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Home My WebLink AboutPermit Plumbing 1981-07-09t3DercriptionZ ENERGY SOURCES: Heot - Sq. Ft9. Orher -New-Add -Alter -ReP.- -tence-Demo-Chonge/ Ure -Other Ro Woler H"ole. Sq. F19. Moin Sq. Ftg. Accott. Permit lnfo: Dcrcribe Work (i.e" Suild Singla Volue of Work: Bui Fo Reridence WithAddrerPhone { D 't-r (,,0 PhoneAddrc rr (nomc)(oddrerr)DESIGN TEAM Mcchonicol (nomc)c!.no.s nffr1 0 rPlunbinq MECHANICALEI.ECTRICATPTUMBING CHARGE FEEFEECHARGEtaENO.NO. Elccrricol Mc<honiol furnoce/burne. to --BTU'S Reridencs of sq. ftEoch rinqlc {ixrura Applionce veni 5epqro le New <ircuiis. ollaroiiont or exicnrion: Rclocotcd building (now {ix. odditionol) Stotionory evop. coolerSERV ICES S.f. Reridencc (l both) Vent fon wilh sinqle CuctTemporory ConrrruclionDuolcx (l both) coch Vant sytrem oport from heotinq or A.C.Ampr.Additionol borh Mechonicol exhou:t hood ond duclWolcr rervice Wood rtove/ heoterID.OD\ I ,'-", Heqt PumpFEED ER5Stor.m Scwcr Air hondler to 10,000 CF^{Ampr. Air hqndler over r0,000 cFM tsstrANcE oFfPeRMtI TOTAI. CHARGESlO.ocTOTAT CHARGES WHETE SIAIE fAW 1EOUIRES thor thc Elactricol work br donc by thc Elart:icol ConltscroT, the clectricol porliort of this pcrmit rholl not bc vqlid unril o lobcl hor boo rigocd 5y on Etactricol Controctor ond ofiochcd lo lhc chdricol pcnel. TOTAT CHARGES FOR OFFICE USE ONTY Typc/Conrt.-Unilr -5q. Fig. Moin x -----Volua 1 -Joluc 1-Volue Fire Zonc-Eedroomr occy Lood Sq. Flg. Acce:s FloodPloin_.--_------_Jtorier-occyGroup-Sq.Ftg.othcr- Zone TOTAT VAIUATION Cholqq fl.5%) Syrtem5 DevclopmentPlon Ck. Comm/lndBUIIDING PSRMIT 30"..,"/ Bl Per Fec Per Fee Chorgcr ond Surchorgcr Plon Ck. Rer Folol Comb. Permil PTUMBING PERMIT Chorger ond Surchorgcr Demo Sidewolk P Chorge: ond Surchorgcr TOTAI. MECHANICAT PERrlrlT Chorgar ond Surchorgcr Curb Cvt INSPECTION IINE f2c3r69 INFORMAIION IINE 72L3753 3 3bw NA^4E (prrorc r,'"" 4. hliLs a r, -srl; I}l sTcNATURE I HAVE CAREfUttY EXAA{|NfD thc ompleted opplicotion for permit, ond do heraby cerrify lhot oll informolion hereon ir lruq qnd correct, ond I furthcr <ertify thot ony ond oll *ork pcrformed sholl bc done in qcordqncc with the Ordinonces of the City of Springfield ond the Laws of the Slote of Oregon perroining !o tha work dercriird herin, ond rhot NO OCCUPANCY will be modc of qny strucrute without the permirsion of rhe Building Division. I further carti{y thot my .Ggirnotion with thc Builde/s Boord ir in full forcc ond effcct os required by ORS 701.055. thot if cxempl tha bosis for cxemption ir noted hcron, ond thot only rubonlrostorr ond employee: who ore in complionce wilh ORS 70t.055 will be uscd on lhis proiecl. Bosir for Buildclr Eoord exempiion: a DATE tc q0 CI]Y OF .;PRINGTIETD coMSlNA',CN At l.tCAIlot{/PERMIT (,0,,Lr}. t CB{)5r?r,t rI -. n )"1-ocL(T\rL q11tr1 (licr. no.) (cxpirar) (phonc no.) Primory 7-l-l/ t.oc Fpnte,.cL ,l/C Pavina .r! ) coMBINAIION AppLtcATtONi',PERMIT (CAp) l. Applicont to furnish A. Job Adciress B. Legol Description I. exomole-tox lot I00, Lone County Mop Reference I7 03 43 2. e-Irnp-G-Lot I. Block 3, 2nd Addition to Springfield Estotes C. Nome, etc. of owner ond construction lender D. Energy Sources I. exomole-heot/'electricol ceiling/or forced oir gos 2. eE-t?lE-w o rer IeoJilG]Etri?o I z'o.