HomeMy WebLinkAboutPermit Building 1980-03-13)
INSPECIION IINE
72,..3769
CIIY Of SPNINGFIETD
colABtNATloN AppucATloN / pER,$tr
INFORMATION IIt{E
77G3753
SOURCES:Sq. Frg. Moin
Addrecr 17 52 6th El ect Sq. Fts. Accesr. 440-
Woter Heoter Sq.FQ. Orher @
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[egol R
-New
--Xldd-llr.r-Rep.
Volue of Work:-Fence-Demo-Chonge/ U:e
axqwxuq12,B38. 00 -OrherneaMichael Rambo
Building Permit lnfo: Describe Work (i.e', Euild Single
Address Phone 47-Fo Residence With
Addition to Res'idence; Add Attached
Conslruclion Lender
Address Phone
DESIGN TEAM (nome)ddress)(lics. no.)(expi re s)
Pri 687 -0293
lrlechonicol
lics, no
er
Electrico I
Mechonicol
PLU'tAEING ETECTRICAT MECHANICAT
NO.FEE CHARGE NO.FEE CHARGE NO.FEE CHARGE
Eoch:inqle fixture
Residence oI
lt.
furnoce/burner lo
Relocoted building
(new fix. odditionol)2+New circuils, olterotions
or exlensions 15. 00 1
Applionce venf
ieporo re 3. 00
S.F. Residence
(l both)SERVICES
Stotionory evop.
coo le r
Duplex (l both) eqch Temporory Constructim
Vent fqn with
single duct
Additionol both Amps.
Vent syslem oport from
heoting or A.C,
Woter
Mechonicol exhousl
hood ond ducl
Sewer Wood slove/ heoter
Storm Sewer FEEDERS Heot Pump
Ampr.
Air hondler lo
I0,000 cFM
Air hondler over
10,000 cFA
rssuANcE oF pERMrr 10.00
TOTAT CHARGES TOTAT CHARGES TOTAT CHARGES 13. 00
WHERE STA,IE tAw REQU IRES thot thG Elactricol wo:k be done by lha Eleclricsl Conl.octor,thc clcctricol porrion of this parmit rhqll not bc volid until
lobel hgr bun signed by qn Contro ctor ond ottoched lo the electrico Ps nal.
I HAVE CAREFUtty EXAMINED the completed opplicotion for permit, ond do hereby certify thot. oll informotion hereon ir
certify ihor ony ond orr *ori frformei sholl b" don. in oclrdonce with the Ordinonces of the City of Springfield ond
p.rioi^ing ro tire work described herin, ond rhot NO OCCUPANCY will be mode of ony slructure without the permission
certt{y th;t my registrotion *ith th. guilder's Boord is in full force qnd effect os required by -ORS.70l'055., thol if exempt
huron, ond fhot o-nly rrb.onfro.fo., ond emptoyees who qre in ompliono with ORS 7OI'055 will be u*d on this proiect'
s lrue ond correct, ond I furlher
the Lows of the Stote of Oregon
of rhe Building Division. I further
the bosis for exemption is noled
Bosis Ior Builder's Boord exemption:?4-LU Fr^,a s)Bft o
NAME (pleosc Print)h Lu SIGNATURE DATE
FOR OTFICE UsE ONIY
Flg. /r{oin 260 , 33. 30 vot,u
, Q- 50 yolr.
1-Yolue
TOTAT VATUATION,
8558.
Zone Conrl.440Fire Zone NA Bedrooms 3 occY Lood
-So
Ftg. Acce3t
Flood Ploin LlO srori", I o""Y cr"rp R-1-M-1 sq. tts. other-
BUILDING PERMIT
Chorgar ond
Surchorges
64.00---7.56-
Plon Ck. Comm/lnd
6596/Bldq Per Fee
Systems Development
Chorqe (,l.5%)
Plon Ck. Res
307.1 Per Fee 6.00 PD Plan Check Due 13. 20
PTUMBING PERMIT
Chorges ond
Surchorges
Demo
L!fEJ=5ee'#
Totol Comb. Permit f€€+€8
ETECTRICAT PERMIT
Chorges ond
Surchorger
15. 00 Sidewolk
-.60-c
Curb Cut
lcL86
TOTAT
AAECHANICAT PERMIT
Chorge: ond
Surchorges
13. 005?--
Ganarcl
Plumbino
-BTU'S
15. 00
g
Electricol
1 Sd-
Fence
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PERMIT VALIDATION
CITY OF SPRINGFIELD
Ciry Holl
Springfield, Oregon
Deportment of Public Works
OFFICIAT RECEIPT
J{0. B 56038
Dor<-f,f0\-l\ . \e le R"i
Address \-\s').\bttr
Received For
OO
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E. Squore footoge or voluotion, etc.l. exomple-1250 sq. foot house,500 sq. foot goro,
- 2. exomple-if new proiect, check new-if oddition, <
odd, etc.
