The URL can be used to link to this page

Home My WebLink AboutPermit Building 1981-03-23INSPECIION TINE 726-3769 CIIY Of SPRINGFIETD COMBINAIION APPIICAIIONi PERMIT INFORMATION LINE 77.6-3753 7oM"Job Addrers te-ool De Ir{ q, l-a,.< L G'u &..r/s, f* rthr{u ,', bm(, 4t{ rr,",. ){) -2SB^lAddre'f Above - Sq. Ftg. l{oin sq.rr].orhe, 4/q fa -* "- - {ldd-- A I rer --Re p. - -Fence- -Demo-Chonge/ Use no Permil lnfo: Describe Work (i.e., Build SingleBui Reridence a 66q7,z-LiVolue of Work: --Other n"tili'.r'*. ,t f-AM.Q,n" {. 4fiob &*. construction t.nd., fi/*D.* i[,Lu . t oo -c 4(f Addre:s Phone (nome)(oddre ss)(lics- no.)(expires)(phone no.)DESIGN TEAM primory J,t1n M+rfhe.^.r:; - flnrnts (dnao,ios 5?lrtlo")A ?RG *8trz Mechonicol CANTRACTORS (nome)(oddress)(lics. no.)(expires)(phone no.) Ele ctrico I 1"..J<-*tF-Mechonicol ETECTRICAT MECHANICATPTUMBING NO.FEE CHARGENc,.i FEE CHARGE NO.I FEE CHARGE I rdoWAITT 'IE4TCREoch sinqle fixture s.e Residence of --rq. ft furnoce/burner to -=---BTU'S New circuifs, slterolions or exlension5 ,t509 rC oo Applionce vent seporote Relocoted building (new fix. odditionoi)2+ SERVICES Stolionory evop. coo lerIS.F. Residence (l borh),460 t5,o9 Temporory Conslruciion Vent fon with sinqle duct ,t*3,eDuolex (l both) eoch Vent syslem oport from heotin -q or A.C.Additionol boih i .Ampr. Mechonicol exhousl hood ond ductWoler rervice Wood siove/'heoter SPe CooSewer Heol PumpSlorm Sewer FEEDERS Air hondler to I0,000 cFMAmpr. Air honciler over 'r0,000 crM ISSUANCE OF PERMIT / o,ag WHERE STAIE f,Aw REQUIRES rhot rhe Eloctricol work be done by the Eleclricsl Conlrqctor, the elecricql portion of this permir iholl not be yolid unril o lobel ho: been rigned by on Electricol Conitodo. and ottached lo the electricol ponel. I HAVE CAREFUILY EXAMINED rhe completed opplicotion for permit. ond do hereby certify lhot oll informoiion hereon is lrue ond correcl, ond I further certify thot ony ond oll work performed sholl be done in occordonce with the OrCinonces of rhe City of Springfield ond lhe Lows of lhe Stote of Oregon pertoining to ihe work described herin, ond thot NO OCCUPANCY will be mode of ony siruclure without the permission of lhe Building Division. I further ertl{y rhot my registrotion with rhe 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 oniy subcontroctors ond employees who ore in complione wiih ORS 70I.055 will be used on lhis proiect. # 69l TOTAT CHARGES SIGNATURE DATE oo I #r ,4. J)-/o,,-P-a- 50,09 TOTAL CHARGES Bosis for Builder'r Boord exemption: TO'iAL CHARGES NA/r\E (pleose print) FOR OFTICE UsE ONLY IR-\typ./conrr. VN unir, Flood Ploin tr?-; Zone Ftg, Access Ftg. Moin TOTAT VAIUATION Sq. Flg. Other-x -Volue x x lqe lue rt-roner I Occy Group Fire Zone E Bedroom: F occY lood Systems Developmenl \-8\ sbDtoR\3 3-\r BUITDING PERMIT Chorges ond Surchorge: Plon Ck. Comm/lnd4 0,"9 f,bj B Per Fee Plqn Ck. Res Per Fee /^ ?-oI L a"bal €e,a- I fl roz, E3Tolol Comb. Permit PI.UMBING PERMIT Chorges ond S urcho rge s _aa,_g___,20ll - Fe nce Demo _rs,99____o.t€,A Sidewolk ELECIRICAL PERMII Chorger ond Surcho rger TOTAI, MECHANICAT PERMIT Chorger onC Surchorger Curb Cut O,13 Woler Heoler ENERGY Heot sltelt/ (,.a.q?. U I (l.5%l CoMBINATION AppLtcATtON,,pE- .r; (CAY) l. Applicoru. to furnish A. Job Address B. Legol DescriptionI. exomple-tox lot I00, Lone County Mop Reference I7 03 432. exompie-Lot I. Block 3,2nd Addition ro Springfielcj Esrores C. Nome, etc. of owner ond construction lender D.. Energy Sources -heqt,ielectricol ceil ,ror forced oir gos 2 -woter oter eci col oiioGr PEKIvIIT VALIDATION exomple. ;7ompG E. Squore footoge or voluotion, etc.l. exomple-1250 sq. foot house.500 sq. foot goroge2. exompie-if new proiect, checkIEIv-if oddition, check odd, etc. F. Building