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HomeMy WebLinkAboutPermit Curb Cut 1985-6-24 IIIISPECTION LitlE 726-3769 Job Address 19'Zt:J M~/IY Legal Description 17.~~-~~. '1<: , Owner (/~LK- ~.t?A Address % 2"2<:) MA-/N Construction Lender Address Dl>! ul' I EAr~ (name) Primary /?h/N~ Structural Electrical Mechanical CONTRACTORS (namel Genera 1 /.PWN~ Plumhino Electrical "'echanical "'~. PLUI1B I NG NO_ 1m Each single fixture Relocated building (new fix. additional) S.F. Residence n battl) Duplex (l bath) each I I I Sewer I I Storm Sewer I ". ~M 'fju'N.,J. - I I I I I Additional bath 1~later service I -I I I I":HARr,F I I~- I I I I I ~7:. '''''c - Cl TY OF SPRIIlGFIELO COMBHIATION APPLICATION/PERMIT EIIERGY SOURCES: Heat !~ater Heater NFORlIATION L,. c 726-3753 Sq, Ftg. 1.lain ~q. !='tg. Access. Sq. Ftg. Other "2 y.:::> New Add A Her Rep. Ranqe Fence_Oemo_Change/Use ValuE of Hork: _Q1ber ~ 2 if&:>, - · -:-~VbY~ BuilGlna Permit Info: Describe Work(i~e" Build Single Family nesidence With Attached ~araae) &I,V.WG k~ ~~Art:.N'~' I ~~"'UT ~;.I~/~.I'/4>_ _ ~I~~~ ~ ~CA>?,/A'''::;'' ' - I nics. no.) (exniresl Cohoneno.1 ~ ~ ~ {J sr~EE'T ?: L. ~c>/ ?~S"z Phone (address \ '" A ~. ~r V (address) (lic,," nn.) (pyoiI'"PC;' (anonp nn ELECTRICAL MECHANICAL Nn ~~~ I.!HARG..E.. ~ln I I -t-r I '. I i I I I I I I I rrr ru'IRIiE. Residence of furnace/burner to STU's SQ. FT. New circuits alts. or extensions Floor furnace and vent SERVICES Recessed wall ~n~rp hp~tpr ~"rl vpnt ITemporary Construction IChange in existing l"ps i 1f>J'lrp I mul t i fami 1y. corrrn. or Indllc;tri~l IOf ICO~1./INO. FEEDERS l'Install/alter/relocate dhtrih. fppnpl'"<; amps.1 amps, Appliance vent ":.f1oal'"il.t.p Stationary evap. cooler Vent fan wi th sinole duct I Vent system apart from I heatina or A.C. I Mechanical exhaust hnnd and rlurt I Hood stove/heater ~, I I I j I I I I I I ISSUANCf OF PFR!f1T I TOTAL CHARGES Electrical Contractor. the electrical portion of this penmit Supervisor and returned to the Building Division " , ~,' TOTAL CHARGES WHERE STATE L~W REQUIRES shall not be vali~ until the 14 - I TOTAL CHARGES that the Electrical work be done by an label has been signed by an Electrical I HAVE CAREFULLY EXNtINED the completed application for permit, and do hereby certify that all information hereon is true and correct. and I further certify that any and all work oerformed shall be done in accordance with the Ordinances of the City of Soringfield and the Laws of the State of OrelJon pertaining to the work. described herein, and that NO OCCUPAUCY will be made of any structure without the permission of the Building Division. I further certify that my registration with the Builder's Doard is in full force and effect as required by ORS 701.055. that if exempt the basis for exemption. noted hereon, and that only subcontractors and employees who are in compliance with OP.S 7Ql.055 will be used on this proje . rlA/IE(please print)t< R V A tJ ('LEV EU1AJD SIf,UATURE ~ AIJ&V... - ( Fon'OfFtCE USE'DlILY , Sq. Ftg. Itain .x Sq. Ft9. Access x Sq. Ftg. Other~V.I~ x Zone .::: G Fi re Zone Flood Plain Tvoe/Const~~ Bedrooms Stories BUILDING PERHIT Charges and Surcharges PLU'1BIrlG PERMIT Charges and Surcharges It?,- -----.~'IP---- ELECTRICAL PERr~IT Cha rges and Su.r~harges MECHANICAL PERMIT Charges and . Surcharges DATE b, ~ ;;2. '-{- <Ss - Units. Value Value Value 92 ~&:>,- Occy Load Occy Group TOTAL VALUATION Plan Ck. Comm/Ind q~._o 'Shstems Development 65% 81da P~r rpp C aroe t1.5~) Plan Ck. Res 30%lBl do Per Fee Fence I OfllllO I I Sidewalk 2~' I 7.- I 1 A/C Paving I S-Z.- Total Comb. rermit I Curb C~t .1 I I I TOTAL /~e. 6.:::> t::; 9: $f~ '. .' -...,. 