The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 1981-07-10INTORMAIION LINE 726-37s3CITY OF COMBINAIION SPR INGTIETD APPTICAIION / PERMITINSPECIION IINE 126.3169 ENERGY 5OURCES: Heo t Addre: Vo lue of Work: with AttoFom iPhone Addrcrr oo & Addre:r Sq Rep. -Add -Alrer-New -Demo-Chongei R F19, Other Ure Buildinq Permit I n{o:Euild SingleDercri be Work (i.o., Woter Hcolet Sq. FtE. Accerr' -,-Fe nca --Other (phone noJ(exPiret)(lic:. no.)resr) (nome)DESIGN TEATA ETECTRICAT CHARGEt7t furnoce burner to Residence of fr. EoCn 3r fi xturc Applionce vent teIterqtion 3New circuif:. o or exten:ionsRelototedbuilding {ix. odciitionot)StolionorY evoP' coo ler SERVICESS.f, Reridencc tr Vent fon with Co nslruclion eochDuplex Vent sy:rem oPort from heo or t. Ariditionol borh Mechonicol exhourl d 3?tvr(g Sewar Heot FEEDERS Air hondler to Air hqndler over CF TOTAL CHARGES TOTAT CHARGES IOTAT CHARGES SIGNATURE FOR OFTICE USE nicol dress) Elecrricol Mc<hanicol }NECHANICAL PtUrr BlNG \ tsstlANcE oFiPERAIIT I \ \ t Bosir lor Euilde/r Bocrd DA NAfiE (Pleorc Print) Type/Conrr. Units x Volue x YolueZone Fire Zone Bedroomr ------9ttY Lood x Voluc TOTAL VATUATTONtlood Ploin Group Sq' Flg' Other Syrlem3 DeYeloPment Chorqe ( I .516-l-BUTLDING PERMIT Chorgcr ond 5u rcho rge r Plon Ck, Comm/lnd Fea Fec Plon Ck- Re; Bld folol Com Permi PTUMBING PERMIT Chorger ond Surchorgar Demo ICAL P SidewolkChorge; ond 5urchorger TOIAI, ^{ECHANICAI. PER'iIT Cfiorgcr ond Surchorger Curb Cvt 1Sr Phone coMEtNAnON AppLtcATtoN,,pERMtr (cAp) l. Appliconr to furnish A. Job Address B. Legol Descriptionl. exomoie-tox-lot.l 00, Lone County Mop Reference IZ 03 43. i; :GF-Lot r. Btock'3, inl;;;;;"^ ro sprinsrierd Esro,esL. rt.ome, erc. ot owner ond construction lenderD. Energy Sources I. exomole-heotr'electr 't co2. ;;;;G-worer eoter, E. Squore foologe or vqluq;1 on, etc-l. exomole-l_250 sq. foot ho.use, 500 sq. foot goroge't new projec!, check nE:w_if oddition, cieck PERMIT VATIDATION 2. eEmEie-; odd, erc. Building permit informotion:l. gxomole-construct single fomily house wilh on ottochedgoroge 2. exomole-remodel existing goroge into forriily room3. exE rnp ie-co nverr ri n g I e fJ rrliiylli; Jun'.u int"rcsrquront (chonge of use) ^Volue of work os defined in Section 303 (o) of theStructurol Speciolry Code _DESIGN TEAM AND CONIRACTORS To o-void design or construction cjeloys, Building DivisionStoff mus, be oble to d. u,s ; i;o;; ; ;;;' ;,.'[T TLTi::ff :1:", :;i' ".' re s o rci i n s ll. Abbrev;ored Flumbing, Mechanicol & Electricol SchedulesA. Exceot where blcnk spoces occur in the description portionof the A,techonicol oncj Electrical S.h"irG,;;';;;[;;,need fill-in ":ly rl." No. Boxes odiocenr to th" ,rpp?oprioteitem(s) ro be insrolled.8. Full Plumbing, Mechonicol, ond Electricol Schedulesore ovoiloble ot the Building DivisionI. To conserve spoce on the-permii form the schecluleshove b.een obbrevioted2' lf the item(s) to be instored ore hot covered on the obbrevi-. ored scheciules 7ou should consul, rt-," f"if-*i";;i;r-^C. BUITDING DIVISION STATF WILL FILL OUT ALL FEES ANDCHARGES ON THE SCHEDULES lll. Applicont to sign ond dote Whenever possible-, the initiol opplicotion will be used os oworksheer only. Where possible, E;il;;.g Division Sroif willPrepore o typewrirten copy ond return iito the "ppf i.oni "tthe time rhe oouol perm;i i, irrred ior. l,i. ,igr;;;;.'