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Home My WebLink AboutPermit Fence 1981-03-04INSPECTION TINE 7263769 INFORMATION TINE 72G3753 d) ocI ,b Deicr;pfion Owner ENERGY SOURCES:Ftg. Moin Heoi 5q. Flg. Access' Sq. Ftg. Other -Rep.Volue of Work:ge/ use Address ne Building Permit Info: Describe Work (i.e., Build Single Fomily Residence With Atloched Goroge) nstruclion Lender .Address Phone \-./ (lics. no.)DESIGN TEAM (nome)(oddress)(expires)(phone no.) Primory Slruclurql Electricol Mechonicol CONTRACTORSn (nome)(oddress)(lics.no.) ^ r (expires)(phone no.) =\fl n-lr+ PI E lectri cq I Mechonicol PTUMBING ELECTRICAT MECHANICAT NO.rtr.CHARGE NO.FEE CHARGE NO.FEE CHARGE Eoch:ingle fixture Residence of -sq. ft. furnocel'burner io Relocoted building (new {ix. odditionol) New eircuits, olteroiions or exlensions Applionce veni 5epo roie S.F. Residence (l bolh)SERVICES Slotionory evop. coo ler Duplex (l both) eoch Temporory €onslruction Vent fon with single duct Additionol both Amps. Venl syslem oport fiom heoting or A.C. Woler:ervice Mechonicol exhousl hood ond duct Sewer Wood slove/ heoter Storm Sewer FEEDERS Heol Pump Ampr. Air hondler to 10,000 cFM Air hondler over r0,000 cFM ISSUANCE OF PERIAIT TOTAT CHARGES TOTAL CHARGES TOTAL CHARGES WHERE STArE t.iAW REQUIRES thor the Etectricol work be done by the Electricol Conttdctor, the alectricol portion of this permit sholl not be valid until c lobel hos bxn signed by cn Elactricol Conirdctor cnd ottoched to the electricol panel. I HAVE CAREfUttY EXAMINED the completed opplicotion for permil, ond do hereby certify lhot oll informqtion hereon is true qnd correct, ond I further certify thot ony ond oll work performed sholl be done in qcordonce with the Ordinonces of rhe City of Springfield ond lhe Lows of the Stote of Oregon perroining to tie work described herin. ond thot NO OCCUPANCY will be mode of ony struclure withoui the permission of the Building Division. lfurther certlfy thor my registrotion with the Builder's Boord is in full force ond sffect os required by ORS 70t.055, lhot if exempt the bosis for exemption is noted heron ond thot only subcontrq€tors ond employees who ore in ompiione with ORS 70'1.055 will be used on rhis proiecr. Bosis for Builder'r Eoord exemption: a, NAME (pleose pri SIGNATURE DATE FOR OFFICE USE ONLY Zone - Fire Zone- Type / Const. -Unils So-Ftg, Moin x Volue x Volue x -Yolue TOTAT VATUATION Bedrooms ccy lood So-Ftg. Access FloodPloinslories-occyGroup-Sq.Ft9.other- BUILDING PERA IT Chorges ond Surchorges Plon Ck. Comm/lnd 5596lBldq Per Fee System E Chorge Development (r.5%) _ Plqn Ck. Res 307o/Bldq Per Fee PTUMBING PERMIT Chorges ond Surchorges Fence Demo Totol Comb. Permit ELECTRICAI PERIiAIT Chorges ond Surchorges Sidewolk A/C Pqvinq MECHANICAT PERMIT Chorges ond Surchorges Curb Cut TOTAT OC CITY OF SPRINGFIETD COMBINATION APPTICAIION / PENMII il, 1^E BTI.J'S coMBTNATION APPUCATION/pEffilT (CAp) l. Applicont to furnish A. Job Address B. Legol DescriptionI. exomple-lox lot t00, Lone County Mop Reference I7 03 43 2. exomple-Lot l. Block 3,2nd Addition to Springfield Estotes C. Nome, etc. of owner ond construction lender D. Energy Sources lectricol ceili or forced oir gos eoter oa*1".