2~$. ' . / ,:"/\ '.' COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal Description 1. example- Tax Lot II 03 43 2, exam~le-Lot 1. Block 3, 2nd Addition to ....~ .5pnngtield Estates, ..... ,.... " ..' '\ C. Name. etc. of owner and construction lender 'b, ~-i' ~. Q-. ~nergy 'Sources ".' ...~..:..: r: "examole- heat/electrical ceilinqlor forced air oas 2. examole- waterheater/electrlcal/or solar E. Square footage or valuation. etc. ------ 1, examole- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project. check-new - if addition, eneck add. etc. F. Buildfng pennit information: 1. exam~le - construct single family house with an attached garage 2. examole - remodel existing garage into family room 3. examele - 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 TEM4 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 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. 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 Whenever possible. the initial application will be 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 penmit is issued. .... .... ,"'~",..I: '., 100, Lane County Map Reference ,~", . . ~ .. V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: - ". PERMIT VALIDATION '.. ....\ .~ ,~;.. .: ~..~';.,.. .: .. '.,;,: ~...' .' ,.). . ~ ' ~&~~5' k/;d ~ f\( t> ,.' r .... ...:'~.\~:~~.;.:~, t:<-'':r; " Permit Clerk (1/~df- // . Permit applicant exempt from registration with the Builder's Board because: ~'.. Additional Project InfOrmation:, PLANS REVIEWED BY: .....-:. " '. name ~RH#E ?u;=:~sign':'tur4 ..',.. .. ~, ~, .' ..... . , ~ -~4"f1:.12 date-.b.Z~-aS ",. IIIISPECTION LIIIE 726-3769 . . CI TV OF SPRIIlGFIELD COMBIIIATION APPLICATION/PERMIT EilERr,y SOURCES: Heat I~ater Heater Ranqe ValuE of Hork: 1; 2.y~,-- BUlloina Permit Info: ,Y)l1.n"6$Z Familv ~esidence IJith INFORJIATION ll~< 726-3753 Sq. Ftq. ',lain ~q. Ftg. Access. Sq. Ft9. Other"'2 yo Ilew Add A lter ~ep. F cote_Demo _Change/Use ~~J.\_. Describe Work(i.e.. Build Single II.ttached fiaraae) Job Address /92t? M,I/N ~7"~/i.E'" Legal Description 17.~~.~~. tt'2 f:L, ~c>/ , IDf ICOMH.IIND. FEEDERS I l'Install/alter/relocate I rli~trih_ fppnpr( IOf amps.1 I I I I I I I I I SSUANCr OF PFRIIIT' ,.' /4 - I TOTAL CHARGES .1 TOTAL CHARGES that the Electrical work be done by an Electrical Contractor. the electrical portion of this pernit label has been signed by an Electrical Supervisor and returned to the Building Division Owner {kl!:.K' 2,PA Address ~ 2"2~ MA-/N Construction Lender Address Ut.~lbf{ TE.AI'~ (name) Primary ~Jl/NER Structural Electrical Mechanical CONTRA~TQR~ (~ Genera 1 /.PW.N~ Plumbino Electrical ~1echanical .... PLUIIB I NG -1'0 Each single fixture Relocated building (new fix. additional) S.F. Residence 11 b>1!!.' Duplex (1 bathl each I I I I I "" ~M ~/N."J. I I I I I Additional bath I ~Iater service Is"ewer IStorm Sewer TOTAL CHARGES WHERE STATE L~W REOUIRES shall nOt be vali1 until the ~7.. FFF ~ARr.F Nn I I I I lAP-- I I ~ I\) ~ {J &..l'k"/N&. kr !)"/PEJv~~' c:;.,~~U7' ~.P.I~/ t!:.J1'/~_ - '~1~'::~ ,- ' Phone ~ ~t:I'/.A'~ ' (address) flics.no.l (~xnires) (ohon~no_) (address) (lies. no.) (pxoirpo;,l (ohnnp nn l_ ELECTRICAL <<L J:HARG.JJJ.O..... <.E.LJ.Cl!AIlGI:. MECHANICAL Residence of furnace/burner to BTU's 5Q. FT. New circuits alts. or extensions I Floor furnace and vent + -f' Recessed wall ~rp hp~tpr ~nrl vpnt I I Appl iance vent ~.,:oarittP I Stationary evap. cooler Vent fan wi th sinole duct Vent system apart from I heatino or A.C. Mechanical exhaust hnod il.nd du('t I Hood stove/heater I I I ,. SERVICES ITemporary Construction IChange in existing rp~ i dynrp Imultifamily, COITl!1. or Induo;,trial '. '. amps. I HAVE CAREFULLY EXM1INED the completed application for permit, and do hereby certify that all information hereon is true and correct, and I further certify that any and all work oerformed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Ore~on pertaining to the work described herein, and that NO OCCUPAI~CY 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 ons 701.055, that if exempt the basis for exemption' noted hereon, and that only subcontractors and employees who are in compliance with OP.S 7nl.055 will be used on this proje . IlAI-tE(please printlR R VA N fLE\J ELA^.JO SIr.rlATURE_~ A<.J<:V.- ( Fon orFlCE USfO'ilL Y , 20ne tt: c:::. Fi re Zone Flood Plafn TVDe/Const~~ Bedrooms Stories BUILDING PWtlT Charges and Surcharges " PLUI1BING PERMIT Charges and Surcharges I tt:', - -----~I;p---- ELECTRICAL PERI~IT Cha rges and Sur~harges MECHANICAL PERMIT Charges and Surcharges OATEb~ ~ ~-~ - Unfts Occy Load Occy Group So. Sq. Sq. Ftg. Ftg. Ft9. 11ain x Value Value Value Access x Other ~V.I~ x 9~f1~.- TOTAL VALUATION , Plan Ck. ConmlInd 65%/Bld~ P~r Fpp Plan Ck. Res 30%/B1 do Per Fee Fence 'Systems Development I Charoe tl. 5~) q~.-. /~8. 60 I I I ITotal I I TOTAL Comb. rermit ~9. '/0 2~~:-~ Detno I Sidewalk 2~' I A/C Paving I Curb C~t I 7.-' S-Z,- . . ..tf' COMBINATION APPLICATION/PERMIT (CAP) ", . PERMIT VALIDATION III. I. Applicant to furnish A. Job Address ,B. Legal Description 1. example- Tax lot 100, lane County Map Reference II oj 43 2. examole- Lot 1. Block 3, 2nd Addition to ''', .:spnngfield Estates. ," ~. ." .... \ C. Name. etc. of owner and construction lender : Q.. Energy 'Sources . ....r ." .' i'; " exam21 e- hea tIe 1 ectri ca 1 ceil i nq/or forced air oas 2. examele- waterheater/electrical/or solar E. Square footage or valuation, etc. . 1. exam~le- 1250 SQ. foot house, SOD sq. foot garage 2.. exa~le- if new project. check new - if addition, check add, etc. F. Building permit infonnation: 1. example - construct single family house with an attached garage 2. examele - remodel existing garage into family room 3. exa~le - 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 TE~1 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 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 fonn 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. --- 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.. ~,. '. ,. ...,.... , .... "w..' ,I .~." , ... ~....~..... .: . .;, .' .l ',~ ~:;\' " ..... ~ &~~> ~<f1 y~( t> , , ',~ ~'\~"".''' ':-":r" .-. V, FOR OFFICE USE ONLY Permit Clerk ()Jjulk // PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the BUll"oer's Board because: "." ;........ ..- . .' -. :;-,' Additional Project InfOrmation: -- .. ,'- PLANS REVIEWED BY: 'name L.J>8H ~ - \ ..~ ,~ ~"""'mSignatur _ ---L-..4'1:.12 . ~ . date...6.Z v-aS . ':;" - ~ Job Address /92(/ M,,/N sr~liE'T Legal Description 17.tJ'~~~, '12 f:L:' "'0/ , INSPECTION lINE 726-3769 i Owner (IA~ ~P.s Address % 2"2~ MA-/N ";7: Construction lender Address Ut~lliN n.Ar~ (name) Primary /?WNI'i"R Structural Electrical Mechanical CONTRACTORS {name} Genera 1 ~WH~ Plumbina Electrical ~'echanical PLUliB I NG -.llih - CITY Or' SPRINGFIELD COMBIIIATIDN APPLICATION/PERMIT EilERGY SOURCES: Heat !~ater Heater Range INFDRJ1ATION LINE 726-3753 Sq. Ftg. 1,Iain ~q. Ftg. Access. Sq. Ftg. Other ~2 Y'4:> Ilew Add A Her Pep. F foce _Demo_Change/Use _Wer -nV/N&-? . Describe Work(Le.. Build Single Attached Garaoe) i ~ ~ ~ t) ,~z ValUE of Work: 1: 2"f&',-- Builriina Permit Info: Familv nesidence With &A'k"/NG kr. ~dEWAre.N' 'F' //~~U7' ~.I~/...""'...,......~~.."'e Phone A'y? ~G#1'"/~' (address) (lies. no.) (exnires) (ahoM no. (address) (lin. no. \ (pxnirpc;\ (ohnnp nn. \ ELECTRICAL MECHANICAL Each single fixture FEE CHARGE 'Ill.- ITLIJ:I!ARIi.E. ..n Residence of furnace/burner to SQ. FT. BTU's ~~~ rHARGt /tP.