--"' -' lV. Fees ond Chorges Plon check fees ore due ond ooyoble ot the time of the opplicotion,ond no plons will be processed lntil these fees ore ooid- Allother fees ond chorses ore due "rd p;t;bj;;;.; I# oJ_,,is issued. V. FOR OFFICE UsE ONLY F G. H. I Permit Clerk PROJECT CONDITIONS TO BE SATISFIED EEFORE OCCUPANCY: PTANS REVIEWED BY: Additionol Prolect lnformorion: nome signolure dote ( INSPECTION IINE 126-3769 CIIY OF SPRINGTIETD COMATNAIICN APPTICATION /PETT^IT tNroRA^ArloN tlNE 72G3753 L U (phone no.)(licr. no.) tt Phone Phona (oddrer:)(nomci Ro De rcribe Work (i.o., Build Singlc Volue of Work: Sq. F|9. Accerr. tegol Job Owner Addrcrr Addrerr OESIGN TEAM Permit denre With A Sq. f rg. Other -New.-Add -Alter-RcP.---f ence-Demo-Chonge/ Ure -Other ENERGY SOURCES: Heqt - Wolcr Heoler Sq. Ftg. A{otn lics.ACTORS I^ECHANICALETECTRICATPTUA.{8ING NO.CHARGE Elcctriol Mc<honicol FEECHARGEr?E furnoce/ burner to --BTU'S Re:idence of -.q. fl,Eoch ringle fixture Applionce vent seporqte New circuits, olterqtions or exlenrion3 Relocotad building (new {ix. odciitionol) Slotionory evop. coolerSERV ICES S.F, Reridencc (l both) Venl fqn wilh sinqle ductTemporory ConrlructionDupler (I both) coch Venf iyrtem oporl from hectinq or A.C.Ampr-Aciditionol borh Mechonicol exhourt hood ond dvcrWoter rervice Wood rtove/ heoterI I Scwcr . Heqt PumoFEEDERSStor-m Scwrr Air hondler ro 10.000 Crlv{A-Pt. Air hondler over 10,000 cFM tsst}ANcE oF,,PERA{IT TOTAT CTIARGESTOTAT CHARGESTOTAT CHARGES ATURE IA!rl,nEOUIRES lhot lhc Elactricol work be don;by tha E!cclritol Conlroctoa,the .lGGtticol pcrriora of thir pcrmit :holl Dol bc volid cnlilWHEIESIAIE tho clcstrisol ponal.lobcl hor baon rigned 5y ElaGlricsl Conlroclor and otrothcd lo HAVE CAREFUtt Y EXAMINED tha comPleled oll work pcrformed sholl opplicotion lor permil,ond do hereby serlif,thot informotion hereon It lruc ond corleGl.ond further certily thct nd be done ocerdsnce with rhe (JIO I nsnce of lhe Ciry of Springfield ond tha Lsws of the Stote of Oregon furthcrqnyq will be modc of sttucture without rhs pcrmi 3lron oI rhc Euilding Division.partoining lo ihc work dergiird herin,ond thot NO OCCUPAN CY on,l t5 notad4rli{,f thot isnolion wirh thc Builde/:Boord t,ln full force ond effcct o3 rcquired by oRs 70t .055,lho,it bosis for cxemplionmy."9 who tn complioncc wirh o RS 7Al .055 will be on rhisharon,ond thoi only lubontrgctor:ond amployecr ofe Borir for Buildc/r Eoord DA NAA{E (phora prinr) BUttDING P:RMlr FOR OfflcE USE ONL', Syrtems DcveloPmeatplon Cl. comm/lnd Fee6s1Ll Plon Ck. Re: Fee30%l Chorgar ond Surchorger x Voluc a Voluc I -Volue rOTAT VATUAIION. Zona -TYPc/Conrt. Fire Zone- Bcdroomr oGcY f lood Ploin ------Jlorist OccY Lood Sq; Ftg. Accer Group Sq- FIE' Other- Unilr Sq' Ftg' Moin Tolol Comb. Parmit PI.UMBING PERMIT Fenca Demo Chorgcr ond Surchorgcr SidewolkChorger ond 5vrchorger TOTAT MECHANICAT PERMIT Chor-ocr ond Surchorgor Curb Cut .