-- E. Squore footoge or voluotion, etc.'l . exompfe-1_250 sq. foot house, 500 sq. foor goroge 2. exomple-if new proiect, check nE-w-if oddition, check odd, etc. F. Building permit informotion: I. exomple-construct single fomily house with on ofioched goroge 2. exomple-remodel existing goroge inlo fomily room 3. @-convert single fomily residence into restouront (chonge of use) G. Volue of work os defined in Section 303 (o) of the Structuro I Specio lty Code H. DESIGN TEAM AND CCNTRACTORS To ovoid design or construction deloys, Building Division Stoff must be oble to contoct oppropriote persons regording design information or iob site corrections, etc. ll. Abbrevioted Plumbing, Mechonicol & Elecfricol Schedules A. Except where blonk spoces occur in the description portion of the Mechonicol ond Electricol Schedules, the oppiicont need fill-in only the No. Boxes odiocent to the oppropriote item(s) to be instolled B. Full Plumbing, Mechonicol, ond Electricol Schedules qre ovoiloble ot the Building Division l. To conserve spoce on the permif form the schedules l hove been obbrevioted 2. lf rhe item(s) to be instolled ore not covered on the obbrevi-. oted schedules you should consult the full schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES A.ND CHARGES ON THE SCHEDULES lll. Applicont to sign ond dote Whenever possible, the initiol opplicotion will be used os o worksheet only. Where possible, Building Division Srqff will prepore o typewritten copy ond return it to the opplicont ol the time the octuol permit is issued for his signoture. lV. Fees ond Chorges Plon check fees ore due ond poyoble ot the time of the opplicotion, ond no plons will be processed until these fees ore poid. All other fees ond chorges ore cjue ond poyoble when the permit is issued. V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Additionol Proiect Informotion: PLANS REVIEWED BY nome signolure dote PERMIT VALIDATION Permit Clerk INSPECTTON TINE 72(.3769 CIIY Of SPRINGFIEID COMEINAIION APPTICAIION/ PERMIT INTORMAIION [INE ,2&3753 ENERGY SOURCES:Flg. Moin Addresr Heo t Sq. Ftg. Accesl. Woter H 5q. Fr9. Other Legol Descr,i:lion -ReP.Volve of Work:/Usa Owner Building Permit lnfo:Deisribe Work (i.e., Bui ld Single Addre rs Fomi Re Wirh Ailo Addrers Phone OESIGN TEAM (nome)(o ddress)(lics. no.)(e (phone no.) Primo Slructurol Electri col Mechonicol co RS no Eleclrico I l,{echonicol PTUMBING EI.ECTRICAI.MECHANICAL No. i FEE CHARGE NO.FEE CHARGE NO.FEE I CHARGE Eoch:ingle fixtvre Residence of fr. furnqce/burner lo Relocoled building (new fix. odditionol) New circuiis, olterolions or extensions Applionce vent sepqro ie S.F. Residence (l both)SERVICES Stotionory evop. cooler Duplex (l both) eoch Temporory Conslruction Vent fon with sinqle duct Additionol both Ampr. Vent system oporl from heotinq or A.C. Woler ierYice Mechonicol exhousl hood qnd ciuct Sewer Wood stove/heoier Slorm Sower FE EDE RS Heot Pump Ampr. Air hondler to I0.000 cFA Air honCler over 10,000 cri{ ISSUANCE OF PERMIT TOIAT CHARGES TOTAT CHARGES TOTAI CHARGES HER 5TA IE tAw REOU IR 5 thot lhe Electricol work be done by lhe Electricol Conitoctor,lhe GlgGtrico portion of this permit shqll not bo vo lid untilwE lobal hos bcan :igned by on Elactrico Conlroctor cnd ottached lg the cleclricol pcnel I HAVE CAREFUIIY EXA,\A|NED rhe completed opplicotion for permit' ond do h certify lhot ony ond oll work performed shqll be done in ocordonce with 'hpertoining to lire work described herin, ond lhor NO OCCUPANCY will be mo ertlfy th-ot my registrolion with lhe Builder's Boord is in full force ond sffect o heron, ond thor o-nly lubconlroclors ond employees who ote in compiione w ereby certify