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Home My WebLink AboutPermit Plumbing 1981-02-20INSPECTION IINE 7263769 CITY .-..; SPRINGTIETD COA(BIN - ITOIT APPTICATION / PERMIT INFORMAIION IINE 72G3753 De scription )0 Addresr I 441D doc- Addre:s Pho ne Building Permit lnfo: Describe Work (i.e., Build Single Fomily Residence With Attoched Goroge) Volue of Work: I I Construclion Lender DO O s\ Address Phone DESIGN TEAAA (nome)(oddress)(lics. no.)(expires)(phone no.) Primory Slructurql Eleciricol Mechonicol CONTRACTORS (nome)(oddress)(lics. no.)(expires)(phone no.) 3I .JElectri co I Mechonicol ETECTRICAI MECHANICALPTUMBING NO.FEE CHARGE NC FEE CHARGENO.FEE CHARGE Eoch rinEle fixture Residence of -sq. ft. furnoce/burner to --BTU'S Relocoted building (new fix. oddirionol) New circuits, olterqtions or extensions Applionce vent sepo ro te S.F. Residence (l both)SERVICES Sloiionory evop. cooler Duplex (l both) eoch Temporory Conslruclion Vent fon with single duct Additionol both Amps. Yenl syslem oport from heotinq or A.C. Woier rervice Mechonicol exhoust hood ond duct Sewer Wood stove/ heoter Slorm Sewer FEEDERS Heot Pump Ampr. Air hondler to r0,000 cFM Air hondler over 10,000 cFM ISSUANCE OI PERMIT TOTAI. CHARGESTOTAT CHARGES WHERE SIAIE tAW REOUIRES that thc Elactrical work be done by fhe Electricol Controctor, thc clcctrical porlion of this permir rholl not bc volid unril o lqbel hos ban signed by on Elactrical Controctor ond ottochcd ro lhc elcctricol poncl. TOTAT CHARGES I HAVE CAREFULTY EXAMINED the completed opplicotion for permit, ond do hereby certify lhot oll informotion hereon is true ond correcl, ond I further certify thot ony ond oll work pe.rformed sholl be done in occordonce with ,he Ordinonces of the City of Springfield ond the Lows of the Stot6 of Oregon pertoining to the work described herin, ond thot NO OCCUPANCY will be mode of ony sfruclure wilhou, the permission of the Building,Division. I further ertlfy thot my registrotion with the Builder's Boord is in full fore ond effect os reguired by ORS 701.055, thot if exempt the bosis for exemption is noted heron, ond thot only subcontroctors ond emplofiEFv\ore in omplionce wirh ORS 70I.055 will be used on thi: proiect. e-zo -€ 1DATE FOR +- c,N 't<-tg * e- I--tr-Bosis for Builder's Boord exe mpiion: NAME (pleose print) USE ONI.Y TURE F|oodPloinStoriet-OccyGroup-Sq.Ft9.other- x ______Volue x Vo lue 1-Volue TOTAT VAI.UATION Type / Const.U s.Flg. Access Zone nils _----Sq. Ftg. Moin Fire Zone-Bedrooms occy Lood Systems Development Chqrqe (1.59lo) BUITDING PERMIT Plqn Ck. Comm/lnd BI,Per Fea Plon Ck. Res Per Fee Fence Demo Chorger ond Surchorges PIUMBING PERMIT Chorges ond Surchorges Toiol Comb. Permit ETECTRICAL PERMIT Chorges ond Surchorges Sidewolk MECHANICAI. PERMIT Curb CutChorges ond Su r cho rge r TOTAT IOM Sq. Ftg. Moin Sq. Ftg. Accesr. Sq. Flg. Other -New--Add-Alter-Rep. --Fence -Demo-Chonge/ Ure - -Other COMBINATION APPLTCATION/PERMFI-(CAP) '- - l. Appliconf. to furnish A. Job Address B. Legol Description l. exomple-tox lot.l 00, Lone County Mop Reference I7 03 432. exomple-Lot l. Block 3,2nd Addition to Springfield Estores C. Nome, etc. of owner ond construction lender D. Energy Sourcesl. exomple-h""t/4"9$gl SrLlnglor forced oir gosz. exomple-woter heoter. eleclricolr'or solor E. Squore footoge or voluotion, etc.I. exomple-1250 sq. foot house,500 sq. foot goroge 2. exomple-if new proiect, check-new-if oddition, check odd, etc. F. Building permit informotion: t. gpgplg-construc, single fomily