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Home My WebLink AboutPermit Building 1980-10-13clTY oF SPRIi 9FlEll co'riBlNArloN APPtlcATloN / PERmlr INTORIVTAIION TINE 72(F3753INSPECTION I.INE 72f,.3759 825 Witlacade CourtAddress ENERGY SOURCES: Heqt elect. Woter Heoter n. a. nlegol -Other Sq. Ft9. Other 420, -1L Sq. Ftg. Moin Sq. Ftg. Access. Volue of Worl: 12,033.16 Owner Fomi Go Building Permjt tnfo: Describe Work (i.e., Build Single PhoneAddress Construction Lender @oo \o(/) Ol Address Phone (nome)(oddress)(lics. no.)DESIGN TEAM fe 747-8823220 North 5thArtemino Paz Jr. Slrucluro I Aiechonicol CONTRACTORS rl no He & I Construction 85510 McCumber L7707 5-81 726-3898 Pl um Eleclricq I Mechonicql 47 -7 445ilil PLUMBING ETECTRICAT MECHANICAT FEE CHARGE FEE CHARGE NO.FEE Eoch si fixture Residence o{ fr furnoce/burner lo Relocqted building (new fix. qdditionol) New circuils, olterotions or exlensions Applionce vent le S.F. Residence (l borh)SERVICES Stotionory evop. coo ler both) eochD Construction Vent fon wilh duct Additionol bqrh Venl ryslem oport from or A.C- Woler service o duct Mechonicol exhoust Sewer Wood slove heoler Storm Sewer FEEDERS Heol Air hondler to I CFM Air hondler over I cFA Extend Duct work 4. 50 ISSUANCE OF PERMIT 10.0 TOTAT CHARGES TOTAI, CHARGES 15. O0 14. 50TOTAT CHARGES WHERE STATE LAw REOUIRES rhot the Electricol work be done by the Electricol Conlrsctor, the cloctricol portion of rhis permit sholl not ba valid untit o lobel hos been signed by on Electricol Controctor ond ottoched to the eleclricol ponel. I HAVE CAREFULIY EXAMINED the completed opplicotion for permit, ond do hereby cerlify ihot oll informotion hereon is true ond correct, ond I furthercertify thot ony ond oll work performed sholl be done in ocordonce with lhe Ordinonces of the City of Springfield ond the Lows of the Stote of Oregonpertoining to the work described herin, ond thot NO OCCUPANCY will be mode of ony struclure wilhout the permission of the Building.Division. lfuriiercertlfy thot my regislrotion with lhe Builder's Boord is in full force ond effect os required by ORS 70I.055, thot if exempt lhe bosis for exemption is notedheron, ond thot only subcontroclors ond employees who ore in omplionce wirh ORS 7O1,055 will be used on this proiect. SIGNATURE flDATE/oNA,lv{E (pleose Bosis for Builder's Boord FOR OFF]CE USE ONTY x Vo lue x -{slu6 , tR. 60 yolru TOTAT YATUATION, R-1 Type/ Const.-N Ftg. /$oinls Flood Ploin Lood Ftg. Access Zone Group R-3 Sq. Ftg. Other 4^O ^ 77 Fire Zone-Bedrooms PIon Ck. Comm/lnd Per Fee Systems Developmenl Cho BUITDING PERMIT Chorges ond Surchorges 3O7"1 Per Fee PIon Ck. Res PIan Ck L9.20 PI.UMBING PERMIT Chorges ond Surchorges Demo Totol Comb.97.24 Sidewolk ETECTRICAI PERAAIT Chorges ond Surchorges _t5 c Curb Cut MECHANICAT PERMIT Chorges ond Surchorges _t4 TOTAI.LL6.44 New X Add-Alter-ReP. Fence Demo-Chonge/ Use Sc- COMBINATION APPLICATION/PERMI.-JAP) l. Appliconr to furnish A. Job Address B. Legol Description i. exomple-tox lot 100, Lone County Mop Reference I7 03 43 2. exomFle-Lor I. Block 3, 2nd Addition to Springfield Estoles C. Nome, etc. of owner ond construction lender YERMIT VATIDATION /or sd* E. Squore foologe or voluolion, etc. l. exomple-l250 sq. foot house,500 sq. foo.t goroge 2. exEmElE-iT new proiecl, check-new-if oddition, check odd, etc. F. Building permit informolion: l. exomple-construcl single fomily house with on oltoched' goroge 2. exomple-remodel existing goroge into fomily room 3. exompfe-converl single fomily residence inlo i6Elour6nt (chonge of use) G. Volue of work os defined in Section 303 (o) of the Slruclurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction deloys, Building Division- Sloff must betbte lo contocl oppropriote Persons regording design informqtion 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 opplicont need fill-in only fhe 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 the item(s) to be instolled ore not covered on the obbrevi- oted sohedules you should consull 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 oppliconl ol ihe'time the ocluol permit is issued for his signoture. lV. Fees ond Chorges Pton 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 poyoble when the permit is issued. V. FOR OFFICE USE ONLY PLANS REVIEWED BY: D. Energy Sources l. exomple-heolz'electricol ceiling,,' 2. exo mFlE-wo te rTEoGIf elEctii-co I or forced oir gos Permit Clerk / PROJECT CONDITIONS IO BE SATISFIED BEFORE OCCUPANCY: Additional Proiect lnformotion: nqme signoture dote /, / ,'/ qMTTI{ f.\\\s\l\-sJ-' 10-I-80 Phone :-gr. -1r, \-iNA.TCRS .@ ?TUMBING & I Conscruction 85510 McCumber (odd ress) 220 North 5th rt ilics. no.,t L77A7 res)iphone no.) 7 47 -8823 ires) 5-8I 726-3898 7-7 €FEE I CHARGE :glit tr iixture MECHANICAI PERMIT Chorge: ond Surchorges _____lzt^5 rxror$AtloH uNt ,1 0-1 r 31 ',!l 4U t'tff'drA i l:rall,al)c- L,?t}{l:ti'- 't'.al tNsPECilox LtHt 72G3769 {ii:c?. Phonc Do ro iprioa ched Addrr I r De 7rr.llrr!'.CUt(11 !q tlq. Accctr'L) Sq. f rg. Othrr -Alter -ReP-. New X -Add /UseFence - -Demo-Chonge .e., Build Singlescribe Work (info:burlo thFo 5, i{illacad 825'Jtllarcaaa C:-rrt IPL S, 'r{ilLrcagr: iiql"jb-'3 n-a-ft +tr lr.d-r I D^q. - .-- --Other Yoiw oi Worl: 12,033 - 16 3r.- _:,1rs,$el Sryson t{ trg Aoin ..- Lender @oo \0(, o }^ECHAN ICALE!-ECTRICA! rEE .CHARGE NO.FE: CHARGE I i furnqce/ burner lo -BTU'S 15-OO Appiionce vent sepo rq re)_ New circuifs, olterotions or extensions , ialcercd buiicing (new fix. qdditionql) Stolionory evop. coolerSERVICES ; 5.F- ResidenceI (t uorn) Vent fon with single ductTemporory Conslruction i I I Duolex (l both) eoch Vent system oport from heotinq or A.C.,Amps.Additionol borh Mechqnicol exhoust hood ond duciWoier serYie I Wood stove/ heoterSewer Heot PumpFEEDERSStorm Sewer I I Air hondler to r0,000 cFMAmpr. Air hondler over r0,000 cFM Extend Duct work 4. 50 : I I ISSUANCE OF PERMIT 10. 00! TOTAT CHARGE5 14-50TOTAT CHARGES 15.00;.?TAi CHARGES WHERE SIATE tAW REQUIRES rho, rhe Eledrical work be done by lhe Electricql CanlrEctor, the electricol portion of this Permit shsll not bc voiid until o lsbcl hor ben signed by an Eledricol Contrdctor ond ottoched to rhe electricol pcnel. t HAVE CAREFUILY EXAMINED the completed opplicotion for permit, ond do hereby certify thot oll informqtion hereon is lrue ond correct, ond I furlher crrify rhot ony onci oil work performed sholl be done in ocordonce with the Ordinonces of the Ciry of Springfield ond the Lqws of the Stote of Oregon pertoini^g to tire work described herin, ond thot NO OCCUPANCY will be mods of ony struclure without the permission of the Building Division. I further e*.