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Home My WebLink AboutPermit Building 1981-04-10INSPECTION TINE,2C3769 CIIY OF SPRINGFIElD COMEINAIION APPTICAIION/PERIAII INFORAAAIION TrNE 12C3753 ol Description Woler Heoler ENERGY Heo t owner Gnn.1 )uBrc Volue of Work: So. Fto. Moin Sq. Ftg. Accasr. .-New. -Add__Alter_Rep.Use e:i 8v ilding Permit wirh De oeSCrt k B( i.e.,Suild ng le ched Addre ss Phone Addrerr Phone t o DESIGN TEAA,I (ocidress) pires)Primo o q creSs &1echo nicol Electrico I PTUAlEING FEE CHARGE Relocoted bui lding fix. odditionol ) Eoch trxlur. or exrensions ETECIRICAI. NO FEE CH, circuifs, ollerqlions Residence of fr.furnoce/burner to MECHANICAT rE5 CHA H-t Additionol both S.F. ReridenceI borh) Woler SERVICES T,Conilruclion Slotionory evop. Meehonicol "-horrt Applionce vent cooler or A.C. ro te hood Vent sy! le m fromopo rf Vent fon with ducf Sewer Slorm Sewer FEEDERS Air hondler over CFM Air hqndler to Unirs -.----Sq. Ftg. l\loin rorier Occy Group_Sq, Ftg. Orher IOTAT CHARGES TOTAI, CHARGES Occv Iood So Ftg. AccessFire Zone-Bedrooms WHERE 5T LAAIE w REQUI RES thot rhe Etectricol work be qon6 rheby Eteclricslhoslcb:l bccn signed qnby ContraEloctrico I ctor o nd ottachad the?o electricol pcncl. thc clectricol portion of this permir rhalt not ba valid gnril o Spri theSuilder's HA VE CAREFU Ytt EXANTINED the completed opplicotion for ondpermtt,do cer lhotherebyrify oil informqlionthot hereon t5ttilyollond trua ondonyakperformedbesholl correcl,qndnedotn furtherccordoncerhlheolOrCino nces the ofCitylo ondningpertoithedescribedworkngfield theheri n ond ofLqwr thethoNOt Store ofUPANCYoccltmobeofdssrructureonywithoutthotof55rOnerll{y mY lhewith permi thereg i stro lion Eoord rs fulln I Building Division. Oregon furtherfc rce e#eclond 5o reguired ORSby 70 I thot.055,iTond theheron,thot exempt forbo sissubconlroclor5onlyond tsexempiion notedwholnoreemployeetcomplione701ORSwillbeused0nsfhi Flood Ploin TOTAI. CHARGES ISSUANCE OF PERMIT 8o:is for Builde/s Boord exemption: NAME (pleo:a print) TOTAT YATUATION FOR OFFICE UsE ONI.Y SIGNATURE Zone Typa/Const.x Volue x .-!qlg6 x -Ydlue Sysiems Development Chorqe (1.5?'.) BUITDING PERMIT Chorges ond Surchorges -d5-_€_ Fee Plon Ck. Re:eL{rc\qq.b [)rtn C\..f\ooPTUMBING PERMIT Chorger ond Surchorges Demo Totol Comb- Permit Sidewolk/ooChorger ond Surchorges TOTAT \.ao MECHANICAL PERMIT Curb CutChorges onl Surchorger _!!ol3:_1! orh) .o.h Conftocror, Plon Ck, Comm/lnd 65,1,1glclo Per Fea I5.oo Fence ,bD )a/c PdYindz ,/ PERMIT VALIDATION COMBINATION APPLICATIONi PERMIT (CAP) t. Appliconr. to furnish A, Job Address B. Legol DescriPtion l. exomPle'rox iot 100' Lone County Mop Reference I7 03 43 2. exomple-ro, i]'ero.t'r, 2nd Addiiion to Springfield Estotes C. Nof*T. of owner ond construction lender D. EnergY Sources a exomple-heo 6ililFlE-wot t,ielectricol ceil ing z' 'erl-etrer-- ol or forced oir o5 ,/ or so r E- Souore foologe or voluotion. etc' il "r"-ol"-izSo tq. foot house' 500 sq' foot goroge i: