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HomeMy WebLinkAboutPermit Demolition 1981-02-11INFORMAIION [INE 72&3753clrY or SPRINGFIEID COMBINAIION APPTICAIION iPERMlI ENERGY SOURCES: Heot Wqter Heoler Ro II INSPECITON LINE 7?6376e Legol De scriPtion Volue oI Build SingleDescribe Wor k (i.e., AWithReside Permit Info: Pho neAddress C m _$ cA PhoneAddress (lics. no.) DESIGN TEAM hone (odd ress)(nome) Primo Plumbi CHARGE PLUMBII'{G CHARGErEE furnoce/burner lo -BTU'S Residence of fr.Eoch sinqle {ixture Applionce venf sepa rote Relocete<i building (new fix. oddirionol) Stotionory evop. coo ler Vent fon wilh sinEle duct SERVICES Temporory Consiruction New circuiis, qlterqlions or extensions both) eoch,f,r S.F ile:rcence tr bcih Venl syslem oport from heotinq or A.C.Additioncl both Mechonicql exhousl hood ond ducl Amps, Wqler lervice Wood stove/heoter/c,&)Sewer FEEDERS Heot PumpSlorm Sewer Ampt. Air hondler to 't0,000 cFM Air hondler over r0,000 cFfl I ISSUANCE OF PER,ITIT TOTAI. CHARGESTOTAT CHARGES WHERE. SIATE LAW REQUIRES ihot the Ele ttricql work be done by tha Electricol Conlroctor.. the electricol portion of this permir rhqll not be vqlid unril a lobel hos ben.signed by on Electriol Contrastor ond ottoched to.lhe electricol ponel. TOTAI CHAR.GES I HAVE CAREfUtLY EXAMINED the completed opplicotion for permit, ond do hereby certify thol cli informotion hereon is lrue ond correct, ond I furfher certify thot ony ond oli work performed sholl be done in ccordonce- with the Ordinonces of the City of Springfield ond the Lows of tha Stoie of Oregon pertoining to the work de:cribed herin, ond ihcr NO. OCCUPANCY will be mode of ony structure without lhe permission of the BuildinE ,Division. I further ertify thot my registrotion with the Builder's Boord is in full force ond eftect os requireci by ORS 701-O55, thot'if exempt the bosis for .exemption is noted heron, cnd thot oniy subcontroctors ond employees who qre in complionce with ORS 701.055 will be used on this proiect. t-{.DATE Bosis for Builder's Boord exemption: NAME (pleose prini) FOR OFFICE U'E ONLY SIGNATURE Zone -Type/Const. -Units -5q. Ftg. Moin FloodPloin-storie5-0ccyGroup-Sq.Ftg'other- x So-Flg. Acce:s .x a --lglgs-TOTAt VATUATION Fire Zone-Bedrooms occy Lood lrrrr.-, Development I Chqrqe (.I.57o) Pion Ck. Comm/lndBUITDING PERMIT Per Fee Plqn Ck. Res Per Fee Chorges ond S u rcho rge s Toiol Comb. Permit PtUrvtBlNG PERMIT oo Fence Demo Chorges ond Surchorges Chorges ond 5urchorges CAT PERMIT Sidewoik MECHANICAL PERMIT Chorges ond Surchorges Curb Cut TOTAT /c& Eiectri co ! :onicci! Elect:i cqi Mechonicql EtECTRIfAt MECHA{!II4L CHARGE NO FEiNO.FEEi.IO /1). <>d COME,NATIoN APPI.,CAIIoN/N;i;II,,P) l. Applicont 19 furnish \< A. Job Address B. Legol DescriprionI. exomple-tox lor I00, Lone County Mop Reference I7 03 43_ 2. exomple_Lor I. Block 3, 2nd Addiiion ro Springfield EstotesC. Nome, etc. of owner ond construction lenderD. Energy Sources 2 exompie-heot r electricol ceilinq . e xo m p I e -w o re r I-eE rei-ETEt t riio I or forced oir os or so orE. Squore footoge or voluoti on, etc, /. exomple- j 250 s exompie-if new odd, etc. q. foot house,500 sq. new-if foot goroge proiect, check oddition, check F. Building permit informotion:l. exomple-construct