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.: ,'\ ... -- ". . I , , , J"._..... ,..,
,. , .. -< - ., .--t-..,,, ", ,
_.-'C, . . ..1..... . ~._.. ""T I , ., ,..
: . :~. , . : " -.-. I " I , . ", __~. ._..
'.,,' ':.:,""J"1.' .:-, :.... """"","'~":': ~. , ,
.. ". "i*-,__....", . '. 1
l3i~ ." ~i ": . . ,. ._~~+. ':.-:- 4-h . ",,'
~ '....--::J J ; 'i -'- i'~ /.L:. /' If'
,.~ . . : I.. - ,. ~r"';' '. L
. , .' i .', '1_ __~.-::::... ".. ..~~.. :./.. ,...'''__
"'~7., ".j.1. ..'". i -~"~''''-l' '~ZW'~/ ._....
. ~ '. ;.:: J' ....-. - ,. :.4;'''''' ""__.. .....
.. ",: .. . '~,., -' ...~. '. .
.i..,-+" . '~. ""::.:j".. .. ..~. _....,.
. "" .... ., "', J~' .-
..L,~ ~ -+-t-' -! "'.L ~n_;" .,-_,. .n'
.,"*; .._:_i-+.i .-;--+-; : i ...;,..
1.. '" , ;'. ::, \'''';'''_'''_''':;', I 0 j
'.. "....",..... _......L-.__ . , . '., ...
' .' 'j.""" , ~++_.. : ,: \ .....-:.....:..': .. '~.',
'--~ . .', ..... '. . . '1'" J .. . ..,1'""F
'. ,t ;'1:' ;\".';';'.; --,''', I .: " \ , .
. .j, '1:' " ,. I '. .
' '. ,,- -, , ~_..._.__-J .........'
. "~. ':." .+" <'- -:"+'f _.
. . - .--
.! . ('..;' ~( . -'~I-' ..- .., :-:.... . . :.. "t. " " . . .
.L_~ i . ..... <c-.... "'l ';'-:' i.
. :,._1 .,. "1' .. oi' ~'_n :.;..;
1 , . I .. .. ''';...'' ~.!~.. ~ ~_. ~__._..
I -~ t
.c.: ll'+r ~::, :. +" L'-1-~' ''':0:.
:-:j l.lt....t-.: ~ _...... .,..,~
--~ I t
"-: I . +. JV
-~-r'r . ~---~~,-c'"
.;..._, -+-1 '. . ..___,.
. ~ -. - .: -; I.,' :
: -1. L ..:..L-i._l.._.l...:.;...
~'l' 14.,......
';'..: !,' - -:-. ~t-'-.r...r~:,..
. I ' . +-.tT'.
_L'r-: . --:J+ .J-. J....J .~ _
.i-++i-j-j- 1- i ',.!l._.:, .....,...."_-'_...,_,~
-J . 1. 1 I i I : ' ....
i. l I '-t-t ';-i--
'--T-;.J l- .-t-~-I...L~-
'-"-~...1 1 I:,"' : i I i..~..
: J' j "J...,.~---t-'~'T' i :-1.._....,
",- 1 .' I.~' ~ '........,...., .._ .
! 1 4-, I I
:: ~'.I.\....,. '1 I -rn-t-_~--
I. I ~ " I l : -t-...
~, t- ~ :~, '-to.-,,- .
I' r. ~ . ~: :' ........
.~~l.~:,. ~~.~_c..~. too.
'l..--:-l' ~ I .tl L,.....;_
.. I t ,."'-: .
.. , I : ! ..~..J...:" ",
"-"'-rT'! ~ ~..;.__~...,
.+-.. i _'_4'"
--,--- --
..-....---1
..~
\
w....
. . -.
=-.,.. .--:
._J.n T' ....:._.. !'
.j,. .:....L._.)_ .._;" ....
- I , : . ,
- ..~.._.~_..._._U T'" t
....:.........---1-- :
~_. ~..-.... -. :-..~.._.
'1 '....1.. ~
.. --"1 I
' .
.._+--:..n~-T"
. 1--4.....,- ....."
--. I
,.........J.....
. . ~.
... - r'
.-.,."
--"-t
',1--'
~._~__.... d
. ,
"'--j
.--." ,-,;-,
_.....:..~.- .
....-. .'.'
, .
- ..~_.
,.
I...'..~.:r-
.:~; : ' , ~=~
... ~~\-
".J~.
, , ....
. '. ...
./
~..
,~
:~' I
" ~~
.. .ll~:r
. }''ll ~ .
.,. ~"""iJ .': l~'.
....J,
. 'A .,._ "" ....,..
- :'l..:.\. ._.........
: ''!.
I
.,.
....
-
~.
-\.
. . .... "....
'-
j
t
~l
,...
." ....
, I
. I
"1
~
~
..
""t....
.'t-
. .," - - --T~
,
"'----'j
,
,. ,-....-.
.
"
r
\ ~f\
\,0
,~~
\
\~
.A""~ \
~