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Home My WebLink AboutPermit Plumbing 1980-3-21 ownerlft.llIT'S,4 W~z, ~ J;pW/N~ . Address ]=':0. Pc::::>,X /<!);i!/92 Phone E~-=..=N~ 7'1/'/Y:2C Construction Lender ~ INSPECTION LINE , 726-3769 Job Address 607 W.,:ST Legal Description Address DES I GN TEAt~ (name) Primary Structural Electrical , 11echani ca 1 : CONTRACTORS (name) : Genera 1 , ~. Plumbina Electrical ~lechani ca 1 PLU11B I NG NO. r /1 Each single fixture Relocated building (new fix. additional) S.F. Residence (1 bath) Duple~ (1 bath) each .. '. -.~ "~."~."'''' CITY OF SPRINGFIELD COMBINATION 'APPLICATION/PERMIT , ENERGY SOURCES: C::::~reNN/~<:' Heat t~ater Heater Range_ ValuE of t'/ork: INFORI,1ATION UN~ 726-3753 Sq. Ftg. 1'1a i n Sq. Ftg. Access. Sq. Ftg. Other New Add Alter Rep. --Fence Demo Change/Use --Other -- -- ~ )J ~ Buildina Permit Info: Describe Work(i.e., Build Single Family nesidence With Attached Garaae) -P~'1? l./ t:.. ietE7 ;p~ S . Phone (address) (exoires) (ohone no.") (lies. no.) (address) (1 i cs. no.) (exoires) (ohone no.) , ELECTRICAL MECHANICAL I FEE 'I CHARGE NO" S~ 53:1 , rHAR(.;F FFF rHAR(.;F ' FFF NO. Residence of furnace/burner to BTU's SQ. FT. New circuits alts. or extensions Floor furnace and vent /SERVICES I I I I I I I I I I I I I I I , TOTAL CHARGES SS:-ClOI TOTAL CHARGES , WHERE STATE L'\W REQUIRES that the Electrical work be done by an shall not be valiJ until the label has been signed by an Electrical Additional bath l~later service I Sewer /Storm Sewer I I I I I I I Reces sed wa 11 Soace heatl>r and I 'I Appliance vent seoa rate I Stationary evap. cooler Z I Vent fan wi th sinale duct I Vent system apart heatina or A.C. I Mechan i ca 1 exhaus t hood and duct I \'Jood stove/heater I I I I I I I I 13cc>1601:, I I I I I I I I I I I I (0,00- 16.00, thi s permit vent ITempOrary Construction IChange in existing' residence Imultifamily, comm. or Industrial 10f amps~ ICOMM./IND. FEEDERS I IInstall/alter/relo~ate 1 distrib, feeders 10f amp~1 I I I' I I from ISSUANCE OF PF.RI1IT TOTAL CHARGES El~ctrical Contractor, the ~lectrical portion ~f 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 oertaining to the work described herein, and that NO OCCUPAr~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 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 781.055 will be, used on this project. Ii''''! p 1 "" p" 0') X jJ K-:JJ ,ILl/ , C- Lo '" W LSlO"ATURE ~d~ ~_~ _ Oft.nt;;;'" / - 5.",) FOR OFFICE USE ONLY ( Tyoe/Const.1!L II ~Units Sq. Ftc]. ~1ain 7?O/l-i?/~ ~jf~ Bedrooms Occy Load Sq. Ftg, Access&'7!l6'#v"?x ' Va 1 ue Stories I Occy Group 'E -7 Sq. Ftg. Other /SSG.>E.'])x. Value . ---,.. TOTAL VALUATION Zone C.2 Fire Zone "tlZ:. Flood Plain Plan Ck. 65%/Blda Plan Ck. , 30%/Bl do 'SS: COI Fence -------2~-i~1 D~mo 1'3; dewal k ------------'IA/C Paving , Ir-. CCIo I Curb Cut _______c:2~~yl, BUILDING PER~lIT Charges and Surcharges PLur1BING PERMIT Cha rges and Surcharges ELECTRIC,ll,L PERrm Charges and Surcharges MECHANICAL PERMIT Charges and Surch'lrges Comm!Ind Per Fee Res Per Fee Isyste,ms Development Charge (1~5%), ' , , I I I I ITotal Comb. Permit 1-0 I' TAL .. r", . ,',,","',,, "_..~~,~.-.J t/7 '3. 80/ P, ~ ~ :~ COMBINATION APPLICATION/PERMIT (CAP) \ PERMIT VALIDATION Applicant to furnish A. Job Address B. Legal Description 1. example- Tax Lot 100, Lane County Map Reference 17 03 43 2. . example- Lot 1. Block 3, 2nd Addition to Springfield Estates C. Name, etc. of owner and construction lender D. Energy Sources 1. examole- heat/electrical ceilinq/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, checknew - 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. example - convert single family residenc~:into restaurant (change of use) G. Value of work as defined in Section 303 (a) of the Structural Specialty Code '.. ~H. DES I GN TEAr.