- I i [ I I TOTAL CHARGES /a - TOTAL CHARGES WHERE STATE L,\l~ REQUIRES that tile Electrical work be done by an shall nOt be valiJ until the label has been signed by an Electrical IRelocated building (new fix. additipnal) I'S.F. Residence 11 bath \ IDuplex (1 bath) each IAdditional bath 1~later service I Sewer .IStorm Sewer ",. I~M ~(NMiitll I I I I I New circuits alts. or extensions Floor furnace and vent SERVICES Recessed wa 11 ~n~~p hp~tp~ ~nrl ~pnt ITempOrary Construction [Change in existing r~s i (t~.n("p [multifamily. comm. or Industri..l [Of ICO~1./IND. FEEDERS I Install/alter/relocate rli~trih fpprlpr~ IOf amps.1 [ I [ Appliance vent se-oarate S-tationary evap. cooler I Vent fan wi th s;nole duct I'Vent system apart heatino or A.C. [Mechanical exhaust hood and durt I Uoad s tove/hea ter I from amps. ISSUANCF OF PFRlilT TOTAL CHARGES Electrical Contractor. the electrical portion of this pe~it Supervisor and returned to the Building Division I HAVE CAREFULLY EXM1INED the completed aprl;cat;on for permit. and do hereby certify that all information hereon is true and correct. and I further certify that any and all work oerformed shall be done in accordance with the Ordinances of the City of Soringfield and the laws of the State of Oregon pertaining to the work described herein. and that UO OCCUPAIKY 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 ons 701.055. that if exempt the basis for exemption' noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this proje . UAf.lE(p1ease print)B 'Q Y A tJ f1:LE\J ELAAJD SIGII^TURE~ ~ ( FO~ OFFICE USE DIlLY' Sq. Ftg. riain x Sq. Ftg. Access x Sq. Ftg. Other...J:!tV.l~ x 20ne ~ c:::; Tvpe/Const~~ Bedrooms Fire Zone Flood Plain Stories BUILDING PERfIIT Charges anC: Surcharges PLUP~BING PERMIT Charges and Surcharges ---(~~---- .'IP ELECTRICAL PERIIIT Cha rges and Sur~.harges MECHANICAL PERMIT Charges and SurCharges DATEb~;;2. L{-'?:s - Units Occy Load Occy Group Value Value Value 9:Z fI&',- TOTAL VALUATION Plan Ck. Comm/lnd 65%/Blda P~r Fpp Plan Ck. Res 30%/B1 do Per Fee Fence Syste~s Development CharQe (1. 5n q'c::>. -~ /~8. 60 DtIflIO I I I Sidewalk 2t:>' I A/C Pavin9 I Curb C~t I 7.-' S-Z.- ITotal Comb. rermit ~9. '1~ 2~~: --'> I I TOTAL I , . '. ~ . COMBINATION APPLICATION/PERMIT (CAP) ". '" " I. Applicant to furnish A. Job Address B. Legal"Oescription I. example- Tax Lot 100, Lane County Map Reference II U3 43 2. example- Lot I. Block 3, 2nd Addition .to '", ,Spr,lngtield ,Estates: .. ..- ....... C. Name. etc. of owner and construction lender . Q.. Energy'Sources . '.~ '. . l~: 1'. ~"e'xample:' heat/electrical ceilinq/or forced air Qas 2. examole- waterheater/electrlcal/or solar E. Square footage or valuation, etc. - . I. example- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project, check new - if addition, check add, etc. F. Building permit information: 1. exam~le - construct single family house with 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 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 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 DUT ALL FEES AND CHARGES ON THE SCHEDULES O. 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. --- 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 signa ture. 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. '. . " I I I. V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: j .:' ... PERMIT VALIDATION . ,. ;.. .. , , .. . , . . ...., '. , .., " .' ...~ " ~ lo~-fV-r I() J.-~) ~/)-I ~~(~ . "'....,... \" ',t Permit Cl erk f7}H' // Permit applicant exempt from registration with the Builder's Board because: ",". ........ Additional Project Information: PLANS REVIEWED BY: ~RHe ?~~'signa~ur4 name " / > M"~-':~ date-.b..2V~aS ". .