house with on ottoched goroge 2. exomple-remodel exisring goroge into fomily room 3. exompfe-convert single fomily residence into restouront (chonge of use) G. Volue of work os defined in Section 303 (o) of the Structurol Specio lty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction deloys, Building Division Stoff must be oble to contoct oppropriote persons regording design informqtion or iob site corrections, etc. ll. Abbrevioted Plumbing, Mechonicol & Electricol Schedules A. Except where blonk spoces occur in the description portion of the Mechonicol ond Electricol Schedules, the opplicont need fill-in only the No. Boxes odiocent to fhe oppropriote item(s) to be instolled B. Full Plumbing, Mechonicol, ond Electricol Schedules ore ovoiloble ot the Building Division 'I . To conserve spoce on the permit form the schedules .: hove been obbrevioted 2. lf the item(s) to be instolled ore not covered on the obbrevi-. oted schedules you should consult the full schedules C. BUITDING DIVISION STAFF WILL FILI OUT ALL FEES AND CHARGES ON THE SCHEDULES lll. Applicont to sign ond dote Whenever possible, lhe initiol opplicotion will be used os o worksheet only. Where possible, Building Division Sroff will prepore o typewritren copy ond return it to the oppliconl ot the time the octuol permit is issued for his signolure. lV. Fees ond Chorges Plon check fees ore due ond poyoble ot the iime of the opplicotion, ond no plons will be processed until these fees ore poid. All other fees ond chorges ore due ond poyoble when the permit is issued. V. FOR OFFICE USE ONTY - PERMIT VATIDATION Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Additional Proiect lnformotion: PLANS REVIEWED BY. nome signolure dote INSPECTION tINE 72fF3769 CII\ QF SPRINGfIEID COI1AB ' ;TION APPTTCATION/PERMIT ITJfORMATION IINE 72U3753 I +4b doc-Job Legol Description ENERGY SOURCES; Heot Woter Heoler Ro 5q. Ftg' Moin Sq. Ftg. Access' Sq. Ftg. Olher -New--Add--Alter-ReP.--tence -Demo-Chonge/ Use --Other DA O \\' Address Phone Building Permit lnfo: Des<ribe Work (i.e., Build Single aFomily Residence With Altqched Goroge) I Construction Lender I Address Phone DESIGN TEAM (nome)(oddress)(lics. no.)(expires)(phone no.) Prim o ry Slructurol Eleclrico I Mechonicol '3b Pl um U .Lt r:3r i UElectricol Mechonicoi PTUMBING ETECTRICAT MECHANICAL NO. I FEE I CHARGE NO.rEE CHARGE NO.FEE CHARGE Eoch single fixtura Residence of fr. furnoce/ burner lo Relocoted buiiding (new fix. odditionoi) New circuits, olteroiions or extensions Applionce vent seoorole S.F. Residence (l bqth)SERVICES Sfolionory evop. cooler Duplex (l bolhi eoch Temporory Conslruclion Vent fon with single duct Additionol both Amp:. Yent system oporl from heotinq or A.C. Woler rervice Mechonicol exhousl hood ond duct Sewer Wocd slovelheoter Storm Sewer FEEDERS Heot Pump Amp!. Air hondler to r0,000 cFM Air hondter over t0,000 cFM ISSUANCE OF PERMIT TOTAL CHARGES TOTAT CHARGES IOTAL CHARGES WHERE STAIE tAW REQUIRES thot the Electrical work be done by rhe Elecfricol Conl.6.lor, tha electriccl portion of this permit :holl not ba volid until o lobel hor ban signed by on Elcaricoi Contto<tor ond ottoched to tha electricol ponel. I HAVE CAREFULty EXAMINED the compleled opplicotion for permit, ond do hereby ceriify thot oll informotion hereon is lrue qnd correct, ond I further certify thot ony ond oll work performed shoil be done in occordonce with the Ordinonces df ihe City of Springfield ond the Lows of the Stote of Oregon pertoining to tile work de:cribed herin, onci rhot NO OCCUPANCY will be mode of ony 5lruclure wilhout lhe permission of the Building,Division. I further cerrify thit my registrotion with the Builder's Boord i; in full force ond effect os required by ORS 7O1.055, thot if exempt lhe bosis for exemption is noted heron, ond thot Jnly 3ubcontroctor ond emplop-e3'v\cre in complionce with ORS 7OI.055 will be used on this proiect. f-Bosis for Builder's Boord exempiion: DATE f -z.r: -a 1 NAME (pleose print) roibBce usE oNtY Zone -Type/ Con:t.nils .