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HomeMy WebLinkAboutPermit Building 1981-03-30a R-, l-rype/ const.V-N u =- Bedrooms 'r tAlI lU CTt I:-t Flg. Moin 1qL Iood Ftg. Access I lr.__ lfrrl f.o,^ * 20.70 v"t,. 1--l6lug x -Volue t*s.4., (\lal' ,fralD.' rr t: t+ll CIIY Of SPRtNGTIEID COMBINA IION APPT.TCAIION /PEI,I/tIT INSPECIION TINE 7263769 ]NFORMATION I.tNE 7263753 289ta North 16th Street t7 03 36 24, TL 8300tegol ENERGY toveHeot Rqn Woler Heoler - ---- rowner Hen f Ba z Volue oI Work: 5q. Ftg. Access. Sq. Ft9. Other -New-Add Aher_Rep. --Fence-Demo_Chonge/ Use -Other Sq. Ftg. Moin 9% North 16th Street ?h"^. 7 47 -7L73Addres:ng Permit info: Fomil Go Describe Work (i.e., Build Single Springfield, Oregon 91477 Addition to istin I ivi Address Phone @ ol\)Fr ! (nome)dress)DESIGN TEAM (lics. no.) .M. Sl usher 8082 4 Lost Creek Road - Dexter 937-2 Mechonicol CONIRACTORS L.M. Slusher 80824 Lost Creek Road Plumbi Moore El ctri 747-0671Electrico I Mechqnicol AAECHANICALEI.ECTRICA!PIUMBING FEE CHARGE NO.FEE CHARGE NO furnoce/burner loResidence of fr.Eoch {ixture 5.00 te New circuilr, olteroiions or extensions2+Relocoled building (nerv fix. oddifionq Stotionory evop. coolerSERVICES S.F. Residence both) Yent fon wilh sl ductConstruclionTemeschxI Vent system oport from or A.C.AmAdditionol bolh /r\echanicol exhoust Woler service 001 Sewer FE EDERSStorm Sewer Air hondler to t. Air hondler over I CFM ISSUANCE OF PERMIT 15.00TOIAT CHARGESTOTAT CHARGES 15.00TOTAT CHARGES notsholl valid untilclsctricoltheofb.Cotlt]oclor,permilportionrheElaclricolbeworkdomWHEREthdrElcctricolbyth.STATE lAw electricolthelolobclConlrsclot ponel.ottochodondhosbeenonElecricolby:igned DATESIGNATURE CAREFUTTY EXAMINED the comPleled oll work performed sholl City of without 70r'.055, oll hereoninformstion lruets ond ond furtherdoondhlhotcorrect,ereby certifyfort,HA opplicotion PermrVE of the ofStsteondtheLowsoflheSpringfieldwithnceerhOrdinoncestndoneq cco rdqbetho t<crtify ondsny Oregon furtherolSSlOnthe,Division.BuildingrhebedeofstructureperminylltholondoccuNOPANCYp.r rheto describedwork heritoining n,notedifthotthet5forbosisoRsexcmptexemptionoeffectredll1vondbyrequlforcetheBocrdBuilder's tntsrhotortlfywithregistrotionmy thisirh701oR5.055 belt u:edqrewhoomplio nceondIt.on,thot ctorssubcontro ond employeesonly .{a}^E (pleore print) lorir for Euilder,s Boord exemplion: FOR OTFICE UsE 3 ,975. 00 s Developmenl ( I .5",/.) Sysiem Chqrqe___28-00__ t.L2 Plon Ck. Comm/lnd Fee Plon Ck. Res Fee REC 56158 60. 32Totol Comb. PermitDemo ---15.g0-.60 c Sidewolk Curb Cut GO,3LTOTAL15. 00 ni ls Group R.Sq. Ftg. Other--- TOTAT YATUATION (- Applionce vent rhisN,EOUIRES 8.40 PD 3-25-8 coMBlNATloN APPLICATION/PERMlr (cAP) l. Applicont to furnish A. Job ,Address B. tegol DescriPtion i.=.*o-pt"-lox lot 100, Lone County MopX'eferencg.t-Z.Of f3 Z. "ffif-Lot I. Block 3, 2nd Addition to Springfield Estotes C. NornE "t. of owner ond construction lender D. Energy Sources l. ei'omple'h"orlq!t!Ilg!.l!'g,/o.r forc.ed oir gos \ 2. exq m tE-wote rT-51-GiGlEf-ri co l,'""oI " t -,ry Holl springfield, Oregon Department of Public Works OFFICIAT RECEIPT No. B r9 PERMIT VALIDATION JTIELD .L (1 I it fl fl (l (l E. sq l. 2. foot ho roiect, cl uore footoge or voluotion, elc.56235exomle-1250 sq. exom new p use,500 sq. foot heck ne*-if oddi goroge /- lion, cher etc. F. Building permit informolion: I. exomple-construct single fomily house with on ollo goroge 2. exomple-remodel existing goroge into fomily roon 3. Exampl-e-converl single fomily residence inlo ElIEIront (chonge of use) G. Volue of work os defined in Section 303 (o) of the Slruclurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or conslruclion deloys, Building Divis Stoff must be oble lo conlocl oppropriote Persons reg design informorion or iob site corrections, etc. ll. Abbrevioted Plumbing, Mechonicol & Electricol Scheduler A. Except where blonk spoces occur in the description pc of the Mechonicol ond Electricol Schedules, rhe opplic' need fill-in only the No. Boxes odiocent to the oPProF item(s) to be instolled B. Full Plumbing, Mechonicol, ond Electricol Schedules ore ovoiloble ot the Building Division I. To conserve spoce on the permit form the schedule hove been obbrevioted 2. lf rhe item(s) to be instolled ore not covered on tht qted schedules you should consult the full scheduk C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES A CHARGES ON THE SCHEDULES lll. Applicont to sign qnd dote G ( ( F For: Ll1,li 47",h0 il (l O ,r i)(' (. , Whenever possible, the initiol opplicotion will be used o' I worksheet only. Where possible, Building Division Stoff ' \ -::-* prepore o typewritten copy ond return iito the opplicon {ihe'ti-e the octuol permii is issued for his signolure. , t. lV. Fees ond Chorges Plon check fees ore due ond poyoble ot lhe lime of the dp-...--..-.., ond no plons will be processed until lhese fees ore poid. All other fees ond chorges ore due ond poyoble when lhe permit is issued. V. FOR OFFICE UsE ONLY Amounl Received Permit Clerk AUTHORIZED SIGNATURE SHELTON.TURilEULL PRIilTEFS EUGENE OR 974OI I,l A i PROJECT CONDITIONS IO BE SATISFIED BEFORE OCCUPANCY: Additional Proiect lnformotion: 4. i- f PLANS REVIEWED BY: TOM SHEIRBON 3-30-81nomesrgnolure ( (