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Home My WebLink AboutPermit Building 1979-08-27IIISPECTION LINE726-376e i:-i)EI-TY OF SPRIIIGFIELD COMBI NATI ON APPL I CATION/PERI'lI T INFORI1ATION LINE 7?6-3753 aJob Address l-ega 1 Desc ?tr06-/.ca accsynmaltf,) a demoencef l ti onI nergy alue of work ter chan gel u-u se ot he r Sources TaLof sooL I )^o2-3/-4'l ng permit info.: describe work (i.e., build fam. res. with detached qarage) luildi sinqleOwner f name/ add res s/ phone ) &', -oR'-<. a Qatail Dttlcr-rts.et Construction Lender (name/address/phone) a,Nj IUt> name (address 'I ics. no exoires phone noDES I GN TEAI'! Pri ma / nct lt, sStructural El ectri cal Mechanical Pl umbi I Q S .tf I y'-r,r. L(o i(€'Erc ?sasElec l.lechanical tr PLUt.lB I NG I'lECHAN I CAL ELECTR I CAL N0.FEE C HARGE NO FFF CHARGF N0-FFF CHARGF 3 Each sing1e fixture 3@ ?@ furnace/burner to BTU' S 2.Residence of*?a SQ. FT lsg s8 Relocated building (new fix. addjtional ) FIoor furnace and vent New ci rcui ts al ts or extensions SERV I CES S. F. Res i dence ( I bath) Recessed wal l Soace heater and vent Duplex (l bath) each sir4 So9 Add.itional bath Apoliance vent sFna ra te Temporary Construct j on l,later servi ce Statj onary evap cool er Cha res nge in existing i dence Sewer 3 Vent fan with sinole duct 16 ,@aa- multifamily, comm. or I ndustri a I Storm Sewer Vent systern apart from heati nq or A. C.0f /to ese I Mechanicai exhaust hood and duct 3os ,oo3o'COI.II"I. / IND. FEEDERS l,lood stove/heater I nsta I I /a I ter/ rel oca te distrih. fepdprs 0f amp s. New circuits, alts. nr ovionc i nn< ISSUANCE 0F PERrlrT 3?o TOTAL CHARGES s1.@ TOTAL CHARGES ls@ TOTAL CHARGES 55?p WHERE STATE LA[^J REl shall not be valid unt QUiRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permitil the label has been sioned by an Electrical Supervisor and returned to the Building Division. I HAVE CAREFTILL and correct, and i of Springfield andof any structure wi NAt'lE (pl ease pri nt). Y EXAMINED the completed applicationfurther certify that any and all work the Laws of the State of 0regon perta for permit, an performed shal ining to the wo Division. S IGNATUR 1 bedo rk desc with the Ordinances of the City I that N0 0CCUPANCY will be made DATE,1 net accordance herei n, thout the permi ion of the Bui ldinq -D.d' d do hereby certify that all information hereon is true FOR OFFICE USE ONLY zonu,Q1,EZIIIF1oodP1ainNoBdtns4T}?eConst.|4.!-ytt2:-SqFtg.*l-,lov^u@ occy Load occy Group &2d P-3 stories f, units 3 sq Fts. B-Z- lLSo Value lr3</ q4a Plan Ck. Comm/lnd 55%/B1C,o Per Fpp 23 Storm Sewer Connec,fliL.oe_BUiLDiNG PERMIT Charges and Surcharges Plan Ck. Res 30%/Bldq Per Fee 0ther Fence 0ther-fl.aa e. PLUI4BING PERMIT Charges and Su rc ha rge s Sprinkler System 0the r Deno' 2r7, {r.cJ Total Comb. Permit 4t9. rs55.ELECTRICAL PERI,IIT Charges and Surcha rges A,rC Paving 6?A(ao t4e SDC l. oilL . t1 Curb Cut AD,/A,ooI,IECHANICAL PERMiT Charges and Surc harges J-S:QQ- ,AO Sidewal k TOTAL q,n*.* C0NTRAC II}RS n ame { a ddrPsc t nilN I \ ( COMBINATION APPLICATION/PERMiT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description 1. examp'le- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, 2nd Addition toSpringfieid EstatesC. Name, etc. of owner and construction lender0. Energy Sources1, example- heat/electrical ceiling/or forced air qas2. ExEnp l-e- wa terhrilEerZeTEETil ca JTor soTa r - E. Square footage or valuation,-ETil_- 1. examp]e- 1250 sq. foot house, 500 sq. foot garage2. exampie- .if new project, checkTew - if addition, check add, etc.F. Buiiding perriit information: exampl e a t tac hed - construct single family house with an garage ?. example - remodel existing garage into family room3. example - convert single family res.idence intorestaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. OESIGN TEAI.1 AND CONTRACTORS To avoid design or construction delays, BuildingDivision Staff must be able to contact appropr.iatepersons regarding design information or job sitecorrections, etc.iI Abbreviated Plumbing, Mechanicai, &A. Except where blank spaces occurportion of the Mechanical and El the applicant need fill-in onlyto the appropriate item(s) to beB. Full Plumbing, Mechanical, and E Electrical Schedulesin the description ectrical Schedules, the No. Boxes adjacent installed lectrical Schedules III. IV. are available at the Building Divis'ion1. 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 theful I schedul esC, 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 electr.ica.lsupervisor. The general contractor is not authorizedto sign the electrical iabel. Applicant to sign and date l,Jhenever possible, the initial application will be used asa worksheet on1y. l^lhere possible, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit is issued for hissignature. 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. Al'l other fees and charges are due andpayable vthen the permit is issued. V. FOR OFFICE USE ONLY PERMiT VALIDATION Po-., u'LcCC\ SCC-tr +oo z-o o OE5,ZA -z3l o oqZV aC-oo?Lc I5.CC a ?V HP PP 3 p<r n-',ttr r a 6ooo no5 6z q-7+-11 Permi t Cl erk ej' PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI.ICY: Additional Project Information: PLANS REVIEWED BY: name !ign ature date r CIETf OF.' SPH,IbTGS-IEITD SPRINGFIELD. OREGON 97 477 DEPARTMENT OF PUBLIC WORKS Mr. Kenneth lvleYers 3505 Main Street Sprintfield, Oregon November 10, 1980 97 477 IngoingthroughourfilesWecameacrossabuildingpermitfor 5 South 35th Street Bui 1d i Permit #793224ng 346 MAIN STBEET 726-3753 an office and retail bui lding at 1 3 Thatvtas jssuedon Septemher24'1979 ' SincerelY, ThelgTg0regonStateBujlding'Code,Section.l93(d),explains-thatanybuilding permit for rvh'i.ir-*o.f. ii not ituti.O *iififn tqO d;'i'oi issuance' or if vrork is suspended for a p.rioa ot tgo atvil"irtt-uyirgiis-;;;*it shall exp'ire bv 'limitatjon and become nuit fil rrii.'i;;;;;itions bevond vbut control have preventec vou from proceeding ..-il,is-proiect,"pi.ui. suumit_a"i.tt.r stating the c'ircumstances and if conditioni warrant t!e_ pyiYliri-oiiiliir-*uv-.*t.nd voui aooticat'ion fcr a specjf.ied per.ioo-oi time. Ir.llis-uuitding permi'i'ir"iiio*Lo to lxpire' it will be necessar.v to obtain a new Uuifain' iu'n,'it in! a'ptt*it tte amounting to one-half of the originut'p.r*it"iee-ior tuin'work will be due' Ifwedonothearfromyouwithinthenexttendayswew.i]]assumethatyou have cancered ii.,15 project and. *.-*iir crear oJi'iii.r"or uii retated material ' rf vou have any quest.ions conce.,iing'inti'mattei'.i'ii"i.,. springfield 'Buiid'ing Oirition at 725-3753' 4ffi-W"b* Tom Sheirbon Permit Coordinator TS/CP