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Home My WebLink AboutPermit Building 1981-03-27INSPECTION liNE 72&.376r' CITY OF SPTINGFIETD COIIBTNATION APPTICATION/ PENMII INFORMAIION ]INE 72&.3753 Lesol Der*iptio" 1.8 03 02 21' TL 400 s1lfr:Es! Woter ENERGY Heqt New-Add-Aher-Rep. Fence Demo-Chonge/ Use 7 410.00 Sq. Ftg. Moin I ljt)Sq. Flg. Access. Sq. Flg. Other Volue of Work: -Orhe. -- Owner Permit lnfo: Describe Work (i.e., Build Single Phone 741-9321Address roved varl forBoard of Isuclion PhoneAddress no.)(expires)DESIGN TEAM ( lics. Structurq I Electricol Mechq Electrico I Mechqnicol MECHANICAT NO. ETECTRICAT CHARGENO. PI.UMBING FEE furnoce/burner lo --=.-BTU'S Residence of ---sq. ft.Eoch si fixlure Applionce venl seporq tels.002+New circuils, olterolions or exlensions Relocoted building (new fix. odditionol)Stolionory evop. coolerSERVICES S.F. Residence (l borh)Vent fon with sinsle duclTemporory ConstruclionDuplex (l borh) eoch Vent syslem oporl from heotinq or A.C.15.00r.p,. 100Additionol both Mechonicol exhousl hood ond ductWoter service Wood stove/ heoter Sewer Heot PumpFEEDERSStorm Sewer Air hondler to 10,000 ctMAmpr. Air hondler over 10,000 cFM ISSUANCE OF PERlvtlT TOTAT CHARGES30.TOTAT CHARGESTOTAT CHARGES /r, /l/a ,7.7 Plon Ck. Comm/lnd 1.76 &TE6 Z6ne I i1l1;--u._rll: ounlilvolidnolbcshollrhisofConlroctotclcclricolrhcparmitElecrricolportionrhebeworkdoncElcctricolbythcIRESREQUtholSTAWHEREtAw,IE lo the clectricolondqttoch.d ponel.ConlroclolElectricolonlobalbaenbyrigned City of without, of ony required by ORS .055 will ond furtherIhereoniruecorrecl,ondthotinformotionollherebycertifyonddoforthepermit,EXAMINEDY completed opPlicotionCAREFULT'HA,VE oftheofLowsStotetheondtheofngfield,hwith Ordinonceseo cco rdo ncetnbesholldoneworkperformedIondothot Oregon furtherDivision.cerlify ofiSton Buithe Spri lhe ldingstructurep€rmidebellNOOCCUPANCYondtholdescribedworkherin, ny lheto ls noledforbosisperloiningifthotexemptiontho.055,exempt70Ioeffectsondf ull foretsBoordtnthewithBuilder'sthotcertlfymyregistrolion be onused this proieci.oRswith 701orewhotnomplioneondemployeesiubconlrqclorsondthotheron.only rlems Development Bosis for Builder's Boord exemplion: NAIYIE (pleose Print) FOR OFFICE USE ONIY SIGNATURE Per Plon Ck. Res Per Fee TOTAT VATUATION BUITDING PERMIT Chorges ond Surchorges tirc Zone-Bcdrooms occy Flood Ploin Storie. OGGY conrr. V-N Units s9.ffiIll; :-erso--l:l: Ftg. Othcr.......-....- 1 -Voluc Rec 56132 Tolol Comb. Permit PTUMBING PERMIT Chorges ond Surchorger Demo 77.76 TOTAT PERMIT Sidewolk 1 Cut Chorges ond Surchorges MECHANICAT PERMIT Chorger ond Surchorges Job Addrarr d,?4 9aenv Qtnaot NA Sprlngfleld, 0regon. Mrs. Marshall [r{K:343-33c I Fence 30.00 ,^.lL Povino COMBINATION APPLICATION/PERT* (CAP) L Applicont to furnish A. Job Address B. Legol Descriptionl. exomple-lox lot 100, Lone Counly Mop Reference l7 03 43 2. exomple-Lot l. Block 3,2nd Addition to Springfield Estotes C. Nome, etc. of owner ond construction lender D. Energy Sources I . exomple-heot,/electricol ceiling /or forced oir gos 2. exomple-woterTEEGT6lE,ili?ol / ", @-E. Squore footoge or voluotion, elc.l. exomple-I 250 sq. foot house, 500 sq. foot goroge 2. exomple-if new proiect, check new-if oddition, check odd, etc. F. Building permit informotion:I. exomple-construct single fomily house with on oiloched goroge 2. exomple-remodel existing goroge into fomily room 3. @-convert single fomily residence into reslouront (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 construclion deloys, Building Division Stoff must be oble to contqcl oppropriote persons regording design informolion or iob site correclions, 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) to be instolled B. Full Plumbing, Mechonicol, ond Electricol Schedules ore ovoiloble ot the Building DivisionI. To conserve spoce on the perrpit form the schedules hove been obbrevioted 2. lf rhe item(s) to be instolled ore not covered on the obbrevi- oted 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 relurn it to the opplicont ot the time the octuol 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 poyobte when ihe permif is issued. V. FOR OFFICE USE ONLY - PERMIT VAI.IDATION 5Ul Permit Clerk PROJECT CONDITIONS TO BE SAIISFIED BEFORE OCCUPANCY: Additionol Proiect lnformorion Setback variance granted 3-12 $1 for 10' setback nome signolure 3-26-81dote PLANS REVIEWED BY: TOM SHEIRBON CITY OT SPRINGFIELD.-BUILDING DIV]SION 346 MAIN ST. 726_3753 (BUSINESSlI 726-3769 (]NSPECTIONS) APPLICATION FOR ELECTRTCAL IABEL(S) BY A BUILDING OIdNER The Electrical Safety Law of the State of Oregon does not require a person to obtain a license as an electrician and,/or electrical contractor to make an electrician in- stallation on property which is owned by himself or a member of his immediate family which is not intended for sale, leaser or rent. (PLEASE PRINT) APPLICANT'S NAME /r-o3-OZ-al-oo yN ADDRSSS PHONE ADDRESS FOR PROPOSED WORK ,oCI"fno-,CL A-b{a B BUILDING OWNER (IF OTHER THAN APPLICANT) .qDDRESS PHONE I certify that aII of the above information is true and correct, and that no portion of any wiring system reguiring a label as appliecl for herein and intended to be con- cealed by any permanent portion of the buildinE or structure shall be concealed until inspected and approved. When the installation of the system is complete, an additional and final inspection shall be made. Inspections are generally required for at least the following conditions and or stages of construction: I 2 3 Temporary Service Underground Service Service Rough Electric Cable Heat New Circuits or Extensions Mobile Home Connections Signs Swi:fining Pools 4 5 6 7 I 9 of his or her te family. '7nSignature Date INSPECTI9N REQUEsTS sHoULD BE I\4ADE ON THE BUILDING DIVISIONIS 24 HOUR A DAY INSPECTION LINE. THE INSPECTION NUMBER TS 726.3769. INSPECTION REQUESTS WHICH ARE CAILED TN BE- FOR 7 A.M. WTLL BE MADE ON THE SAI{E DAY. FOR OFFICE USE ONLY LABEL }IUMBERS I,ABEL ISSUANCE FEE DATERECEIVED BY 5-1 q\60 I further certify that I wil} notify the Building Division when any of the above ELEC- TRrcAr TNSpECTTqNS are ready, that all work will be done in accordance with the Electri- cal Safety Law of the State of Oregon, and that if not the building owner, I am a member