Loading...
HomeMy WebLinkAboutPermit Building 1986-6-10 (2) - '. .... . _. I ... "'~ .. -- .-. ..- '. ---.- - '-'". - - 111<~PIClION LINE ,726-3769 Job Address.. '3 +0 2. Legal Description <;'pp T" \( l-oT '-""to.::> Ml>~t,)'T. 5o";"j~,dd, O~,,; l)ro.~\;,^", ~ 1/7"r:JZ-i)/-'3/) J - 'Z. ~oO o..-rt 24,.." Owner' WALLACF IUJE('H-r-:. Addr... 34-97 ('{\,Aif\l"Sl, SPQiNC.Flt::LI) ,O~G60rV Construction lender Address Ut::dlir~ ItAli Primary Structural Electrical Phone 74(s, -44+(" 7t/~~'t-S32 ( n~,m~)__,__. Phone (address) l.JILL.""" 1-1. Neel A"..td.c.+ ~.__' A _. .. ~(f0 IHFDRltAT ION UH.. 726-3753 Sq. ftg. flaln , ~q. rtg. Access, Sq, ftg. Other Ifew ~d Alter ~ep. --rence Demo Change/Use Other - -- ~. ~ ~ ~ V' CI TY OF SPRINuf"iELD . CDMBlttATIDN APPLICATION/PERMIT ElIERGY SOURCES: ... .._.. Heat Ilater Heater Ranqe_.-__=~_ ValUE of Work: 'iP/:?9._'f72- , BuilcifnQ""Pennit Info: Describe Work(ioe., Fa~11v nes;denc~ Hi~h ~~t~f-h~d Garaael Build Single ClAd --l-o wo I \( I t8' I<. 1(,,' k;0-- c;ke.\ L-.IJ~ ell i o;.-H~,j I o...la.re.!;0 v...S e . 2.4- \ 1=. :>'nx.J."""1 ELl"1l!..u!) Olt.t: Mechanical CONTRACTORS (name) Genera 1 R. A. L.-I--\{.\, IIV1 r:>, IS. f2. S f /.l S'!)L;lC.. Plumbfna E1 ectrica 1 ffechanfcal (address} 1& 1'1 Gard." AvE. elA..o,e~t51 ORE. '2.,,\ Mo""fWlO - q ._.. ......A t= -..J- i Bl-I.; l..i)n'S SEC:T1L-ic.. PLUlIBING ELECTRICAL NO. I I HE I (HARr.F Each single fixture Relocated building (new fix. additional) S.F. Residence (1 batH) Duplex (1 bath) Additional bath ITemporary Construction IWater service IChange in existing I rp~5 de:nrp_ ~ I Sewer I multifamily, COrTm. or I Tndu"triil:l ~'IStorm Sewer '111)5"- Of amps~ I , I I ICOH/I.IINO. FEEOERS I I I Install/alter/relocate I rli"trih_ fpprlpr~ I I I Of amp..1 I -, III' I I I I I I I I I I I ISSUANCE OF PFmUT TOTAL CHARGES ~-l TOTAL CHARGES, ~.~ TOTAL CHARGES /'5:- , WHERE STATE LW REQUIRES that the Electrical work be done by an 'Electrical Contractor. the electrical portion of this pemit shalli~~.,b:.Qd~i~j;,ntW.ti;"l;l'a~~~trt'"},s~p;;r~;s'P..m~.:..o ~i~~~ .. . 1 HAVE CAREFULLY EXAtllNED the completed ap~lication for permi~d do hereby certify that all intonmation hereon is true and correct. and I further certify that any and all work oerfonmed shall be done in accordance with the Ordinances of the City of Springfield and the la.....s of the State of Orel.:lOn pertaining to the work described herein. and that rlO OCCUPAIlCY will be made of any structure without the permission of the Building Division. I further certify that my registration with 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 compliance with OP.S 701.055 will b~ used on this project. SIGtlATURE, -'sJl.,AAQ.-"U Q. Q..Q nATF. (,. 110/ i'f., FO~ OfFI CE USE Q;IL Y . Sq. Etg. llain 9$1~~ x Value~~7.?CO Sq. Ftg.~Mv/.IV"" x Value 0:2"'("~"" Sq. rtg. Othe~~~lV"'-"".p Value~."..,...~ . . TOTAL VAlUATIONR~ 5'~ 2U '45 (Ust;7 ~h~;~~s t~~~Wpmeot /9 ,/2..