permit informorion: I, exomple-construct single fomily house with on oltoched goroge 2. exomple-remodel existing goroge inlo fomily room3. @-converr single fomilv residence into i'estouront (chonge of use) G. Volue of work os definecj in Section 303 (o) of the Structurol Soeciolry Code H. DESIGN TEA}.A AND CONTRACTORS To ovoid design or construciion deloys, Building Division Stoff musf be oble to contoct opprooriote persons regor.ding design informotion or iob site corrections. etc. ll- Abbrevioted Plumbing, Mechonicol & Electricol Scheduies A. Except where blonk spoces occur in ihe description portion of the Mechonicol ond Eiecrricol Schedules, rhe oppiicont need fill-in oniy the No. Boxes odiocent to ihe oppropriote item(s) to be instolled B. Full Plumbing, Mechonicoi, ond Electricol Schecjules ore ovoiloble ot the Buiicjing Divisionl. To conserve spoce on the permit form the schedules .l hove been abbrevioted 2. lf the item(s) to be instolleo' ore not covered on the obbrevi-. oted schedules you should consult rhe fuil schedules C. SUILDING DIVISION STAFF WtLL FtLL OUT,ALL FEES r\ND CHARGES ON THE SCHEDUTES lll. Applicont to sign ond dote Whenever possible, the initiol opplicotion will be used os cworksheet oniy. Where possible, BuilcJing Division Stoff willprepore o typewriilen copy ond return it to the opplicont ot the time the octuol permit is issued for his signoruie. lV. Fees cnd Chorges Plon check fees ore due ond poyoble ot the fime of the oppricorion,ond no plons will be processed until these fees ore poid. ailother fees ond chorges ore due ond poyoble when ihe permif is issued. V. FOR OFFICE USE ONLY _$ 5 be Permit Clerk \ PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Additional Proiect lnformotion: PLANS REVIEWED BY: signoturenome-[onr. '>hetr to"t \qPJ-"tn dore 3-z3.lg6t , ty- INSPECIION tINE 72U3769 CIIY Of SPRINGIItsIU COMBINAIION APPTICAIIONi PERMII EN ERGY Heot \ /otet Heote? Ro 72{-3753 Addrc rr c o IDercription Ir{," b,.X, 't{ Cl'.lL l-0.*(*n' l<r-tqt) &-.n.{s. u 5q. Ftg. Accert. - i" 'r',2 "*,i",' +7q-F't- -N.n y'Add--Alrer--Rep. - -Fence--Demo-Chonge/ Urc Euilding Permit lnfo: Dercribe Work (i.e Volue of Work: 66q1, z:r .i9 Build Single ce With AFo --Other Sq. Ftg. Moin--- Ph"". ?tl') -258^tAddre:r^ AhOVg -;iaitro-r dF I conrrruction una., il/4 PhoneAddrerr (lics. no.)(oddre;s)(nome) i t1^ r) ?a6 -8/rz no.)OESIGN TEAM Primo <ol I{echonicol (o d d ress)(lic:.)(expires)(phone no.)CONTRACTORS (nome) Plumbin - e\F-EIe <lricql -tutF-Mechonicol MECHANICALETECTRICATPtU,I^8ING FEE I CHARGENO.I FEE CHARGE No. iNo. i i FEE CHARGE Residence of --rq. ft, furnocel bvrner to TU'SIrrlAr€R Hs8r6r< Eoch rinqle iixturc <co EOo J5,a9 tx. oo Applionce vent 5eporore New <ircuits, olterotionr or exienrions Relocoted building (new fix. qciditionoi) SERVICES Stolionory evop. cooler I S.F. Reridence | (t Sqrht tt rrc6 re oO to5 'a ccVenl ion with sing le ductDuolex (l both) eo<n I I Temporory Conslruction Yent system oport from heoting or A.C.Amp:Additionol both Mechonicol exhqusl hood ond ductWoter rervice (oo s.a3Wood stove/ heoterSewer Heot PumpFE EDE RSSlorm Sewcr I Air hondler io r 0,000 crMAmpr Air hondler over 'to,oo0 cFM / A,agISSUANCE OF PER,\{II WHERE STATE fAw REOUIRES thot the Electricql work be done by the Eleclricql Conlrq.lor, thc electricol portion of this permit iholl not ba volid uotil o lobcl hos becn rignad by on Electricol Controctor ond qttoched fo the electricol ponel. I HAVE CAREFUtty EXAIIlNED rhe compleied opplicotion for permit, ond do hereby certify lhot oll informorion hereon ir lrue qnd correcl, ond I furrher <ertify thot ony ond oll work p"rformej sholl be o'onc in occordonca with the OrCinoncer of the Ciry of Springfield ond the.Lqws of tho Stote of Oregon pertoining to tie work dercribed herin, ond ihor No oCCUPANCY will be mode of ony rtructure wiihou, the permission of the Building Division. I further cealfy thir my regiitrsrion wirh rhe Builder's Boord is in full forcs ond sffecf os required by ORS 701.055, thot if exempt the bosi: for exemption is-noted haron, ond ihot miy subcodrroctors ond employeer who ore in complione wiih ORS 70'l.055 will be used on ihir proiecf. $ 6,os TOTAT CHARGESIOTAT CHARGESTOTAL CHARGES ,n 2.,.,- I DATESIGNATURE 6O#gD, Bosis for Buildar': Boord cxemption: NArflE (pleo:e prinr) AO Qt',-,'.,"' ,4. FOR Otr!CE UsE ONI.Y ryp"/con"r. r{* N units I sq. Ftg. Aloin AL4 TCP -"e D Sq. Ft9. OlherFlood Ploin ,l(^.1-[e vor,"Zone B--\ Group tood 5q, Ftg. Accesr TOTAI. VATUATION Fire Zone E Bedroomr x -Volue x -Volue Systems Development Chorqe ( I -5?'6) Plon Ck. Comm/l.d 65?;,i Bldg Per fee \3 conc \.8\ ,3(Ob1., BUITDING PERMIT Chorges ond Surchorge r {0.o9 f . rlrj Plon Ck. Res 3096/ Bids Per Fee ecL.ebe-l E' o, I Fence \ fl ror. '3Tolol Comb. PermilDemo PTUMEING PERMIT Chorger ond S urchorges r?oIt -- 30.a3 Sidewolk A/C Pcvino ELECTRICAI. PERMII Chorger ond Surchorger Curb Cut TOTAT MECHANICAT PERMII Chorger on0 S urchorger tf\., " il I rt- € L 3-\r E. Squore fooroge o. "olroriofll- il. exomple-1250 sq. foot house,500 sq. foot gorol2. exomE;-iF;;w proiecr, check new-if oddition, codd, etc. fF. Building permit informorion: ' -l. exomple-construct single fomily house wirh on ogoroge 2. exompie-remodel existing goroge into fomily ro<3. @-converr single fiiily residence intoresrouront (chonge of use) G. Volue of work os defineci in Section 303 (o) of theStructurol Soeciolry Code H. DESIGN TEAIA AND CONIRACTORS To ovoid design or consiruciion deloys, Building DiviStoff must be oble to contoct opprooriote p.rro-n, .",desiEn informction or iob site corrections, elc. ll- Abbrevioted Plumbing, Mechonicol & Electricol ScheduieA. Except where blonk spoces occur in the descriotion o,of the Mechonicol ond Eiecrricol Schedules, rh; ";pi;,need fill-in oniy rhe No. Boxes odiocent to the opproyitem(s) to be instolled B. Full Plucrbing, Alechonicoi, ond Electricol Schecjulesore ovoiloble ot the Buiiding Divisionl. To conserve spoce on the permit form the schedulehove been obbrevioted2. lf the item(s) ro be instolled ore no, covered on fhe. oted scheduies you should consult the fuil scheduleC. 3UILDING DIYISION STAFF WILL FILL OUT,ALT FEES ,AI.CHARGES ON THE SCHEDULES lll. Agplicont ro sign onci dote Whenever possible, rhe initiol opplicotion will be used osworksheet oniy. Where possible, 'Builcjing Division Stoff wprepore o typewritten copy oncj return it to the opplicont ,the rime rhe ocruol permit is issued for his signotuie. lV. Fees cnd Chorges Plan check fees ore due ond poyoble of the time of the opond no plons will be processed unril these fees ore p;ld. iother fees ond chorges ore due ond poyoble,"t.i ii,"-p",is issued, V. FOR OFFICE USE ONLY COMBINATION APPTICATION, PERM-II' l. Applicoru. to furnish A. Job Address B. Legol Descriprionl. exomple-tox lot .l 00,-Lone.County Mop Reference I7 03 43 ^ 2. exomiG-Lor I. Brock 3, 2nd Addition ro springfierd EsroresC. Nome, etc. of owner ond construction lenderD. Energy Sources l. exomple-heot,/'electricol ceilin ,/or forced oir gos2. e-IEfrEiE-woter VALIDATION OF SPRI NGFI ELD CirY Holl Springfield, Oregon Deportment of Public Works OFFICIAL RECEIPT No. B 5El-4C)s ac eoteil e Zal,,'or solor CITY From Received For: ( ( f, ('" ( U ((t (l q Amoun t Received ao, Byrl SXELIOX-tUti!uL! PililER3 ' tuGEX' ot t"ol 3tlll ' (l t- 3a PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUP.ANCY: Additionol Proiect lnformotion: PTANS REVIEWED BY: nome signoture \{o 4o,. a-e3- lQ6t \tt (, (r ( ( ( (