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Home My WebLink AboutPermit Building 1981-10-30INSPECIION TlNE 72(,.3769 COI'TBINAIION APPItCAIION / PERMIT 3 0 EsilSllf'oN '|'rNE [egol Descripfion ENER,GY SOURCES: Heot - Woter Heoler Rq Sq. Ftg. Moin Sq. ttg. Access Sq. Frg. Other New_-Add-Alter-ReP. Fence..-Demo-Chonge/ Use Other @ O!t\ CtlVolue of Work: owner Stan Merri I e Address 1509 Mohawk Phone Building Permit lnfo: Describe Work (i.e., Build Single Fomily Residence With Attoched Goroge) Snri nof i Fl d - flR 91477 Remodel Spa Construclion Lender Add ress Phone DESIGN TEAM (nome)(oddress)(lics. no.)(expire s)(phone no.) Primory Structuro I Electrico I Mechonicol CONTRACTORS PI Electricq I l{echonicol Ray BfOWn PLUMBING ETECTRICAT MECHANICAL NO.FEE CHARGE NO.FEE CHARGE NO.rEE CHARGE 4 Eoch sinEle fixture 50n 2n nn 1 furnoce/burner to 5-00 Relocoied building (new fix. odditionol) New <ircuifs, olterotions or extensions 4 Applionce vent sepo ro le 3 00 't2.oo S.F. Residence (l both)SERVtCES Stotionory evop. cooler Duplex (l both) eoch Temporory Conslruction Vent {on with single duct Addirionol both Amps. Vent syslem oport from heotinq or A.C. Woler Mechonicol exhousl hood ond duct 1 Sewer 10.00 Wood slove/ heoter Storm Sewer FEEDERS Heot Pump Amp;. Air hondler to 10,000 cFM Air hondler over r0,000 cFr\l 1 Cac fn 4 nrrt'lotc ) i(r ISSUANCE ot PERMIT I n O0 TOTAT CHARGES 30. 00 TOTAT CHARGES TOTAT CHARGES 30.00 WHERE SfATE lAW REOUTRES rhor rhc Elcctricol work be done by rhe Eloctricot Conl?octot, the rlcctricol po;tion of this permit rhall not bc volid unril o lsbal hor beon signed by on Electricol Conltoclor cnd qttoched to lhe eleclricol ponel' I HAVE CAREFULIY EXAMINED the compleled opplicotion for permit,ond do hereby certify lhot oll informotion hereon is lrue ond correct, ond I further certify thot ony ond oll work perforrcd sholl be done in ocordonce with the Ordinonces of the City of Springfield ond the Lows of the Stole of Oregon without the permission of the Building Division. I further 701.055, lhot if exempt the bosis for exemption is notedpertoiningto the work described herin, ond rhot NO OCCUPANCY will be mode of ony slructure erllfy thot my regislrotion with the Builder's Boord is in full force ond effect os required by ORS heron, ond thot only subcontrqctors ond employees who ore in omplione wirh ORS 7O1.055 will on this proiect.-t Bosis for Builder's Boord exemplion: SIGNATURE ,ATENAME (pleose print) FOR OFFICE USE ONTY Zone C2 consr. V-N unirs 1 sq.Ftg. Ftg. Ftg' lrloi n x Vo lue x Volue x -Yolue TOTAT VAIUATION, Fire Bedrooms Lood A,ccess Flood Ploin o Group -wo t Other BUILDING PER,MIT Chorges ond Surcho rge s Plon Ck. Comm/lnd 65%/Blds Per ree Systems Development Chorqe (1.5%) Plon Ck. Res 30olo/8lds Per Fee PTUMBING PERMIT ---- 68-.Chorges ond Surchorges Fence Demo Totol Comb. Permil ETECTRICAL Chorges ond Surchorges Sidewolk A/C Povino MECHANICAL PERMIT Chorges ond Surchorges ____ 60.Curb Cut TOTAT $124. B0 CITY OF l\utflI r 131 (nome)(oddress)(lics. no.)