~l!5 r Nn. I Residence of ~ New circuits alts. ~ or extensions ~ SERVICES each IIArlE(please print) -re...0't'!.1t:e. /2. 1<0/";1\1$0"; Zone~ Ffre Zone Flood Plain BUILDING PERlIIT Charges and Surcharges PlUrmING' PERMIT Charges and - -- Surcha rges' ElECTRICAL PERl~IT Charges and Surcharges t1ECHANICAl PERMIT Charges and Surcharges Type/Canst. Bedrooms S tori es '3.N Units Occy load ~<9' Occy Group J5..::? / L/=:7~ _ Plan Ck. Conm/lnd :1~~ 65t/Rlda Ppr F'pp - - - /- "> -:::l'; - Plan Ck. Res . / . /.,. JO%/Bldo Per Fee ____3.s-: ~ I Fence / ,.yO I Demo L~__::?.::?.::-S..eJSidewalk -:uC . r . -;7c:::!> I A/C PaYing I ~___t~~_lcurb Cu't /-~' L , ~~F' . r~ARr.r NO. SQ. fT. Z2;) MECHANICAL . n~ rJ..lAI'U: furnace/burner to I\UU Joo.OD/J BTU's2 Floor furnace and vent 7,50 /SoC Recessed wall ~n~rp hp~tpr ~n~ vpnt Appliance vent !:.eo_ar;ltp Stationary evap. c.onlpr Vent 'fan with ~inole duct. Vent system apart from I heatino or A.C. Mechanical exhaust hood and rluc:t ,- I I Wood stove/heater I I I I I I I I. ITotal Comb. rermit ~SlO /7&1,Se> L.'I- 70 I I TOTAL' ..: ,~. I 7~3.1z f-z ~ ~s:ZC> I' ,. COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATIDN .(":.~~~.::.!'~ . e .... : ...,. t. Applicant to furnish A. Job Address B. Legal Description 1. example- Tax Lot lOa, Lane County Map Reference 1/ oj 4J Z. example- Lot I. Block 3, 2nd Addition to ~prlngtield Estates C. Name. etc. of owner and construction lender D. Energy Sources . 1. example- heat/electrical ceilinq/or forced air OdS Z. examole- waterheater/electrlcal/or solar E. Square footage or valuation, etc. ------ I. examole- 1250 sq. foot house; 500 sq. foot garage 2. examole- if new project, .checkMW.- .if addition, el1eck add. etc. .: F. Building pennit information: 1. examole - construct single family house with an a ttached garage . 2. examole - remodel existing garage into family room 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 TEAM AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information 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 f111-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 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 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 ~henever possible, the initial application will b~ used as a worksheet only. Where possible, Building ~ivision 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. ~fo& 1?tf ~ _d-l~r;;b V. FOR OFFICE USE ONLY Permit Clerka-__ a:s:as......- PROJECT CONDITIONS TO BE SATISFIED BtFORE OGCUPANCY: . "= . ~ ZJ-,.,:~~.,. /~~.,...e /"'>"""7"/< 5/7e /'12=Y/e.ho--,' -1-;"y-;0~ /5 C;;;q.iI?~'n~ ;"':2-,& L?<~.#/Y'C~ c::>R ~Ar ,~........cP""""~ ~~~c-~ ~/Yrrc ./;-~C ~;;: fA:r:.:.-..iL~.c~ >~~~.r. /3 T~Vt=Z>. Permit applicant exempt from registration with the Builder's Boal'd because: I Additional Project Information: . ., -' ,,-........,..., ,~. -. ~ , "'." - ., ...~. """ ,.., I PLANS REVIEWED BY: name L~FJ~ ?t~E?f' signatur ~ '. ./ ~ ,; date 7.../-&,c . ..tIIt