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Home My WebLink AboutPermit Building 1981-06-26I -x/ INTOR'YIAIION I.INE 726-3753SPECTION LINE CITY OF SPRINGFIEID COIABINATlON AP.PI.ICAIION / PERMIT t ( 554 Thurston RoadJob6552 & 6 Burnel I ParkI Description LOt 1 JOURCES:LlectHeot -Rep. ENERGY - Fence-Demo-Chonge/Use r\29,Sq. Ftg. Access Sq. Ftg. /vloin Other -=-_ Volue of Work: 61,626.00 Woter Heoler -El€€t- 6*n", Lee Campbel'l o HoFHs 673- 3187Add,"., 1245 SE Building Permit Info: Describe Work (i.e', Build Single Fomily Residence With Attoched Goroge) Future 0- Lot line duP'lexconsrrucrion Lender Centenni al Bank Mohawk/Centennj alAddress Phone DESIGN TEAM (oddress)s)no.)cs. Prim Electrico I Mechonicol rl Phil Clifton, Lee Campbel 1 5SE treet Bever P1 umbing Electricol Ed H ES Mechonicol PTUMBING EI.ECTRICAI.MECHANICAT NO.FEE CHARGE NO.FEE CHARGE NO.FEE CHARGE Eoch single fixture 2 tt. *?Xr"" "t 15. 00 30. 0c furnoce/burner lo --BTU'S Relocoted building (new fix. odditionol) New circuits, olterolions or extensions Applionce vent seporo re S.F. Residence (l both)SERVtCES Stolionory evop, cooler X Duplex (l borh) eoch 50. 00 1 Temporory Conslruction 10. 00 6 Vent fon with single duct 3. 00 18.00 Additionol both Amps. Venf syslem oport from heoting or A,C. Woter service 2 Mechonicol exhousl hood ond duct 4. 50 9. 00 2 Sewer 10. 00 20.00 Wood stove/heoter Storm Sewer FEEDERS lleot Pump Ampr. Air hondler to !9po0 cF^ Air hondler over 10,000 ctM I5SUANCE OF PERMIT 10. OO TOTAT CHANGES TOTAT CHARGES 40. 00 TOTAT CHARGES 37. 00 WHERE STATE tAW REQU|RES rhor rh. Etcdricol lobel hos bmn signed by on Etectricol Controcto, work be {one by the Eleclricol conlrocto., thc ctcclricot portion of this pornit :hqlt not ba votid unril oond sttoched to tho .ledricol ponel. J/.UU DATE TOTAI, VATUATION 4 0q2R So-Ftg. A{oinilll,sil?17 Ftg. Access Ftg. Other t ony to the C:ry of withoul HA CAR.vE EFUTT EXAMINED the completed for rm doondopplicotionPeit,ollthotcertifyhereby tioninformo nhereo lruet5 ndo ondcorrecf,furtherthqndollcerlifyworksho llperformed donebe ln qcordonce irh the Ordinonces theot ond the LowsSpringfield of Stotethe ofpertoidescribedwork OregonningondNOlhotherin,willOCCUPANCY be ofde ny slructure the olpermission the Division,uilding furtherthqterllfyrhtheregistrotionmyBuilder's l5Boord f ulltn ondforce oeffect ORS 70requiredby lhot it.055,lheexempt bo sis for notedt5ondexemplionheron,,hot only ondsubcontroclors who tnoreemployees oRsirh .055701omplionce bewill used on fhis proiect. Occv Zone Fire Zone- Bedrooms Flood Ploin Bosis for Builder's Borord exemption: NAME (pleose print) FOR OFFICE USE ONIY SIGNATURE , 33 - 30 vo1," , Q- 50 yolr. x --Volue Type/Const. V-N gn;1, Systems Development Chorse (1.5%)924.39 Demo Plon Ck.Comm/ lnd Per Plon Ck. Res Per BUITDING PERAAIT Chorges ond Surchorges PI.UMBING PERMIT Chorges ond Surchorges 211.00 ----B;4f- 70.00 27.20 PD 5-23-R [- REC 56781 Temp Label .20 Totql Comb. Permit sidework 181 . 83 18. 1BChorges ond Surchorges 40.00----r60- T PERMIT 4/C PovinE 72.40 MECHANICAT PERMIT Chorges ond Surcho rges 37. 00----T;ftr Curb Cut 24t 7,327 .49 Ftg. Other k 70. 