri a l multifamily, corm. orSewer 0fStorm Sewer cor4r.r./IND. FEEDERS I nsta I I /a l ter/rel ocatedistrib. feeders 0f S. I l,lood stove/heater i t systern apart from t TOTAL CHARGESTOTAL CHARGES Svstems Deve Charqe (1.51 opmentPlan Ck. Conrn/lnd 65%/B1do Per Fee Flood Plain Stories 0cc.y Group Sq. FtS t{AtlE(please print S 0ther lue only subcontractors and ernployees who are n comD] i ance wi th 0l?S 701 . 055 wi'l I its x /Const. Load So. Fto. Access x Va q..Ftg. l4ain x Value__j-_ tion.of this permit lvlslon I anyrof of w] I0regon ,he Bu ipermi 'f ect t heon reon tru enLHtthaacaontifortanddohertcetDerm r reb.yappcomp nd nda fu certrther t ha ta kwor rmed has donbe ac cecordan thwl 0rdithe snance the Lnandcorrect tyfyperfo rt n to het descriwork hebed nrel and ttha 0cr,lc CUPAT{CY madebefeanddLawstheStafa'ltheteDE ngSprng n t di vl s on hefurt cer rt f tha tstra 0n thvn Buthe der stuwluttofsDiregistrucrethotheongfymyany rdBoa s n fu nd tha t f t the ba s fors n0 tedn0 hereon nda thatORS7055saforceefexempexemptredrequby ed on this Droject TOTAL CHARGES Fire Zone Bedrooms Zone be done by an Electrical Contractor, the electrical por an Electricai Supervisor and returned to the Building D IRES that the Electrical work the label has been signed by WHERE STATE L{I,I REQU shal l not be vali'l unti l Val ue - T0TAL VALUATToN_ BUILDING PERNIT Charges and Surcharges Plan Ck. Res 30%/B1dq Per Fee FencePLUI4BING PERMIT Charges and Surcha rges Demo Sl dewa I kELECTRICAL PERI,IIT Charges and Surcha rges A/C Paving Total Comb. Permit Curb CutI,IECHAIIICAL PERHIT Charges and Surcharges TOTAL LO I auADnF d) Mechanical exhaust hond and dtrrt CISSUAI,ICE OF PFRiltrT S ,lalI of I 'I COMBINATION APPLICATION/PERMIT (CAP) App'licant to furnish A. Job Address B. Legal Oescription 1. examDie- Tax Lot 100, Lane County Map Refere 17 03 432. example- Lot 1. Block 3, 2nd Addition to SpFin!-li el d EstatesC. Name, etc. of owner and construction lender0. Energy Sources el ectrical PERI,IIT VALIDATION OF SPRINGFIELD Ciry Holl Springfield, Oregon Deportment of Public Works OFFICIAT RECEIPT o. B 57690, CITY { e vaIuati oh, forced aso-Tar-or E l. example- 1250 sq. foot house, 500 sq. foot g2.. exarmiler JT-new project, cneif-i6w -. if addi check add, etc.F.' Building permit information:1. example - construct single family house with attached garage i ,2. example - remodel existing garage into famil3. example - convert single family:residence in._ restaurant (change of use)G. Value of work as defined in Section 303 (a) of tStructural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction deiays, Bui)dingDivision Staff must be able to contact appropriipersons regarding design information or job sitecorrections, etc. Abbreviated Plumbing, Mechanical, & Electrica'l Sched4.. Except where blank spaces occur in the descriptiportion of the Mechanical and E'lectrical Schedulthe applicant need fill-in only the No. Boxes adto the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Scheduare available at the Building Division1. To conserve space on the permit form the sch have been abbreviated2. If the item(s) to be instalted are not cover,the abbreviated schedules you should consultfui I schedulesC. EUILDING DIVISION STAFF I,IILL FILL OUT ALL FEES AI CHARGES ON THE SCHEDULESD. As noted on the CAp, the 'label must be de'liveredelectrical contractor for signature by his eiectrsupervisor. The general contractor ii not authorto sign the electrical 'label Appiicant to sign and date lJhenever possible, the initial application wi'tl be u:a.worksheet only. l.lhere possible, Building Divisionwill.prepare a type written copy ind returi it to thrapplicant at the time the actual permit is issued for s i gna ture. Fees and Charges Plan check fees are due and payable at the time of ilJ=application, and no plans will-be processed unti.l thesetees are paid. All other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY (( r9 Rec'd From J! Received For: 6n' AI Amounl Received I ( ( II III. -'lv v t(", (1. EY-1 O SIGNATURE ( Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information : PLANS REViEWED BY: name dates'l gnature ( ( ( ( (,