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Home My WebLink AboutPermit Building 1982-02-22I INSPECII 7283769 CITY OF SPRINGFIETD COI,IBINAIION APPUCAITON /PFN.tlll, TNFORMATION TINE 7263753 Job Address 1570 Mohawk 800LesolDescriptio. 17-03-25-37 T^1. 2 Rq ENERGY SOURCES: Woter Heoler Heot Volue of Workr (q, (nn nn Sq. Ftg. Moin Sq. Flg. Other -- New --Add-Alter-ReP' . Fence --Demo-Chonge/ Use Other Sq. Ftg. Accers. owner Far Llcqt Fcdcr^a'l Savinne l, lnen BfiEET"-';Efrf.' bescribe Work (i.e., Build Single Fomily Residence With Artoched Goroge)Phone 7?f\-6[6nAddress 'l 570 Mohawk Add for mone.y machiwq - masonary construc- tion wall, roof built up-woodconsrrucrion Lender Far l^,est Federal Savinqs & Loan @f\) O H N)5 Address Phone DESIGN TEAM (nome)(oddress)(lics. no.)(expires)(phone no.) 215 [rl.W. Park Avenue. Portland- 0R q7?nqPrimoryHDV E lectrico I Alecho nicol Generol Plumbing Electrico I lv{echonicol PTUMBING EI.ECTRICAT MECHANICAT NO FEE CHARGE NO.FEE CHARGE NO.FEE CHARGE Eoch sinqle fixture Residence of -sq. ft, furnoce/burner lo__-_BTU'S Relocqted building (new fix. odditionol)2 New circuits, olterqtions or exlensions 15.00 Applionce vent seporo te S.F. Residence (l borh)SERVICES Stolionory evop. cooler Duplex (l borh) eoch Temporory Conslruclion Vent fon with singla duct Additionol both Amps. Vent syslem oport from heoting or .A.C. Woler service Mechonicol exhoust hood ond duct Sewer Wood stove/heoter Storm Sewer FEEDERS Heol Pump Ampr, Air hondler to r0,000 cFM Air hondler over r0,000 cFM Extend duct-s 4. 50 rssuANcE oF PERMTT 10 - 00 TOTAT CHARGES TOTAT CHARGES 16 nO TOTAT CHARGES 14.50 WHERE STATE LAW REQUIRES thol tha Eledricol work be done by the Electricol Conhoclor, the cl.dricot portion of ,his pormit rhstl not br volid untit otabel hos been signed by on Electricol Controclor ond qftoched to the electricol ponet. I HAVE CAREFULIY EXAMINED the completed opplicotion for permit, ond do hereby certify lhot oll informotion hereon is true ond correct, ond t furthsrcerlify thot ony ond oll work performed sholl be done in ocordonce with the Ordinonces of the City of Springfield ond the lows of fhe irotc of Orcgonpertoining io lhe work described herin, ond thot NO OCCUPANCY will be mode of ony structure without the permission of the Building,Division. l furihercertlfy thot my regislrotion with lhe Builder's Boord is in full force ond effect os required by ORS 701,055, thot if exempt the bosis for exemplion it nolcdheron, ond thot only subcontroctors ond employees who qre in complione wirh ORS 70I.055 will be ured on this proiect. Zlsz/s.DATENAiltE (pleose print) Bosis for Euilder's exemplion: \,FOR OFFICE USE ONI.Y V x Vo lue x -Yolw x -[slg6 Flood Ploin TOTAI. VATUATION $5 . 500. 00 Fire Ftg. Moin Ftg. Access Ftg. Other- Typ"/conrr. III-1HR un;1, Bedrooms occy Lood -So. G.orp 82 go. Plon Ck. Comm/lnd 65%/Blds Per Fee $23.40 Pd Systems Development Choroe (1.5%)( Q2(n---- $36-00 L.44 BUIIDING PERMIT Chorges ond Surchorges Plon Ck. Res 307o/Bldg Per Fee Fe nceChorges ond Surchorges PTUMBING PERMIT Demo Tolol Comb. Permit 68.72 SidewolkChorges ond Surchorges ---$rs-oo.60 EIECTRICAt PERMIT A/C Povinq Curb Cul MECHANICAT PERA{IT Chorges ond Surchorges $14. 50 TOTAT $tso - ez A'A (lics. no.)(ohone no.)