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Home My WebLink AboutPermit Plumbing 1981-08-21INSPECTION tINE 72&3769 DESIGN IEAM Primor Str CITY OF sPRINGTIETD COMSINAIION APPTICATION/ PERMIT (oddresr) INfOTMAIION tINE 72C3753 honc no.) S t,nl { D ( nomri no.)(e [e9ol Dercription 5q. frg. Moin Sq. Ftg. Acce:r. -New-Add -Alter-Rep.- -Fencc -Demo-Chon9.i Use _Other Wottr Heoler Volue of Work: ENERGY 50URCES: Sq. f t9. Other Heo t -.---- Building Permil lnfo: nce Wilh Dercribc Worl 1i.o., Build Singlc FomrPho neAd d rerr Conrtrucrion Lender Addrcrr Phonc zIUMBINC i F?E I C!'IARGENO. r I lE!CHARGE NO. 4 Eoch rinqlc fixture i,g,orl an.n Re:idenca oi --.q. f t fvrnoce/burner lo __8TU',s Relocored building (new tix. odciitionol) Ncw <ircvitr, olterotiorrr or extenlicnl Applionce vent rePo rq le Stotionori, evop coole; I I S.f. Rerrdcncc (l both)SERVICES Duolex ll both) eo<h i I Temporory Con3truction Vent fsn with :ingie duct Aciditionol both Ampr- Vent syriem oport from heoling or A.C. Mechonicol exhour, hood ond ductWorcr rervicc Wood stove/ heoter/ I ,.*../o.rn Hcot PumoStor.m Se-cr I TEEDERS Ampr. i I cF,n Air honciler ro r\ir hqndler ovcr 10,000 cfM 6As 7.o4aurtfiS k).ooIOIAT CHARGES TOTAT CHARGES BUILDING PERMIT Chorger ond 5 urchorge r PTUMBING PERMII 3a Demo Chorger ond Surchorgas ELECTRICA! PERMII SidewolkChorger ond Surchorgcr MECHANICAT PERMIT Chor-cer ond S urch o rgc r Curb Cut TOTAI <tricql Mechonicol (o no.)rret,no. E!ectricol .l,le.honicol ETECTR ICAT ,V.ECHANICAL FEE : CHARGF ISSUANCE Of PERATII IOIAT CHARGEs .a WHERE SfAIE LAW REOUIRES thor rhc Ebctricql wor& ba dcna by thc E!.rtti(ol Controctor, lhr rlcctricol portion of rhir pcrmit rholl nor br volid uaril olobrl hor bcrn rigned by on Eloctrirol controctcr and otoch:d to thc clecrrisol pcncl. I HAVE CA-REFUttY EXAA{INED the compleicd oppiicotion for pcrmit. ond do hcreby certify thot oll iaformoiion hrreon ir true ond cor.<r, ond I furthcrcertify lhot ony ond oll work pcrformed sholl be done in ocordonca with thc Ordinonces of the City of Springficld ond the Lowr of ths Store of OregooPerlqining:o th" work Ccrcribcd herin, ond rhot NO OCCUPANCY will bc mode of ony struciurc without tha pcrmission of tha Building Division. I furricrerlify thot my regiiltotion with lhc Euilder':8oord ir in full force ond effc<t os rcquirej by ORS 70t.055, thot if axempt the bo:ir for cxcmprion is notcdhcron, ond ihot only rubcontroclors ond employecr who cre in omplioncr wirh ORS 701.055 will bc urcd on thir proicct. Eorir for Buildcr'r Eoord ercmpiion: NArllE (pleorc print)SIGNAIURE - DATE FOR OTFICE USE ONTY Zonc -fypc/Conrr, It Frg. Mo;n Firc Zonc-Ecdroomr occy Lood Sq. Ftg. Acce:r floodPloin5lorier-occyGroup-Sq.Frg.other- Plon Cl. Comm/lnd Syrtemr Deveiopmen, I Per Fee ch Plon Ck. Rc: x Voluc x -Voluo x -Voluc IOTAT VAI.UAIION : Per Fee Totol Comb.mil {3.a r ).b ^dd** / 7 ' y' +- E4 ,<,2 { o*^", Zz/ z)r l€,C 'V-1;;'r{- Gorooe) ),....^ -r'.-:- NO. F once /. lr't alC Pd";^^ .____!&@_ tlK COMBINATION APPLICATIONT PERAtrir (CAP) l. Applicoru. to furnish A. Job Address B. Legol Description l. exomole-tox lot I00, Lone County Mop Referenre l7 o1 ,13 2. er;;l;-Lot l. Block 3,2nd Addiiion to Springf CC. Nome, etc. of owner ond construction lender D. Energy Sources PERMIT VALIDATTON ITY OF SPRINGFIELD CitY Holl Springfield. Oregon Deportmenl of Public Works OFFICIAT RECEIPT il0. B 57133 Do -2/- Rec'd F Received Amounl Received AUTHORIZfD 'IGNATUIEsHElTOX-lUlrtUL! ailHlata _ aucaxE oi t,aol Permit Clerk I. exomple-heot/electri!ol ceiling/or forced oir gc 2. exomole-woter heoter. electricol,/or solor r ( ( E. Squore footoge or