-...--Sq' Ftg' fioin x ------Voluex Volue x -Volue Fire Zone-Bedroom: occy Lood Sq. Flg' Access Flood Ploin Srorier-Occy Group-Sq. Ftg. Other-- TOTAT VATUATION BUITDING PERMIT Chorges ond Surchorges PTUAABING PERMIT Chorges ond Surcho rges -f Plqn Ck. Comm/lnd 65"/'ol Bldq Pet F"e Systems Chorqe Development 0.5?'") Plon Ck. Res 30%/Bldq Per Fee Fence Demo Totol Comb. Permii ELECTRICAT PERMIT Chorger ond S urchorges Sidewolk AIC Povino MECHANICAL PERMIT Chorges ond Surchorges Curb Cul TOTAL lo.M Volue of Work: '\qTttnq- --BTU'S Additionol Proiect lnformorion: signoture dole nome PLANS REVIEWED BY: r ] COMBINATION AppLtCATtON/pERrxrr (CAp) l. Applicoru. ro furnish A. Job Address PERMIT VATIDATION CITY OF SPRINGFIELD Cify Holl Springfield, Oregon Deportment oI pubtic Works OFFICIAT RECEIPT B. Legol DescriptionI' exompre-rox rot.r00, Lone county Mop Reference r7 03 43 - ?: .@-Lot t. Btock'3, inl;;ji;; ro sprinsfield EsroresC. Nome, etc. of owner ond construction lenderD. Energy Sources I. exomole-heor.,'electricol ceiling/ or forced oir oosz. exo m o le-wore r heoter, -eJEctliEo l,rorEEi--E. sqro."Tilose or "",r"i-" #l-'/ ur : I -:+!]S-.1250 sq. foot house. 500 sq. foor gorosrz. exompte-if new proiect, check nEi_ii odditi-on, ciodd, erc. F. Building permit informotion:t. ggry]S-consrruct single fomily house with on or;goroge 3. =:-olS-remodel exisring goroge inro fomily rooJ. exomple-convert single fomily residence into- restourdnt (chonge o1 ure) G. Volue of work os defined in Secrion 303 (o) of theStructurol Specioity Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction J.loys, Building DiviStoff must be oble to contoct oppropriote p..rJ.,, ,"1design informotion or iob site corrections, efc. ll. Abbrevioted plumbing. Mechonicol & Electricol ScheduleA. Except where blonk spoces occur in the description oof the Mechonicol ond Elecrr.icol Scheduie.,lh! ";;i;need fiil-in ":ly ?1," No. Boxes odiocenf ro-rhe "p-p-roitem(s) to be insrolled B. Full Plumbing, Mechonicol, ond Electr.icol Schedulesore ovoiloble of the Building Divisionl. To conserve spoce on thJpermit form the scheduhhove been obbrevioted2. lf the item(,r) to be insrolled ore noi covered on th,. oted schedules you should consult the full *["ariC. BUILDING DIVISION STAFF V/ILL FILL OUT ALL FEES,AC|IARGES ON THE SCHEDULES lll. Applicont to sign ond dore Whenever possible, the initiol opplicotion will be used oworksheer oniy. Where possibie, building Division Stoff , lJ:?,11. o rypewri.,ren copy ond rerurn ir to the oppliconthe ,ime the octuoi permit is issued for his signotuie. lV. Fees ond Chorges Plon check fees ore due ond poyoble ot the time of the cond no plons will be processed uniir these fees ore ooid- ( -ofher iees ond chorges ore cjue ond poyoble *h"n ihu p t is issued. FOR OFFICE USE ON|-Y t fo. B 55877 r ( l9 d 'di, Received For \or ( I ( (o.( (. Amounl Received EYll AUTHORIZED SIGNATURE SAELTON.TURNBUL( PRIXTERS , EUGENE Oi 9"6,!aatr'6 V PROJECT CONDITIONS TO BE SATISFIED BEF ORE OCCUPANCY: ( ( ( i (