single fomily house with on oltoched goro9e 2. exomple-remodel existing goroge into fornily room 3. exomFE-convert single fomily residence into GlGi-ront (chonge of use) G. Volue of work os defined in Section 303 (o) of the Structu rol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction deloys, Building Division Stoff must be oble to contoct oppropriote persons regording design informotion or iob site corrections, elc. ll. Abbreviored Plu,mbing, 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 the No. Boxes odiocent fo the oppropriote item(s) to be instolled B. Full Plumbing, Mechonicol. ond Electricol Schedules, ore ovoiloble ot the Building Division I. To conserve spc!ce on the permit form the schedules hove been obbrevioted 2. lf the item(s) to be instolled ore nol covered on the obbrevi-' oted schedules you should consult 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 return it to the opplicont ot the time the octuol permit is issued for his signoture. lV. Fees ond Chorges PIon check fees ore due ond poyoble ot the time of lhe opplicotion, ond no plons will be processed until these fees ore poid. All other fees ond chorges ore due ond poyoble when lhe permit is issued. V. FOR OFFICE USE ONLY PROJECT CONDIIIONS TO BE SATISFIED BEFCRE OCCUPANCY: Additional Proiect Informolion: signoture dotenome PLANS REVIEWED BY: *-TMIT YAI,'DAI,ON Permit Clerk INSPECTTON I.INE 72(F3769 CITY OF sPRINGf IEtD COIASINAIION APPTICATION I PERMIT INFORI AIION TINE 72&3753 ENERGY SOURCES:c - !, &r _c Altq(hed Goro (noma)(lics. no.)(phone no.) & Phone Phone ng Permit lnfo: Describe Work (i.e., Build Single Ftg. Moin Sq. FtE. Access. Sq. Ftg. Other Heot Woler Hester R Volue of Legol Description .Addre sr Addrers DESIGN TEAM Addrers rtruction l-ender -New -Add-Alter-ReP'- -Fence -Demo-Chonge/ Urc coi Structurql Plumbi FEE PLUMBING ELECTRTCdt MECHANICAL CHARGE CHARGEFEENO.CHARGE Electricol Mechonicol Eoch single fixture Re:idence of fr. furnoce/burner lo Relocored building lnew fix. oddirionol)Applionce vent leporsle SERVICES New circuils, olterotions or extensicns Slotionory evop. cooler Ouolex (l both) eoch S.F. Retidenco (l borh) _ Tampororv Conslruclion Vent fon with single ciuct Additionol both Amps. Vent system oport from heotinq or A.C. Woler:ervice Mechonicol exhoust hood ond duct )Sewer c--c) Wood :iove/ heoter Storm Sewer FEEDER.S Heot Pump Ampr. Air hondler to I0,000 cFtd Air hondler over 10,000 cFl{ ]SSUANCE OF PERMIT Elcaricl conrrsctor. the .lectri€ol. porfion of lhis permit rhalt nor ba vqlid untit oclectrirol panel. I HAVE cAREf uLtY EXaMINED the compleied oppticotion for permit, ond do.hereby cerrify ,hot ol! informoti,on hereon is true.ond correct, ond I furthercertify thot ony ond all work performed rholl be done in occordonce- with the Oidinoncos of the City of Springfield ond the Lows of the itote of Or.go"perloining to the work de:cribed herin, ond thqt NO. OCCUPANCY will be mode of ony structure witiout tia p-ermirsion of r1,. sritaing .Division. I furtherertify thot my regirfrotion with the Builder's Boord is in full force ond effect os requirei by onS 7n1.055, rhot:if exempt rh. iorii io, oxemption is notedheron, ond thot oniy subconlroctorr ond employeas who orc in omplionce wirh ORS 7Ot.O35 will be used on lhis project TOTAT CHARGES TOTAT CHARGES t-tt,TURE OATE WHERE. SfAIE tAW REOUIRES thqt rho Eleoricol work be donc by thelobel hq: ben.tignod by on Elertriol Conti.stof ond ottcchod to.tha TOTAT CHARGES NAME (pleose print) Bosir for Builder'r Boord exemption: FOR OFFICT USE ONLY Zonc -Iype/Conrt --Unitr --_Sq. x Voluc x Yolue x -lqlgs firc Zone-Bcdroomr Occy lood Sq. Ftg, Acccss Flood Ploin Storilr occy Group-sq. Ftg, other-._...- Ftg. l!{oin ,TOTAt VATUATION Plon Ck. Comm/lnd 6596/Bldq Per Fee Sysiems Development Chorqe (1.59/o) BUITOING PERMIT Chorges ond S urcho rge r Plon Ck. Res 309'./Btds Per Fee Fen ce PTUMBING PERMIT Chorges ond Surchorges OO Demo Totol Comb. Permit Sidewqlk ELECIRICAL PER}IIT Chorges ond Surchorgcr A/C Povinq Curb Cvt MECHANICAI pERlyUT Chorger ond Surchorger TOTAT /4() A o_,", iIILL(L_\) . e-!:X . \/'lr \ (oddress)(expirer) ?rimory Generol ) NC FFF -BTU'S /o /11 ac) COMBINATION APPLICATION/Px--lT ( -.. ) l. Applicont !O.furnish A. Job Addrlss B. Legol Descriptionl. exomple-tox lot 100, tone County Mop Reference l7 03 43 2. exornplE-Lot I. Block 3, 2nd Addition to Springfield Estotes I -.MIT VATIDATION OF SPRINGFIELD II CirY Holl Springfield, Oregon o"oo,l-"it of Public works I OFFICIAL RECEIPT l{0. B 55793 , C. Nome, elc. of owner ond construction lender D. Energy Sources I . exo m p le-heot /electrico I cei I i n g .,'q1 f o.!tCL!1jg: 2. e-;mFE-worerTEEJillEiiTiicol,'o. -E. Squore fooioge or voluotion, etc. I. exomPle-1250 sq. foot house.,500 sq' foo.t goroge 2. e;a7i;-iE-iT-rrew proie*, checkEEi-if oddition' check odd. etc. F. Building Permit informotion: i. "l"i-lirr.-consrruct single fomily house with on ottoched goroge Z. ixo--pte-remodel existing goroge into fomily room 3. ex6-ffii-e-convert single fomily residence into i6!I6[io-nt (chonge of use) G. Volue of work os defined in Section 303 (o) of the Slructurol SpecioltY Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction deloys, Building Division- Stoff must b.tbte to contoct oppropriole Persons regording design informciion or iob site corrections, eic' ll. Abbrevioled 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 the No. Boxes odiocent to the oppropriote item(s) to be instoiled B. Full Plumbing, Mechonicol, ond Electricol Schedules . ore ovoiloble ot the Building Division l. To conserve sPoce on the permit form the schedules hove been obbrevioted 2.lftheitem(s)tobeinstolledorenolcoveredontheobbrer ' oted schedules you should consuit rhe full scheduies C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES lll- Applicont lo sign ond dote Whenever possible, the initicl opplicotion will be used os o worksheet only. Where possible, Building Division Staff will prepore o tyPewritten coPy qnd re-turn it to the oppliccnt ot ihe'time the octuol permit is issued for his signoture' (CITY ( (- ( \V-)ret L\\ R d i' From \"e_(l CL\"n ived \\-- ( ( ( ' Arnornt Received : (. 