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Home My WebLink AboutPermit Building 1981-02-13liorir!:D rEB 1 0 is81 INSPECTION I.INE 77b3759 CTTY OT SPRINGFIETD COMBINATION APPIICAIION / PERIAII INFORMAIION tINE 72e3753 374 43rd Place Job Woter Heoler Fle el frouRcEs, lDescription Sq. Ftg. Other -New-Add-Alter-Rep. -Fence-Demo-Chonge/ U se -Other --' Sq, Ftg. Accesr. Sq. tt9. Moin Volue of Work: 44,800.00'lowner Pennbrook Constru Work (i.e., Build SingleDercri nce Building Permit I nfo: PhonehAddress 1356 ugene,gon 9740L Garaamfac Mortgage @ OoOlFJ Phone 343-3358Addresr 1670 l.li I I amette St (oddress)DESIGN TEAM rl (phone( lic s.(nome) 686-203James &Primo Structurol James Renken 1356 E L3th Stre 3 - 15412 20-7?0usonreekFur Kid &844 South 38th StEle ctrico I Mechonicol MECHANICALETECTRICATPTUMBING TEE CHARGE NO.CHARGE NO.FEENO. 15.00 furnoce/burner lo --BTU'S 1 fr R6rffince of Eoch sinqle fixture Applionce vent seporo le New circuils, olterotions or extensions Relocoled building (new {ix. oddirionol) Stotionory evop. coolerSERVICES25. 00S.F. Residence (l both)1 9. 003. 00? Vent fon with single ductI Temporory Conslruclim I Duplex (l bolh) eoch Vent syllem oport from heofing or A.C.Ampr.Additionol both 4.501 Mechonicol exhoust hood ond ductterYr(e Wood stove/ heoter10.001Sewer Heot PumpFEEDER,SSlorm Sewer Air hondler to I0,000 cFMAmpr. Air hondler over 10,000 cFM ISSUANCE OF PER/(IT 10. OO 23. 50 TOTAI. CHARGESIOTAT CHARGES l5.OQ35. 00TOTAT CHARGES WHERE SIATE lAW REQUIRES thst thc Elect:icol labcl hos bcon signad by on Eleclricol Contrsctor work be donc by the Elactricol Conlrnclor, thc clectricol podion of this permit sholl not be volid until o ond ottqched to thc electricol ponel. I HAVE CAREFUL1y EXAMINED the completed opplicotion for permir, ond do hereby certify thot. oll infomotion hereon is lrue ond correcl, ond I further certify thot ony ond oll work p"rfor*j sholl be done in qcordqnce with rhe Ordinonces of the City of Springfield ond the Lows of the Stote of oregon perto'ining ro tlre work described herin, ond thot No OCcUpANcY wilt be mode of ony structure without ihe permission of the Building Division. I further cerrlfy rhir my registrotion with tlp Builder,s Boord is in full force qnd e+fect os required by ORS 701.055, lhot if axempt the bosis for exemption is noted heron, ond rhor o;ly subcontroctors ond employees who ore in omplionce wirh ORS 701.055 will be used on this prolecl. Boris for Euildsr's Boord exemption; : SIGNATURE DATENAr!\E (pleose prinr) FOR OFFICE USE ONIY sq. rtg. M,r. 919 , Sq. Ftg. Access JJO , Sq. ftg. Other._-x -Volue TOTAI YATUATION. 41,6!8-00 3.'t92-00 R-1 4rF00.00 1n ils NU V N 5 Flood Ploin lood - Group 672.00Systems Development Chorqe (1.5%) Plon Ck. Comm/lnd 65%i Bldq Per Fee I5i.60 PD 1-29-8Plon Ck. Res 3oo/"1 Bldg Pet Fee 172.00 --l;BB-- BUITDING PERMIT Chorger ond Surchorges REC # 556e6 . Fence PI.UMBING PERMIT Chorges ond Surchorges ,. 