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Home My WebLink AboutPermit Building 1981-03-12NOrtnED . ltln+0 i8s1 INsPECIION I.INE 72&3769 CIIY OT SPRINGTIETD tNroRtltATtoN LINE 72b3753COIABINAIION APPTICATION / PERMII @ lJo ]J(rl f\) Job Address 63 Woodlane Drive EN ERGY sofficrs: Heot woter Heorer El gCJ- Ronqe Sq. Ftg. Moin LJV Sq. Ftg. Acce13. Sq. Ftg. Other --New-Add-Alter-Rep. -Fence-Demo-Chongc/ Usc -Othe' - lesol Descriptio" 17 03 26-22 TL 3700 Volue of Work: 6,526.50 Owner Zoe McKee 63 Woodlane DriveAddress Phone Building Permit lnfo: Describe Work (i.e,, Build Single Fqmily Reridence Wirh Aroched Goroqe) Springfield, 0regon 97477 Add master bedroom Conslruclion lender Addresr Phone DESIGN TEAM (nome)(oddress)(lics. no ( e z s gn Eugene Slruclurol Electricq I Mechonicol CONTRACTORS (nome)(oddress)(lics. no.)(expires)(phone no.) Bravado Construction 37123 Wheeler Rd 314307 746-s554 Generql PI Bal I Pl 'l nq Ere.,ricor Daveki n El ectri c Mechonicol PLUI{BING ETECTRICAT MECHANICAT NO.rEE CHARGE NO.FEE CHARGE NO.rEE CHARGE Eoch single fixlure Residence of -sq. ft, furnoce/burner lo -BTU'T Relocqled building (new {ix. odditionol)2+ New circuits, ollerotions or extensions 15. 00 Applionce vent sepo ro le S.F. Recidencc (l borh)SERVICES Slolionory evop. coo ler Duplex (l borh) eoch Temporory Conslruction Venl fqn with sinqle duct Addirionol both Amps. Vent syltem oporl from heofing or A.C. Woler rervicc Mechonicol exhousl hood ond duc, Sewer Wood:tove/heoter Slorm Sewer FEEDERS Heot Pump ,dmpr. Air hondler to r0.000 cFM Air hondler over r0,000 cFM ISSUANCE OF PER,IAIT TOTAT CHARGES TOTAT CHARGES '15 nn TOTAT CHARGES I HAVE CAREFUIIY EXAMINED the completed opplicotion for permil, ond do hereby certify thot oll informotion hereon is irue ond correct, ond I further certify thot ony ond oll work perforrcd sholl be done in occordonce with the Ordinonces of the City of Springfield ond lhe Lows of lhe Stote of Otegon pertoining to the work described herin, ond thqt NO OCCUPANCY will be mode of ony slructure without the permission of the Building Divirion. I further ertlfy thot my regiskotion with the Builder's Boord is in full force ond effect os required by ORS 701.055, thol if exempt tha bosis for exemption is noted heron, ond thot only rubcontrqstors ond employees who ore in omplione with ORS 701.055 will be ued on this proiect. Bosis for Builder's Boord exemptionr 4 -/z- yt NA,\{E (pleose print)0 SIGNAIURE DATE FOR OFFICE USE ONLY zon" R-l rype/conrr. V-N unirr ], sq. Frs. Moin 196 x 33. 30 vo;,,6525.80 Fire Zone-Bedrooms occy Lood Sg. Ftg. Access x -Yolue x -[qlpg TOTAT VATUATION, Flood Ploin toriar-Occy Group-Sq. Ftg. Other- 6526. B0 BUITDING PERMIT 40.00 -1-60Chorger ond Surchorges Plqn Ck. Comm/lnd 65%/Bldq Per Fee Systems Developmenl Chorqe (.l.59l.) Plon Ck. Res 30o/o/Bldq Per Fee 12.00 PD 3-5-81 PTUMBING PERMIT Chorges ond Surchorges Fence REC# 55975 Demo Totol Comb. Permit 57 .20 EI.ECIRICAT 15. 00 -.60- Chorges ond Surchorges Sidewolk A/C Povinq Curb Cut TOTAT 57.20 MECHANICAT PERMIT Chorger ond Surchorges (expires) Primory WHERE STATE LAW REQUIRES rhor thc Electricol work be done by thc Electricol Conlr.rclot. tho clactricol porlioo of lhis parmir sholl nor bc volid unril o tobel hor bcrn rigned by cn Elcctricol Conlroclor ond ottached to the electricol ponel' ..-- coMBTNATTON APPLICATION/PERMlr (CAP) l. Applicont to furnish A. Job Address B. Legol Description I. exomple-tox lot 100, Lone County Mop Reference I7 03 43 2. exomple-Lot l. Block 3, 2nd Addition ro Springfield E' C. Nome, etc. of owner ond construction lender { D. Energy Sources l. exomple-heot,/eleclricol ceil'rng/or forced oir gos 2. exo m aE-wo te rTEE teTZ6Gf t rilo I /oEE?-- E. Squore footoge or voluotion, etc. I. exomple-1250 sq. foot house,500 sq. foot goroge 2. exomFlE-i-f new proiecl, check new'if oddition, check odd, etc. F. Building permit informolion: I. exomple-construct single fomily house with on ollocl 9oroge2. exomple-remodel existing goroge into fomily room 3. exomFG-converl single fomily residence inlo iElto!r6nt (chonge of use) G. Volue of work os defined in Section 303 (o) of the Slructurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction deloys, Building Divisior Stoff must be oble lo contocl oppropriote Persons regor design informolion or iob site corrections, etc. ll. Abbrevioted Plumbing, Mechonicol & Electricol Schedules A. Except where blonk spoces occur in the description port of the Mechonicol ond Electricol Schedules, lhe opplicor need fill-in only the No. Boxes odiocent to the oppropri item(s) to be instolled B. Full Plumbing, Mechonicol, ond Electricol Schedules ore ovoiloble ot the Building Division I. To conserve spoce on lhe permit form the schedules hove been obbrevioted 2. lf lhe item(s) to be ins'tolled ore not covered on the c oted schedules you shoOld consuli the full schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES ANI CHARGES ON THE SCHEDULES lll. Applicont to sign ond dote Whenever possible, the initiol opplicotion will be used os c worksheel only. Where possible, Building Division Stoff wil prepore o typewritten copy ond relurn it to the opplicont o the time the ocluol permit is issued for his signolure. lV. Fees ond Chorges .. Plon check fees ore due ond poyoble ot the lime of rhe opl ttt ond no plons will be processed until lhese fees ore poid. A;- other fees ond chorges ore due ond poyoble when the permit is issued. V. FOR OFFICE USE ONTY PERMIT VATIDATION CITY OF SPRINGFIELD Ci?y Holl Springfield, Oregon Deportment of Public Worke OFFICIAI RECEIPT 1la ,egl No. B 56033 Dote ( ( C ( ( ( ( ( ( ( ( ( Rec'd Add ved For ( BY( Amount Received SIGNATURE EUCEEE Oe eTaOr !a3lr'6SHELTON.TURREULL FRINTERS Permit Clerk (. i I PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Additionol Proiect lnformolion: + PLANS REVIEWED BY: TOM SHEIRBON 3-6-81 signotunome dote (