Loading...
HomeMy WebLinkAboutPermit Mechanical 1989-9-25 I INSPECTION LINE 726,3769 . ~DS\cl mhRO , , . \)(]b .. INFORJtATION LINE 'IIlIIl;' 726-3753 Sq. Ftq. 1,Iain ~q. Ftg. Access. Sq. Ftg. Other Ilew Add Alter Pep. --Fence Demo Change/Use Other- - - +- ......... Job Address 726 Rqyne ~ ., legal Description \, Cy~ =>.~ \ \ ()( i\{)l!) CITY OF SPRINGFIELD COMBINATION APPLICATION/PERMIT EIIERGY SOORCES: Heat l~ater Heater Range Address Orland Dewitt /"b Rayner Phone Owner Spfd, or. 97477 Construction Lender 746-9720 Address OE~IGN TEAH (name) Phone (address) (lics. no.l (exo;resl (ahOM no.) Primary Structura 1 Electrical Mechanical CONTRACTORS (name) (address) (lies. no.) (pxoirp~' (OhMP !'In ) Genera 1 Plumbino Electrical Mechanical Marshall's Oil & Insulation,4131 E st spfd or. 97478 25790 12/23/89 747-7445 PlOl1B I NG ELECTRICAL MECHANICAL NO, FEF rHARGE Nn ~~F rHAR~F NO Fn' rl-lARhF 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] Duplex (1 bath) each Additional bath 1 ~Iater service 1 Sewer SERVICES Recessed wall So~rp kp~tpr ~nrl ~pnt Storm Sewer Temporary Construction IChange in existing , I"P~.iqenrp Imultifamily, camm. or Tnrllldr;al 10f amps, I COMI'!. /lND, FEEDERS I Install/alter/relocate rlic.trih fpp(ipl"c:. I Of amps. I Appliance vent ~~O~ ri'l. tp Stationary evap. cooler Vent fan with sinole duct. I Vent system apart from heatinq or A.C. I Mechanical exhaust hood and durt I \'Jood stove/heater I SSUANCF OF PFRIIlT TOTAL CHARGES TOTAL CHARGES I TOTAL CHARGES I S, IS WHERE STATE L\l~ REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical rortion of this permit shall not be vali~ until the 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 Derformed shall be done in accordance with the Ordinances of the City of Springfield and the laws of the State of Oregon oertaining to the work described herein, and that 110 OCCOPAllCY 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 ORS 701.055 will be used on this project. Zone Fire Zone Flood Plain Type/Const. Bedrooms Marshall's Oil & Insualtion SIGIIATURE~_c-&.u~~~_ FOr. OFFICE USE DIlLY So. Ftg, 11ain Sq. Ftg. Access Sq. Ftg. Other DATE 9/25/89 NN4E(please print) Stories Units Occy Load Occy Group x Value Value Value TOTAL VALUATION x x BOIlOING PERflIT Charges and Surcharges Plan Ck. Comm/Ind ____________...Q2I/Blda Ppr Fj:Ij:I Plan Ck. Res 30%/Bldo Per Fee Fence Systems Development Charqe (1.5~ ' PlUI~BING PERMIT Charges and...... Surcharges Demo ELECTRICAL PERrm Charges and Surcharges I'Side"a 1 k I AIC Paving ___L~~__: Curb Cut Total Comb. Permit MECHANICAL PERMIT Charges and Surcharges TOTAL . \~,~~- . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal Description 1. example- Tax Lot 100. lane County Map Reference II 03 4j 2. exam~le' Lot I, Block 3, 2nd Addition to Sprlngtield Estates C. Name. etc. of owner and construction lender D. Energy Sources 1. examole- heat/electrical ceilinq/or forced air cas 2. examole- waterheater/electrlcal/or solar E. Square footage or valuation, etc. ------ I. example' 1250 sq. foot house, 500 sq, foot garage 2. examole- if new project. check new - if addition, chec K add, etc. F. Building permit information: 1. exam21e - construct single family house with an attached garage 2. exam~le - 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 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 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. V, FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: " , , I I . PERMIT VALIDATION .~ q -Zlo,2J1 _~'l4q~ Permit clerk~i10 Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: '. ,- PLANS REVIEWED BY: , name signature date