HomeMy WebLinkAboutPermit Building 1981-06-15IINE CIIY OF SPRINGTIEID
COiIBINAITON APPTICAITON/PENiItI
INFORMATIOil lINE
726-3753
@
O(,
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207 Nort
Lot 2 tJardetegolDescription
-26-
Mel WoffordOwner
x.o'. el pctric
e I ectric
MoinSq.Ftg,:
644Access.Ftg.Sq
45 ,278.80
Volue of Work:
Woler
Ro
-Orher
-
-New-Add-Alter-Rep.
-Fence-Demo-Chonge/
Ure
Sq. Ftg. Othe,
Fomily Residence With Artoched Goroqe)
Building Permit lnfo, Ddrcribe Work (i.e., Euild Single
Address 562 Asoen Street ?hone 707 -221,2,
Single Fami'ly w/a!!Aqh ed garage
Conslruction Lender
PhoneAdd ress
(lics. no.)DESIGN TEAM (nome)rl (phone
Electricol
nstMel Wofford 562
MECHANICAL
CHARGE
ETECTRICATPI.UMBING
CHARGEFEENO.
Electricol
Mechonicol
{urnocefburner to
1 nn nnn BrU'r,tr nn 1x
Residence of
fr.
Eoch si fixture ---{-vefi.@
Applionce vent
sePorqleNew circuils. olterolions
or exlensionsRelocoted. building
(new fix.Stolionory evoP.
oolerSERVICES25.00I'|
S.t. Reridence
I 2.003. 00Vent fon wilh
sinqle duct4
TempororY Conty1l!r,-
Vent syslem oPort from
heoting or A.C.
Amps.
.l0.
Additionol bothi 45nMechonicol exhourl
hood ond duct
-
1
Woler
Wood stove/heoter10.00ISewer
Heol Pump
FEEDERS
Storm Sewcr Air hondler to
't0.000 cFM
Ampr.Air hondler over
10,000 Cfl'{
I 0.00ISSUANCE OT PERAAII
32. 50
679. I BPlon Ck. Comm/lndI 75. 00
7. 00
DATE
644
Cho
a
1 176
t-l
Per
C6o,L. t^)vtfi
Syslems DeveloPment
Bosis for Euilder's Boord exempiion:
NAME (Pleore Print)
Flood Ploin
FOR OTFICE U'E ONTY
SIGNATURE
Group
Tone
Plon Ck. Res
Per
BUILDING PERMIT
Chorger ond
Surchorges
' 33 - 30 vo1r"
. 9. 50 vol,.
x Volue
TOIAT VATUATION
D-?Sq. Fg. Other
Lood Sq' Ftg' Access
I sq. Ftg. Moin
Fire Zone - Bedrooms
6onr1. V-N unitt
J 06.49
Totol Comb. Pcrmit
PI.UMBING PERIAIT
Chorges ond
Surchorges
45.00
1.80
60.
Demo
Sidewolk 6. 09
11.80 985.67
TOTAT
l8'Curb Cut
lcAt
0
25.00
32.50
Chorges ond
Surchorger
MECHANICAL PERMIT
Chorges ond
Surchorges
Requests iil'iii!l-6lii..-)iorj i''1-wiit le'maae tie same , requests nade after 7:00 a'm' Tlt]-be made the nexE
working day.
day
ENERGY SOURCES:
xeot eI ectfiC
Duolex (l borh) eoch
-
L/c Povino
1-30
COMBINATION APPTICATION/PERMIT (CAP)
l. Applicont to furnish
A. Job Address
B. Legol Descriplionl. exomple-rox lor 100, Lone County Mop Reference l7 03 43' 2. exomple-Lor l. Block 3,2nd Addirion ro Springfield Esto?esC. Nome, etc. of owner ond construction lender
PERMIT VATIDATION
i-
D. Energy SourcesI. exomple-heot,/electricol ceiling,/or forced oir oos2. exomFle-worerT?EiEiElEtr-ico I i.. sE. Squore footoge or voluotion, etc.I. exomple-.Elg rq.foot house, 500 sq. foot gorooe. z. ex.qmple-if new proiect, checkiE-w_ii oddition, cieckodd, etc.
F. Building permif informotion:I. exomple-construc, single fomily house with on ottochedgoroge
2. exomple-remodel existing goroge into fomily room.r. exompte_convert single fomily residence intoiETE!?E'nt (chonge oi ,se)G. Volue of work os defined in Section 303 (o) of rheSrructurol Speciolty CodeH. DESIGN TEAM AND CONTRACTORS
To o-void design or construction deloys, Building DivisionSroff must be oble ,o contoct "ppr"!.iot. persons regordingdesign informotion or iob site .orreiionr, er..
ll' Abbrevioted prumbing, Mechonicor & Electricor scheduresA. Except where blonk spoces occur in the description portionof the Mechonicol ond Elecrricol sif,"ar[r, ii: ;;;i;;;,'need fill-in ontv the No. Boxes iJ;"..rt t"'rl"-"p!!.iii"r"item(s) ro be instolled -' --"-- vslvLE
B' Full Plumbjng, Mechonicor, ond Erectricor scheduresore ovoiloble ot the Building DivisioiI. To conserve spoce on the-permit +orrn the scheduleshove been obbrevioted2. lf the item(s) to be instolled ore not covered on the obbr,ored schedules you should .onrrlirh" fria;i;;;i;-''C. BUILDING DIVISION-STAFF WILL FILI. OUT ALL FEES ANDCHARGES ON THE SCHEDULES
lll. Applicont to sign ond dote
Whenever possible, the initio.l _opplicotion will be used os oworksheer only. Where p"r.iif"f triiling oiri.ion Sroff willprepore o typewrilten copy ond return iito rhe ;;;i;;;';;the rime rhe oouol permir ir;.r;; i;; his signoture.
lV. Fees ond Chorges
Plon check fees ore due ond poyoble ot the time of the opplicrond no plons will b. pro..".JJ',.r^rii-rfrlr" tees ore poid. All
iJ[15:, ond chorses or. due ;;J;;;n;;"; IiJ ,J.,,
v. FoR OFFTCE USE ONLY
+*
( ctTY oF SPRTNGFTELD
Ciry Hoil
_ Springfield, Oregon
Dep_ortment of pubtic WorksOFFICI.AI. RECEIPT
a
No. B 5571
F\.J
R ved For
Amounl Rece ived
o
(
(ff)
%
l
lt1,EY
ir!uL! aitNl!R3 SIGNATURE
EUCEiE OR 97aot 5OsI.6
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
:-r.
signoture 6/3/81
i-rc
L dote
nome Dan Smith
PTANS REVTEWED BY:
. \l
(
(
(
CITY OF SPRINGFIELD, OR' 'CN
Department of Public tr,Ior,..s
225 l,trorth 5th Street
JOB ADDRESS: X ",:(" '1.'L' 2
BUIT- -NG INSPECTION DIVISIOTI
JoB NIIMBER: ?t"t .j ( ',2gDATE' -1'---i--,& {
TO 4/uz/d 6 4 .+rre,ea 7\,2<
NOTE:
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INFOR}{ATIO}i:
INSPECTION:
7 26-37 53
7 26- 37 69
X CALL FOR. REITISPECTION
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4OY 6o R ez,a ptx-INSPECTOB.
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