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Home My WebLink AboutPermit Demolition 1981-05-28INSPECTION TINE 72C3769 CITY OF SPRINGTIETD COMBINAIION APPUCAIION / PER^.UI INFORMAIION LINE 72U3rs3 Job Addre:r De:cripfion { Owner Sq. Ftg. Moin Sq. Ftg. Accer;. Sq. Frg. Other Building Permit lnfo: or k: Fo Re ri dence -Rep.g"/ Ure-New- -Fen ENERGY SOURCE;. Woler Heoler Heo t Dercribe Work (i.e., Build Single AltochedAddrc,r.e88 nc)sRY>Phone lion Addrerr Phone (phone no.)(oddre:r)(nome)(licr. no.) name)RS Electricol ETECTRICAT Mcchonicol PTUMBING FEE MECHANICAI NO.CHARGEFEENO.tEt CHARGENO fi xturcEOCn furnoce/burner lo ----BTU'S Re:idence oi =--sq. ft. Applionce vent sepo rqleNew <ircviis. olterotiont or extensions(ncw fix. odditionol) Relocoted building Slolionory evop coolerSERVICES S.F. Reridenge I both)Vent fon with sinqla ductTempororY ConslruclionDuolex (l borh) eoch Vent syslem oporl from heotinq or A,C.AmprAdditionol both I Wolel lcrvice Wood rtove/ heoter Mechonicol exhou:l hood ond duct Scwcr Heol PumpIE ED ERSScwcrS Air hondler to 10,000 CF^iAmpr Air hondler over 10,000 cFM ISSUANCE OF,PERMIT TOIAL CHARGESTOTAT CHARGESIOTAI CHARGES DATE Plon Ck. Comm/lnd Tolol Comb. Permil ICAL PERMIT cb Demo c -8 k performed rholl bc done in ii*d herin, ond lhqt NO OCCU dd,f ired ouniitvalidnolba:hollthirofcleclricqlthepcrmitConlrscro?,portiortlheE!crlricolbaworkdoncElcctricolbythcUorhott8.ESAST,tAw,IEEREV'H colclcctrilha ponel.loottochedondControcto?Elc clri co Iqnnedhorbcrn!rg bylobcl furtherondl3ondItuecorrecl,tioinformo hereonnoll,hofdocertifytorondherebyopermit,the comEXAMINEDY pplicotionpleted ofVEHAEFU tT'CAR sLow theof Stqte OregontheondrheofoferhncetOrdinoSpringf ieldCirywithncardooc@IooondI n.Divisio furtherthoiofihenyceriifyBuildingrm I t!ro nihewithoutitruclutePemoDEofdePANCYI noted3Crldctsforworklothcitexemplionthebo:is701thotptpertoiningoRs.055,exembyoeffe cl sforcef ull ond requit5BoordnI5lheBuilder'wilhthqtmyregi:trolion rhioncGrtify.055701 It usad proieGr.beORSirhwhoreomplionceempioyee:ondthotrvbonlroctortondonlyhcron, Sy!tems DeveloPment Sidewolk Iood Bo:ir for Builder't Boord exemPiion; NAr\{E (plcosc Prinr) Fee Fee 65% Plon Ck. Rer 30"/"1 FOR OFTICE USE ONTY SIGNATURE Chorger ond Surchorgar x Volue x Voluo I Vo lue TOTAL VATUATION BUITDING PERMIT Chorge: ond Surchorges PI.UMBING PERMIT Chorges ond Surchorgar Fire Zone-Bedroomr occY Flood Ploin -Storier OccY Zone TYPc/Consr'.Unils Sq' Ftg' Aloin Ftg. Accers Group Sq' Frg' Other qe TOTAL MECHANICAT PERMIT Curb CutChorger ond Surchorger \r-\ fts\\\r\ +\\S+"Nni-is-24_ /l n [-\]- -L DESIGN IEAM Fencc K) coMgrNATtoN AppltcATtoN/pERMiI (cap) l. Appliconr to furnish A. Job Address B. Legol DescriptionI. exomple-tox lot.l 00, Lone County Mop Reference t7 03 432. exomple-Lot l. Block 3, 2nd Addition to Springfield EstoresC. Nome, etc. of owner ond construction lender D. Energy Sources r forced oir goso.@ l. exomole-heotzelectricol ceilino,/or Z. exomole-woter heoter. electricolu'. E. sqro.f riJoge or rolrorioi " I. exomple-1250 sq. foot house, 500 sq.2. eEHiE-iirr--ew proiecr, check fei-ii odd, etc. F. Building permit informorion: PERMIT VATIDATION foot goroge oddition, check I. exomple-construct single fomily house with on ottochedgoroge 2. exomple-remodel existing goroge into forriily room3. exo;FG-converr single fomily residence into restouront (chonge of use) G. Volue of work os defined in Secrion 303 (o) of the Structurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction deloys, Building DivisionStoff mus, be oble to contoct opp.opriot" p..ro-.,, regordingdesign informotion or iob site corrections, etc. ll. AbLrevioted Plumbing, Mechonicol & Elecrricol SchedulesA. Except where blank spoces occur in the description portionof the Mechonicol ond Electricol Schedules, the oppiicont need fill-in only rhe No. Boxes odiocent to the oppropriole. item(s) ro be instolled B. Full Plumbing, Mechonicol, ond Electricol Schedules ore ovoiloble or rhe Building DivisionI. To conserve spoce on the permit form the schedules .:hove been obbrevioted 2. lf the item(s) to be insrolled ore not covered on the obbrevi-. oted schedules you should consult rhe full schedulesC. BUILOING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES lll. Applicont to sign ond dore Whenever possible, rhe iniiiol opplicotion will be used qs oworksheer only. Where possible, building Division Stoff wiltprepore o typewrilten copy ond return it ro the opplicont otthe time rhe oouol permit is issued for his signotuie. lV. Fees ond Chorges Plon check fees ore due ond poyoble ot rhe time of rhe oppricorion,ond no plons will be processed until these fees ore poid. Xltother fees ond chorges ore due ond poyoble when the p".iitis issued. V. FOR OFFICE USE ONLY Permit Clerk PRoJEcr coNDtrloNs ro BE sATrsFrED BEFORE occupANCy, ( Additionol Prolect tnformqtion: nome signoture )-le PLANS REVIEV/ED BY: INSPECTION TINE 72&.376e Mechonicol CIIY Of SPRINGTIETO COMSINAIICN APPTICAIION i PENHIT EIECTRICAt INTORMAIION IINE 72b3753 MECHANICAT PTUMBING \Job lue tion ENERGY SOURC:5. Wolet H"or.r Heo t Owncr BuildinE Permit tnfo: Dercribc Work (i'e ' _orh ef / U'e Build Singlc Fomil Reridence Wirh A Sq. Ftg. Accerr. tcr -RcP.-New-.--[e Sq. ttg. Moin Sq. f rq. Other Phone\r\* PhoneAddrcrr no.)(lics. no.)(odd resr)DESIGN IEAM ( nomc) mc)hone E le ctri co I CHARGE NO. iI FEENOI CIIARGENo. I I F:E furnoce/burner to .=-BTU':Re:idencs oi rq: fr.Eoch ringle fixturc Applionce vent sepqroteNew circuils, olterotion: or extensicnsRalotorcd building (new fix. oddirionol)Sloliono.y eYqp, ccolerSERVICESS.f. Reridcnce (t both)Yent fon wilh ;inqle duclTempororY ConslruclionDuolcx (l both) coch I I Vent syrlem oPorf from heotinq or A.C.Ampr.Additionol borh Mechqnicol oxhoult hood ond ducr ''- Wole? !"tvic! Wood rtove/ heoJer Scwcr Heot PumprEED ER5Stc Air hondler to r0,000 cFMAmpr.Air hondler over 10,000 cFA^ tSsuANCE OTTPERA{lT TOTAL CHARGE5 TOT AI CHARGES TOI AT CHARGES of rhir pcrmit rhali not bc YO lid until o Elcctrico I work bc donc by the E!..lricol Conlrocror,lhe clcctriccl portiort WHERE 'T AI t lAw REOUIRES rhot lhc rha clctrricol ponel. lcbel hor bcrn rigned by n Ela aricol Conltoclot gn d qilo ched loo ond ond further permit,ond do hereby certify ihot oll informotion hereo n I 3 Itua corte€t. I HA VE CAREF U LL,Y XAr'11 N ED th.completrd OPP lr colion tor of the City of Springf ield nd the Low s of thc Sloie of Orcgon pcrformcd sholl be done tn ocord onc6 rh rhe Ordinonce t of ,h6 Euilding Divirion.I fu rther ce fiif.t lho I ony ond oll ork OCCUPAN CY will be mq da of onY requireci !tructuta witho ut the pcrmi ttron notcdpertoiningiolht'k