(expires)(phone no.) Residence of -sq. ft. -BTU'S coMBTNATTON APPUCATTON/PERMIT (CAP) l. Applicont to furnish A. Job Address B. Legol Description I. exomple-tox lot 100, Lqne County Mop Reference l7 03 43 2. exomple-Lot l. Block 3,2nd Addition to Springfield Eslqtes C. Nome, etc. of owner ond construction lender D. Energy Sources Permit Clerk PERMIT VALIDATION 'l . exomple-h.ot/q!"44!g!"'lIg,/or forced oir gos 2. exo mFlE-wo te rTE6TeiTel-ect ri co l / or @- E. Squore footoge or voluotion, elc.I. exomple-1250 sq. foot house,500 sq. foot goroge 2. exomple-i-f new proiecl, check-new-if oddition, check qdd, etc. F. Building permit informotionr I. exomple-construcl single fomily house with on oltoched goroge 2. exomple-remodel exisfing goroge into fomily room 3. ex;mpfe-converl single fomily residence inlo iEstouront (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 lo conloct oppropriote persons regording design informotion or iob site corrections, elc. ll. Abbrevioted Plumbing, Mechonicol & Electricol Schedules A. Except where blonk spoces occur in the description portion of the Mechonicol ond Eledricol Schedules, the opplicont need fill-in only the No. Boxes odiocent to the oppropriole item(s) to be instolled B. Full Plumbing, Mechonicol, ond Electricol Schedules ore ovoiloble ot the Building Divisionl. To conserve spoce on the permit form the schedules hove been obbrevioted 2. lf the item(s) to be instolled ore not cove,red on the obbrevi- oted sohedules you should consult the full schedules C. BUILDING DIVISION STAFF WILL FILL OUT AIL 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 Stoff will prepore o typewritten copy ond return it to the opplicont ot the lime the ocluol 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 due ond poyoble when the permit is issued. V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SAIISFIED BEFORE OCCUPANCY: Addilional Proiect lnformolion: nome sig noture dote PLANS REVIEWED BY: I i .'. INSPECTION UNE 726.3769 cor ErNATroN APPUCATIoN/PEnMlr icijt i:j]uCi -r I ::olNFoRMArloN uNEe .- .r,Jr2(>37S3CITY OF SPRINGFIEID Job Address Lesol Description 1 7-n?- 2q-aL T I ?qnn Wqter Heoter ENERGY SOURCES: Heot - Sq. Frg. Other -New -Add-Alter-Rep. -Fence.-Demo-Chonge/ Use - Orher - Sq. Ftg. Access. Sq. Ftg. Moin Volue of Work: owner Stan Merri I e Fomily Residence With Ailoched Goroqe) Building Permil lnfo: Describe Work (i.e., Build Single PhoneAddress I509 Mohawk Remodel SoaSori nof i e'l d - flR q7 471 Conslruclion [ender @ O!r$ Ot Address Phone (nome)(oddress)(lics. no.)(expires) (phone no.)DESIGN TEAM Primo ry Slrucluro I Electrico I Mechonicol (oddress)(lics, no.)(expires)(phone no.)CONTRACTORS (nome) Eleclricql Plumbi Mechonicol Ray BfOWn ETECTRICAI MECHANICALPTUMBING CHARGEFEECHARGENO.rEENO-FEE CHARGE NO. 1 furnoce/burner to 6- nn2n nn Residence of -sq. ft,4 Eoch single fixture 5-00 3 00 1?.OO New circuits, olterotions or exlensions 4 Applionce vant seporole Relocoted building (new fix. oddilionol) SERVICES Stolionory evop. cooler S.F. Residence (l borh) Temporory Conslruclion Vent fon with single duttDuplex (l bolh) eoch Vent syitem oport from heoting or A.C.Additionol both Amps. Mechonicol exhousl hood ond ductWoler service Wood stove/heoter1Sewer10.00 Heot PumoFEEDERSStorm Sewer Air hondler to '10.000 CFJ'AAmpr. Air hondler over r0,oo0 cFAr 2nn1Gac fn 4 nrrf'lptc ISSUANCE OF PERMIT ln nn TOTAT CHARGES 30.00TOTAT CHARGESTOTAT CHARGES 30. 00 WHERE STATE LAW REQUIRES rhor rhe Etecrricol work br donc by lhc Eleclricol Conl.oclor, rhe clcclricol porrion of this permit rholl not bc valid until o lsbel hos been signed by on Electrical Contractor ond ottoched to thc cLctricol Ponel. SIGNATURE AMINED the compleled work performed sholl be mode of ony effect os required opplicotion structure cerlify lhot oll informotion hereon is true ond correct, ond I furtherfor permit, ond do herebyI HAVE CAREfULtY EX qccordonce with the Ordinonces of the the Lows of the Stote of Oregonbe done incertify thot ony ond oll of the Building Division. I further City of