00 FenceL. OV TOTAT E\Jr COMBINATION APPLICATION/PER,-r' (CAP) l. Applicont to f urnish A. Job Address B. Legol Description l. exomple-tox lot 100, Lone County Mop Reference I7 03 43 2. exomple-Lot I. Block 3, 2nd Addition to Springfield Estotes C. Nome, etc. of owner ond construction lender foot goroge oddition, check PERMIT VATIDATION 5b'lqL D. Energy Sources l. exomple-heot/electricol ceiling/or forced oir gos 2. AxE mFE-wo te rTEoteEl-ecl ri co l, o r soiE r u/at /e r E. Squore foologe or voluotion, etc' I. exomple-1250 sq. fool house,500 sq. 2. exomFiE-ifiew proiect, check new-if odd, etc. F. Building permit informotion: l. exoirPle-conslrucl singte fomily house with on ottoched goroge 2. exompte-remodel exisling goroge into fomily room 3. exdm-pG-convert single fomily residence inlo relt6Iront (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 beible lo contoct oppropriote Persons regording design informolion 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 Electricol Schedules, the opplicont need fill-in only the No. Boxes odiocent to the oppropriole item(s) lo be instolled B. Full Plumbing, Mechonicol, ond Electricol Schedules ore ovoiloble ol the Building Division l. To conserve sPoce on thapermit form the schedules hove been obbrevioted 2. lf the item(s) to be instolled ore not covered on the obbrevi- oted sohedui", yo, should consult rhe 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 ,ro.krtt""t tnly. Witere possible, 'Building Division Stoff will DreDore o tvpewritten copy ond relurn it to the opplicont ot ih"'ti-" the octuol permit is issued for his signolure' lV. Fees ond Chorges Plon check fees ore due ond poyoble ot lhe lime of the-opplicotion' ;; ;; pl;"t *irr L" p-iessed Lntil these fees ore poid' All . ott". i"Lt ond chorges ore due ond poyoble when the permit is issued. V. FOR OFFICE USE ONLY Permit Clerk PROJECTCONDITIONSTOBESAIISFIEDBEFOREOCCUPANCY: Additional Proiect lnformotion CITF dote si g notu renome PLANS REVIEWED BY: l l.tr (.{ur 1,t(r'Ll L{ lHtotm^tloN tlNE 72&3753(ltr ot ltrrxotrlto Gor.t;;ro;'ei'cet tox ' rllttlllNsPECttotlr UilE 726tr69 trrtrOY Wonr Hoolrr -EI gC 61,626.00 f?8lt'' Sq. Fts'' A N"* Othqr . -Add-Alter-ReP Voluc of Work:--Fe nce-Demo-Chonge / U re c,)A Sq. f tg. Acorr. fu. ftg. Moin -Otherbel 1o*^.. Leg Ca Lagol ad6552 &6554 Thurston Ro ing Permit lnfo: With Euild SingleDescribeWork (i.e., 6 73-3L87aaa'"" 1.245 SE Future 0- Lot I ine duplexCentennial Bank @ OFPF Mohawk/Centenni al PhoncAddresr (lics. no.) DESIGN IEAM (phone(oddre ss)(nome) nicql Phil cbenelol n, Lee I I 1245 SE 673-3187nd Streete Bever PlumbingPlumbins Etecrricql Ed HaYneS MECHANICALELECTRIC.AI.PTUMBING CHARGECHARGENO,FEENO,FEEFEECHAR,GENO. furnoce/burner lo so.fr *"s4T* "'15. 00 30.002fixtureEoch Applionce venl seporo le New circuits, olterotions or extensions Relocoted building (new fix. odditionol) Slolionory evop. coolerSERVICES S.F. Residence (l both) Vent {on with sinqle duct 3. 00 18. 00Temporory Conslruction 10. 00 650. 00 1XDuplex (l both) eoch Vent syslem oport from heoting or A.C.Amps.Additionol borh Mechonicol exhoust hood ond duct 4. 50 9.002Wqler service Wood stove/heoler10.0c 20. 002Sewer Heot PumpFEEDERSSlorm Sewer Air hondler to 10,000 cFMAmpr. Air handler over r0,000 crrrr rssuANcE oF pERMrr 10. 00 TOTAT CHARGES 37. 00TOTAL CHARGES 40. 00IOTAT CHARGES 70. 00 WHEnE STAIE LAW REQUIRES thqr rhc Eledricol work be dono by the Elcctricol Conlrcctor, {re clccldcol portion of this pcrmit rholl not bc volid unlil o on Eiectricol Controctot ond orachcd to lho €leclricol Pon.l.lobel hsc been signed by I HAYE CAREfULty EXAMINED the complebd opplicotion for permit, ond do hereby certify thot oll informotion hereon is lrue ond correct, ond I further ce4ify thot ony ond oll work p.rfor-ej sholl be done in qcordonce with the Ordinonces of the City of Springfield ond lhe Lows of the Stote of Oregon p"*oining to tire work described herin. ond