thol oll informotion hereon is ,rue ond correct, qnd I further e Ordinonces of the City of Springiield ond lhe Lows of the Stote of Oregon de of ony structure without the permission of the Building Division. I further s requirei by ORS 701.055, thot if exempt the bosis for oxemplion is noled irh ORS 701.055 will be used on ihis proiect. Borir for Builder's Boord exemption: NAiltE (pleosa pri SIGNATURE DATE FOR OFFICE USE ONLY Zone -Type/Const. -Units -Sq. Ftg' Aloin x -_--Voluex Yolue x -Volue TOTAT VAI.UATION, Fire Zone-Bedrooms occY Lood F+4 A_66s5s Flood Ploin stotiet Occy Group-._-$q' Ftg' Olher- BUII.DING PERMIT Chorges ond Surchorges PIon Ck. Comm/lnd 65%/Bldq P€r fee Systems Developmenl Chorqe (.l.59/o) Plon Ck. Res 30",'./Bldq Per fee PTUA,\BING PERMIT Chorges ond Surchorges Fence Demo Totol Comb. Permit ELECTRICAL PERMIT Chorges ond Surcho rge: Sidewolk A/C Povinq MECHANICAI PERMIT Chorge: ond Surchorger Curb Cut TOTAT -BIU'S g l0,oc coMBtNATtON AppltcATtoN,_RM|T (cAp) l. Appliconr. to furnish ,4. Job Address B. Legol Descriptionl. exomole_rox lot 100, Lone County Mop Reference IZ 01._ l: .ffi-Lor l. eto.k'3, ini A;j;;." ro sprinsfietd EsrorC. Nome, etc. of owner ond construction lenderD. Energy Sources I exomple-heotz'electricol ceilino,r, e x o m p I e -w o te r EEEGITEGE1-io I or forced oir s2/o rs orE. Squore footoge or voluoti on. etc. CITY OF SPRINGFIETD Ciry Holl _ Springfield, OregonDeportment of public WorksOFFICIAI. RECEIPTfoot house,foot goroge500 sq new-ifroiect, check oddition, check PERMIT VALIDATION IIo. 1 . exomple-1250 so.. eIEfrElE-iTlEw o EEalirc. ( ( ( 2 G. H. B 5596 Building permit informorion:l. exompie-consfruct single fomily house with on ottochedgoroge 2. exomple-remodel exisling goroge inlcr fomily room3. exom;G-conver, ,insle fIr;iiy ,""riJ"i." i.rorestouront (chonge of use) -Volue of work os defined in Section 303 (o) of theStructurol Speciolty Code -DESIGN TEAM AND CCNTRACTORS To ovoid design or construction deloys, Building DivisionStoff must be oble ro <du,ig,,.#oI;;;;.';.'i"#Tl"Ii::$:.:",:;J:'"'resordin ll. Abbrevioted prumbing, Mechonicor & Electricor scheduresA. Except where blonk spoces occur in the description portionof tire Mechonicol ond Elecrricol Sif.,.arf.r, lf.,:';;;i;;;;,need fill-in only the No. Boxes odiocent to'tf,"-"p.p-.opri"t.item(s) !o be instollecj B' Full Plumbing, Mechonicor, ond Erectricor scheduresore ovoiloble of the Building Divisionl. To conserve spoce on thJpermitlorm the scheduleshovg f,ssn obbrevioted2. lf the irem(s) to be instolled ore not covered on the obbored schedules you should consul, rh" fria;i;;;l;r---C. BUILDING DIVISION STAFF WILt FIIL OUT ALL FEES ANDCHARGES ON THE SCHEDULES lll. Appliconr ro sign ond dote Whenever possible. the initiol opplicotion will be used os oworksheet only. Where possible, Erll;;.g Division Sr"ff *if f (prepore o typewrilten copy ond return iito the "ppl;;"; ;;the time fhe octuol permit i, irrrud ior. his signoture. lV. Fees ond Chorges / Plon check f"., o." due ond pgyoble ot the time of the oppli,p \ ond no plons will be processed unlil these tees ore ooid- Allorher fees ond chorses ore due ".d p;r;;;il;; iriJ 0J,,,,is issued. V. FOR OFFICE USE ONLY F ( ( ( ( 6- d For: Amounl Recei ved ( EY ""aato^.tr"raraa ar,*raal SIGNATURE €uGaNE OR 97aol 3A!rr,a Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Additionol proiect lnformotion: PTANS REVIEWED BY. signoture dote ,loma b-- t