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Home My WebLink AboutPermit Building 1980-07-31INSPECTION LINE ] 726-37 69 c COMB I IIA lJY OI SPRINGFIELD TION APPLICATION/PERMIT INFORI,IATION LINE 726-3753 d65 A;t.ril 7 / o A/o, A^iT// STREET Legal Description {OOO llater Heater EL&, Rancle EIIERGY SOURCES Hea t t10 33ull fffia'uo'r* Sq. Ftg. l.'lain_ffits. acces{@ Sq. Ftq. Other{ l,ler"r Add AIIEi--TeD. - Jen-ce_Oerno Change/Use -other-ownerrtz/aqttil F Lor^s EROE(n -IW-0791Addrdss Qta LJo. z gr*l Singleneith Attached Gara scr l.lo 5'FR. t NG trtELD, DR q1477 '6 u t LD htrrAtlilZ t2 Construction Lender 4 7n Lf ,g 6,+,eA 6E I -lN --l Addres s Phone I CS - nODES I GN TEAI.I name ( addres s exoi res )ohone no. primary ,L/A R. t/ t il FLoqsCR OE o4J Q 1o P, 2 5 rlt ?26-a 7q q n ame t/t {address ) - era hJ Structura I l''lec han i ca I Electrical umbi n r l,lechani cal I PLUIlB I NG ILECTRI CAL MECHAN I CAL FFF C HARGF NN FFF CHARGF NO FFF |^HAPNF Each single fixture Residence of SQ. TT furnace/burner to BTU' s Relocated buildinq (new fix. additional)F New ci rcrri ts a l ts "r,:i5PHiir Floor furnace and vent S , F. Res i dence(l bath)SERV I CES Recessed wal I Soace heater and vent Duplex (1 bath) each /Additional bath /o.o Temporary Constructi on I Apoliance vent 1 seoarate l,Jater serv ice ge in existing dence C han rps i Stationary evap cool er Sewer I ndustri a l multifamily, comm, or /Vent fan with sinole duct Storm Sewer 0f Vent systern apart from heatino or A-C. c0r.1r'1./rND. FEEDERS Mechanical exhaust hood and drrct I n sta I I /a I ter/ rel ocate di stri h fppdpr<llood stove/heater I of aoo laa ISSUANCE 0F pFRllIT /o.at TOTAL CHARGES TOTAL CHARGES /6.a TOTAL CHARGES /3.a) ,hat the Electrical work be done by an Electrical Contractor, the electrical portion o.f this permit abel has been signed by an Eiectrical Supervisor and returned to the Building Division t'lAf.lE(p lease pri nt)rE7?3 /- fy ' 0rego the Bu fy E LUL EXAI'1 N theED eEF rtcan t a he re ec rt ath at n tforma on re0nhe s rutc0mpapr)De rm b.v etadancorrecndfuerthcertrhattandaIi/0 rkfy 0 rfoe drme sha dobe ne an rdcco an thw1 heL na0rdi nce of the C ty andSrtefidof any oftetaSthofawsLhet r n nnngta to worthe desck r hbed ere n dan hat NCt CU0c wlPAI,ICYDCg madebeofrutuctretuthothermtsofnpedDsonfutherrertcthtav/t thng t Buhe der sreqrn.yrBoa ny d fu rcefo nda feef act s ut red ORS 0701 55 th ta f het 5ba s for sreqbyxempt noted rehe 0n tha tand on u trbcon torsac and arvho re1yernp n cean tht^r'l 7ORS 0 505 tlr be sedU nooyeescomD th tecpro,j stel WHERE STATE LAN REQUIRE shal I not be vali'l unti I th FID Y Ft Ft Ft TOTAL VALUATION s S q S q xVa;w.M^lue x' Val .Tyoe/ Con s t @u----_unit,-t rue 4L17, CO Flood Plain - Stories - 0cc.y Grou l,ll- A 0ther Fi re Zone Load Zone q. l'1ain g. AcceBedrooms Plan Ck. Comm/lnd 65%/81do Per Fee Svstems Cha rqe DeVe (1. 5z opment I BUILDING PERI'IIT Charges and Surcharges , 3-2ao- Plan Ck. Res 30%/81dq Per Fee 4bo *r-rn,6 FencePLUMBING PERMIT Charges 4nd Surcha rges - l2.o-o- - Dgmo Sidewalk 32'S,@ELECTRICP,L PERIlIT Charges and Surcha rges laa- a Total Comb. Permit 6?.t oA/C Pavi ng Curb Cut / g'//, fOI,IECHANICAL PERMIT Charges and Surcha rges l_3_,@_€Yq,uo TOTAL iul :arnI lirc. no pYnt rpq nhnnp nn I s tra ti on 'l t'exempt i on s 1 COMBINATION APPLICATION/PERMIT (CAP ) I. Applicant to furnish A. Job AddressB. Legal Description l. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. BIock 3, 2nd Addition to Spri ngfi e1 d EstatesC. Name, etc. of owner and construction lenderD. Energy Sources 1. examp=l e- heat/electrical cei ling/or &gc;_fl_g!:2. ex amFTe- wa te rhEa teiTEf ecEi] calTo r s oJIF - ----.-.-- E. Squar-footage or valuation, etc, l. example- 1250 sq. foot house, 500 sq. foot garage2. example- if new project, check new - if addition, check add, etc.F. Building permit information:1. example - construct single family house with an attached garage 2. example - remodel existing garage into i',nily room3. example - convert singie family resjden,-.: intoiesTturant (change of"uie)G. Value of work as defined in Section 303 (a) of",neStructural Specialty CodeH. DESIGN TEAI'I AND CONTRACTORS To avoid design or construction delays, Buitding Division Staff must be able to contact artpropriite persons regarding design information or job sitecorrections, etc.IL Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be instal'ledB. Ful I Plumbing, Mechanical, and Electrical Schedules are available at the Bui lding Division1. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be installed are not covered on the abbreviated schedules yOu should consult thefull schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to theelectrical contractor for signature by his electricalsupervisor. The gene_.r.r1 contractor is not authorizedto sign the electrical label.III. Applicant to sign and date Whenever possible, the initial application wil l be used as a worksheet only. Where possibie, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit is issued for his IV s i gna tu re. Fees and Charges PIan check fees are due andapplication, and no plans wi p I ayable at the time of theI be processed until these V fees are paid. AII other fees and charges ane due andpayable when the permit is issued. FOR OFFICE USE ONLY PERMIT VALIDATION Permi t Cl erk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI'ICY: Permit applicant exempt from registration w'ith the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: name sig nature date 7-3 t.trc) C 726-37 s3 Lo r*s ingle o1.) L F :0 ence_Demo_C hange/ U se ther n -0 ilL tlErl)PLL 26-37 T Legal Descri ption .T 2 lue f l.lork:oo9 rnl t n s d rk i.e., L coilB I ilA CAI ITPL1APT I I 0r L/) ERMIT o. Ftgddb Address z3 occ) Descrinq ReAddress Owner d Gara EIIERGY SOURCES Hea t ffitg. Access. - t-,-'.'; So. Ftq. Other__ -/: lletv Add Al ter ,lep. /O A./o, llater Heater;fu/-, Ranqe 6,a.ea (- EConstructi on Lender tr 7n /, ,f F JN \-\ I 7V Addres s Phone ( exni res phone noaddres s I i cs. no.DES I GN TEAI.I name Pri ma El ectri cal n Structura l llechanicaI r q r PI ttr N d q?,Genera I II-LCTRICAL 14ECHAN i CALPLUIlB I I]G N0.FEE C HARGE NN FFF CHA RC F frn FFF CHA RGF Res'idence of SQ. FT. furnace/burner to BTLI' sEach single fixture Relocated building (new fix. additional ).r€-New ci rcrri +-s al ts or extensions.?{E:6H Fl oor furnace and vent SERViCES Recessed wa l I Snace heatpr and vent S . F. P,es i dence(l bath) Duplex () bath) each ,Additional bath :-Temporary Constnucti on Apol iance vent 'seDarate I I l,later servi ce res i den ce Change i n exi sti ng Stati onar,v evap cool er Industlial multifamily, comrn. or Vent fan with sinole duct 7,ii1Sewer amp s.0fStorm Sewer Vent systen apart from heatinq or A.C. COI4II,/IND. FEEDERS Mechanical exhaust hood and drrrt instal I /al terlrel ocatedistrib. feeders llood stove/heater I ls,q ISSUANCT OF PFRI'IIT ,.,i,,*I TOTAL CHARGES . -.,1 l? *-TOTAL CHARGESTOTAL CHARGES WHERE STATE L.lN REQUIRES that tlte tlectrical rvork be done by an Electrjcai Contractor, the electrical portion of this pernit shall not be valil untjl the label has been signed by an Electrical Supervisor and returned to the Building Division the completed apnlication for oermit, and do hereb.v certify that all inforrnation hereon is true and correct, and I further certif.v that any and all work oerformed shall be done in accordance with the 0rdinances of the Cityof Soringfield and the Lal'/s of the State of 0regon oertaining to the $/ork described herein, and that l.l0 0CCUPANCY will be madeof any structure without the permission of the Building Divjsion. I further certify that m.y registration vrith the Builder's Board is in full force and effect as required by ORS 701.055, that if exempt the baiis for exemption is noted hereon, and thatonly subcontractors and emnloyees who are in comcliance with ORS 70i.055 vrill be used on this Dro.ject. I'lArlE(please print)IG TE Flood Plain --- Stories ,* 0cc.r/ Greup ,',:i- i. St Ftg Ftg Ftg Val ue *"i,- TOTAL VALUATION x x So766n51. --t_:-.1"/ Uni 1 Load - Sq : r-,.-i Valve qLl7, LA l'4a i n Val ue zon" --Z-l Fire Zone Bedrooms Access 0ther 65"1/Bldo Per Fee Plan Ck. Comm/lnd Svstens Develocment Charqe ( 1.5q)BUILDING PERNIT Charges anC Su rcha rge: 3-?.ao- Plan Ck. Res 302/Bldq Per Fee 9,bo A -,'- FencePLUI4BING PERMIT Charges Lrd Surcha rge!Dgrno Sidewal k 32 t J,COELECTRICAL PERI:IT Charges and Su rcha rges rl],.,r\ Total Cornb. permit fl{. iuaA/C Paving Curb Cut / {i/, trn14ECIlANICAL PERMiT Charges and Surq h6 pgq5 / 3,cD u81,ro.iOTAL I t2 'lics nn 1 nhonc nn 91 !.fro anp* \s/ COMBINATION APPLICATION/PERMIT ( CAP) I. Applicant to furnishA. Job AddressB. Legal Description l. gggqfg: Tax Lot 100, Lane County Map Reference '- 17 03 432. gxaqrplq: Lot 1. Block 3, Znd Addition toSpringfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources at/electrical cei I i /o PERMIT VALIDATION ITY OF SPRINGFIE!.D City Holl Springfield, Oregon Deportment of Public Works OFFICIAT RECEIPT 6' (1. exanpl e- he 2 , exanc'l e- waE. SquaiE-T6ota9e ea ter ec tr or r forc-i ,ir qas solare or valuation, e B 54192I. examole- 1250 sq, foot house, 500 sq. foot qaraoe2. Exar",ple- if nerv project, check new - it aOaiiloi,tI.-cli-adci, etc.F. Bui ld inq perr;i t infornation:1. exancle - construct single family house with an a ttached garage2. exariole - remodel existing garage into;.'rrily rcom3. examplE - convert single iaiily-resioen,-: into - restaurant (change of use)G. Value of work as defined in Section 303 (a) of ineStructural Specia)ty CodeH. DESIG|.I TEAI..! AND CONTRACTORS To avojd design or construction delays, pui ldingDivision Staff must be able to contalt arpropriitepersons.regarding des.ign information o: job sitecorrecti ons , etc. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except 'irhere blank spaces occur in the descriptionportion of the i'lechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes adjacencto the appropriate item(s) to be instajledB. Full Plumbing, Mechanical, and Electrical Schedulesare avai lable at the Bu.ilding Division1. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult thefull schedulesC. BUILDiNG DIVISION STAFF I,JILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to theelectrical contractor for s.ignature by his electricalsupervisor. The gene.r'ai contractor is not authorizedto sign the electrical labelApplicant to sign and date Whenever possibie, the initia l appl.ication wi l l be used asa-worksheet only. [^lhere possible, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit js issued for his s i gna ture. Fees and Charqes Plan check fees are due and payable at the time of theapplication, and no plans wi ll be processed until thesefees are paid. All other fees and charges are due arrdpayable vrhen the permit is issued. FOR OFFICE USE ONLY ( ( I\\ ( { \19 <_ ed For: s( rt Received AUTHORIZED SIGNATURE 5HETiON.TUiNAULL PRINTER5 EU6ENE OR 97'Ot Permit Clerk !n ( (II III IV t, Z 8D( ( ( { V D( PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: Permit app'licant exempt from reg'istration with the Builder's Board because: Additional Project Information: PLANS REVI EI.JED BY name Si g date 7-a,/'"1.:) \ 1' I iISPEC 7 26- 37 H Lll,iT 726-37 J66 Address /'86/r EIIERGY SOURCES: Hea Heater .!]lllater Ranqe Fto. l.lain_ Eqa-+tg. Access. '-. -;;v: Sq. Ftq. 0ther__ 1!,lew_Add-Al te r_Pep . _Fence_Demo_Cha n gelUse 0therffii;u'uorr- occ Loa gt ca.)0wner l-ega1 Description Taz3 n e., Buil n9 e idence llith AttacFan i'l Bu t Inf o: Descri be l'lork-1W:!1?1Address Qto L,/o, 2 €7/4 t2'6rtLD DErA<-4E5'rn tNGFttzLD, DR ?2127 J N --\ Constructi on Lender Phone exoi res )phone no.lics. no.IJt5IGN TEAI.I narne (address primary ,/L/A R. t,/ r ,<J FL,A:ER OB crJ Q /a ,U, ? 5 rtc 72*o 7q ? RS n ar,i,e laddress ) _ rca P F d q' '2 Structura I l'lechan ical El ectri cal tI-LCTRICAL MECHAN I CAL anlca PLUIlBI iJG FFF THAPNFFEECHARGEtJo -FFF C HARG F NO. I Each single fixture Residence of FTSQ furnace/burner to BTU' S *New ci rcrr'i ts al ts or extensionsiqEtu;rzrd Floor furnace and vent Relocated bui 1 ding (new fix. addi tional ) SERVICES Recessed wal I Snace hpatpr and vpnt S. F. Res i dence(l bath) Duplex (l bath) each Temporary Constructi on Apol iance vent - seoarateAdditional bath ge i n exi sti ng dencp C han rpsi Stationary evap cool erl,later servi ce Indrrctria l multifamily, comrn. or Vent fan w.i th s inol e drrctSewer Storm Sewer amp s.0f Vent systern apart from heatinq or A.C. c0r.1r!./rND. FEEDERS l,lechanical exhaust hood and duct Instal I /al terlre1 ocate diqtrih- fepdprs t,lood stove/heater /s,oof )i..)S. ISSUANCE 0F PFRT1IT /.a.*1 . .1. ' ..,,-tTOTAL CHARGESTOTAL CHARGES /3.rt-'-TOTAL CHARGES WHERE STATE L1N REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permitshall not be valil until the Iabel has been signed by an Electrical Supervisor and returned to the Bu.ilding Divis.ion l,lAilE (pl ease pri nt )S IGiIA Fon 0 TE ny of 0req the B t.-'re tedctheED ta 0 for +an he re hat atddo t ruesompDermrtcentf orrna on hereo nappb.y fy co trrec a nd rtfu e rand ce rt t tha a nd t/o kr rDC rmedfo haSa anndonbefycord ce t theh rd0 n oance s face Cihet tyfeadtndLhefoftJs0Sthetetartnthtoer^iork donSorngoe bedescrl he re n dan ttha 0ccNC ,AI,ICYUP wl mad ebeng s ctru retu wl Uhoof t he srmt s oon U n S o n rpeanydfu rt he rtce hat t re S atr t n thv/1 Dthe u de r sqn.y sfy fu forBoardsn CC nda Ief tec sa t ha fred70Rs05U)t ex t ba s fors e 0 n no hereonted an A harequbyempxemptt t 0n subc tracon rsto enand D o rvho re t h e 7ovcomSnnceawlAD 1 0 55 H1 be us ed on h syeest ro.jp c: Fire Zone Bedrooms - 0ccy Load -- Sq Ftg Ftg Ftg TOTAL VALUATION (n al0cc.y Group 'Ix/Const. -;'."./ Uni ts l4ain 0the r Zone Z-l Fl ood Pl ai n --- Stori es. Access # 'iq ue-.-=---," 4L17, LOy '^: ,,1O Ua1 Plan Ck. Comm/1nd 65li /B1dq Per Fee opmentSvs Lna I ) tems Deve rqe ( 1.5c3-?ap_ 9,bo A --,-Plan Ck. Res 30%/81dq Per Fee FencePLUI4BING PERMIT Charges and Surcharges Dgmo Si dewa I k S,ooELECTRICAL PERI:IT Charges and Su rcha rges Total Comb. I.ermi t ,\€.i"nA/C Pavi n9 Curb Cut / /'//, 'd0IlECHANICAL PERMIT Charges and Su rc harges l3.c u*q,ro TOIAL Addres s I i c< h^ BUILDING PERNIT Charges anC Su rcharges a\s/& coMBINATT0N AppLICATION/pERtvlIT (cAp) I. Appiicant to furnishA. Job AddressB. Legal Description l. glalplg: Tax Lot 100, Lane County r,tap Reference17 03 432. gsgp-l-g_ Lot_l. Block 3,2nd Addition toSpringfield EstatesC. Name, etc. of owner and construction IenderD. Energy Sources 1. example- heat/qlqctrical cejlinq/or fore<ri .ir n:<z. ExarfilE- r.raterEEarErj: o; soii;-'--'-r-:--e-:-_E. Square footige or valuation,-eTEI-1. examole- 1250 sq. foot house, 500 sq. foot qaraoe2. exampTer if new project, check-new - it uaaiiioil check add, etc.F. Bui)ding perrnit information:l. exanc'le. - construct single family house with an;trached garage2. exano.le. - remodel existing garage into i',uily room3. Exaroie - convert single iaiily-resiaenr.: iniorestaurant (change of use)G. Value of work as defined in Sect.ion 303 (a) of ineStructural Speciai ty CodeH. DESIGN TEAI,I AND CONTRACTORS To avoid design or construction de)ays, Pui.ldingDivision Staff must be able to contact a,tproprjitepersons.regarding design information o: job sitecorrections, etc.II. Abbreviated Plumbing, Mechanical, & Electrical ScheciulesA. Except r.rhere blank spaces occur in ttre Oesc.ipiionportion of the Mechanical and Electrica.l Schedules,the appjicant need fi ll-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Ful l Plumbing, Mechanical, and Electrical Schedulesare available at the Building Division1. To conserve space on the permit form the scheduies have been abbreviated?. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult thefulI schedulesC. EUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to theelectrical contractor for signature by his electricalsupervisor. The gene.,i'"rl contractor is not authorizedto sign the electrical jabel. III. Applicant to sign and date Hhenever possible, the initial apptication wr'll be used asa worksheet only. Hhere possible, Building Division Staffwill preoare a type written copy and return it to theapplicant at the time the actual permit is.issued for hissignature.IV. Fees and Charges PIan check fees are due and payable at the time of theapplication, and no plans will be processed until thesefees are paid. All other fees and charges a"e due andpayable vrhen the permit is issued. V. FOR OFFICE USE ONLY PERMIT VALIDATION ITY OF SPRINGFIETD Ciry Holl Springfield, Oregon Deportmenl of Public Works OFFICIAT RECEIPT { ( I 0. B 54192 19 r\vf\ Fo ( ( I ( ( { Z O\r)-t e- \l n ,gc( rt Received AUTHORIZEO SIGNATURE SXELTON'TURNAULL PRINT€RS EUGENE OR 97{OI Permit Clerk { ( ( PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Informat'ion : '. ,l.t I /' L'/ /' - z+*.^-*nt->-.:-i)l-j.r -- PLANS REVIEI^IED BY: signaturename date 7 -:', /' ,'(,' \[)\n CI \ N r'c\--\ n( \ \