voluotion, etc. I. exomole-1250 sq. foot house,500 sq. foot goro 2. ef" tijE-iT;& proieo, check Fw-i i odd irion,, odd, etc. F. Building permit informotion: I. exomole-construct single fomily house with on c goroge 2. exompie-remodel existing goroge into fomily rc 3. exfiFG-convert single fomily residence into rcstouront (chonge of use) G. Volue of work os defined in Section 303 (o) of the Struclurol Speciolry Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction cieloys, Building Di, Stoff must be oble lo contoct oppropriote persons rr design informotion or iob site corrections, etc. ll. Abbrevioted Plumbing, Mechonicol & Electricol Schedu A. Except where blcnk spoces occur in fhe description . of ?he Mechonicol onci Electricol Schedules, lhe opp need fill-in only the No. Boxes cdiocent to the oppr, item(s) to be instolled B. Full Plumbing, Mechonicol, ond ElectricoI Schedules ore ovoiloble ot the Building Division 'l . To conserve spoce on the permit form the schedu hove been obbrevioted 2. lf the item(s) to be instolled ore not ccvered on fl . oted schedules'7ou should consult the fuil schedr. C. BUILDING DIVISION STAFF WILL FItL OUT ATL FEES, CHARGES ON THE SCHEDULES lll. Appiicont to sign ond dote Whenever possible, the iniriol opplicotion will be used r worksheet only. Where possible, Building Division Stoff prepore o lypewritten copy ond return it to the opplicor the fime the octuol permit is issued for his signoture. {. fr( f' (: t 1 (, Jtr lV. Fees ond Chorges Plon check fees ore due ond poyoble ot lhe time of the ond no plons will be processed unlil lhese feer ore poidh... other fees ond chorges ore due ond poyoble when lhe Permif is issued- V. FOR OFFICE USE ONTY ( .a .t BY PROJECT CONDIIIONS TO BE SATISFIED BEFORE OCCUPANCY: Additionol Proiect lnformotion: lr9'r0lv.a doloi{laa PLANS REVIEWED 8Y: \ ( ( INSPECTION IINE 72t3769 l,\crhonicol CIIY OT SPRINGFIETD COr'tBINAIION APPttCATION / PERMIt INFORMAIION TINE 726.3753 lDe -Other !! tion R 5q. F19. Moin 5q. ftg. Accerr. Sq. Ft9. OtherWoter Heoler Volue of Work: EN€RGY SOURCES: Hcot -_--.- -New --Add -Alter-Rcp..- . -Fenca-Demo-Chong:l Ura Euilding Permit lnfo: Dercriba Work (i.e., Euild 5inglc Fomrly Residancc with 4lrqch"d Go."9e)PhoneAddrc:: 77 Conrrucrion Lender S str Addrerr Phonc (nomei (oddrerr)(licr. no.) (cxpirar)(phonc no.)OESIGN TEAM ?ti60ty Sl.ucte.ol ,$echonicol CONlRACIORS (no mc)(oddresr)(lics. no.)(expirer){phone no.) Generoi Plumbinq E leclri col NO. PLIJMBING CHARGE NO.No.i t?!EE iCHARGE 4 ar(h lrnole trxlure isr"2o,ut Re:icienca of --rq. ft furnoce/ Surner lo --BTU'r i I I Relocorcd huilding (n:w lix. oddilionol) Ncw <ircuilr, ollerotiorr: ot extenticnl Appiionce vent reporo tc S.F. ierrdencc (l both)SERVICES Sloiionori evop. coolei Duoier (l both) eoch I I Temporory Conrtruction Vent fon with rinqie ducl I Ampr- Vent ryrlem oport from heotinq or A.C.Aciditionol both Mechonicol exhourt hood ond ductWdtr? lcfvic! / ll ,.**/o.rn Wood stove/heoter 5tor.m Se-er TEEDERS Heqt Pumo I I Ampr. Air hondler to 1 0,000 cFii I I Air hondlar over r0,000 cFM 6ls fo qaur/.tB 2,*t ISSUANCE OF PER/IAII TOIAI- CHARGES 30.oo TOTAT CHARGES TOTAT CHARGEs /2.d) WHERE srArE tAw REOUIRES ,hot thG Elcctricol work ba dona by thc Elcarirol ConrrqGror, thr rlccricot portion of this pcrmit :hott nor bo valid uatil olobcl hcr bcrn rigned by on Elcc!;icol controctor cnd ofochcd ro thr clccrricol pancl. I HAVE CA-REfUttY EXAAI|NED lhc complctcd opplicolion for permit, ond do hereby c.rtify ihot oll informotion htraon ir truc qnd orrect, ond I furthcrGerlify thot ony ond oll work pcrformed sholl be donc in ociordonce with rhc oidinonccs of tha City of Springficld ond the Lowr-of thc slote of oregonPerloin;ng 'o lhc work ccrcribed harin, ond rhot No OCCUPANCY will bc mode of ony structure wiri.out tie firmision of rha Build;ng Divirion. I furrhcrerlify thol my regittotion with thc Euilder':8oord is in full forcc ond effect os ,equirci by ORS 70t.055, lhot if exempt the bosis for e'mprion is notcdheron. ond thot only rvbontroctors ond amployeer who cre in compliono wirh OhS 701.055 will br usd on thi: proicct. SIGNAIURE OATE Borir lor Euilde Boordt ni NAr\{E (pleore print) FOR OFFICE USE ONTY BUII,DING PERMII Chorger ond Surchorger Zonc - TyPe/Conrt. -Unilr -Sq. f tg. Moin floodPloin<lorier-Oc<yGroup-Sq'Frg.othrr- Plon Ck. Comm/lnd Sy:temr Devclopmenl 65 I Firc Zonc-Sedroomr TOIAI. VATUAIION Plon Ck. Rer ?er F' ccy lood Sq. Ftg. Accctr x ------Vo luc x -Voluo a -Voluc PtUilBING PERMII Chorger ond 5urchorger _3a Fence Demo Totol Comb. P:rmir ?3 r,tr E[ECTRICAL PERMIT Chorger cnd Surchorgcr C Povi Sidewolk MECHANICAT PERMII Choroer ond Surchorger Curb Cut TOTAT !& I X* 6tr ETECTRICAI.A^ECHANICAL FEE CHARGI: ' ./ 7 / / ---aZr: .*+ ,.zr{ €. C V-1;:-:{- ).....^ -r'.-:- COMBINATION APPLICATIONi PER,M (CAP) l. Applicoru. to furnish A. Job Address B. Legol Description l. exomole-lox lot I00, Lone County Mop Refere6cc 17 n3 /3 2. exEnGl.-Lot '1. Block 3, 2nd Addiiion ro Spring{ C ]C. Nome, etc. of owner ond construction lender D. Energy Sources PERMIT VALIDATTON ITY OF SPRINGFIELD CirY Holl Springfield, Oregon Deportment of Public Works OFFICIAT RECEIPT No. B 57133 r9 R For Amount Received AUTHORIZED SIGTAIURE SHELION.'UITBULL 'RIIIERS EUGEXE ON 07'O! r ( E. F. Euilding permit informotion: l. exomole-construct single fomily house with on c goroge 2. exomple-remodel existing goroge into fomily rc 3. EG;FG-convert single fomily residence into rcitouront (chonge of use) G. Value of work cs defined in Section 303 (o) of the Structurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction cieloys, Building Di, Stoff must be oble lo contoct oppropriote persons rr design informotion or job site corrections, etc. ll. Abbreviored Plumbing. Mechonicol & Electricol Schedu A. Except where blcnk spoces occur in the description of the Mechonicol onci Electricol Schedules, the opp need fill-in only the No. Boxes od[ccent to the oppr, item(s) to be insrolled B. Full Plumbing, Mechonicol. ond Electricol Schedules ore ovoiloble ot the Building Division I. To conserve spoce on the permii form the schedu hove been obbrevioted 2. lf lhe item(s) to be instolled ore nol covered on tl . oled schedules 7ou should consull the fuil schedu C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES, CHARGES ON THE SCHEDULES lll. Applicont to sign ond dote Whenever possible, lhe iniriol opplicotion will be used t worksheet only. Where possible, Building Division Stoff prepore o typewritten coPy ond return it to the oPPlicol the time the octuol permit is issued for his signolure. l. exomole-heot/'electrkcrl qeiling/or forced oir gc 2. eadmG- * o t e r IEo t e-iEIEIiTiio I r o.- sET6i- Squore footoge or voluq11... .t.. l. exomole-'lJ50 sq. foot house, 500 sq. foot goro 2. exompie-if new proiect, check new-if oddition. r px ;EA. etc. ( L t. -t JL lV. Fees ond Chorges Plon check fees ore due ond ooyoble ot the time of lhe ond no plons will be processed until lhese feel ore poidL... other fees ond chorges ore due ond poyoble when lhe permit is issued. V. FOR OFFICE USE ONLY EY ta .t ! a3l r.6 ( Permit Clerk PROJECT CONDtTtONs TO BE SATISFIED BEFORE OCCUPANCY: Additionol Proiect lnformotion: dototrg6.llvaat:oFa PLANS REVIEWEO 8Y: I ( (. (