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Home My WebLink AboutPermit Building 1981-02-18,l \ -- NOTIFIED INSPECTION UNE 7263769 CtIY Of SPRINGTIEID COt BtNAilON AppttcAtloN/PERMIT INFORMAIION !INE 726^3753 @ oO@Ol s!898 South 38th Street legol Descri Lot 9, Block 3, Redwo od Estates Earnest A. OederOwner ENERGY SOURCES: u^a+ Woter Heoler -- Ronge Sq. Ftg. Moin sq Frs :;;"* _2t6_ -New-Add-Alter-Rep.--Fence-Demo-Chonge/ U se Other uec k Volue of Work: 200.00 Addrers 898 South 38th Street !!ey 747 -0473 Building Permit lnfo: Describe Work (i.e., Build Single Fomily Residence With Alroched Goroge) Sprinqf ie ld. 0reoon 97-477 Build attached Deck & driveway Conslruclion Lender TZ' X 18' Address Phone DESIGN TEAM (nome)(oddresr)(lics. no,)(expire s)(phone no.) Primory OWngf Strucrurql Owner(,enerol Plumbinq Electricol Mechonicol PI.UMBING ETECTRICAL MECHANIC.AL NO.FEE CHARGE NO.FEE CHARGE NO.FEE CHARGE Eoch single fixture Residence of -sq. ft, furnoce/burner to -BTU'S Relocoted building (new fix. oddirionol) New circuits, olterotions or extensions Applionce vent sepqrole S.F. Rcsidence (l borh)SERVICES Slolionory evop. cooler Duplex (l borh) eoch Temporory Construction Yent fon with sinqle duct Additionol both Amps. Vent 3ysrem oport from heoting or A.C. Woler rervice Mechonicol exhoust hood ond ducl Sewer Wood rtove/heoler Storm Sewer TEEDERS Heot Pump Ampr. Air hondler to r0,000 cFM Air hondler over r0,000 cFAi ISSUANCE OF PERMIT TOIAI. CHARGES TOTAT CHARGES TOTAT CHARGES WHERE STAIE tAW REQUIRES thot th. Electricol work bc donc by the Electricql Conltaclot, the electricol portion of lhis psrmit sholl not bc volid until s label hor been signed by on Electricol Controctor ond ottoched to lhe eledricol ponel. I HAVE CAREFUttY EXAMINED the completed opplicotion for permit, ond do hereby certify thot oll informotion hereon is lrue ond correci, ond I further certify thor ony ond oll work performed sholl be done in occordonce with the Ordinonces of lhe City of Springfield ond the Lqws of the Stote of Oregon pertoining to fhe work described herin, ond rhol NO OCCUPANCY will be mode of ony slruc?ure without lhe permission of lhe Building Division. I further cerllfy thot my registrolion with the Builder's Boord is in full force ond effect os required by ORS 701.055, thot if exempt the bosis for exemption is noted heron, ond lhot only subcontrqctors ond employees who ore in complione wirh ORS 70I.055 will be used on thir proiect. Bosis for Builder's Eoord exemption: NAME (pleose prinr)"t-src,ueruae ratl_/E:_U_ rOR OFFICE USE ONLY zon" R- 1 Typ"/con.r. V- N un;r, Fire Zone- Bedrooms ---------------- ccy Flood Ploin Stories-Occy Ftg, Moin x x x Vo lue yo luelood - - Sq Groun K- J to Ftg. Access Ftg. Other ToTAr vAruAT roN ----200-€0- BUITDING PERMIT Chorges ond Surchorges 5. 00 .20 Plon Ck. Comm/lnd 65o/Ll BldE Per Fee Sy:lems Developmenl Chorqe (1.57o) Plon Ck. Rer 30%/Bldq Per Fee 1.50 PD 2-10-81 PTUMBING PERMIT Chorges ond Surchorges Fence I\E t, ?7 lJl oo Demo Totol Comb. Permit ELECTRICAT PERMIT Chorger ond Surchorger Sidewolk A/C Povino MECHANICAT PERMIT Chorger ond S urcho rge s Curb Cul TOTAT 5.20 tt!t! Electricol Machonicol So -Yolue '-- {+S.E*'-t.l-I COMBINATION AppLtCATtONu'pERMIT (CAp) l. Applicont to furnish A. Job Address B. Legol Descriptionl. exomp.le-tox lot I00, Lone County Mop Reference2. exomple-Lot I. Block 3,2nd Addiiion ro Springfield C. Nome, etc. of owner ond construction lender D. Energy SourcesI. exomple-heot./electricol ceiling/or forced oir oos2. eEm p'lE-*ro t" r TEEIil. F.fi .o l, o @i.......--.=:E, Squore footoge o. rolrotior,, "t". .l. exomple-]J50 rq. foot house, 500 sq. foot goroge2. ex.omple-if new proiect, check new-if oddition, cher odd, etc. F. Building permit informotion:l. exomple-construct single fomily house with on ollo goroge 2. exomple-remodel existing goroge into fomily room3. exomple-convert single fomily residence into iellEIront (chonge of use) G. Volue of work os defined in Secrion 303 (o) of the Structurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To o-void design or construction deloys, Building Divisi Stoff must be oble lo contoct oppropriote p".ron, ..g,design informotion or iob sile correilions, etc. ll. Abbrevioted Plumbing, Mechonicol & Electricol Schedules A. Except where blonk spoces occur in the description po of the Mechonicol ond Electricol Schedules, the oppiic< need fill-in only the No. Boxes odiocent to the opprop item(s) ro be insrolled B. Full Plumbing, Mechonicol, ond Electricol Schedules ore ovoiloble ot the Building Divisionl. To conserve spoce on the permit form the scheduler hove been obbrevioted 2. lf the item(s) to be instolled ore not covered on the oted schedules you should consult the full schedule C. BUILDING DIVISION STAFF WILt FILL OUT ALL FEES AI. CHARGES ON THE SCHEDULES lll. Applicont to sign ond dore Whenever possible, the initiol opplicotion will be used os worksheet only. Where possible, Building Division Stoff w prepore o. typewritten copy ond return it to the opplicont the time the octuol permit is issued for his signotuie. ( I I (l (l q ( ( PERMIT VATIDATION CITY OF SPRINGFIELD City Holl Springfield, Oregon Deporlmenl of public Works OFFICIAT RECEIPT o. B 55855 te l9 Received For: CCO Amount Received 8Y (l (l {l ,l (l (t { ( (ll AUIHORIZED SIGNATURE aHEltox.ruirEULL tittTEi! , EUGENT Oi eTaOt lagil.a \:l lV. Fees ond Chorges +- Plon check fees qre due ond poyoble ot the time of the opplicotion, ond no plons will be processed until these fees ore poid. Xll other fees ond chorges ore due ond poyoble when ihe permit is issued. V. FOR OFFICE USE ONLY uLosB1b Permit Clerk PROJECT CONDITIONS TO BE SATISFTED BEFORE OCCUPANCY: Additi.onal Proiect lnformotion: PLANS REVIEWED BY: DAN SMITH 2-L6.ELnomesignoluredote ; t_ ( ,