HomeMy WebLinkAboutPermit Building 1981-01-06a ' J'-..s>
.
J
Elect
Descri
Owner
E'l ai
ts
460 Wallace lJane
t of theLot 3 Block 4
ilames I Mel lott Mona
FrgSq.
f tg.Sq
Wqter Heoter
ENERGY
Heot
Sq. Ftg. Other
INSPECTION I.INE
72C3759
lNFotrf,ailoN ttNE
,2C3753
C'IY OF SPRINGfIETD
COMBINAIION APPTICAIION/PENMIT
_ Qrhs. _--
SOURCES:Elect Wa1l
X N"*-,qdd-Alter-Rep,
-Fence-Demo-Chonge/
U se
of block 32, Emerald He
Describe Work (i.e., Build SingleBuilding Permit lnfo:
Fomily ResidenceAddrersPhone 7 47 -7854460 Wal Iace Lane
97 477Springfield, Oregon
LenderCo
@o?PPo
S.F.RES., att gar i Woodstove
PhoneAddress
(lics. no.)(oddress)DESIGN TEAM
(expire(.o
Stru
nicol
68A-642919822LO29GPW DeveloPme rLL 282L Maisner,
4015V & M Plumb -8l-e
Electricol
Mechonicol
ETECTRICATPTUMBING
TEE
MECHANICAL
CHARGETEENO.CHARGE burner lolur
t?q noResidence of
fr.xEochfixture Applionce ventNew circuits, olterotions
or extensionsRelocoted building
{ix. odditionol)Stolionory evoP.
ooler
SERVICES25.00xS.t. Residcnce
(l L2.Ol.0oVent fon with
duct410. o01Conslrucrion
eoch1 Vent syslem oPort from
or A,C.I0. 00Additionol both Mechonicol exhousl
ductI
tetvtce
4.50
5.0I
10.00Sewer1
U
Heql
FEEDERSSlorm Sewer Air hondler to
Air hondler over
I crM
ISSUANCE OT PERMIT 10. OO
DATE
38
t
J -6
FOR OFFICE UsE ONLY
SIGNATURE
Bosis for Builder'r Boord exemplion:
'NArr{E (pluor" P"inr)
V.NR.I .Type/ Conrt'
x
3 LoodBedrooms R-NO
il ni ls
Sq.
fts. Muin -l*7rg'+-)2-. aJFlg. Access x
Flood Ploin
Fire Zone
Zone
Sq. Ftg. Other x Volue
TOTAT VATUATION
8r1.9rSystems DeveloPment
.2059.10
Ck. Comm/ lndL97 .Per
Sidewolk
Demo
Fe
Plon Ck. Res
Per
-_._._.as-l.l-1.80
BUITDING PERMIT
Chorger ond
Surchorges
PTUMBING PERMIT
Chorges ond
Surchorges
2.40PI CK
320.84
Totol
rffi
1,135. 35
TOTALCurb Cut
PERMIT
31.50
----15--00-1.40
Chorges ond
Surchorges
MECHANICAT PERltlT
Chorges ond
Surchorges
I
I
I
Volue of Work:
54,L27 .35
Amps.t
Amcc,
(r.5%)^PlonJt s"i^I
Temp Elect Label
A T\A
SFAU
2 Due
COMBINATION APPLICATION/PERMIT (CAP)
l. Applicont to furnish
A. Job Address
B. Legol DescriptionI. exomple-tox lor .I 00, Lone County Mop Reference l7 03 432. exomple-Lot l. Block 3, 2nd Addirion ro Springfield EstotesC. Nome, etc. of owner ond construction lender
PERMIT VATIDATION
D. Energy Sources (
I : "+::f[:i:,:L -Hffi i: t#=*E. Squore footoge or voluotion, etc.
I -SEF-,F0 ro. foot horse, 500 sq. foor sorogez. exomote-rr new proiect, check new_if oddition, check;aa=
F. Building permit informotion: (I. exomple-construct single fomily house with qn oltochgoroge
2. exomple_remodel existing goroge inlo fomily roomr. exompte-convert single fomily residence inlorGltEu?Enr (chonge o1 use)G. Volue of work as defined in Section 303 (o) of theStructurol Speciolty Code
H. DESIGN TEAM AND CONTRACTORS
To o-void design or construction deloys, Building Divisicsroff musr be oble to contocrippffii"ru;;.;"-";;;;;design informorion or iob siieTe-rrJlrion", .r..ll. Abbreviored prumbing, Mechonicor & Elecrricor scheduresA. Except where blonk spoces occur in thor t h e rrr e. h o ni"
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pllo p
ctTy oF s
cit
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t I E I. D
oFFrc;-;rf ::T;,y;,*'
B 55s26
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68
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B. Full plumbjng, Mechonicol, ond Electricot Schedulesore ovoiloble or rhe Building Oi"i.ionl' To conserve spoce on thJpermiiJor- the schedurehove been obbrevioted - r-rrr!" '
2. lf the item(s) to be instolled ore not covered on throred schedures you shourd .rirrri rhe fu, schedutC. BUILDING DIVISION STAFF WILL rrii OUr ALL FEES AcHARGES ON THE SCneourll-- "'-
lll. Applicont to sign ond dote
whenever possibre, the initio.r .oppricotion wiil be used <w_orksheer o n ty. wh e re p".riLr"I [, irii n"s iiririon sroffprepore o typewrirten co-py ond,erurn it-rl th. ;p;i;;the time the ocruol permii i. lr.r.d io. tirlignorrr".
Fees ond Chorges
Plon chec.k fees ore due ond poyoble ol the time of theond no plons will be orocessed Lirrilm*'i.es ore poi
i.t[",:}:' ond chorsJs o,e d,e ;;J;;;ij" when rhes
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SIGilA TURE
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V. FOR OFFICE USE ONLY (
Permit Clerk
Additional proiecr lnformotion:
10" SSOREESEI{ER
U}IDERT'TOOR AND ROOF DRANS TO BE eolImcTBEBTO
ON NORSH SIDE OF PROPBRSY L rNE SEE ENGTNEEP.ING SHEET
nome srgnolure 1-2-81dole
-DAN SMTTH
PLANS REVIEWED BY:
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]!9IECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: