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Home My WebLink AboutPermit Building 1981-03-20NOI]IIED 'tx I 6 irrr INSPICTION tINE 7263759 CIIY OF SPRINGFIETD INFOTMATION tIN€ 72(}3753coMEtNATtoN lppt tcarrox/ rrnntr oo OlJ \l(o rob Addre* 1421 North 33rd Street ENERGY SOURCES; Heot - Wqter Heoler Sq. Ftg. Moin Sq. Fts. Access. ---560-- 5q. Ftg. Orh€r Volue of Work:-New Add-Alter-Rep. Fence-Demo-Chonge/ Use -Other ng Permit lnfo: Describe Work (i.e., Build Single Fom Attoched Goro tesorDescriptio" 17 02 30 34 TL 6900 Mr. & Mrs. Dan WillingsOwner .A,ddress 1421 North 33rd Street phone Sprinqfield. 0reqon 97477 Build Detached garage Conslruclion Lender Address Phone DESIGN TEAM (nome)(qddress)(lics. no.)(expire:)(phone no.) Primory Bf aVadO Structuro I Elecfricol Mechqnicol CONTRACTORS (nome)(oddress)(lics. no.)(expire s)(phone no.) Generol Bravado Construction inv 37123 Wheeler Road 31430 July 81 746-5554 Plumbing Eleclricol Mechonicql PTUMBING ELECTRICAI,MECHANICAL NO.FEE CHARGE NO.I rEE CHARGE NO FEE CHARGE Eoch single fixture Residence of ---- sq. ft. furnoce/burner lo Relocoted building (new fix. odditionol) New circuils, olterolionr or exlensionr Applionce vent tepo ro lc S.F. Residence (l both)SERVICES Stotionory cvop. coolcr i Duplex (l both) eoch Temporory Con!lru€tion Vrnt {on wirh ringb duo I I t Additionol both Ampr. V"nt ryrtem cporl lrom hcoti olA.C. _ Mochonrcol cxhovrl hood ond ductWoler service I Sewer Wood rtove/ heotar Storm Sewer FEEDERS Hcot Pump Ampr. A,ir hondler to 10.000 crl,l Air hondler over I0.000 cFrA ISSUANCE OF PER}'{IT TOTAT CHARGES TOTAI. CHARGES TOTAT CHARGES WHERE STAIE lAW IEQUIRES thot th6 Electricol work be done by the Electricol Conlroctor, lhe eleclricol portion of thir permit sholl not bc volid until o lobel hos beon signed by cn Electricol Controclor ond ottoched to the eleclricol pcnel. IHAVE CAREFULIY EXAMINED the completed opplicotion for permit, ond do hereby certify thot oll informotion hereon is lrue ond correcl, ond I further ceriify thot ony ond oll work performed sholl be done in occordonce with lhe Ordinonces of the City of Springfield ond the Low: of the Stolc of Oregon pertoining to the work described herin, ond thot NO OCCUPANCY will be mode of ony structure without the permission. of the Building Divirion. I further certlfy thot my registrotion with the Builder's Boord is in full fore ond effect os required by ORS 7O1.055, thol if exempt the bosis for exemplion ir noted heron. ond thot only subcontroctors ond employees who qre in complionce with ORS 701.055 will be used on this pro jett. Bosis for Builder's Boord exemption: NA/I{E (pleose print)SIGNATURE oxJ:A4:4/- FOR OFFICE UsE ONTY Zone Mt{-s Type/conrr. ll-N unirs I Sq.Ftq. Moin x --Volue Frl. A.."r, 560 , Q- 50 vor,"Fire Zone Jl $edrooms ccy Lood Sa 5,3?A Flood Ploin -Stories-Occy Group Sq. Ftg. Other-x -Volue TOTAT VATUATION BUITDING PERMIT Chorger ond Surchorges 36. 00----TT4- Plon Ck. Comm/lnd 65015/Bldq Per Fee Systems Development Chorqe (1,5%) Plon Ck. Res 3O%/Bldg Per Fee 9.60 PD 3-12-81 PI CK I.2o PTUMBING PERMIT Chorges ond Surchorges Fe nce t\Lv7 Demo Totol Comb. Permit 38-64 PERMIT Chorges ond Surchorger Sidewolk A/C Pqvino MECHANICAT PERMIT Chorges ond S urcho rge s Curb Cut TOTAI 38. 64 Ronoe BTI,J'I coMBINATTON APPLICATION/PERMlr (CAP) l. Applicont to furnish A. Job Address B. Legol Description l. exomple-tox lot I00, Lone County Mop Refere_nce l7 0i 2. ex;Fi;-Lot l. Block 3,2nd Addition to Springfield Estqt, C. Nome, elc. of owner ond construction lender PERMIT VALIDATION CITY OF SPRINGFIETD City Holl Springfield, Oregon Deportment of Public Works OFFICIAT RECEIPT I{0. B 56126or forced oir gos or solor E. Squore footoge or voluotion, etc. I. exomple-l 250 sq. foot house, 500 sq. foot goroge 2. e*omFiE-iT;ew proiect, check new-if oddition, check odd, etc. F. Building permit informotion: l. exomple-conslruct single fomily house with on ottoched goroge 2. exomple-remodel exisling goroge into fomily room 3. Exompfe-converl single fomily residence into iEstoui6nt (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 Division Stoff must be oble to contoct oppropriote persons regording design informotion or iob site corrections, etc. ll. Abbrevioted 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 lhe oppropriote irem(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 rhe item(s) to be instolled ore not covered on the obbre' 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.L lV. Fees ond Chorges Plon check fees ore due ond poyoble ot the lime of the opplicolion, 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 ONTY D. Energy Sources I. exomple-heol/'electricol ceiling,/' 2. exo m tle-*ot"rTEEt.I@gl ( \ { {t ( Dote Received Amount Received TURE sHELIOr.tuRxBU!L PFiXTERS ' EUGEX€ OR 97aol 3a!ll e Permit Clerk BY I I PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Additionol Proiect lnformotion: 3- 17-81nomesignqtudo?e PTANS REVIEWED BY: TOM SHEIRBON ( I (