Hffi-iffi*- p-."iect, checkiE-w-ii oddition' check odd, etc. F. Building Permit informotion: l. exomPie-..,r';;;;';;sit'ro-ltv house with on ottoched goroge 'nto fomilY room2. exompie-remodel exisling goroge.r i. #di"-convert single fomily residence into rG!J6676nt (chonge of use) G. Volue of work os defined in Section 303 (o) of the Struclurol SPecioltY Code H. DESIGN TEAM AND CONTRACTOR.S To ovoid d".lgn'ot t;truction deloys' Building Ot"t:l:,1'-- iioif -rrt uetbtt io contoct oppropriote Persons regordrng design informotion or iob site corrections' etc' ll. Abbrevioted Plumbing. Mechonicol & Electricol Schedules A. Except where blonk 'poces occur^in the description portion of the Mechorli;;i ;"; Electricol Schedules' the opplicont need fill-in onry-tt. N". Boxes odiocent to the oppropriote item(s) to be instolled B. Fuil Plumbing, Mechonicol' ond Electricol Schecjules-- ore ovoiloble ot the Building Division l. To conser'" ;P;tt ;; the permit form the schedules : hove been obbrevioted r .r ,LL. 2. lf ihe item(s;-t; ;e in'tollud ore not covered on rh'e obbrevi- . oted s.heduitifo' should consult rhe fuil schedules C. BUILDING DIVISION STAFF WILL FIIL 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 "^iy. wi"'J p"ttiuf t)'Builciing Division Stoff will f*p"r" o typ",r,ilt"n1ipy ond relurn it to the opplicont ot ihe'time the octuol permit is issued for his signoture' lV. Fees ond Chorges Ploncheckfeesoredueondpoyobleotthetimeofthe.oppiicotion, ond no plons will L.-pt*"*tia Lntil these fees ore poid' All . other fees ond .torgJr or. du" ond poyoble when the permit is issued. Y. FOR OFFICE USE ONLY Permit Clerk PR.OJECT CONDITIONS TO BE SAIISFIED BEFORE OCCUPANCY: Additionol Proiect lnformotion: nome signoture dote PLANS REVIEWED BY: INSPECIION tIN€ 72C3769 ddre ss CIIY OT SPRINGf IEtO COA{BINATION APPIICAIION/ PERIAIT ENERGY Heot Wo ler Heoler Ro INFORMATION tINE ,2U3753 s Legol Dercription o Volue of Work: Sq. Ftg. Accerr. Sq. Ft9. Olher -New.-Add--Alter--Rep. -Chonge/ Usc Sq. ttg. Moin---- Addresr Phone ing Permit Dercribe Work (i.e., Build Single (lics. no.)(phone no.) Phone (nomc)(oddresr) Addrers DESIGN TEAM Prim lre ne nonom Plumbinq ( Electriqo I ( l'lechonicol PLUIiBING EIECTR ICAT MECHANICAL NO I rlE CHARGE NO.FEE CHARGE NO.TEE CHA RGE Eoch ringlc fixturc Re:idence oI --rq. ft. furnoce/ burner to Relocoted building (naw fix. odditionol) New <ircuits, ollerolions or exteniions Applionce vent sepoiote S.F. Reridenca (l borh)SERVICES Slotionory evop. cooler Duolex (l both) eoch Temporory Con:lruclion Vent {qn wilh :ing le duct Addit;onol both Amps. Vent syslem oport from heoting or A.C, Woler rervica Mechonicol exhoust hood ond duct Sewer Wood stove/heoter Slorm Sewer FEEDERS Heot Pump Ampr. ,Air hondler io r0,000 cFM Air hondler over 10,000 cFM ISSUANCE OF PERMIT TOTAI, CHARGESTOTAT CHARGES WHERE SIAIE tAw REQUIRES rhot rhe Electricql work be done by tho Eleclricol Conltocto?, thc rlectricql porlion of this parmit rhqll not bc valid unril o lobcl ho: bccn rigncd by on Elaclricol Controctor ond Ettach€d lo lha electricol ponrl, TOTAT CHARGES I HAVE CAREFUTIY EXAMINED the completed opplicotion for permit, ond do hereby certify thot oll informotion hereon is lrue ond cotrect. ond I further ceriiff thot ony ond oll work performed sholl be donc in ocordonce with the OrCinonces of the City of Springfield ond the Lowr of lhc Stole of Oregon perloining to the work de:cribed herin, qnd thot NO OCCUPANCY will be mode of ony riruclure without the permission of rhe Building Division. I further certlfy thol my regirtrotion with the Builda/s Boord is in full fcrce ond effect os required heron, ond thot only rubconlroclors ond emPloyeoJ who ore in complione with ORS 701 SIGNATURE by ORS 701 .055, thot if cxempt the bosis for exempiion ir'noted will bc used on ,hii proiect, Borir for Buildc/r Boord cxemption NAA4E (pleore print) FOR OfTICE UsE ONTY\ Fire Zonc-Bedroomr occy Lood Sq. Ffg. Acccrr x Vo lue r -lsles x -Volue TOTAT VATUATION, floodPloin(toligl-occyGroup-sq.Ft9.orher- Type/ Conrt. -Unils So-Ftg. MoinZone Systemr Developmcnl Chsrqe ( l.59'") IeL+ro\qq.s BUITDING PERMIT -s,65",;l Per Fee Plon Ck. Comm/lnd Plqn Ck. Rer Per Fee309L Chorger ond Surchorges hrtn On-.*\\ob.oo Tolol Comb. Permir PTUMBING PERMIT fe_L DemoD Chorger ond Surchorge: ETECTRIC.AL PERMII Chorgar ond Surchorgcr OO/Sidewolk C Povi TOTAT \b\,ao ,i^ECHANICAT PERMIT Chorge: onl Surchorger Curb Cut -BTU'S 54-h.E .COMBINATION APPLICATION,'PERMI, (CAP) l. Appliconr. to furnish A. Job Address B. Legol Description I. exomple-tox lot 100, Lone County Mop Referen 2. e-Gil"l,e-Lot l. Block 3,2nd Addition ro Springfi C. Nornilr.]of owner ond construction lender D.. EnergY Sources l. exomple-heot /electricol ceilingz'or forced oir go: 2. e xE mEG-*, o t e r IlET67:EIEiTii-i co I ./ot !"f E. Squore footoge or voluotion, elc. l. exomole-1250 sq. foot house,5O0 sq. foot gorog 2. eEmElE-ifnew proiect, checkiE-w-if oddition, cl odd, etc. F. Building permit informotion: I. exomple-conslruct single fomily house with on ol goroge 2. Jxo-ple-remodal existing goroge into fomily roo 3. dom;G-convert single fomily residence into 6r6i76nt (chonge of use) G. Volue of work os defined in Section 303 (o) of the Slructurol SpecioltY Code H. DESIGN TEA}A AND CONTRACTORS To ovoid design or construction deloys, Building Divi Stoff must be oble to contoct oPproPriote Persons re( design informction or iob site correclions, etc' It. Abbrevioled Plumbing, Mechonicol & Electricol Schedule A. Exceot where blonk spoces occur in the description or of lhe Mechonicol ond Electricol Schedules, the opplit need fill-in only the No. Boxes odiocent to the opprol item(s) to be instolled B. Fuil Plumbing, Alechonicol, ond Electricol Scheciules ore ovoiloble ot the tsuilding Division l. To conserve spoce on the permit {orm the schedule hove been obbrevioted 2. lf the item(s) to be instolled ore nol covered on the . oled schedules you should consult the full schedule C. BUILDING DIVISION STAFF