F. Building permit informotion:l. exomple-construcl single fomily house with on c
goroge
2. exgmple-remodel existing goroge into fomily ro
3. @-convert single fir;ily r-esidence inro
iEIiEuE'nt (chonge of use)
G. Volue of work os defined in Section 303 (o) of rhe
Slructurol Speciolty Code
H. DESIGN TEAM AND CONTRACTORS
To ovoid design or construction deloys, Building Di,
Stoff must be oble to contoct oppropriote persons r
design informotion or job site correclions, elc.
ll. Abbrevioted Plumbing, Mechonicol & Electricol Schedu
A, Except where blonk spoces occur in the description
of the Mechonicol ond Electricol Schedules, the opp
need fill-in only the No. Boxes odiocent to the oppr
item(s) to be instolled
B. Full Plumbing, Mechonicol, ond Electricol Schedules
ore ovoiloble ot the Building Divisionl. To conserve spoce on the permit form the schedr
hove been obbrevioted
2. lf the item(s) to be instolled ore not cove,red on t
oted schedules you should consult rhe full schedr
C. BUILDING DIVISION STAFF WILL FILI OUT ALL FEES
CHARGES ON THE SCHEDULES
lll. Applicont to sign ond dote
Whenever possible, the initiol opplicotion will be used ,
worksheet only. Where possible, Building Division Stof{
prepore o typewritten copy ond return it to the opplico
the time the octuol permit is issued for his signoture. +_
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Amount Recei
BY
AUIBORIZED SIGNATURE
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lV. Fees ond Chorges
Plon check fees ore due ond poyoble ot the time of the opplicotion,
ond no plons will be processed until these fees ore poid. .nll
other fees ond chorges ore due ond poyoble when ihe permit
is issued.
V. FOR OFFICE USE ONLY Permit Clerk
PROJECT CONDITTONS TO BE SATISFIED BEFORE OCCUPANCY:
Additional Proiect lnformotion:
+
signot 3-10-81dole
PTANS REVIEWED BY:
nome TOM SHEIRBON
' fi*nutn' .-rr*riamr ru s
coMBTNATTON APPLTCATTON/pERMtT (CAp)
l. A,pplicont to furnish
A. Job Address
B. Legol Description (
l. exomple-lox lot 100, Lone County Mop Referer
2. exomple-Lot l. Block 3, 2nd Addition to Springf rC. Nome, etc. of owner ond construction lender (
D. Energy Sourcesl. exomple-heot/electricol ceiling/or forced oir qo
2. e xo mFlE-w o te r TEiEilGl-e c I ri co I / o @-
Rec',d From tft . (n r crE\] r
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INSPECTION tINE
7?63759
CITY OF SPRINGFIEI.D
COMBINATION APPTICAIION / PERIAlT
INFORMATION TINE
7263753
752
SOURCES:
!gng.
Sq. Ftg. A,toin ?60
Sq. Fts. Acce:r. -44A_=--
Sq. Frg.Other
-New
-iadd-ltr".-Rep.
-Fence-Demo-Chongc/ Use
-Other
Legol Description
Volue of Work:
ax(quxuq12 ,838. 00owner Michael Rambo
Address L7 52 North 16th Street Phone 747-1671
Building Permit lnfor De:cribe Work (i.e., Build Single
fomily Reside nce With Attoched Goroge)
So ri nofi e ld- 0rpoon 97477 Addition to Residence; Add Attached
Construciion Lender uarage - Remode I
Addresr Phone
DESIGN TEAM (nome)(oddresr)(lics. no.)(expires)(phone no.)
