Loading...
HomeMy WebLinkAboutPermit Building 1982-9-23 . . 'j HISPECTIOiI LlIiE. 726-3769 CITY OF SPRIrlGFIELD INFORlIATlON LINt I' Cm1BI:IATlON APPLlCATlON/PERMrT 726-3753 EilERGY SOURCES: Sq. Ftq. 1,Iain 5000~'.:!~' Heat ~q. ,tg, Access. 11~2 J0 Hater Heater Sq. Ftg. Other , flew XAdd Alter Eep, Q) I Ranqe Fence D.emo Change/Use ~. Valu, of Hork: t ' _Other-"~ ~- __ ,-- .... 4,/37.38 1= 1--~,~1. ' -on :::- I I il_ ._-, "-J dd E Ph 72675" .,~ui1cino Permit Info: Describe \Iork(i.e,. Build Sin9le - A ress 475 Franklin Blvd. ugene one . ..,.a~i1y Residence IHth P,ttached Garaoe' Appl.: B&1 Plumbing & R.V. Store Contstruct lean-to.~ ~~'~ ---- Construction Lender t:e "FfiE:!i!1 1. Job Address 4425 Hain f't:re0.t. Legal Description 17.(72.32~3/, '()G3t)C. Owner tJorman Fran~. LP .. Address DES 1 GII lEAl I (name) Phone (address) flies. no.1 {exoiresl {ohane 00.\ NOO~'8'-"'1 Primary LEE C. PI,ANTS 54 Centennial Blvd. Euqene (4885) Structural Electrical f1echanical CONTRACTORS (name) (address 1 (1 ic!C:. nn. \ (pxoire,) (ohnne nn. \ General West.over Const. Co. 4034 Ilain. Snrincrf;pld 11441\ 1I';-?0-R1\ 747_0071 Plumbina Electrical 'Iechanical b!!;r il1lIl r . ..' ~.~.- 1 ?n_ 1 "!1--1 1';-1 1 -R1 \ MECHANICAL tiP <;-()()(J.1 PLUlIBIIIG ELECTRICAL Each single fixture HF CHARGF Nn H~ nIARr,~ NO. Residence of furnace/burner to SQ, FT. BTU's J:'J:'~ 1 n"ARG~ / NO. Relocated building (new fix. additional) New circuits alts. or extensions Floor furnace and vent S.F. Residence (] bath) Duplex (1 bath) each SERVICES Recessed wall SO~CP hp~t~r ~nrl v~nt Storm Sewer Of ICOMH,/IND. FEEDERS I Install/alter/relocate rlic;,t.rih_ f"pprlpr" [Of I I I amps. Appliance vent seoa ra te Stationary evap. cooler Vent fan with sinole duct Vent system apart from I hea t i nq or A. C. Mechanical exhaust hood and dur:t Additional bath Sewer Temporary Construction Change in existing rp",_i d~.nr:p. . multifamily, COrm!. or Tndll<;.trial ~!ater servi ce Wood stove/heater amps. I SSUANCf OF PFRtllT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES WHERE STATE L~W REQUIRES that tile Electrical work be done by an 'Electrical Contractor, the electrical portion of this permit shall not be valiJ until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFUllY EXN1HlED the completed application for permit. and do hereby certify that all infonnation 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 Ore1]on pertaining to the work described herein. and that He OCCUPAHCY will be made of any structure without the permission of the Building Division. +-.......-:.::....:..._.....~-:...:~~ :::._~ '..I-~:-=-;-:-.:-~..;.\'.-..l~;...,~:. ..._ :_:~":_,'.. nu .I:.. .:- 'E:.'~.} .c_.,:: :-...'~__~ _,.:. _.,.' _: ~J :r.:' r:..,:.Z.5, f_~ :~ _H_vry>' "-, L ! ,~_. _,.~...,~....:"._. ..,"~.:.~ ....:..._... -..--.-.--._ ~,,_~~ 6nly subcontractors and employees who are in compliance with OP.S 701.055 will be used on this c I Units Occy Load Occy Group SIGilATURE 15''1.' For OFFICE 'ISE Ow. Y Sq. Ftg. Sq, Ft~. Sq. Ftg. p Dm..:!,)v /n-- NAl-IE(please print)~:r PI",...,,,,, + RV ~ Zone c: C ' Fire Zone }/"./. Flood Plain hG' Tyoe/Const. Bedrooms Stories s>> 8-1 f1ain Access-'/ S Z Other x x Value Value Value ~/3 7. ='8 x TOTAL VALUATION "I/:?7, :Ja ~Z.