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. " Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except where blank spaces occur in the descri~tion 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 P,lumbing, Mechanical, and Electrical Schedules are available at the Building Division 1. To conserve spacd 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 schedul es C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES D. As noted on the CAP, the label must electrical contractor for signature supervisor. The general contractor 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. ~.' 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. " II. be delivered to the by his electrical is not authorized I I I. IV. V. FOR OFFICE USE ONLY Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: name signature date " . ':., ~ y:- . '''(. "1:~.' '-il'1 , , ~ i. I' f~ +:'!",~.~ , '-",J'... ~ INSPECTION LINE :1726-3769 , CITY OF SP"R,HlGFIELD COMBINATION AP~~ItATION/PERMIT ErlERGY SOURCES: c.c;.y TEI'Y/Y /4- i.: Heat !'}ater Hea fer Range ValUE of l'Iork: Job Address (y07 WC-,-ST , Legal Description Owner II/Aff'.S , ~~OOj;) <I J;;..W,NG:,-, i Address r:O. -p~X /~,3'9'2.. -,' Phone INFORtlATION liNe I 726-3753 Sq. F tq. r,la i n ~q. Ftg. Access. Sq. Ftg. Other , New Add Alter Rep. -Fence Demo Change/Use -Other -- - 00. () () l\J ~' 4 E~/Ve Construction Lender 7?-,Rl.../ .(. Buildina Permit Info: Describe Work(i,e., Build Single Family Residence With Attached Garaqe) /~/'/':l2C: ; Address ; DESIGN TEAH (name) Phone (address) Primary Structural Electrical , 11echani ca 1 , CONTRACTORS (name) (address) General Plumbina Electrical ~lechani ca 1 PLUr1BI NG ELECTRICAL NO. FE E 'I CHARGE NO 5Q&> 5'S~ SQ. FT. I FF~ CHARGF NO. furnace/burner to BTU's Residence of /1 Each single fixture Relocated building (new fix. additional) New ctrcuits alts. or extensions IS.F. Residence (1 bath) 1 Duplex (1 bath) IAdditional bath I ~tater service 1 Sewer Istorm Sewer I I I I 1 I each' I I I ISERVICES Temporary Construction IChange in existing residence Imultifamily, comm. or Industrial' 10f ICOHM./IND. FEEDERS " , IInstall/alter/relocate I distrib, feeders 10f amps.! I I I I I I I : TOTAL CHARGES SS:-<:lOJ TOTAL CHARGES WHERE STATE L~W REQUIRES that the Electrical work be done by an Electrical shall not be valiJ until the label has been signed by an Electrical Supervisor amps.1 iec:sr ;P~:"4S, (lics. no.) (1 i cs. no.) (exoires) (exoires) MECHANICAL Floor fu rnace and vent 1 I 1 1 12 , I 1 I Recessed wall SoacE' heat.er and I I Apo Ii ance vent seoarate I Stationary evap. cooler I Vent fan with sinale duct I Vent sys tem apart from heating or A.C. I Mechanical exhaust hood and duct 1I'}OOd stove/heater 'I I I (ohone no.) (ohon~ no. ) FFF CHARGF I I I I I 13Q016. ~ I I I I I I I I I I I I (0,0.0 VE'nt I / " 00 EO. thi s permit , I HAVE CAREFULLY EXNllNED the completed apnlication for Dermit, 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 oertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without the permission of the [Juilding Division. I further certify that my registration ~Jith 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. I I ISSUANCE OF PFR11lT J TOTAL CHARGES Contractor, the electrical portion of and returned to the Building Division NAr-1E(ple~se print) x.j:J k~ /v /5' Co:- L6 <-'ULsICNATURE ~?;;Y0_~""'--" FO~ OFFICE USE m~LY , Tyoe/ConsLm:- N SJ3?f. Units So. Ftg. r1ain-K(":!I(..7;?/~x ~J.;r'i'7>ia7iUe Bedrooms Occy Load Sq. Ft!J. Access/',k,;;;'M-Z'.,-x Value Stories f Occy Group E -"'2 Sq., Ftg. Other /SSVC:;:-P x. Value TOTAL VALUATION Zonec...