687 -0?93
r
Plum
Electricol
Mechonicol
PTUMBING ETECTRICAT MECHANICAL
NO.FEE CHARGE NO.FEE CHARGE NO FEE CHARGE
Eoch single fixture
Residence of
fr.
furnoce/burner lo
--BTU's
Relocoted building
(new fix. odditionol)?+New circuiis, olterotions
or extensions 15. 00 1
Applionce vent
seporole 3. 00
S,f. Residence
(l borh)SERVICES
Slotionory svop. '
cooler
Duplex (l both) eoch Temporory Construclion
Vent fon with
single duct
Additionol both Ampr.
Yent syslem oport from
heoting or A.C.
Woler rervica
Mechonicol exhousl
hood ond duct
Sewer Wood stove/heoter
Storm Sewer FEEDERS Heot Pump
Ampr.
Air hondler to
10,000 cFM
Air hondler over
I0,000 cFM
rssuANcE or pERMTT 10. 00
TOTAT CHARGES TOTAT CHARGES 15.00 TOTAT CHARGES 13. 00
WHERE STAIE LAW REQUIRES thot tho Elcctricol work bc done by thg Eleclricol Conlroctor, ,hc .lectricol portion of rhis permit thotl not bc volid until o
label hos bccn signed by on Elactricol Conlroclor ond ottoched lo the electricol ponel.
I HAVE CAREfUttY EXAMINED the completed opplicotion for permit, ond do hereby certify lhot oll informolion hereon ir true snd correct, ond I further
certify thot ony ond qll work performed sholl be done in occordonce with the Ordinonces of the Ciry of Springfield ond the Lows of the Stote of Oregon
pertoining lo the work descibed herin, ond rhot NO OCCUPANCY will be mode of ony slructure wilhout lhe permission of the Building Division. I further
certlfy thot my regi:trotion with the Builder's Boord is in full force ond e+fect os required by ORS 7O1.O55, lhol if exempt the bosis for exemption is noted
heron, ond thot only 5ubcontroctors ond employees who ore in complionce wirh ORS 701.055 will be used on this proiect.
Bosis for Euilder': Boord exemption:
NAME (pleosa prinr)in,.lnr rlL" P^rl'SIGNATURE zr/*Jr*( l. ltr**>DATE i"?/qo
FOR OFFICE USE ONTY
Zonc Consl.V-N U n irs Sq. Ftg. Moin 260 , 33. 30 vor,"
. Q- 50 votr.
1-[qlpg
TOTAI VATUATION
rire Zone l'lA Bedrooms 3 occy Lood Sq. Flg, Access 440
rlood Ploin N0 Storier-J-occy ctorp R-1-M-1 Sq. Ftg' other-
BUILDING PERMIT
Chorge: ond
Surchorges
64.00---2.5d
Plon Ck. Comm/lnd
6596/Blds Per Fee
Syrtems Development
Choroe (1.5%)
Plon Ck. Res
3O%lBld,s Per Fee 6.00 PD )lan Check Due 13. 20
PTUMBING PERMIT
Chorger ond
Surchorges
Fence Efiefse3-f+
Demo Totol Comb. Permit J€G€8
15.00
----.60--Surchorges
Sidewolk
A/C Poving
Curb Cut
TOTAT
AAECHANICAT PER}r{IT
Chorgcr ond
Surchorges
13. 00
,ror", "ror., E lect
1
IZ,UJU. UU
8658. 00
41R0 n0
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COMBINATION APPLICATION/PERMIT (CAP)
L Applicont to furnish
A. Job Address
B. Legol Description
l. exomple-tox lot I00, Lone County Mop Referer
2. &ompie-Lot l. Block 3,2nd Addition to Springf
C. Nome, elc. of owner ond construction lender
D. Energy Sources
I. exomole'heot/electricol ceiling,/or forced oir go
2. exomple-woler heoter i eleclricol /or glgl
E. Squore footoge or voluotion, etc.
I. exomple-1250 sq. foot house,500 sq. foot gorot
. z. eEEplE-iTTIw proiect, checkiEi-if oddition, <
Ad;etc.