~6 BUILDING PERI,IIT Charges an': Surcharges -:?."... PI an Ck. ., ~ . 6S%/Rl do _n___;.:ij__ ~b;~Bi~~ Comm/lnd Per Fee Res Per Fee Al)'6~ , Systems Development Charoe (I. Sr,) PLUI1BING PERMIT Charges and Surcharges Fence ELECTRICAL PERI:IT Cha rges and Surcharges O~mo I Sidewalk ------------1 A/C Paving Curb Cut Total Comb. rermit 33.28 I1ECHANICAL PERMIT Cha rges and Surcharges TOTAL 95".3 Y nL . f'< --- . . . COMBINATION APPLICATION/PERMIT (CAP) 1. Applicant to furnish A. Job Address B. legal Description 1. example- Tax Lot 100. lane County Map Reference II 03 43 2. examole- Lot I. Block 3, 2nd Addition to Sprlngtield Estates C. Name. etc. of owner and construction lender D. Energy Sources 1. examQle- heat/electrical ceilinq/or forced air Qas 2. examole- waterheater/electrical/or solar E. Square footage or valuation, etc. ------ I. examole- 1250 sq. foot house, 500 sq. foot garage 2. examp'le- if new project. check-new - if addition, check add, etc. . F. Building permit information: 1. examole - construct single family house with an attached garoge 2. example - remodel existing garage into family raam 3. examOle - convert single family residence into restaurant (change of use) G. Value of work as defined in Section 303 (a) of the Structural Specialty Code H. DESIGN TEAI,I AIID CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design infonmation or job site corrections, etc. II. Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be installed B. Full Plumbing, Mechanical, and Electrical Schedules are available at the Building Division 1. To conserve space on the permit fonm the schedules have been abbreviated 2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult the full schedules C. BUILDIIIG OIVISION STAFF WILL FILL OUT ALL FEES ANO CHARGES ON THE SCHEOULES D. As noted on the CAP, the label must be delivered to the electrical contractor for signature by his electrical supervisor. The general contractor is .not authorized to sign the electrical label. --- III. Applicant to sign and date Whenever possible, the initial application will be used as a worksheet only. Where possible, Building Division Staff will prepare a type written copy and return it to the applicant at the time the actual permit is issued for his signature. IV. Fees and Charges Plan check fees are due and payable at the time of the application. and no plans will be processed until these fees are paid. All other fees and charges are due and payable when the penmit is issued. V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: ~ ,II PERMIT VALIDATION ~ '6.0~, p~ ~O )jo/D 3d,()O / I t28'" ~lli. 6/)/CJ6 --- ToM \fB~6~ 1~#59773 ~ I , . ; Permit Clerk ~~ . l i i . 'j i Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: I PLANS REVIEWED BY: nameL.&:>xw:s ~~~ Signatur~~ date 9-<~B:Z , ,. ,... :: ~7":'--;;:~=:::'"'::".:--: .;:-:-:::::-.. '.-:-~:::'.:''::::::7::-:.-:. ~ ;:. ;',-;--:~:.::::::,:_. :~:..:.4..:.: .....<:'::'.~'..::.'.:'!.._-;;.:.;:;.;',.-=:_-;;::.-;-,':.:.;;~::==::: ':;;.~':..::::;,::.~'-:-.:.=.,:,..:...:=:.,:,:...-::=:,,:==--- ....~-:.:;;;:~::."!:t.~'-=.'...