~ Fire Zone 7Jl:. Flood Plain BUILDING PERt,1!T Charges and Surcharges I Plan Ck. ____________ 65%/Blda Plan Ck. 30%/Bldq Ss: ~I Fence -------2-.-.<~1 D~mo I Si~w~ lk I A/C Paving 16. ~ I Curb Cut --------~~-~ll Comm/lnd Per Fee Res Per Fee PLUt1BING PERMIT Charges and Surcha rges ELECTRICAL PERr~IT Cha rges and Surcharges Isystems Deveiopment Cha rqe (1. 5%) I I I I ITotal Comb. rermit Dfl.T;3:z!21 -s-d TOTAL ::2173.8</ l.......~~'_...<U,,< C Amount Received S to. /p <J; (\eO""'O '""""'""' COMBINATION APPLICATION/PERMIT (CAP) [. Applicant to furnish A. Job Address B. Legal Oescription 1. example- Tax Lot 100, Lane County Map Re 17 03 43 2. ' example- Lot 1. Block 3, 2nd Addition t( (' Springfield Estates C. Name, etc. of owner and construction lender D. Energy Sources 1. examole- heat/electrical ceil inq/or for, 0 2. examole- waterheater/electrical/or sOT; E. Square footage or valuation, etc. 1. examole- 1250 sq. foot house, 500 sq. f 2. example- if new project, check-new - if ~\ check add, etc. F. Building permit information: 1. examole - construct single family house attached garage 2. examole - remodel existing garage into 3. examole - convert single family residen restaurant (change of use) G. Value of work as defined in Section 303 (a) (t. Structural Specialty Code H. DESIGN TEAr,1 Arm COiHRACTORS To avoid design or construction delays, Bui Division Staff must be able to contact appr ~ persons regarding design information or jot corrections, etc; II. Abbreviated ~lumbing, Mechanical, & Electrical A. Except where blank spaces occur in the desc (C"I portion of the Mechanical and Electrical Sc ~, the applicant need fill-in only the No. Bo) to the appropriate item(s) to be installed B. Full Plumbing, Mechanical, and Electrical: are available at the Building Division 1. To conserve space on the permit form tl ~ have been abbreviated 2. If the item(s) to be installed are not the abbreviated schedules you should C( full schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL I CHARGES ON THE SCHEDULES ~' D. As noted on the CAP, 'the label must be del ~( electrical contractor for signature by hi< supervisor. The general contractor is n, to sign the electrical label. . - Applicant to sign and date Whenever possible, the initial application w a worksheet only. Where possible, Building will prepare a type written copy and return ~o applicant at the time the actual permit is i signature. Fees and Charges Plan check fees are. due and payable at the t (~'i application, and no plans will be processed fees are paid. All other fees and charges a payable when the permit is issued. .III. IV. V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED I Permit applicant exempt from regist Additional Project Information: PLANS REVIEWED BY: name j -\ -1-, signature ...- ( ( \., ,- ," .~..... t- c t- ( L BV .) .... -~. ... '( 1'1 r I t AB C f r IO"L6 !:IO "3N3!)nJl - 5l:il3.1NI!:ld_"nBN~nJ._N0.1'3HS . '"0"'.0" o,,,,o.a-u r' 8-111:08S; ( r " 4J' Z) 2, '(),b ( QO) Q( 9 V Q9'S,' \b~<2\ Q~' 1 Q{e>V oo'St> }jQ'l GOIZy 00)' OQ O} I ..." pa^!aJaM ~u noUlV' - C OS ( .. do ( ~ ZS?,()O<f>' ( Ct{o\? dcd 0~ LPV d H ~9~ L()Q'6 ( lJA en :-Z OO"c;g dd~i;6~M( e ' ~ '~~b St>! ~-Cfd OOssaJPPV' lAa)' W '4,>"U.clJ rp6J.1 H UlOJ~ p,JaM ( , Ud6 L <\1]' '\'\)\.\)." a~oa ~~ L 80S S 9 .ON, ( ( ld13::>3~ Hfl::>l:HO S,ljJOM J!lqnd fO ~uewlJDdea u06eJO 'PI5!f6U!JdS IJDH ,(11::> c. a13I:1~NI~dS (' :10 All:) ....t'. 'II~.I'V'_, -- -:J-". Department of Public Works OFFICIAL RECEIPT ( No. B 5 3 0 8 8 ( Date .~- l.\ 19<xn " Rec'd From t\IAtL (' C)n~-r, Address -PD ~ { {)~q ~ ( Received For: <::'1:1:)('/2- C:?'Z- cto!?) PC~ - {()f--1 1-1 ( (, C ( t C ( \., l j '- ~.. -' "2, Z .00 . <6~_ ~"3 . ~C) ('J)J ~ c SHELTON-TURNBULL P~INTERS . EUGENE. OR 97601 ...". c UdL.t: -