(oddress)(expires)CONTRACTORS (nome) (^1 5B * Ptsi{vllT VAUDATIOnCOMBINATION APPLICATION/PERli- (C>t.f) l. Applicont to furnish A. Job Address B. Legol Description I. exomple-lox lot 100, Lone County Mop Xefere-nce,I7 03 43 2. exomFle-Lot I. Block 3,2nd Addition to Springfield Estotes C. Nome, etc. of owner ond construction lender D. Energy Sources l. exomple-heot/electricol ceiling/or forced oir gos 2. exornpG-woterTeoteTelectricol /or solor E. Squore footoge gr voluotion, etc' l. exomple-1250 sq. foot house, 500 sq-. foot goroge 2. exEmFfe--i-f new proiecl, check new-if oddition, check odd, etc. F. Building permit informotion: l. exoirple-construct single fomily house with on otloched gorqge 2. exomple-remodel existing goroge into fomily room 3. exompfe-converl single fomily residence into iEltilront (chonge of use) G. Volue of work os defined in Section 303 (o) of the Slruclu rol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction deloys, Building Division- Stoff must be obte lo conloct oppropriote Persons regording design informotion or iob site corrections, etc. tl. Abbrevioted Plumbing, Mechonicol & Electricol Sc'hedules 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 the 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 rhe item(s) to be instolled ore nol covered on the obbrevi- oted schedules you should consull rhe full schedules C. BUILDING DIVISION STAFF WILI FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES lll. Appliconl 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 reJurn jt to the oppliconl ot ihe'time the octuol permit is issued for his signolure' lV. Fees ond Chorges plon check fees ore due ond poyoble ot lhe time of the-opplicotion, qnd 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 CONDTTIONS IO BE SATISFIED BEFORE OCCUPANCY: t Additional Proiect lnformolion: PLANS REVIEWED BY: signolure u dotenome Permit Clerk PROJECI CITY OF SPRINGFIEI.D COIASINAIION APPI.ICAIION/ PERMIT INSPECTION tINE 7263759 INFONMATION lINE 72C3753 Job Huot El ECFA Ro ENERGY SOURCES: Iegol Description -New-Add--Alter_Rep.--fence-Demo-Chonge/ Use -Other Sq. Ftg. Moin Sq. ttg. Accest. Sq- Fls, Orher Address Phone Volue of Work; 00- 0PermitBs With Atoched nfo: Describe Work (i.e., Build Single Add for mon -mamachi cFar l,,lest F ral Sa tion walI roof bui od Addre ts Phone @No l\)F DESIGN TEAM cs, no.)(nome)(oddress)(expires)no.) Plumbi Electricol Mechonicol PTUMBING ETECTRICAT MECHANICAT NO.rEE CHARGE NO.FEE CHARGE NO.FEE CHARGE Eoch sinqle fixture Residence of -sq. ft. furnoce/burner to --BTU'S Relocoted building (nerv fix. odditionol)2 New circuits, ollerotions or extensions 15. 00 Applionce vent seporq te S.F. Residence (l borh)SERVICES Stotionory evop. cooler Duplex (l both) eoch Temporory Conslruction Vent fon with single duct Additionol borh Amps. Yent syslem oport from heoting or A.C. Woler service Mechonicol exhoust hood ond duct Wood stove/ heoterSewer Heoi PumpStorm Sewer TEEDERS Air hondler to r0.000 cFMAmpr. A,ir hondler over I0,000 cFM 4- 50Extend ducts rssuANcE oF PERMTT 10. 00 TOTAI- CHARGES 14.50TOTAT CHARGES 15-00TOTAT CHARGES WHERE SfAIE IAW REQUIRES rhot rhe Etcctricql work be done by thc Electricol Conltactot, the aleclricol porlion of rhis permit rholl not 5c volid unril o lsbel ho: been rigned by on Electricat Controclor ond ottqched lo the electricol pone!. I HAVE CAREFULTY EXAMINED the completed opplicotion for permil. ond do hereby certify thot oll informotion hereon is lrue ond correct, ond I further certify thot ony ond oll work performed sholl be done in qcordqnce with the Ordinonces of the City of Springfield ond the Lows of the Stote of Oregon pertolning ro tle work described herin, ond rhot NO OCCUPANCY