0070--35 L L .30 {% g. Curb Cut 8', Demo SidewolkChorger ond Surchorger ETECTRICAI. PERMIT 00___E z0-- MECHANICAL PERMIT Chorger ond Surc[6pg"t 23.50----:E{-TOTAI 73q,/1 Heot JJb Bedrooms Zone coMBtNATtON AppUcATtON/pERMtT (CAp) l. Appliconr to furnish A. Job Address B. legol Descriptionl. exomple-tox lot I00, Lone County Mop Reference I7 03 _ z. exomple-Lot I. Block 3, 2nd Addition ro Springfield EstoteC. Nome, etc. of owner ond construction lenderD. Energy SourcesI. exompls-heot,/electricol ceiling,/or forced oir gos2. exo mFlE-*orerTElfrlEffio I / offiV-E. Squore footoge or rolrotioiF .l. exomple-.!!!O ,C.foot house, 500 sq. foor go:.oge2. exomple-if new proiect, checkiEi-ii odditi-on, cieckodd, elc. F. Building permit informotion:I. exomple-construct single fomily house with on oilochedgoroge 2. exomple-remodel existing goroge into fomily roomJ. exomple-convert single fomily residence inloEio-Ej6nt (chonge ol use) G. Volue of work os defined in Secrion 303 (o) of theStructurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To o-void design or construction deloys, Building DivisionStoff must be oble to contoct oppropiiot" p"r.Jn, ,"goJingdesign informotion or iob site correcfions, elc. Y .i ll- Abbreviored Plumbing, Mechonicor & Erecrricor scheduresA. Except where blonk spoces occur in the description porlionof the Mechonicol ond Electricol Schedules, ttL "ppiii"iineed fill-in only the No. Boxes odlocent to the oppropiiore item(s) to be instolled B. Full Plumbing, Mechonicol, ond Electricql Schedules ore ovoiloble ot the Building Divisionl. To conserve spoce on the permit form the schedules hove been obbrevioted2. lf the item(s) to be instolled ore not covered on the obbr,oled schedules you should consult the full schedulesC. BUILDING DIVISION STAFF WILL FILt OUT ALL FEES AND CHARGES ON THE sCHEDUTES lll. Applicont to sign ond dore Whenever possible, the initiol opplicotion will be used os oworksheet only. Where possible, 'Building Division Stoff wiltprepore o typewrilten copy ond return it to the opplicont otthe time the octuol permii js issued for his signotuie. lV. Fees ond Chorges Plon check fees ore due ond poyobre ot rhe rime of rhe oppricorion,ond no plons will be processed until these fees ore p"U,iit - other fees ond chorges ore due ond poyoble when ihe permit is issued. V. FOR OFFICE USE ONIY DEDrttT \rAt tnATtnNCITY OF SPRINGFIETD Ciry Holl Springfield, Oregon Deporlment oI public WorksOFFICIAT RECETPT I[0. B le ( ( ( ( ( ( 0_ 5582 l! €7- tj -? !-:'S ved For IZ t.1t-. ( { ( ( ( ltt .CC €i'++:-rlr 4%l-.81+ t,tLrc bt-c c, 4"2c. - j,40 3 /{. ilo L, ,i'd)I .i,'0 7 ?-) t/ "Amouit Received , ( D SIGilA'Sxtttor.YUir auLL 2iliraa3 . auccNE Oi t ( .l- Permit Clerk PROJECT CONDTTIONS TO BE SATISFIED BEFORE OCCUPANCY: Additionol Proiect lnformotion: 2-3-81signoluredote PI.ANS REVIEWED BY: nClme DAN SMITH INSPECTION TINE 77(-3769 CITY OF SPRINGFIETD COAABINATION APPI.ICATION / PERMTT INFORMATION IINE 7213753 Addrers tesol Descriptio" l@i I ENERGY SOURCES: Hest --- Woter Heoler .- Sq. ftg. Moin - -Add--Alter-Rep. -Demo,--+Chong"/ Use Sq. ttg. Y(..* Olher Sq. Ftg. Access. - Fence -.Olher V-olue of Work: bM,og Address Phone Euilding Permit lnfo: Describe Work (i.e., Build Single Fomily Re:idence With Attoched Goroge) I\r)F " Construciion Lender l,u N ooq Address Phone DESIGN TEAM (nome)(odd re ss)(lics. no.)