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HomeMy WebLinkAboutPermit Fence 1986-2-25 -~"-------'.'---"":'-_':_r";.' _ ....-.. -~_"'.""~""_"""__"'_"'_____""__"__.'____'__~ ,-,_o'__~' ....~ 4__ -~ . Job Address .fIOJ .IY/tZU. CITY O~ SPRINGFIE~D COMBINATION APPLICATION/PERMIT EIIERGY SOURCES: Heat l/ater Heater Range ValuE of Work: . 1JMtiN.J. I"FOR/IATlD" LINE 726-3753 Sq, Ftg, Hain ~q. Ftg, Access. Sq. Ftg. Other New Add Alter Rep. --Fence Demo Change/Use Other- -- \:)0 ~ () "- ~ ~ I INSPECTION LINE 726-376g Legal Oescription Address WfudL m~ tj~fr . 'C:;,:;U /YI f.U:#v rJ Phone1fh :5Y"j.;2. Owner' Construction lender BuildinQ Permit Info: Describe Work(i.e., Build Single Familv nesidence With~ttached Garaoel ~.4//'J. ---~/~ .--/" t7 Address DESIGN IEAM (name) Phone (address) (11cs. no.) (exoires) ~ ~r' V' I (ohom:., no.') Primary Structural Electrical Mechanical CONTRACTORS {namel General (() //1 ffM(- -::Jfl/1U'J Plumbina (address) nir". nn.) (pxoirpo:;) (ohnnp nn, Electrical ~fechanical PLUI-lBING ELECTRICAL MECHANICAL NO. FEf n~ARhF NO CEL.cJlARlif. Nn ~~~ rl-l!RG.E.. 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. Residence (] bath I Duplex (1 bath) each Additional bath SERVICES Recessed wall ~n~rp hp~tpr ~nrl vpnt Storm Sewer Of amps, Apoliance vent c;.eDaratp Stationary evap. cooler Vent fan with sinoll:!, duct Vent system apart from hl:!,atina or A.C. Mechanical exhaust hond and dur-t. Wood stove/heater Sewer Temporary Construction Change in existing rp-s-lrtr.nr-p multifamily. comm. or InrllJc;.trii'll Water servi ce CO~1./IND. FEEDERS Install/alter/relocate rl;~tr;h fppnprc;. Of amps. ISSUANCf OF PFRrllT TOTAL CHARGES WHERE STATE LAW REQUIRES shall not be vali~ until the TOTAL CHARGES TOTAL CHARGES that the Electrical work be done by an"Electrical Contractor, the electrical portion of this permit label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFULLY EXAMINED the completed aprlication for permit, and do hereby 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 Oregon pertaining to the work described herein, and that NO OCCUPAIlCY will be made of any structure without the permission of the Building Division. 1 further certify that mY~istration with the Builderls Board is in full force and effect as required by ons 701.055, that if exempt the basis for ex p ion is noted hereon, and that only subcontractor~ and employees who are in comoliance with ORS 7nl.055 Wi~ used on this ,r "ect. 1lAf.IE(please print) FRA-t0t. L 1(.., HT S!c,rIATURE .4t/)/'~ 'nI . ~ DATE d/JIib FOr. OFFICE USE miL Y (\ Sq. Ftg. Ilain x Sq. Ftg. Access x Sq. Ftg. Other x Zone Fi re Zone Tyoe/Const. Bedrooms Stories Units Occy Load Occy Group Value Value Value Flood Plain TOTAL V ALUA Tl Or! BUILDING PER/lIT Charges and Surcharges Plan Ck. Comm/Ind 65%/Bldn P~r Fee Plan Ck. Res 30%/Blda Per Fee Fence Systems Development Charae 0.5%) . "7e.tuL- . s,o~o PLUI1BIrIG PERMIT Charges and Surcharges I Dfll'1o ISidewa 1 k I A/C Pavi ng I Curb Cut I Total Comb. Permit ELECTRICAL PERIHT Charges and Surcharges MECHANICAL PERMIT Charges and Surcharges TOTAL 6,0'0 ., . -. . l.. ~ COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A, Job Address B, Legal Oescription I. example- Tax Lot 100, Lane County Map Reference II OJ 43 2. examole- Lot I. Block 3, 2nd Addition to sprlngfield Estates C. Name, etc:-of 'owner and construction le'nder D. Energy Sources 1. example- heat/electrical ceilinq/or forced air Qas 2. examyJe- waterheater/electrical/or ~ E. Square footage or valuation, etc. 1. example- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project. check new.- if addition, check add, etc. F. Build;ng."pennit information: 1. example - construct single fami,ly house ~jth an attached garage 2. examele.. 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 Code H. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be' able to contact appropriate persons regarding design information or jab 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 8. Full Plumbing, Mechanical, and Electrical Schedules are available at the Building Division 1. To conserve space on the permit form 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. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND' CHARGES ON THE SCHEDULES 0, 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 permit is issued. PERMIT VALIDATION ..~ ~~'O? J\~ 1-- IJ .. '}' ~ ffi V. FOR OFFICE USE ONLY Permit Cl erk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: , Permit applicant exempt from registration with the. Builaer's Board 'because: Additional Project Information: '. PLANS REVIEWED BY: date signature name :.:; "'.' .. . '~h'i;'( !.. , "':::l'.'~_,,,,, t ~ . ; .~L~~.;_.~ ~._. . , !.. ~ ~! ,:,.,,)-It', . l' ., if . '. l.nL4--'._...n~... ,.... ._, Of. ! . - .nr--i-t i . I . -I..., :....:....:,.#.1;'..' _-'-._,; -Tn.~ ~"!'; :. .~ ~. ~:-;--:: .~. -j+ !t::::!r ,- .. _.l-r. .,~, ~'"'''''' , ~ . . I.: ,'\ ... -- ". . 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