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Home My WebLink AboutPermit Building 1983-2-28 h INSPECTION LINE, 'p26-3769 . '-, . Gary's Body Shop CITY Uf SPRINGfIELD CmIBIilATION APPLICATION/PERMIT E!IERGY SOURCES: Heat t~ater Heater Range ValuE of Hark: $8,000.00 Buildina Permit Info: Describe Work{i.e.. Family Residence With Attached Garaoel INFORllATION liNt 726-37S3 Sq, Ftg, 1,Iain ~q. Ftg. Access. Sq, Ftg, Other Ilew Add A lter ~ep, --Fence Demo Change/Use -Other - - 00 w o '" '" '" Job Address 3000 Main Street 17-02-31-00 00701 Legal Description Owner Tenant: 726-0352 Address Phone Build Single Construction lender Install Fire Sprinkler System In Paint Spray Room of Body Shop Address Ut~ lliN H.Al1 Phone lname) (address) (lics. no.) (exoires) (ohone no./ General Underwriters Fire Sprinkler, Co. (name) (address) Sprinkler: U.F.S. (O.J. Omlid) . A wit ~~ ~ 485-0551 Primary Structural Electrical Meehan; ca 1 CONTRACTORS (l ics. no.) (exoires) (obnnp_ ",9- \ 485-0551 Plumbino Electrical ~1echan; ca 1 PLUIIBIIIG ELECTRICAL MECHANICAL NO ' Each single fixture I ~~_~ r rHARf,F jln I I ~n. I r'1A8!i[ NO I ~~~ l r~;R!iE. Residence of furnace/burner to SQ, FT, BTU's Relocated building (new fix, additional) New circuits alts. or extensions Floor furnace and vent S.F. Residence (J bath) Duplex (1 bath) each Additional bath SERVICES Recessed wa 11 ~n~rp hp~tpr ~nrl vpnt Storm Sewer Of amps. Appliance vent seoarate Stationary evap. cooler Vent fan with sinole duct Vent system apart from heatina or A.C. Mechanical exhaust hood and duct Water service Temporary Construction Change in existing rpsjqenr.~ multifamily, COITJl1. or Industrial Sewer CO~1,/IND, FEEDERS Install/alter/relocate distrih. fppdprs Wood stove/heater Of amps. I SSUANCf OF PFRrllT TOTAL CHARGES TOTAL CHARGES TDTAL CHARGES WHERE STATE L,;\~ REQUIRES that tile Electrical work be done by an 'Electrical Contractor, the electrical portion .of this permit shall not be valid until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFULLY EXAMINED 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 Oregon pertaining to the work described herein, and that NO 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 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 7Dl.055 will be used on this project. NN1E(please print) Garv Dubrav Zone M- 3 Tyoe/Const, I V-N Bedrooms Stories Units Occy Load Occy Group S!(:IIATURE FOP. OFFICE USE OIILY Sq, Ftg, Sq, Ft9, Sq, Ftg, DATE Fire Zone Flood Plain H-t r1ain Access Other x x SPRINKLERS. Value Value Value $8.000.00 TOTAL VALUATION BUILDING PERflIT Charges and Surcharges 44.00 ------------ 1. 76 Plan Ck, Comm/lnd 65%/Bld<l Ppr Fpp Plan Ck, Res 3D%/Bldo Per Fee Fence Systems Development CharDe (1.5%) PLU11BING PERMIT Charges and Surcha rges D~fno ELECTRICAL PERI~IT Cha rges and Surcharges .Sidewalk ------------1 A/~ Paving Curb Cut Total Comb. Permit 11ECHANICAL PERMIT Charges and Surchar!]es TOTAL $45.76 I . . COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATION l. Applicant to furnish A, Job Address B. legal Description 1. example- Tax Lot 100, Lane County Map Reference 11 U3 43 2. example- lot 1. Block 3, 2nd Addition to Sprlngtield Estates C. Name, etc. of owner and construction lender D. Energy Sources 1. example- heat/electrical ceili~Q/or forced air Qas 2. example- waterheater/electrical/or solar 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. Building permit information: 1. example - construct single family house with an attached garage 2. example - remodel existing garage into family room 3. exam~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, OESIGN 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 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. --- Ill, 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. V, FOR OFFICE USE ONLY Permit Cl erk , PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: 1. Zone change shall be approved by City prior tD Dccupancy Df body shop. 2. No auto painting shall occur until the sprinkler system is installed in paint room. Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: I name Lorne Pleger Signature~~ .,. o1ate ,...- 2-28-83 . _~,-......._. _._,_,-,-". '.- ~ ._, ".'''' ,,"'_'. _1Ll-...............~.--__"_'.,,.._ -~ ._._~.