+- -:ii<\.,,+ -r i ! on I ( I .596) a/C Povina (fr coMElNATION AppLrcATtON,',ERMrT (CAp) l. Applicoru. to furnish A. Job Adciress B. Legol Description I. exomole-tox lot .l00, Lone County Mop Reference l7 03 43 2. .rl-or.-Lot l. Block 3, 2nd Addition to Springfield Estotes C. Nome, etc. of owner ond construction lender D. Energy Sources l. exomole-heotr'electricol ceiling/or forced 2. 6Efr6iE'*o ter heoter, eiectricol/or solor E- Squore foologe or voluotion, elc. l. exomoie.l250 sq. foo? house, {00 sq. foot goro 2. ;xo;;iA-iTFew proiect, checkilew-ii oddition, r ocid, etc. F. Building permit informotion: 'l . exomole-<onstruct single fomily house with on c goroge 2. exomole-remodel exisiing goroge into fomily ro 3. exompG-convert single fomiiy residence inlo ElGilEnt (chonge of use) G. Volue oi vrork os defined in Seciion 303 (o) of the H. DESIGN TEAM AND CONIRACTCRS To ovoid design or construclion cieloys, Building Divi Stcf f mus, be oble to contoct oppropriole persons re design informotion or [ob sile corrections, etc. ll. Ab6ievioted Plumbing, Mechonicol & Electricol Schedule A. Exceot where blcnk spoces occur in the description p of the A{echonicol onci Electricol Scheiules, the oppii, neeci fill-in only the No. Boxes odiccent to the opprol item(s) to be instolled '8. Full Plumbing, lvlechonicol, ond Electricol Schedules qre ovoiloble ot the Building Division I. To conserve spoce on the perrnii form the schedule hove been obbrevioted 2. lf the item(s) to be insfoiled ore hol covered on the . oted scheciules.Tou should consult the fuil schedule C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES Ai\ CHARGES ON THE SCHEDULES lll. Applicont to sign ond dote Whenever possible, the iniriol opplicotion will be used os worksheet only. Where possible, Building Division Stoif w prepore o typewritten copy ond return it to the opplicont ( the time the octusl permit i: issued for his signoture. lV. Fees ond Chorges Plon check fees ore due ond poyoble ot the time of the op1 ond no plons will be processed until these fees ore poid. A i, o?her fee: ond chorges ore cjue ond poyoble when the perL_ is issued. ts V. FOR OFFICE USE ONLY PROJECT CCNDTTIONS .TO BE SATISFIED BEFORE OCCUPANCY: Additional Pro!ect tnformotion: PERMIT VALIDATION CITY oF SPRINGFIELD ( oir q< CifY Holl SPringfield, Oregon O"oorrrn"nr of Public Works OFFICIAT RECEIPT o.B 54885 ( D ( Ad ved For: !d, ( Amount Received ( BY SIGNATURE SHELTON.TURTBUL! PRIi'ERS EUOENE OR 97'OI Permit Clerk { signolure dote nclme PTANS REVIEWED BY: J\\ t ( ( ( ( I I (