rhot NO OCCUPAN,CY will be mode of ony slructure without the permission of the Building Division. I further ertlfy th-or my registrotion with the Builder's Boord is in full fore ond effect os required by ORS 701.055, thol if exempt the bosis for exemption is noted heron. ond thot mly subcontroctors ond employees who ore in omplione wilh ORS 7OI.O55 will be used on this proiect. DATE Bosis for Builder'r Boord exemplion: NAME (pleose print) FOR OFFICE UsE ONIY SIGNATURE Sq. Ftg, Other-x -lqleg TOTAT VATUATION 1700 ,ood D: ?Group----.!-Y- R-1 ^ -Q- 50 volr"5-016-00' --33--1Lvor,"56.610.00.TypelZone 51 .525. 00 Sq. Ftg. AccessFire Zone- Bedrmms conrt. V-N Units 2 sq. Ftg. Moin Flood Ploin N0 Stories---t--OccY (1.5/o\ DevelopmenlSystems Choroe 924.39Plon Ck. Comm/lnd 6596/BldE Per Fee 1 RF,c 5679127-20 PD 5-23-8Plon Ck. Res 3o%/Bldq Per Fee 211 . 00 ----€:4f BUITDING PERMIT Chorges ond Surchorges .20Temp LabelFence 402.90Tolol Comb. PermitDemo Chorges ond Surchorges PTUMBING PERMIT 70. 00 18. 1Bsidework 181.83 A/C Povino Chorges ond Surchorges 40.00 -t60- ETECIRICAT PERMIT L2.40Curb Cut 24'MECHANICAT PERAAIT Chorges ond Surchorges 37. 00----T;4r TOTAT 7,327 .49 Hrol Burnel I Park Mechonicol -BTU'S ----2.E0-- COCOMBINATION APPLICATION/PERMIT (CAP) l. Applicont to furnish A. Job.Address B. Legol Descriptionl. exomple-tox lot I00, Lone County Mop Referenct2. exomple-Lot I. Block 3, 2nd Addiiion ro Springfiel C. Nome, etc. of owner ond construction lender D. Energy Sourcesl. exomple-heot./electricol ceiling,/or forced oir gos2. exomple-worer heqiaT@olloa*iE;-- E. Squore foologe or voluotion, etc.l. exomp!e-1.250 sq. foot house, 500 sq. foot goroge 2. exomple-if new proiect, check-new-if oddition, ch ;AE, etc. F. Building permit informotion:l. exomple-conslruct single fomily house with on ol. 9oroge2. exomple-remodel existing goroge into fomily roo 3. exompl-e-converl single fomily residence into EltEITEnt (chonge of use) G. Volue of work os defined in Section 303 (o) of the Slructurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction deloys, Building Divi Stoff must be oble to conloct oppropriote persons re design informction or iob site corrections, etc. !1. Abbrevioted Plumbing, Mechonicol & Electricol Schedul, A,. Except where blonk spoces occur in the description 6of the Mechonicol ond Eleclricol Schedules, the oppl need fill-in only the No. Boxes odiocent to lhe oppr< 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 schedu hove been obbrevioted 2. lf rhe item(s) to be inslolled ore nol covered on tl qted schedules you should consult the full schedl C. BUILDING DIVISION STAFF WILL FItL OUT ALL FEES, CH,ARGES ON THE SCHEDULES lll. Appliconl to sign ond dote PERMIT VALIDATION (,, clTY oF SPRtNGFtELD Ciry Holl Springfield, Oregon Deporlment of public WorksOFFICIAI. RECEIPT fi (rr ( (. ( ( C (: ( (, ( F AUTXORIZED SIGNATURE o. B 56792 ( ( r ( ( ( ( Recei rt)( ( ( ( Amounl Received Whenever possible, the iniliol opplicotion will be used t worksheet only. Where possible, Building Division Stofl tll av prepore o typewritten copy ond relurn it to the opplico ihe'time the ocruol permi'tis issued for his signoture. \ lV. Fees ond Chorge, ( Plon check fees ore due ond poyoble ot the time of thetrr..--..-.., 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 SHEL'ON.IURtAU!L PRINIEFS Permit Clerk PROJECT CONDITIONS TO BE SAIISFIED BEFORE OCCUPANCY: Additional Proiect lnformotion: SITE Ii{SPEUTI0,',1 REQUIRilI tsE8ORE SEETIiIG F0P.I4S PLANS REVIEWED BY: nome signoture dote t 14 (t-I