dcrcriixd he atn.ond thot NO by oRs 701 .055,tho t if cxFmPt rhe bo ris for axcmpiion ls wilh thc Builde/r 8oo rci I5 tn f ull {orce ond effecl o 3 rhi proiacl.etli{''l tho my rc9 i rtro li on who tn com plioncc ith oRs 701 .055 will be usd on 3 hcron,ond thol only rvbo n lroclot t ond e mPloYcer ore Bosir for Buildcr': Eoord exemPlion;-8/ SIGN DA' NA$E (plaosc Print) FOR OFfICE USE ONIY Tone TYPc/Conrt'.Unitr 59'x Voluc x Voluc , Vo lue rOTAL VALUATION, Fire Zona &droomr Lood Sq. Flood Ploin (loria Group Sq' Ftg' Other Plon Ck. Comm/lnd Sy!remi DeveloPmcnt BUILDING PERMIT Chorgcr ond Surchorge r Per Plon Ck. Rer 30"h1 B PLUMBING PERMIT Chorger ond Surchorga r Fe Totol Demo ICAT PERMIT SidewolkChorger ond Sur cho rgc r MECHANICAT PERt\lT Chorgar ond Surchorge I _/cb Curb Cut Per TOTAL Perm it P Addre' A8 8 .)to 1+1 -tq I;ffis.tr a/C Povino coMElNAT|ON AppLtcATtoN i',pERrr,riT rclp) l. Appliconr. to furnish A. Job Addrerr B. Legol Descriptionl. exomole-toxfot .100,-Lone.County Mop Referen2. exoiiiE-Lor l. Block 3, 2nd Addition to Springii,c. N"IGof owner ond construction lenderD. Energy Sources l. exomole-heotu'electricol ceili /or forged oir gos ' 2. exo-oG-worer eoler,.ecl r co l/or soior- PLANS REVIEWED BY] E. Squore footoge o. rolrorioilf,]-I. exomole-.1 250 sq. foot house, 500 sq. foot gorogz. exomore-if new proiect, checkiE-w-if oddiltn, c};E.-r. F. Building permit informorion:l. exomole-construcf single fomily house with on o, !roro9e2. exomole-remodel exis?ing goroge into forriily roo3. ex#EE-converr single fJiily rlsidence intorffiTEnr ichonge oi ur", G. Volue of work os defined in Section 303 (o) of theStructurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To o-void design or construciion deloys, Building Divi:Sloff must be oble to contoct oppropriotu p".ro-rr, ."gdesign informotion or iob ,it. .o...iions, etc. - _ -. It. AbLrcvioted plumbing, Mechonicol & Elecrricol ScheduleA, Except where blenk spoces occur in the descriplion orof the Mechonicol onci Electricof S.f..,.arl.r,-th!;;;ilneed fill.in only rhe No. Boxes odiocent t" th" ";;;;;item(s) to be insrolled B. Full Plumbing, Mechonicol, ond Elecrricol Schedulesore ovoiloble or rhe Building Divisionl. To conserve spoce on rhe permit iorm the schedulehove been obbreviored2. lf the irem(s) to be insrolled ore not covered on theored schedurer you should consurr the fuil *r,iari"C. BUILD'NG DIVISION STAFF WILL FILL OUT Att FEES A}.CHARGES ON THE SCHEDUTES CITY PERMIT VALIDAT'NN OF SPRINGFIETD City Holl Springfield, Oregon Deporlmbnt of Public Works OFFICIAL RECEIPT!Es *tJrs No. B 566!4. 6e Received For: iL Amounl Received ( (. (' (,., BYlll. Appliconr ro sign ond dore -l Whenever possible_, rhe inirio.l .opplicotion will be used os /worksheer only. Where possible, illld;;g Di"ir;; ;;i; iprepore o rypewriten copy ond return iito the "ppti""ni-+_the rime rhe oouot permii ;r;rr;; i;; hi, ,igno-dr:,:'--"' - lV. Feer ond Chorges Plon check fees ore due ond poyoble ot the time of lhe opplicolion,ond no plonr will b. pro.errld iriti ,fr"r. tees ore poid. All i,ti,:l:::' ond chorses ore due .;J;;;bt:il; i,ij ,iJ.,, V. FOR OFFICE USE ONLY AUTXORIZE TURE SXCIIOT.TURiEULL PIIiYERS EUGETE OR '7'OI (l Permit Clerk PROJECT CCNDITIONS TO 8E SATISFIED BEFORE OCCUPANCY: Additionol proiecr tnformorion: nome signoture dote ( (