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Home My WebLink AboutPermit Mechanical 1981-02-27INSPECIION tINE 7263769 CIIY OF SPRINGFIETD COMETNAIION APPTICATION i PERMII ENERGY SOURCES: Heo t Woter Heoler INFORiAATION tINE 726-3753 Addr De scription Oa z5 Ow Addrers lj f.,,--, rhon" Permit lnfo: Describe Work (i.e., Build Single Fomily Residence With Attqchecj Goroge) t-pA-> IAddre sr Phone OO6 & DESIGN TEAM (nome)(odd ress)(lics. no.)(expires)(phone no.) Primo ry Structuro I E lectrico I Mechonicql CONTRACTORS (nome)(oddress)(lics. no.)(expires)(phone no.) Generol Plumbing Electricol Mechqnicol PTUMBING o ETECTRiC,A,T MECHANICAL I 0 NO.FEE CHARGE NO.FEE CHARGE NO.rEE CHARGE I I Eoch ringle fixture Residence of --sq. {t. furnoce/burner lo Relocoted building (new fix. qdditionql) New circuits, olterotions or exiensions Applionce vent sepo ro le S.F. Residente (l bolh)SERVICES Stotionory evop coo ler Duplex (l bolh) each Temporory Conslruciion Vent fon wiih sinqle duct Addirionol both Amps. Veni syslem oporl from heoting or A,C. Woter service Mechonicol exhoust hood and duct Wood stovet'heoterSewer Heot PumoSlorm Sewer FEEDERS Ampr. Air hondler to I0,000 cFM Air hondler over r0,000 crM lloo-\-JGr.-l--l-, rll.-ACul-r DeISSUANCE OF PERMIT TOTAI. CHARGES o)/.ouTOTAT CHARGES WHERE STATE tAW SEQUIRES rhot the Ele<tricol work be done by the Eleclricol Conlrcclor, the electrical portion of lhis permit sholl not bc vslid until o lobel hos been rigned by on Elaclricol Conlroctor qnd ottoched to the eleclricol ponel. TOTAT CHARGES I HAVE CAREFULLY EXAMINED the completed opplicotion for permit, ond do hereby ceriify thot oll informotion hereon is true ond correct, ond I further certify thot ony ond oll work performed sholl be done in ocordonce with ihe Ordinonces of the City of Springfield ond the Lows of the Stote of Oregon pertoining !o the work described herin, ond thot NO OCCUPANCY will be mode of ony rtructure withoul the permission of rhe Building Division. t further errlfy thoi my registrotion with the Builder's Boord is in full fore ond eifect os required by ORS 701.055, thot if exempt the bosis for exemption is noted heron, ond thot only subcontrsclors ond employees who ore in complione with ORS 70I.055 will be used on rhis proiect. 8DA Bosis for Builder's Boord exemption: NAME (pleose print) FOR OFFICE USE SIGNATURE Zone -Type/Const. -Units --Sq. Flg. Moin x --Volue x Volue a -Volue TOTAL YATUATION, Flood Ploin Storie. Occy Group-Sq. Ftg. Other , Occv lood sd Ftg. AccessFire Zone - Bedrooms BUILDING PERMIT Plon Ck. Comm/lnd Systems Developmeni r IChorges ond Surchorges Totol Comb. Permit PLUMBING PERMIT Fence Demo Chorges ond Surchorges ELECTRICAL PERMIT Sidewoik C Povi Chorges ond S u rcho rges MECHANICAT PERMIT Curb CutChorges ond Surchorges TOTAT 3l *qoo-ct Volue of Sq. Frg- Moin Sq. Ftg. Accesr. ---Other 5q. Ftg. Other JUI.S\C)i^t n frrrt0l l\rnbq-h\k\ tmq ('1f)n k --BTU'S Plon Ck. Res 30"/"/Bldo Per Fee ,x+ coMBINATTON AppLtcATtoN/pER (CAp) l. Appliconr. to furnish A. Job Address B. Legol Descripfion I. exomple-tox lot l00, Lone County Mop Reference I7 03 43 2. exomple-Lot I. Block 3,Znd Addition ro Springfield Estotes C. Nome, etc. of owner ond construction lender D. Energy Sources - PERMIT VATIDATION 2. E. Squore footoge or voluotion, etc.I. exom r 250 sq, foot house, 2. exom new proiect, check etc, glgrnElg- h eo t,'e_!Sc'll'kg!_Se iLi ng ./or f o rce d o i r s o s exsmple-woter heoterrelectricol z'or solor I 500 sq. foot goroge new-if oddition, check F. Building permit informotion: t. gsf.lglg-construct single fomily house with on ottoched goroge 2. exomple-rernodel existing goroge into fomily room 3. @-convert single fomily residence into restouront (chonge of use) G. Volue of work os defined in Section 303 (o) of the Structurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction deloys, Building Division Stoff must be oble to contoct oppropriote persons regording design informotion 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 oppiicont need fill-in only the No. Boxes odiocent to the oppropriote item(s) ro be instolled B. Full Plumbing, Mechonicol, ond Electricol Schedules ore ovoiloble ot the Building Division I. To conserve spoce on fhe permit form the schedules : hove been obbrevioted 2. lf the item(s) to be insrolled ore not covered on the obbrevi-. qted schedules you should consult the full schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND 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 Sroff will prepore o typewritten copy ond return if to the opplicont ot the time the octuol permit is issued for his signotuie. 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. lll other fees ond chorges ore due ond poyoble when ihe permit is issued. V. FOR OFFICE USE ONLY Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Additional Proiect lnformotion: PLANS REVIEWED BY: nome signoture dqte Job CITY OT SPRINGFIETD COMBINATION APPT.ICAIION / PERMIT INFORMATION TINE 7264753 ,{\,ll\tl Legol Dercription ENERGY SOURCES: Use Sq. Ftg. Moin Sq. Ftg- Accers. 5q. Ftg. Olher -New -Add -Fence --De Heot Woler Heqler Ro Volue of -Other .-_._-- Address L/ [ - ehon. r6uilding Permil lnfo: Describe Work (i.e., Build Single Fomily Residence With Attochecj Gorooe) I Con3lruction Addre ss Phone I (nomc)(oddress)(phone no.)DESIGN TEAM (lics. no.)(expires) Ptimory Mechonicol (phone no.) Generol Plumbi € leclricol Mechonicol PI.UMBING \J ETECTRICAL MECHANICAL0 NO. I FEE CHA,RGE NO I rEE CHARGE NO.FEE CHARGE I I Eoch rinqle fixture Residence of --sq. ft, furnoce/burner to -----BTU'SRelocored building (new fix. oddirionol) New circuits, olterotions or extensions Appiionce veni se po ro te S.F. Residence (l both)SERV ICES Stolionory evop. cqoler Duolex (l bqth) eqch Temporory Con:lruclion Vent fon with single duct Adciitionol both A-Pt. Venl syslem oport from heoring or A.C. Woler reryice Mechonicol exhoust hood ond duct Sewer Wooci siove/ heqier Slorm Sewer Heol PumoFEEDERS Ampr. Air hondler to 10,000 cFM Air hondler over 10,000 cFM -)[5c-l.r-u-,lloo r.-l-l-ACr-r,r.- -r t0 0dISSUANCE OF PERMIT TOTAT CHARGES o)/.ouTOTAI CHARGES WHER.E 5TATE tAw REQUIRES ihot thc Electricol work be done by the Electricol Controctor, the elertricol portion of this permir :holl not ba valid until olqbel hos been :igned by cn Elcctricol Coniroctor ond ottqched to thc electricol ponel. IOTAT CHARGES I HAVE CAREFUttY EXAMINED the completed opplicotion for permit, ond do hereby ceriify lhot oll informqtion hereon is true qnd correct, ond I further cerrify thot ony ond oll work performed shqll be done in ocordonce with ihe Ordinonces of lhe City of Springfield ond lhe Low: of the Store of Oregonpertoining to the work dercribed herin, ond lhot NO OCCUPANCY will be mode of ony structurc without the permission of rhe Building Division. I furlherertlfy thot my registrolion witb the Builder's Boord is in full fore ond effect os required by ORS 7O1,O55, thot if exempt the bosis for exemption it noted heron, ond thot only rubcontrocion ond employees who ore in compiione wirh ORS 701.055 will be used on this proiect. 