will be mode of ony structure without lhe permission of the Building Division. I further ertlfy rh-ot my regirlrotion with, the Builder's Boord is in full fore ond effect os required by ORS 7O1.055, ihot if exempt the bosis for exemption is noted heron, ond thot o;ly subcontroctors ond employees who qre in complione with ORS 70I.055 will be used on this proiect. EZ DATE I zBosis for Builder's Boo exemplion: NAME (pleose print) FOR OFTICE UsE ONLY SIGNATURE x ----Volue x -Volue x -Volue TOTAT YATUATION ryp"/conrt. TII-'l HR unirt 1c? T5 .5Crrr. 0o So-Ftg. Moin Flg. Access Sq. Ftg. Other-Flood Ploin Stories-----J--OccY Fire fote-Bedrooms ---OccY Lood q 82- 5nPlon Ck. Comm/lnd 6596/Blds Per Fee Systems Developmenl Chorse (1.57o)$23.40 Pd Plqn Ck. Res 3Ot/./Blds Per Fee BUITDING PERMIT Chorges ond Surchorges ----$36,.0!L.44 fence 68.12Totsl Comb. PermitDemo Chorges ond Surchorges PTUMBING PERMIT Sidewolk A/C Povinq Chorges ond Surchorges ----$t-s-00 PERMIT Curb Cut TOTAI.- $1 50. 62 MECHANICAT PERMIT Chorges ond Surchorges $14. 50 Woter Heoler --_- .60 COMBINATION APPLICATION/PERMIT (CAP) l. Appliconr to furnish A. Job Address B. Legol Description r.-.rgplsitox lot I00, Lone counry Mop,Refere-nce.' 2. ;ffi;G-Lot l. Block 3,2nd Addition to Springfield C. Not*, "r.' of owner ond construction lender D. Energy Sourcesl. ex 'mple-heot,/electricol ceilingz'or forced oir gos i: .r"-FE-;;.'T-u-r .EilEsl iol@- E. Squore footoge or voluolion, elc. l. exomple-iZSO tq. foot house, 500 sq' foo-t goroge 2. exomile-iT-new proiect, checkiE-w-if oddition, ch.ec EZd, etc. F. Building permit informolion: i. .r"i.rifu'construcf single fomily house with on ollo goroge 2. ix"rnple-remodel existing goroge into fomily room relTouiEnt (chonge of use) | i G. Volue of work os defined in Seclion 303 (o) of the Structurol Specio lty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or conslruction deloys, Building Divisi Stoff must be oble lo contoct oppropriote Persons regr design informotion or iob site correclions, etc. Il. 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 odiocenl to the opprop item(s) to be instolled B. Full Plumbing, Mechonicol, ond Electricol Schedules ore ovoiloble ol the Building Division l. To conserve spoce on the permit form the schedule hove been obbrevioted 2. lf rhe item(s) to be instolled ore not covered on tht oted schedules you should consult the full schedul C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES A CHARGES ON THE SCHEDULES +_ CITY OF SPRI NGFI ELD Ciry Holl Sprlngfield, Oregon Deportment of Publlc Works OFFICIAL RECEIPT IIo. B 58099 Dole ^2 *9,2 te?L Address Ar% 7h -A nr,-[- AU,.t Received 0n qlez.62 Amounl Rece ived IL (' 6r ( {l rl ( ( ( {' ( ( ( ( li" ( ( ( 0 fl il C I AUYHORIZEO SIGNATURE SHELION.TUtrNBULL FTINTERS . EUGEfiE OR 97'O,ta 5I. a _( r (t( lll. Applicont to sign ond dote Whenever possible, the initiol opplicoiion will be used qs o worksheet only. Where possible, Building Division Sroff will prepore o typewritten copy ond relurn it to the opplicont ot the time the octuol permit is issued for his signolure. lV. Fees ond Chorges Plon check fees ore due ond poyoble ot the lime of the opplicotion, ond no plons will be processed until these fees ore poid. All. other fees ond chorges ore due ond poyoble when lhe permil is issued. V: FOR OFFICE USE ONLY Permit Clerk PROJECT CONDIIIONS TO BE SATISFIED BEFORE OCCUPAN€Y: Additionol Proiect lnformolion: PLANS REVIEWED BY: Dan -Smithnome signoture L-12-82dote I