(expi res)(phone no.) Primory Slructurol Electricol lvlechonicol (nome)(oddress)(lics. no.)(expires)(phone no.)CONTRACTORS Generol Plumbinq Electricol cMechonicol PTUMBING ETECTRICAT MECHANICAL NO.FEE CHARGE NO I FEE CHARGE NO FEE CHARGE Eoch sinqle fixlure Residence of -sq. ft. furnocefburner to --BTU'I Relocoted building (new fix. oddirionol) New circuils, ollerqtions or exiensions Applionce vent sepq rote S.F. Residence (l bolh)SERVICES Stolionory evop. cooler Duolex (l bqth) eoch Temporory Construction Vent fon with single duct Addirionol both Amps. Venl system oport from heoting or A.C. Woler service Meshqnicol exhousl hood ond duct Sewer Wood stove/ heoler oo -5.o9 Storm Sewer FE EDERS Heot Pump Amps. Air hondler to r0,000 cFM Air hondler oYer 10,000 cFM /o,osISSUANCE OF PERMIT .TOTAT CHARGES .-o-/5 a9TOTAT CHARGES WHERE STATE fAW REQUIRES thot lhe Elettricol work be done by tha Eledricol Conlrqcto., rhe electrical portion of thi. permit sholl nor bc volid untit olabel hos been signed by on Electricol Controctor cnd ottoched to the electricol ponel. TOTAT CHARGES _O I HAVE CAREFULtY EXAMINED rhe completed opplicotion for permit, ond do hereby certify thot oll informotion hereon is true ond ond oll work perforred sholl be done in occordonce with the Ordinonces of the IDATE de of ony s required ny the structure Builder';o by with correct, ond I furthercertify thot o ngfield ond fhe Lqws of the Stote of Oregonperioining to work described herin, ond OCCUPANCY will be mo Cily of Spri without the permission of the Building ,Division. I furtherertlfy thot my registrotion with the t5 luil force qnd ORS 701.055, thot if exempt the bosis for exemplion is notedheron, ond thot only subcontrqctors snd ore tn 70L055 will be used on this proiect. .-) aNAME (pleose print) Bqsis for Builder's Boord exemplio -( ) FOR OFFICE UsE ONI.Y x Volue x Yolue 1-Volue TOTAT YATUATION a.) nits Fire Sq. Ftg. MoinZoneR i Tvpofconst. Bedrooms occy lood Sq. F]g. Access Flood Ploin - Storier - Occy Group Ftg. Other-- Systems Development Chorqe ( I .596) BUITDING PERMlT Chorges ond Surchorges Plsn Ck. Comm/lndo Per Fee 6si6 Plon Ck. Res PI.UMBING PERMIT Chorges ond Surchorges c Demo Toiol Comb. Permit t< 69 ELECTRICAL PERMIT Chorges ond Surchorges o Sidewolk C Poyi Ir{ECHANICAT PERMIT Chorges ond S urchorges i_5y___Curb Cut b,c'TOTAT #t5,. ay Fence ,':I',,.il'':),::T'ATroN/PE;r (cAP) A. Job Address B. legol DescriptionI. exomple-tox lot I00, Lone County Mop Reference I7 03 43 2. exomple-Lot I. Block 3, 2nd Addition to Springfield Estotes C. Nome, etc. of owner ond conslruction lender D. Energy Sources l. exompie-heotrelectricol ceilinq/or 2. exo m p IE-wo te rT-EETETTEIEcti-i co 1 .,' r forced oir gos or solor E. Squore footoge or voluotion, elc.l. exomple-i250 sq. foot house,500 sq. foot goroge 2. exomple-if new proiect, check-new-if oddition, check odd, etc. F. Building permit informotion: I. exomple-construct single fomily house with on oltoched goroge 2. exomple-remocjel existing goroge into fomily room 3. @-convert single fomily residence into restoursnt (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, Buildinq Division Stoff must be oble to conroct 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 the oppropriote item(s) to be insrolled B. Full Plumbing, Mechonicol, ond Electricol Schedules ore ovoiioble ot the Building Division 'I . 