3OA Bosis for Builder'r Boord exemptionr NA|{E (pleose printi FOR OFFICE USE SIGNATURE Typo/Const.-Units -Sq. Ftg. iloin x Yolue x Yqlue x -Volue FloodPloinsloriGt-OccyGroup-Sq.Ftg.other. lood aone Sq. Ftg. Access TOTAT VATUATION Fire Zone-Bedroomr Syslems Development Chorqe (1.59l") BUITDING PERMIT 6s%lstd Per Fee Plon Ck. Comm/lnd Plon Ck. Res Per Fee Chorges ond Surcho rges PLUrY\BING PERMIT Demq Chorge: ond Surchorges Totol Comb. Permit Chorges ond Surchorger ELECTRICAT PERMIT Sidewolk TOTAT 3l rq MECHANICAT PERMIT Chorger ond Surchorge: Curb Cutoo INSPECIION T.INE 72(.3769 JLII OO \ s Structurol Electricoi no.)(expires)CONTRACTORS (nome)lli -. ir A/C P6vi6. + COMBINATION APPLTCATION/PERlv _ GAP) l. Appliconl..ro f urnish A. Job Address B. Legol Description l. -exomple-rox Iot 100, Lone County Mop Reference2. exqmple-Lot l. Block 3, 2nd.Addition ro Springfield {at, C. Nome, etc. of owner ond construction lender D. Energy Sources -/ERMIT VATIDATION CITY OF SPRINGFI ELD CirY Holl Springfield, Oregon Deportment of Public Works OFFICIAL RECEIPT No. B 55945 & l. exomple-h""t/1ult.i5glg-lngzlor forced oir gos2. exompie-woter heoler.relectricoli'or solor q E. Squore footoge or voluotion, etc.l. exomple-Egg rq.foot house, 500 sq. foot goroge2. exomple-if new proiect, check new-if oddirion, checl odd. etc. F. Building permit informotion: t. qgf"Llg-construct single fomily house with on qttoc goroge 2. qlomqle-remodel existing goroge into fomily room 3. exompT6-convert single fomily residence into rGliEliEnt (chonge of use) G. Volue of work os defined in Seciion 303 (o) of the Structurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction deioys, Building Divisio Stoff musl be oble to conroct oopropriote persons regor design informction or iob site corrections, etc. ll. Abbrevioted Plumbing, Mechonicol & Electricoi Schedules A. Except where blonk spoces occur in the description porti of the Mechoniccl ond Electricol Schedules, the opplicon need fill-in only the No. Boxes odiocent to the onpropri< item(s) to be instolled 8. 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 ol. oted schedules you should consult rhe full schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES Ill. Applicont to sign ond dote Whenever possible, the initiol opplicotion will be used os o worksheet only. Where possible, Building Division Stoff will prepore o typewritten copy ond relurn it to the opplicont ot the time the octuol permit is issued for his signoture. tV. Fees ond Chorges (. RIZEO SHELTON.'URNBU!L PIITTERS - EUGENE OR 97'O! 515'I'6 -, Permit Clerk ( ( ( ( f I Rec' Received For: (-Amount Received BY Plon check fees ore due ond poyoble ot the time of the oppll=--..-.., ond no plons will be processeci until these fees ore poid. All other fees ond chorges ore due ond poyoble when the permit is issued. V. FOR OFFICE USE ONLY PROJECT CONDTTTONS TO BE SATISFIED BEFORE OCCUPANCY: Additionol Proiect lnformorion: signoture dqte nome PLANS REVIEWED BY ( 4 (