1 AUTHOiIZEO S IGNATURE sHtLtor'ruFxBUL! PllxlEl! EUCETe oF 97'Ol AY lV. Fees ond Chorges Plon check fees ore due ond poyoble ot the time of the.opplicotio ona no plons will be processed until these fees ore poid' Al! ^ ofher fees ond chorges ore due ond poyoble when the permit is issued. +- V. FOR OFFICE USE ONTY Permit Clerk PROJECTCONDITIONSTOBESATISFIEDBEFCREOCCUPANCY: Additionol Proiect lnformolion: doiesignolurenome PLANS REVIEWED BY: For: ( cIuY 0F SPiiINGFIE"LD, 0F-.0N Buildlng Depa:;Enent CER.T IF ICATE OF COMPL IANCE Th{.s cerElfles thai Ehe bulldlng and properEy.locaEed aE O*nera Name perrl Ai o*t Addresa 647 North 8t h Sr. Cicy on 417 Itcme of opeclal conslderac{on are: T^-,,^-,, 1 't O-7Q Daco Lding Inspecr or , , . 764 Norrh 8rh Sr. _has been lnepecced and found to-comof Springfleld, Oragon. #4 - Garage m.ust be rernoved or rebuil t r.-,ith-in 1 .,,errs nerind nf 7 City of Springfield Department of Public Tiorks January 3, 1)78 Dear I[r. Dan Srnith, Concern:ing the house inspcction you made for nc on December 16, L977 at ?6h trtorttr Bth Strcet, all the ltems have been coryected except iten #lr. I have put temporary supports in the garage and rj-Ll remove or robuiJ.d the garage in accordance w'ith applicable codes w'ithin one ycars ti:ee. Paul Alexander for CIltrY OI- SPH,I}.TGS-IEI-D DEPARTMENT OF PUBLIC WORKS SPRINGFIELD. OREGON 97 477 December 22, 1977 346 MAIN STREET 726-37 33 Dear Mr. Alexander; At your request, the Building Division of housing inspection on December 16. 1977 ,Springfield, Oregon. the City of Springfield made aat 764 North Bth St. a The following items must be repaired or replaced to conform with the Uniform Housing Code as adopted by che CiEy of Springfield: 1. The 2x4 rafters are over span and must be braced to bearjng walls. Spans should not be in excess of 9 feet. Collar tjes must be installed 4' o. c. All windows shall open freely. The open electrical iunction box in the att'ic must have an approved cover. The garage must be removed or rebu'ilt in accordance with applicable codes The dry-rot is being replaced at this t'ime. A building permit has been issued for this repair. A11 necessary permits shall be obtained before work starts and all work shall be accomplished according to applicable codes and inspected before a Certificate of Compliance will be issued Please direct all inquiries to the Springfield Building Division at 7 26-37 53 " Building Inspector Dan Smi th 2 3 4 DS/rj , OCCUPANCY INSPE(]TION APPLICATIQN EXISTING BUILDINGS SPRINGFIELD BUILDING DEPARTMENTCITY OF Date: Job Address:4rl TX,No. of Units: I e a d y.Address: Address: e BI,Owner: Applicant:Sa--r. o For Access .to Property - Telephone: Remarks: {"{-r,/ A $20 inspection fee is required at the time of application. ITIIS A?PLICATION FORM MUST BE SIGNED BY THE OWMR OF THE PROPERTY TO BE INSPECTED. ll, d**,1.01'-*"*t* SIGNATURE OF PROPERTY OWNER FOR OFFICE USE ONLY Date of Inspection:DaLe of CofC: Receipt No.:Date of Report: +'': i' I '+ ^ CIfl OF SPRINGFIELD, OREGON Public Works {-,BUILDING DEPARIMENT PW-11 {-, - Inspectorrs Mbmo /t */e - z2JOB ADDR.ESS T0. NOTB // Aq' .tN Phone 747-4ZZL INSPECTOR /t4 rr,lrl >r-t?r,a I .r'\f'l *rA, y&r r/ 4 /ll,t'.Od ip^.- l{,u6 I Electrical *1 Inspection Report e 747 422', WIRING INSTALLER AOORESS (ctTY oR TOWNI AOORESS OF INSTALLATION LABEL NO TYPE OF E|TRUCTURE USEEl HEIGHY OATE wrRrNc }rETHoo: NoN-METALLTG SHEA,THEo CAELE l-l ^"ro"=D) CABLE l--l "On Or,t t] - powER co OWNER ADDRESS (CITY OR TOWNI CTIANGES OROEREO ( dar*( COVER INSPECTOR FINAL ACCOMPANIEO BY n