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 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 possibie, the iniliol opplicotion will be used os o worksheet only. Where possible, Building Division Stoff will prepore o typewritten copy ond relurn it to the opplicont ot the time the octuol permit is issued for his signoture. lV. Fees ond Chorges PIon check fees ore due ond poyoble ot the time of ihe opplicotion, ond no pions will be processed until these fees ore poid. All other fees ond chorges ore due ond poyoble when lhe permif is issued. V, FOR OFFICE UsE ONLY PERMIT VATIDATION Permit Clerk PROJECT CONDITIONS TO 8E SATISFIED BEFORE OCCUPANCY: Additionol Proiect lnformotion: PLANS REVIEWED BY: nome signolure dole INSPECTION IINE 726,3769 CITY OF SPRINGfIETD CO}IBINATION APPI.ICAIION/PERMIT INFORMAIION IINE 726-3753 Job ENER,GY SOURCES: Heot - Sq. Ftg. Moin Sq. Ftg. Accesr. Sq. Frg. -6,- Other Ro .--Add- -Alter-Rep.of Work:- -Fe nce -Other -Demo JChongr/ UseLl4o€ s ecq Qo Addre rs Pho ne Building Permit lnfo: Describe Work (i.e., Build Single Fomily Reridence With Attoched Goroqe) fir)F , Construction Lender Addrerr Phone il, DESIGN TEAM (nome)(oddress)no.)(r Pri mo ry Slructurol Electrico I Mechonitol ires) Plumbing Electricol Mechonicql PLUMBING EIECTRICAT MECHAN IC.AL l-io. i ! FEE I CHARGE NO I FEE CHARGE NO FEE CHARGE Eoch sinqle fixture Residence of -_-sq. ft, furnoce/burner lo.=--_0TU's Reiocored building (new fix. odditionol) New <ircuil:, olterotions or extensionr Applionce vent sepo rqte S.F. Re:idence (l both)SERVICES Siolionory evop, cooier Duolex (l bolh) eoch Temporory Construction Vent fon wiih single duct Additionol both AmPl. Vent syrlem oport from heoring or A.C. Woter rervice Mechonicol exhoust hood ond duct Sewer Wood :tove/ heoier Aoo 5.o9 Slorm Sewar FEEDERS Heot Pump Amps. Air hondler to r0,000 cr,\{ A,ir hondler over 10,000 cFM ISSUANCE OT PERMIT /O,os TOTAI CHARGES -O TOIAT CHARGES _O TOTAI. CHARGES oo WHERE STATE tAW REQUIRES ihot the Elactrical work be done by the Eleclricol Contrsctor, the aiectricol portion of this permit sholl not bc valid untit clobel hor been :ignod by on Elactricol Controctor ond qttoched to lhe eleclricol ponel. I H,AVE CAREfUttY EXAMINED the ompleted opplicotion for permit, onci do hereby certify ,hot oll informotion hereon is lrue ond correcl, ond I furthercertify thot ony ond oll work perforrcd sholl be done in occordonce with the Orciinonces of the City of without Springfield ond the Low: of the Stote of Oregon furtherpertoining to tha work described herin. ond OCCUPANCY will be mqde of ony ired srructure the permission of the Building Division. Iertlfy ihol my registrotion with ihc 8ui t5 I force ond o 5 requ by oRS 70t.055, thor if exempt the bosis for exemption is noledheron, ond lhot only subcontroctors ond ore tn with 701.055 will be ured on this proiect. Bq:ir for Builder's Boord exemption NAME (pleose print)ATURE -- DATE TOR OFFICE U5E ONIY zon. F- i TypalConsr,is -So. Ftg, Moin x Yolue x Yolue 1-Volue Fire Zone-Eedrooms - Occv [ood Flg. Access FloodPlgin-5torie.occyGroup-Sg.Ft9.other- TOTAT YALUATION BUITDING PERMIT oChorges ond Surcho rges Plon Ck. Comm/lnd 65%/Blds Per Fee Systems Development Chorqe (.l.596) Plon Ck. Res 30%/Bldg Per Fee PtUI^BING PERMIT Chorges ond Surcho rges O Fence Demo Totol Comb. Permit 15 G9 PERIAIT Chorges ond Surcho rges o Sidswolk A/C Povinq MECHANICAL PERMIT Chorges ond Surchorger J_59___ ,@ Curb Cut TOIAT #r< ao/\-). - i )lo.-te r.esor oescripti"" / 7 02-32-_< i I (expires) CONTRACTORS (nome)(oddress)(lics. no.)(ohone no.) G"ncrol I t COMBINATION AppLtCATTON/pERmtT (CAp) l. Appliconl. to furnish A. Job ,Address B. Legol DescriptionI. exompls-toxlot _l 00, Lone County Mop Referencr2. exomple-Lor l. Block 3, 2nd Addition ro SpringfielC. Nome, etc. of owner ond construction lender D. Energy Sources I. exompie-heotrelectricol ceilinq,z'6; forced oir oos--l. exomple-woter heoter,, electricol,.'or solor PERMIT VATIDATION OF SPRINGFIELD City Holl Springfield, Oregon Deporlment of Public Works OFFICIAT RECEIPT No. B CITY 1 .s1i 56003, Dole s-g I9E. Squore footoqe or voluotion, etc. 1. exomple-i 250 sq. foot house, 500 sq. foot goroge 2. exomFlE-iT;& proiecr, checkl-ew-ii oddirion, c-he odd, etc. F. Building permit informotion: I. exomple-construct single fomily house with on sttr ieogoroge 2. exomple-remodel existing goroge into fomily roon3. e-xEnip-G-conver, single fomily residence into EljEuEnt (chonge of use) G. Volue of work os defined in Section 303 (q) of the Structurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or conslruction deloys, Building Divis Stoff must be oble to contocl oppropriote persons reg design informotion or iob siie corrections, etc. ll. Abbrevioted Plumbing, Mechonicol & Electricol Schedules A. Except where blonk spoces occur in the description po of the Mechonicol onci Electricol Schedules, the oppiicr neeci fill-in only the No. Boxes cdiocent to the opprop item(s) to be instolled B. Full Plumbing, Mechonicol, ond Electricol Schedules qre ovoiloble ot the Building Division 'I . To conserve spoce on the permit form the schedule: hove been obbrevioted 2. lf the item(s) to be instolled qre not covered on the. oted schedules you should consult the full schedule, C. BUILDING DIVISION STAFF WILL FILI OUT ALL FEES AN CHARGES ON THE SCHEDULES lll. Applicont to sign ond dote Whenever possibie, the initiol opplicotion will be used os worksheet only. Where possible, Building Division Stoff w prepore o ,ypewritten copy ond return it to the opplicont ,the time the octuol permit is issued for his signoture. +- lV. Fees ond Chorges ""4 Received For: ( t vo (t (t( 4 ula ,L?() (t fl I (,1 I rbrt Amount Received >&n,,*lt AUTHORIZED SIGNATURE SHELTON.IURNBUIL PiINT€iS . EUGENE OR 974OI Plon check fees cre due ond poyoble ot the time of ihe opplicotion, ond no plons will be processed until these fees ore poid. All other fees ond chorges ore due ond poyoble when the permif is issued. V. FOR OFFICE UsE ONLY Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPA${CY: Additionol Proiect lnformotion: nome signoture dote , PLANS REVIEWED BY il *s.oy