F. Building permit informotion:
l. exomple-conslrucl single fomily house with on c
goroge
2. exomple-remodel existing goroge into fomily ro
3. efimpfe-converl single fomily residence inlo
re-li6u-?6nt (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 Di'
Stoff must be oble to contoct oppropriote persons r
design informoiion or iob site corrections, elc.
ll. Abbrevioted Plumbing, Mechonicol & Electricol Schedu
A. Except where blonk spoces occur in the description
of the Mechonicol ond Electricol Schedules, the opp
need fill-in only the No. Boxes odiocent to lhe oppr
item(s) to be instolled
B. Full Plumbing, Mechonicol, ond Electricol Schedules
ore ovoiloble ot the Building Division
l. To conserve spoce on the permil form the schedr'
hove been obbrevioted
2. lf the item(s) to be instolled ore nol covered on t
oted schedules you should consult the full schedt
C. BUILDING DIVISION STAFF WILL FIIL OUT ALL FEES
CHARGES ON THE SCHEDULES
PERMIT VATIDATION
OF SPRINGFIELD
CirY Holl
Springfield, Oregon
Deporlment of Public Works
OFFICIAT RECEIPT
No. B 56038
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CITY
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dk Rec'd F .o- f(\ .Rrr i
Address NS a \b1t'i
{
ved For
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Amount
?B
lll. Applicont to sign ond dote BY
Whenever possible, the initiol opplicotion will be used , i
workshee, only. Where possible, Building Division Stof{ /,,
prepore o typewritten copy ond relurn il to the opplico \t
the time the octuol permit is issued for his signoture. +-
lV. Fees ond Chorges
Plon check fees ore due ond poyoble ot lhe time of the opplicotion,
ond no plons will be processed unlil these fees ore poid. All
other fees ond chorges ore due ond poyoble when the permit
is issued.
V. FOR OFFICE USE ONLY
AUTXORIZED SIGNATURE
SH6LIOE.TURTBULL FiINAERS EUGEIE OR 9"O1
(
Permit Clerk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
Additional Proiect lnformolion:
PLANS REVIEWED BY:
TOM SHEIRBON 3-10-81nomesig notu dqte
t
INSPECTION tINE
72&.3759
ol
CITY OF SPRINGFIETD.Y, CO'IIBINAIION APPI.ICAIION/PERM]I
INFORMAIION IINE
726-3753
.ob Address L7 52
f Michael Rambo
SOURCES:Sq. Ftg. lvloin
El ect Sq. Frg. Access. -44A-
Wqter Heoter Sq. Frg Other
Ro New lhdd-lh"r-Rep.
Vqlue of Work:
axquqxqq12,838. 00
Fence Demo-Chonge/ Use
-Other
Address 1752 North 16th Street phone 7 47 -1671
Building Permit lnfo: Describe Work (i.e., Build Single
Fomily Residence With Attoched Goroge)
Snri nof i p'l d - Orpnon q7 177 Addition to Residence; Add Attached
Construclion Lender
tiarage - Remode I
Address Phone
DESIGN TEAM (nome)(oddress)(lics. no.)(expires)(phone no.)
687 -0293
Electricql
/viechonicol
CONTRACTORS (nome)(oddress)(lics. no.)(expires)(phone no.)
UWNCT
Generol
4v,lUng
Electricol
Mechqnicol
PTUMBING ETECTRICAT MECHANICAL
NO.rEE CHARGE NO.FEE CHARGE NO.FEE CHARGE
Eoch single fixture
Residence of
-sq.
ft.
furnoce/burner to
Relocoted building
(new fix. odditionol)2+New circuits, olterotions
or extensions 15. 00 1
Applionce vent
seporote 3. 00
S,F. Residence
(l both)SERVICES
Stotionory evop.
coo ler
Duplex (l borh) eoch Temporory Conslruction
Vent fon with
single duct
Additionol borh Amps.