Springfield ond without the permissionherin, ond thot NO OCCUPANCY willpertoining to the work described by ORS 701.055, lhot if exempt lhe bosis for exemption is notedBuilder's Boord is in full force ondcerrlfy thot my registrolion with the on this proiect.ond employees who ore in complionce wirh ORS 701.055 willheron. ond lhot only subcontroclors -.1.i NA,f\E (pleose prinl) Bosis for Builder's Boord exemption: FOR OfFiCE USE ONIY Typ"/con.r. V-N Units 'l sq. Ftg. lrloin Sq. Ftg, Olher-x -!qle6 TOTAT VALUATION x ue o C2 Flg. Access x --YolueBedroomsLood Flood Ploin Zone Fire Double Fees - work done without peru] E! Plon Ck. Comm/lnd 6596/Bldq Per Fee Systems Development Chorse (l.51.) Plon Ck. Res 3O%/Bldq Per fee BUITDING PERMIT Chorges ond Surchorges Fence Totol Comb. PermitDemo Chorges ond Surchorges PTUMBING PERMIT _ 60. Sidewolk A1C Povinq Chorges ond Surchorges ELECTRICAL PERMIT Curb Cut MECHANIC.AT PERMIT Chorges ond Surchorges 60. , n^ TOTAI- $124. B0 21 47q 't ? -R1 7 47 -7? 4.Cc-^..^l C:c lzrrla Dnn'l c ?Q?/l M:'in (nfd nD 2.40 -+:t G_t coMBTNATION APPLICATION/PERMIT (C.AP) l. Applicont to f urnish ./ A. Job Address { B. Legol Description l-l. exomple-tox lot I00, Lone Counly Mop Reference Ii 2. ex#ple--Lot I. Block 3,2nd Addition ro Springfield E (e: C. Nome, etc. of owner ond construction lender CITY OF SPRINGFIELD Ciry Holl Springfield. Oregon Deporlmenl of public WorksOFFICIAT RECEIPT ( P AUTXORIZEO SHELTON.TURNBULL FFTNTERS SIGNATURE EUGENE OR O7'OI o. B 5?557 i D. Energy Sourcesl. exomple-heotz'electricol ceiling,/ 2. e xo m plE- w o t e r TE6Gi)Gl-e ct ri co I or forced oir gos or solor uore foologe or voluotion, elc. exo e-l 250 sq. foot house,500 sq. foot goroge -new-if oddition, checl \exo new proiect,check \r- E. sq 't. 2. o , etc. F. Building permit informolion: I. exomple-construct single fomily house with on otto( goroge 2. exomple-remodel existing goroge into fomily room 3. exfipfe-convert single fomily residence inlo reiiEuront (chonge of use) G. Volue of work os defined in Section 303 (o) of the Struclurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or conslruction deloys, Building Divisi Stoff must be oble lo contocl oppropriote Persons reg( design informotion or iob site corrections, etc. ll. Abbrevioted Plumbing, Mechonicol & Electricol Schedules A. Except where blonk spoces occur in the description pc of the Mechonicol ond Electricol Schedules, the opplic need fill-in only the No. Boxes odiocent to the opprop item(s) to be instolled B. Full PIumbing, Mechonicol, ond Electricol Schedules ore ovoiloble ot the Building Division I. To conserve spoce on the permit form the scheduk hove been obbrevioted 2. lf rhe item(s) to be instolled ore nol covered on th oted schedules you should consull the full schedul C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES,A CHARGES ON THE SCHEDULES /d ( ( ( ( fl rl ( ( il lll. Applicont to sign ond dote Whenever possible, the initiol opplicotion will be used c !. worksheet only. Where possible, Building Division Stoff tl prepore o lypewritten copy ond return it to the opplicor the time the octuol permit is issued for his signoture. lV. Fees ond Chorges ' Plon check fees ore due ond poyoble ot lhe time of thel-- , 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 ONLY BY Amount Received Permit Clerk SHELTON.TUFilAUI! PRINIERS SIGNAIURE EUGENE, OR 97'OI ( ( ( 36 ! r-a {t PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Additi,onal Proiect lnformotion: PTANS REVIEWED BY: 10-29-81signoturenomedoteDan Smith ( -) ( a \