HomeMy WebLinkAboutPermit Building 1980-09-123JN9*
CITY
CO},IBI iIATI ON
PRii,{GFiEL
LICATION/
TI
IT 7?6-
Job Address 1802 Market Street
Lesal Description Lot 20 Block 3 l.lorthridge
TIEET
l.later Hea
Ranqe I
r tlect
EIIERGY
Hea t
0wner nda Fos
Value of tlork:
9 ,000. 00
Sq. Ftg. l'lain-
Sq. Ftg. Access._
So. Ftq. 0ther
' tlew " Add XAI ter --o€p-;-
-;------e
n-e_oerno C h-n g e/ U s e
0ther
PhoneAddress 1476 Pl easant Buile,ing Pernrit Info: Describe-l,lork(j.e., Build SingleFamily Residence Uith Attached Garaqi)
to DuplexInstall wall to con vertConstruction Lender
Addres s Phone
co
C
F
FJ
Service Inc Eu gene 687 -0293
n ho
x5 n
59 Coburq Road,Pri ma Drawi ng
llechanical
El ectrical
Structura l
409 Suburban Eugene 02027100 9- 1 935
1 Curt Fjller Co.
umb i
NC
CHARGF
MECHAN ICAL
2 .00 10.0
El ec
PLUI,IB I IIG
EL ECTR I CAL
Each si ng i e fixture Residence of
sQ. FT.
CA
cal
fu rnace/burner to
BTLI' SRelocated bui(new fix. add
ldingjtional)
a 15.0 0r
I
I
FIoor furnace
and ventResdence
SERV I CE5
New ci rcui ts al tsor extensions
n
Rec essed wal I
en t ter.rsys apa rt rom
Apol i ance vent
tas it aon VA p
I
Vent f'an with
Temporary Construction
COI4H./IND. FEEDERS
0f
C han e n'Io iEX ts I ng
Imu t amt Ii omrnLv or
Duplex (l bath) each
Additional bath
l,.later servi ce
sSto
Sewer
10.00TOTAL CHARGES
5.0f
n Electrical ConI Suoervisor and
tractor, the elreturned to th
ectrical nortie Building Div
on.of this permit
1S10n
Mec han i ca ex ust
I n tS a I Ia t re 1re oc te
I,JHERE
sha I I not
STATE LlIi
be val fl 'REQUIRES thatuntil the Iabe
the ElectriI has been s
cal wo
i gned
rk be done bv aby an Electrica
TOTAL CHARGES
LJood stove/heater
TOTAL CHARGES
ISSUAIICF NF PFRII]T
llAllE(please print)JOHN HASCALL
TE
c IGi{A
ecomp
true0reonqtybethebe
xempt
ULL ED theand correct.of Sprinqfie
app cation forand I fu oermit, anrther certf do hereby certify thaf_v that anv
he State oi
and al I work oe t all info rmationld and th rformed shal I hereon Ge Lay;s of t be done i n accordance withof any s
Board is
on oertaini the Orditructure wi t to the r^rork descri nalces of thhout the pe eCi;^mission of d herein, and thBuildi at l,l0 0in full fo ng Divisi on. I furth CCUPAIJCy wi 1 Irce and e er certify that madeffect as requi red by ORS m.y registrationonly subc e Builder,s701 .055,with thon tracto rs that if eand ernpl the basis foroyees who are in comcl i exemrrtion isance wi th noted heot?s 701.0 reon, and that55 wlll be used on s oroject
Deve'lESys
Lna rqe
I
)
terns opment
BUILDING PERI,IIT
Charqes anC
Surcha rges
Zone
TOTAL VALUATIOII
1T
e,/Const
s
0cc Y Load
S
X Val
x lueGroup R-3
Uni ts
Value
Fire Zon
q. Ftg. 0ther
48. 00-1.12- - -
Flood Pla.in N0 Slepisg Ftg. Access
o. Ftg. l,tain
lan In
an
BI Per
s
30 e 14.40 P D
Fence
Denro
10.0c
15. 00
.6C
Sidewalk
A,/C Paving
Total Comb. Fermit
Curb Cut
14ECHAN
Cha rge
Surcha
ICAL PERI.IIT
s and
nge s
_1_4.10__ _
'-- (^
'4L IOTAL 91. c0
PLUI4BiN6 PERMIT
Charges and
Surc ha rges
ELt:TRICAL PERI,:IT
Charges and
Surc ha rges
ilrsP-EcTro-]iffi
726-37 69 A',
{ a ddrcc <
al.la DnF
r-
I l+. so i
=
COMBINATION APPLICATION/PERMIT (CAP)
I. APPIicant to furnish
A. Job AddressB. Leqa l DescriPtionl- example- iui"rot 100' Lane County Map Reference -
T7--0-3-?3'?- example- Lot 1' Block 3' 2nd Addition to
SPilngTieio Estates
c. r'rame]"etc' ot'iwn"t-ino construction jender
:ITY OF SPRII{GFIELD (
CirY Holl
SPringfield' Oregon
o"rort-"it of Public \Yorks
OFFICIAT RECEIPT
red F
0.8 54705,
CO
I
rni R ecei
Peirni i.-9.]et'k
5HELION'TURiSULL PRINTER5
ATURE
EUGEiE oR 974Or
I
I
V. FOR OFFICE USE ONLY
PRO.JECT CONDIl'IONS TO BE
--=*G@d #=---:
i.- ---
---
-'--
sATlSl:itD BF-r0RE 0cc'uPAilcY
'i'rom reg'i'stration vr i t.h the E'
lnfornration
'---- tr-a';g'
ui lrier' s Board because
Per"mi t aPPl j cant' exemp
Adcl-itionat Proi ect
PLANS REVIENED BY:
L
DAN SMITH
II
I
i1
name
s i gnature
date _o-
PERMIT VALIDATION