Yent syslem oport from
heoting or A.C,
Woler service Mechonicol exhoust
hood ond duct
Sewer Wood stove/heoter
Slorm Sewer FEEDERS Heot Pump
Amps.Air hondler to
r0,000 cFM
Air hondler over
r0,000 cFM
ISSUANCE OF PERMIT 10. OO
TOTAI. CHARGES TOTAT CHARGES TOTAT CHARGES
WHERE STA'rE taw REQUIRES thot lha Electricql work be done by lhe Electricol Contro€tor,lhe elcctrico llobelhosbensignedbyElectricolContusGlorcndottochedtotheeleclricol
portion of this permit shall not bc volid until opcnel
I HAVE CAREFULIY EXAMINE,D rh-e completed opplicotion for permit, ond do hcertify thot ony ond oll work perfo.-ej.holl ie t""" i" ocordqnce with thpertqining ro the work described herin, ond rhot No occupANcy *irr u" -"certlfy rhot my regisrrotion with rhe Builder,s soord is in full force oia "m".t .heron, ond thot only subcontroctors ond employees who ore i, "o.ftio"..'J
ereby. certify thot oll informotion hereon is true onde Ordinonces of rhe Ciry of Springfield ".a-,i" i.i.oe ot ony structure without the permission of the Buils,required by ORS 701.055, rhot'if exemft ;'h" ;";.-ith ORS 701.055 will be used on rhis proiect.
t
correct, ond I furtherof the Stote of Oreoonlding Division. I furiier
for exemption is noted
Bosis for Euilder,s Boord exemption:
I Y L-
s\GNAIURE 1"1.F" I 'grprtrl
DATE
?/s o
FOR OFFICE USE ONTY
zon" R- 1
ri." Zone NA
Type/ Const,nits Sq. ttg.
Sq. Ftg.
Sq. Ftg.
Moin 260 * 33. 30 vo;,"
^ Q-50 volr"
1-!6lesBedrooms--3------------- ".Y Lood Access
Flood Ploin G,orp R- 1-M- 1 Other
TOTAT YATUATION
BUII.DING PERMIT
Chorges ond
Surchorges
Plon Ck. Comm/lnd Systems Development
64.00---7.56-Per
Plon Ck. Res lan Check Due 13.20Per Fee 6.00 PD
44
PTUMBING PERMIT
Chorges ond
Surchorges
Fence ts*5es-#
Demo Totol Comb. Permit -t€ffi
ELECIRICAT PERMIT 15. 00 SidewolkChorges ond
Surchorges 6r c
--lD[.rE4-,-
MECHANICAT PERMIT
Chorges ond
Surchorges
13.00 Curb Cut TOTAL
qn
COMBINATION APPLICATION/PtRlV CAP)
L Appliconr to furnish
A. Job Address
B. Legol Description
l. exomple-tqx lot 100, Lone County Mop iefere-nce.l7 03 43
2. exomple--Lot l. Block 3, 2nd Addition to Springfield Estotes
C. Nome, etc. of owner ond construction lender
D. Energy Sources
I. exomple-heot./elecl4rql geil!nglor forced oir gos
2. exomFE-woterT-5ffi7@!, o@--
E. Squore footoge or voluotioii, elc.
I. exomple-1250 sq. foot house,500 sq. foo.t goroge
2. exomilE-i-f new proiect, checkE-w-if oddition, check
odd, etc.
F. Building permit informolion:
I. exomple-conslrucl single fomily house with qn otloched
goroge
2. exompte-remodel existing goroge into fomily room
3. exfiFE-convert single fomily residence inlo
re-sIEuront (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 be oble to contoct oppropriole Persons regording
design informotion or iob site corrections, etc.
ll. Abbrevioted Plumbing, Mechonicol & Electricol Sc'hedules
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 lhe oppropriole
item(s) to be instolled
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. lf the item(s) to be inslolled 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
,rotkth""t only. Where possible, building Division Stoff will
prepore o rypewritten coPy ond relurn it to the opplicont ot
ih"'ti." the octuol permil is issued for his signoture'
lV. Fees ond Chorges
Plon check fees ore due ond poyoble ot lhe time of the.opplicotion'
;; ;;;l;"s will be processed until these fees ore poid' All .
"ttt". i"Lt ond chorges ore due ond poyoble when the permit
is issued.
V. FOR OFFICE USE ONLY
PROJECTCONDIIIONSTOBESATISFIEDBEFOREOCCUPANCY:
Additional Proiect lnformotion:
€..-----Ttr
-E
3-10-81nomesig noture dote
)ERMIT VAI.IDATION
Permit Clerk
\__-
PLANS REVIEWED BY:
I
SPRINGFIELD
CITY OF SPRINGFIELD
Department o{ Public Works t 885- 1 985 Sprinqlield Centennial year
January 29, 1985
CERTIFIED LETTER
Mr. Michael Ranbo
1752 North 16th Street
Springfield, Oregon 97477
Dear l,lr. Rambo:
The Springfield Building Code Administrative Code requires that, in order for a
permit to-remain valid, construction work authorized by it must begin within i80
days from the date of purchase of the permit. If work is suspended or abandoned
duiing the course of construction for a period exceeding 180 days, the permit will
automatically expire.
If a permit has expired and suspension and/or abandonment of work on a project
has not exceeded one year, a permit to start or resume work may be purchased for
one half the fee required for a comparable new permit, prov'ided that no changes
have been made in the original plans and/or specifications.
If a permit has not yet expired and a permit holder anticipates the need for more
time to begin construction work, the Superintendent of Building may choose to
grant a one time extension of the permit not to exceed 180 days upon receipt from
the permit holder of a written request explaining why the extension is necessary.
The attached form indicates the most recent information in our records with
regard to construction activity associated with your permit. PIease advise
this office of your intentions' with regard to the permit by ten (10) days
from the date of this letter.
PIease direct all inquiries to the Springfield Building Safety Division at 726-3659.
Si ncerely,
L
B lding Safety Division
a opper
attachments
S
iu
225 North Sth Street o Sprinsfield, Oreson 97477 o 5O3/726-37Os
JOB ADDRESS: 1752 North 16th Street
I,,AST ACTIVITY DATE:
OTHER:
8/23/84 NO INSPECTION RECORDED:
CURRENT STATUS OF PERITIIT:
xx VALID: However, your permit will expire on 2/ 23/ 8s
rf you wish to request an -extension of your permit, please notify thisoffice in writing prior to the above mentioned date.
EXPIRED: Your permit expired on
If you plan to start or resume work on the project, a new permit must beapplied for.
*If the rrexpired" box, above, is checked and we do not hear from
*
(ten (10) days from the date of this letter),
information with regard to the permit.
you by
we wi 11 clear ourfiles of all related
JOB #: 8t?1,7t _
SPRI]{GFIELD
CITY OF SPRINGFIELD
Department of Pub1ic Works
December 14, 1983
CERTIFiED LETTER
Mr. It{ichael Rambo
1752 North 16th Street
Springfield, Oregon 97477
Dear Mr. Rambo
The Springfield Building Code Administratiye Code requires that, in order for a pernit
to remain valid, construction work authorized by it must begin within 180 days from the
date of purchase of the permit. If work is suspended or abandoned during the course of
construction for a period exceeding 180-days, the permit will autornatically expire.
If a perrnit has expired and suspension and/oy abandonment of work on a project has not
exceeded one year, a permit to start or resume work may be purchased for one half the
fee required for a comparable new permit, provided that no changes have been nade in
the original plans and/ot specifications.
If a permit has not yet expired and a permit holder anticipates the need for more time
to begin construction work, the Superintendent of Building may choose to grant a one
time extension of the permit not to exceed 180 days upon receipt from the permit holder
of a wrj-tten request explaining why the extension is necessary.
The attached formindicates the most recent information in our records with regard to
construction activity associated with your permit. Please advise this office of your
intentions with regard to the pernit by ten (10) days from the date of this letter.
Please direct all inquiries to the Springfield Building Safety Division at 726-3753.
Sincerely,
David J. Puent
Building Inspector/P1ans Examiner
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225 North 5th Street a Springfield, Oregon 97 477 a 503/726-3753
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JOB #:810171JOB ADDRESS: 1752 lJorth l.6th Street
LAST ACTIVITY DATE:
OTHER:
June 1. 1982 NO INSPECTION RECORDED:
CURRENT STATUS OF PERITIIT:
VALID: However, your permit will expire on
If you wish to request an -extension of your permit, please notify thisoffice in writing prior to the above mentioned date.
x EXPIRED: Your permit expired on December 1, 19g2
If you plan to start or resume work on the project, a new permit must beapplied for.
*If the "expired" box, above, is checked and we do not hear from you by December
== 27. 1983 (ten (10) days from the date of this letter), we will-Tlffiourfiles of all rel.ated i.nformation with regard to the permit
*