-l6iEJ-- E. Squore footoge or voluotion. etc. l. exomole-1219 rq. foot house, 500 sq. foot goroge 2. exo-ilE-iT;;w proiect, checkE6-w-if odditi,on, check odd. efc. F. Building permil informolion: l. exomole-construct single fomily house with on ottoched goro9e 2. exomole-remodel existing goroge into fomily room 3. @-convert single fomiiy residence into restouront (chonge of use) G. Volue of work os defined in Section 303 (o) of the Struclurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction deloys, Building Division Stcff mus, be oble to contoct oppropriote persons regording design informorion or iob site corrections, etc. ll. Ab6ievioted Plumbing, Mechonicol & Electricol Schedr.rles A. Except where blcnk spoces occur in the description portion of the Mechonicol onci Electricol Scheciules, the opplicont need fill-in only the No. Boxes odiocent to the oppropriote item(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 the item(s) to be instolled ore not covered on the obbrevi- . oted schedules you should consull rhe 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 iniriol opplicotion will be used os o worksheet only. Where possible, Building Division Stoff will prepore o typewritlen copy ond relurn it to the oppliconf ot the time the octuol permit is issued for his signoture. tV. Fees ond Chorges Plon check fees ore due ond poyoble ot the time of lhe 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 ONLY PROJECT CONDTIIONS TO BE SATISFIED 8EFORE OCCUPANCY: PERMIT VATIDATION Permit Clerk Additionol Proiect tnformotion: nome signo lu re dote PLANS REVIEWED BY: ( INSPECTION LINE 7263769 DESIGN TEAM CIIY OT SPRING'IETD COMEINA 'ICN A '[ICATION/PERMIT (oddrerr) INFORMAIION I.INE 726-17s3 { D t-s Ll) (licr. no.)no.) sbil" t3 4 '3 ZDe:criotion Job Addr;rr EN€RGY SOURCES: H€ot - Woter Heolcr Sq. f rg. Moin Sq. Ftg. Accarr. Sq. f tg, Oth.t -New-Add -Alrcr-ReP.- --Fcnce-Demo-Chongcl Uro -Other Ro PhoneAddrerr 5,^ul-L -d--. 11 hactrn r aTrila Addrcrr Phone ETECTRICAI. F:E I CHARGENO. INO. r i Fal I cHARGe furnqcc/burncr to -ETU'S .Qeridanca of --'t.+J{. I r.Eoch rinqle fixrurc Applionce vent !epoto tc New <ircuil:. oltcrolionr or erlensionl Rclocotrd bvilding (new {ix. oddirionol) Slolionory evop. coolerSERV ICES S.F. Reridcngo (l both) Vcnt fqn wilh rinqle duclTemporory ConttruciionDuolcr (l bolh) coch Vent syrtem oporl from heotinq or A.C.Ampr.A<iditionol both Mechonicol exhourl hood ond ductWot"r t"rvi<a Wood rtove/ heotert0.00\ l r.-". Heot PvmoTEEDERS$197.5 $qwcr Air hondler to 10.000 CF^.tAmpr. Air hondler over I0,000 cFM TOTAT CHARGESlO.ooTOTAT CHARGES Syrtemr Davclopmanl Choroa ( | .59'") Plon Ck, Co-m/l.d 6596/Bldo Per Fea Plon Cl. Rer 309'"/Bldq Per Fee BUITOING PERMIT Chorge: ond Surchorger Fc nco Totol Comb. PermirDemo Chorger ond Surchorger PTUMBING PERMIT Sidewolk A/C Povino I ETECTRICAL PERMIT Chorg:r ond 5 ur cho rg er I t- TOTAL MECHANICAT PERA{IT Chorqcr ond Svrchorgcr Curb Cut nicol Elcaricol Mcchoniol PIUMBING MECHANICAL tSstlANcE oFiPERAItT IOTAI- CHARGES WHETE SIAIE tAW REOUIRES rhor thr Elcctrirol work bt donc by the Elcrlricol Contrs(roa, thc clcctricql porlio0 cf lhir permit rholl nor bc volid unril c tobel hor brn rigncd by on Etcctricol Conlroqtot ond ot'ochcd to thc olcdricol poncl. I HAVE CAREfUtty EXAMTNED the complered opplicotion for permit, ond do heraby <erlify thot oll informotion hercon ir lruc snd correcl, ond I further certify thor