WILL FILI OUT ALL FEES A} CHARGES ON THE SCHEDULES PERMIT VALIDAT]ON oF SPRINGFIELD c CitY Holl SPringfield, Oregon o"rJ,l-"it ol Publil works ( OFFICIAL RECEIPT No. B 56261r l7 CITY d tv For: Amount Received 9 ( (. (oo 6ir ( ( ( ( ( ( ( o 6" lll. Applicont lo sign ond dote Whenever possible, the initiol opplicotion will be used os ( worksheet oniy. Where possible, Builciing Division Stoff w prepore o lypewritten copy ond return it to the opplicont the rime the oouol permit is issued for his signolure- ( lV. Fees ond Chorges +- Plon check fees ore due ond poyoble ot the time of the opplicotion, ond no plons will be processed until these fees ore poid. AII other fees ond chorges ore due ond poyoble when the permit is issued. V. FOR OFFICE USE ONLY NATURE SXGLYOX_lUR(auLL 'RTXTERS EUCENE Oi t7'Ol Permit Clerk -11 (r (t 0 PROJECT CONDITIONS TO BE SAIISFIED BEFORE OCCUPANCY: Additionol Proiect lnformotion: PTANS REVIEWED BY signolurenome dote € AUTHORIZEO 3ICilATURg C c C, c t C I g o Amounl Received c ritiTttt . auofia oF traot !!tll t (ITY OF SPRINGFIEtD c Ciry Holl Springfield , Oregon GofPublic Works ICIAT RECEIPT B 56293 C G o @ FIRE DEPARTMENT INSPECTION OCCUPANCY NAME CLASS AoDREss lsb L)o*z-n+ tL ZrJd SPRINGFIELD BUS. PHONE OCCUP. NAME HOME PH. BUILDING OWNER PHONE ADDRESS CODE SECT!ON VIOLATIONS F L e tt )11 L J" F 4 u a YOU ARE HEREBY NOTIFIED TO CORRECT THE ABOVE VIOLATIOT{S WITHIN D^rE l- la-87co.INSPECTOR SIGNED: NUMBER ABATED DAYS. VIOLATIONS: Noted -5 LL( oorL'orss ,{ o- Snra--t Lr-'ll. sL^-l-l b" red,L,,-r a.!'tar| ., L/, - C,- r*a r1., '.1d I T a*) oL olr-. g)a.o dP nc,* /os< .t 2 J ? I t 3 er- "A/ lrr:l.- l'r^ , M-oau< OCf rt -a n cuI *^l ;r:s;L lr'c,or'd sl,r<t-u* Qoeu, =hotl y.;t* o-*,,*-tl ,'^l a CcorJq- n ct 0r,rt,'+e, +L-- Br^,'H)^ - U/r- ( t h G-<.tr frra..Daaaa sz*^*o$ o*) . a-zLh,*rr,L'- 4-,,.'&.) 9,-"Jz--,4' Lc>-J L;l{0ClN.,//.\ 5. *^nt ,r-LL 1+tra b, ,A a- t*,2zzJn,*.a ,o bz- n o *-,rLctl. ) Y 7 CODE SECTION VIOLATIONS L a.T YOU ARE HEREEY NOTIFIED TO CORRECT THE ABOVE VIOLATIONS WITHIN DAYS. SIGNED: VIOLATIONS: Noted INSPECTOR tutS co.DArE l- 13 -x7 ABATED NUMBER FIRE DEPARTMENT TNSPECTION OCCUPANCY NAME BUS. PHONE OCCUP. NAME HOME PH. BUILDING OWNER CLASS SPR!NGFIELD ADDRESS PHONE ADDRESS i3G tr.4Z,"J ,L3 I .*looA? L- ,'n *. [orLJ rD ,'+h +1^" , y ^-li /o a req. *)1b+ 4L t-gr.*,'nn,o--,{ /t.z -nn-J 1", *-*&; J u-, b=, 4L t)emJ" 1"4* I , i -' z /?az sz 3 z o/saa STRUCTURAL INSPECTION REPORT JOB ADDRESS /s6 424 DATE PHONEOl'lNER TENANT OR OCCUPANT TYPE OF INSPECTION: HOUSING OCCUPANCY COMPLAINT FIRE DAMAGE il #leoW*ft y'4tztn ,@4 Ii.lsPEcToR /D$/fu4D/U;' -ilusf 4E aa777&l N/U. usE of S//ur fttttLnrs. - 1-r r ftpe DepruTr - :T ','}F', - i', t RF7-T v'l^T [=€ '- . ? Tllt I tq lti ::I'T ' r? * s/t*/J- lwttF ' ' " P.-* ttt\ 5t /-'l/<Ttc ' S&LL r€ T4aF-1 fr'r) ,Pl Y wt+l(tl ls |NS,TAL\ fr tN 5t ,RST t',\Tlql .1,o(<r w'iH TrE f,7ttK C#A-"v-rtT+FS* ;^ ,,flfr*'/r'2, L)tr co. i ,*E@') K, tflP/*D* n 37?o 1/r'<au;za Sf' *ldrv€tu, ax ?zlzz