+r rh;, my regiskotioa E;rh ih€ Builder's Boord is in fuil fore ond effect os required by ORS 701.055, thot if exempt the bosis for exemption is noted hspn, ond thot only sub@ntrodors ond employees who ore in complione with ORS 70I.055 will be used on rhis proiect. o^rE/!L3 PSIGNATURE Boris for Euiider's Boord NAJ*E {pieo:e FOR OFfICE USE ONI.Y Floqd Ploin n0 storie5-Occy Group R-3 Sq. Ftg. Other ^ ?R. 60 -yotr. --]2-O33-15- TOTAT. vAruATtON 12 r 033. 16 4"O -77 So Ftg. Access Zone R-1 x Volue x -Volue Fire Zone- Bedrooms ---------------- ccy Lood Const. V-N Units.--Sq. Ftg. Moin Sysfems Development Chorse ll.51e) Plon Ck. Comm/lnd 65",6/Blds Per Fee 'tq ?o BUI[DING PERMIT Chorges ond Surchorge s -----64 Plon Ck. Res 30%/Blds Per Fee l-9.20Plan Ck Fe nce 97.24Totol Comb. Permil PTUMBING PERMIT Chorges ond Surcho rges Demo Sidewolk_____15ETECIRICAL PERMIT Chorges ond S urcho rge r A/C Pqvinq Curb Cu| Eq TOTAT LL6 - 44 '*s Permil Residence oi --sq. ft. ) -\6 coMBtNATION AppLtcATloN/pERMtr (cAp) l. Applicont to furnish A. Job Address B. Legol Descriptionl. exomple-tox lot 100, Lone County Mop Reference .l 2. exomple-Lot I. Block 3,2nd Addirion ro Springfield I C. Nome, etc. of owner ond construction lender D. Energy Sources I. exomple-heotz'electricol ceilingr'or forced oir gos 2. exomple-woter heoter, glectricolz'or solor E. Squore footoge or voluotion, etc,I. exomple-1250 sq. foot house,500 sq. foot gorage 2. eEmFE-iT new proiect, check new-ii oddition, c-he :od, etc. F- 3uiiiinq permit informoiion: i- exompie-construc, singie family house wilh on ot goroge 2- exomole-remodel exisling goroge into fomily roc 3. exompG-convert single fomily residence into i6JTEIEnt (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 D Stoff must be oble lo contqct oppropriote persons :esign inforrncion or iob site corrections, etc- PERMIT VATIDATION c,ry oF s ci, o"ooil,l'lii,,'Tl N G F' E L D b;ilLT i:1;;','f;.-, lllo. g t9 Fr lror: + TURESIGNA (- le 54879 oe P .it *J,l- Abbrewiotecj Plumbing, Mechonicol & Electricol Sche A- :xceot where blcnk spoces occur in the descripti' :r::':e Mechonicci ond Eiecrricol Schedules, the c rcec fill-in oniy the No. Boxes odiocent to the o ircm1s) to be installed 3- Full Plumbing, Mechonicol, ond Electricol Schec are ovoiloble ot the Building Division l. To conserve spoce on the permit form the sr hove been obbrevioted 2. lf the item(s) ro be instolled ore noi covere{ ated schedules you should consult the full r C. BUILDING DIVISION STAFF WILL FILL OUT ALI CHARGES ON THE SCHEDULES i ,1ic nt A nt lll. A.oplicont to sign ond dote Whenever possible, the initiol opplicotion will b worksheet only. Where possible, Building Divisi '!t' prepore o typewritten copy qnd return it to thea the time the octuol permit is issued for his signdture. lV. Fees ond Chorges Plon check fees ore due ond poyoble ot lhe time of the opplicotion, ond no plons will be processed until lhese fees ore poid. All other fees ond chorges ore due ond poyoble when the permit is ircued. V. FOR OFFICE USE ONLY PLANS REVIEWED BY: AY ( o4 97aot !a! Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY, )5- .-.' - -' *. _,j;..,_, - ;. "..\ "1 15i_-_\l,r_X_-1': .-,..r\\ Additionol Proiecf lnformotion: nome D.\i,I Si.lITH signolure dote l_c-].-80 i ( ( I ! I