ony ond oll work pcrformed sholl ba donc in qcordoncc with the Ordinonces of the Ciry of Springficld ond tha Lowr of the Store of Oregon pertolning:o riq work descriixd herin, ond rhot NO OCCUPANCY will be moda of ony tlructura without the pcrmi:rion of rhe Building Division. I furthcr trrify rh-ot my regirtrotion rith rhc Builde/: Soord ir in full forc ond effect or required by ORS 701.055, thol if exempt rha boris for cxamplion ir notcd hcron, ond thot cnly rubonrrocior ond cmploycc: who orc in complioncc wirh ORS 701.055 will be usad on lhis proicct. Borir for Euilde/r Soord crcmption: li cr. I I 7-l'fNA.f,{E (prrorq r,,,,, 4. hJlLs a.l ...Srff i 7tl srcNATuRE DATE rOR OFFICE UsE ONTY Zonc-Typc/Conlr.-Unilr-Sq.Flg.Moin_x-_Yolua FireZonr-Ecdroomr--_--_-_occyLood5q:Ft9.Acce:rrVoluc Flood Ploio ---Jtorilr-Occy Group-Sq. Ftg. Othrr-x -Yolus TOTAI VATUATION tc q0 Voluo of Worl: ii.c.,8uiidPermit FFF coMElNATlON AppLtcATtON,'pERM|T (CAp) l. Appliconr. to furnish A. Job Adciress B. Legol Description l. exomole-tox lot I00, Lone County Mop Referenc 2. eEffir.--Lot I. Block 3,2nd Addiiion to Springfie C. Nome, etc. of owner ond construclion lender D. Energy Sources PERMIT VALIDATION (,t clTY oF SPRINGFtELD ( (r forced oir qos or iolEr E. Squore footoge or voluq1166, .1a. l. exomole-l 2j9 ,q. foot house, 500 sq. foot goroge 2. eGijE-iT;6^, p ro i eo, check iGi-i i o d d ition, .i ocid, etc. F. Building permit informotion: I. exomole-consrruct single fomily house wirh on ott goroge 2. exomole.remodel existing goroge into foniily roo 3. ex#Fl-e-convert sing-le fomiiy residence into restouiont (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 construcfion deloys, Building Divi Stcff must be oble to contocl oppropriote persons re( design informction r:r [ob site corrections, etc. It. AbErevioted Plumbing. Mechanicol & Electricol Schedule A. Except where blcnk spoces occur in the description p of rhe Mechonicol oncj Electricol Scheiules, the oppli need fill-in only the No. Boxes od[ccent to the oppro. irem(s) to be instolled B. Full Plumbing, Mechonicol, ond Electricol Schedules . ore o.uoiloble or the Building Division l. To conserve spoce on the permil form the schedul, hove been obbrevioted 2. lf the item(s) to be instolled ore not covered on th. oted scheciules you should consul, f he full schedul C. BUILDING DIVISION STAFF WILL FILL OUT.ALL FEES A CHARGES ON THE SCHEDULES lll. Applicont io sign onci dote Whenever possible, the iniriol opplicotion will be used o worksheet only. Where possible, Building Division Sto;f . prepore o typewritten copy ond return it to the opplicon the time the octuol permit ir issued for his signoture. l. exomole-heotz electricol ceilinq,/o 2. eEma-fE-wo ter IEierEIEfio t .,' City Holl Springfield, Oregon Deportmenl of Public Works OFFICIAT RECEIPT No. B 55E82 I { AY a \ (", ( ( ( (' ( (, ( ( ( l9 d r Received For Amount Received AUTHORIZEO SI6NATURE sHEltox-TUiilaulL ,irttEi3 EUGENE Oa traot la!il.€ Permit Clerk tV. Fees ond Chorger ( Plon check fees ore due ond ooyoble ot the time of the c!.-, ond no plons will be processed until lhese fees ore poid. All other fees ond chorges ore due ond poyoble when the permit is issued. V. FOR OFFICE UsE ONLY PROJECT CCNDTTIONS TO BE SATISFIED 8EFORE OCCUPANCY: C Additionol Prolect tnformorion: nome s,gnolure dole PTANS REVIEWED BY ( (. t (: