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Home My WebLink AboutPermit Building 1981-04-06NOTIFIED BY LETTER 4-3.8I TOTAT CHARGES -0- WHEN,E STATE TAW REQUIRES thlrt thc Elcstricsl work be done bY the Electrical contrEGtor, the elecricol Portion of this permit shsll not bc volid unril o lqbel hoc bean signed by on Elcclricol Conlroclor ond ottoched lo the clcctricol ponel. I HAVE CAREFUTLY opplicotion for permit,ond do herebY certifY lhot oll informotion hereon is lrue ond correct, ond I furlher cerlify thot ony ond be done in qcordonce with lhe Ordinonces of the City of ngfield ond the Lows of lhe Stote of Oregon described herin, qnd thot NO OCCUPANCY will be mo de of ony s required irh oRS 701 structure withoul permrssron of the Building Division. I further pertoini ng to the work wirh, the Builder's Boord is in full force ond effect o by ORS 701.055, thot if exemPt the bosis for exemPlion is noted ertl{y thot my regislroiion ,055 will be used on this heron, ond thot onrly subco ntrqctors ond emPloYees who ore in comPlione w Bosis for Euilder's Boord exemption: EXAMINED the comPleted oll work performed sholl Spri lhe NAlv{E (pleose Print) Zone Flood Ploin BUITDING PERMIT Chorges ond Surchorges PtUMEING PERMIT Chorges ond Surchorges PERMII w , t/' Typ"/con.t. VN unit' SIGNATURE FOR OFFICE USE ONIY LU DATE Fire Zone --- Bedrooms --- oc6Y Sq. Ftg. Main Sq. Ftg. Access Sq. Ftg. Other a Volue x Yolue a -Volue TOTAT VATUATION IAECHANICAL Chorges ond Surchorges CITY Of SPRINGFIETD COMEINATION APPTICATION/PERfrTII Volue of Work:@ ol\)(r) f\) Other$l 600.00Clarke Ecker Phone Residence (oddress) legol Fo t I Lender Phone (phone 1 Remove 4'from ra I 840 Building Permit lnfo: DESIGN TEAM Sq. Ftg. Moin Sq. Ftg. Access. Owner Address Describe Work (i.e.. Build Single and replace with a wall. no.)res) Address Con INFORMATION LINE 72U3753 INSPECTION tINE 726-3769 ENERGY SOURCES: Heot - Woter Heoler - -New -Add)L-Alter-Rep.-- -Fence-Demo-Chonge/ Use Sq. Ftg. Other Structuro I Electricol I RACTORS McKenzie Valley Homes 88034 Chita Loop 35806 /18/82 726-01e4Generol Plumbinq Electricol Mechonicol MECHANICALE[ECTRICAI.PTUMBING FEE CHARGEFEECHARGENO.NO.FEE CHARGENO. furnoce/burner lo -BTU': Residence of fr.Eoch single fixture Applionce vent sepo ro le New circuits, olteroiions or extensions Relocoted building (new {ix. odditionol) Stotionory evop. coolerSERVICES S.F. Residence (l both) Vent fon with sinqle ductTemporory ConslruclionDuplex (l both) eoch Venl syslem oport from heotinq or A.C.Amps.Additionol both Mechonicol exhqusl hood ond ductWoler cervice Wood stove/ heoterSewer Heot PumpFEEDERSStorm Scwer Air hondler to r0.000 cFMAmpr. Air hondler over r0,000 cFM ISSUANCE OF PERIAIT TOTAT CHARGES-0-TOTAT CHARGES Systems DeveloPment Choroe (1.5o,/") .75copies (3) Plon Ck. Commf lnd16. 00 64 Per Plon Ck. Res Per Fee E-'rrrlr I 6.64Totol Comb. Permil Demo Sidewolk Curb Cut c 17.39 PERMIT Lood ? Grorp MT TOTAT (qddress)(lics. no.)(expires) (phone no.)(nomel -0- Chorges ond Surthorges coMBTNATTON APpLTCATTON/PERMTT (CAP) l. Applicont to furnish A. Job Address B. Legol Description Squore footoge or voluolion, elc. l. exomple-1 250 sq. foot house, 500 sq. foot g 2. exomple-if new proiect, check new-if odditir ,€h ;Aa, etc' CitY Holl -rill,"Ji;i '-:::".s1-" -Af,r,. c No. B 562?9r PERMIT VATIDATION 19 l. exomple-tox lot 100, Lone County Mop Reference I7 03 43 2. exomple-Lot l. Block 3, 2nd Addition to Springfield Estotes C. Nome, etc. of owner ond construction lender D. Energy Sources t. 2. exom Ie-heot,/electricol cei ling exom rlGoteTele.t?iosl/orJolEi-a/or forced o CITY OF SPRINGFIELD ( E. F. Building permit informotion:I. exomple-construcl single fomily house with c goroge 2. exomple-remodel existing goroge into fomily 3. exompfa-convert single fomily residence inlo EllEirEnt (chonge of use) G. Volue of work os defined in Section 303 (o) of th Structurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction deloys, Building t Stoff must be oble lo contocl oppropriole persons design informotion or iob site correclions, elc. ll. Abbrevioted Plumbing, Mechonicol & Electricol Sc,hed A. Except where blonk spoces occur in the descriptior of the Mechonicol ond Electricol Schedules, the opg need fill-in only the No. Boxes odiocent to the opp item(s) to be insrolled B. Full Plumbing, Mechonicol, ond Electricol Scheduler ore ovoiloble ot the Building Division L To conserve spoce on the permit form the schedt hove been obbrevioted 2. lf rhe item(s) to be instolled ore not covered on ti oted schedules you should consult rhe full schedu C. BUILDING DIVISION sTAFr WILL rItL oUT ALL FEES I CHARGES ON THE SCHEDUI.ES (" (.d r ( f ( ( 40 IU ) I FtL; ( dlJ ( ( lll. Applicont to sign ond dote Whenever possible, the iniriol opplicotion will be used o worksheet only. Where possible, Building Division Stoff , prepore o typewritten copy ond return it to the opplicon. the time the octuol permitis issued for his signoruie. lV. Fees ond Chorges Plon check fees ore due ond poy.oble ot the time of rhe o1 ond no plons will be processed until these fees ore poid. , other fees ond chorges ore due ond poyoble when the pe is issued. V. FOR OFFICE USE ONLY ( " Amo unt Recei'ved ( (t (; BY oRlzEO SHE!TON'IUiNBU!L PIIiIERS SIGNATU RE €U6ERE oR 97'Or f-Permit Clerk I 1tl pancy) if area is used for Additional Proiect lnformorion:Approved as workshop onl y (Ml occu rmit is u i red.ncy) separate(R3 occupafamily room or other habita ble area signoture dote 4-3-8t RBONTOMSHEI PLANS REVIEWED BY: nome i \ ( (. ( PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: