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Home My WebLink AboutPermit Building 1981-05-12IN5PECIION TINE l?83769 CIIY OF SPRIN FI COMEINATICN APPIICAI ERMII INFOII^AIION IINE 72L3753 Sq. ttg. Moin Sq. Ftg. Aqcerr. ENERGY SOURCES: Heot Ro ue of Work:oa -New-Add -Alter-ReP'-Fence._Demo-Chongei Use f4lort ". Pgt ^r.*' Bui s Describe Work {i.e.,Build Single Residence Attoched De:cri rF* -a7I PhoneAddre rr L =A D UJ N+ PhoneAddrerr ne no.)(lics. no.)(oddres:)DESIGN TEAM (nome) (expires) Prim onicol Electrico I ETECTRICAL CHARGE ,I^ECHANICAL PTUMBING Mechonicol NO-FEE CHARGEC!-IARGE NO.NO. t I lEl iurnoce/burner lo ---BTU'S Residence of fr.Eoch tingle fixture Applionce veni 5epo roie New tircuits, alterqlionr gr extensicnsRelocoted buildinq (new {ix. odditionol)Stolionory evop. coolersERV rCES S.F. Reridence (l both)Vent fon with singie ductTemporory ContlructionDuolex (l both) eoch Vent sysiem oporf from heoting or A.C,Ampr.Aciditionol both Mechonicol exhqusl hood ond ductWdtar lervi(e Wood stove/ heoter Sewcr Heot PumpTEEDERS Air hondler to r0,000 cFMAmpr. Sewer ,\ir hondler over r0,000 cFM IsSUANCE OF,PE?MIT I HAVE CAREFUtty EXAA{tNED rhe compleied opplicotioo for permit, ond do hereby cerlify thot- oll infomotion hereon is lrue ond certify ihor ony ond "rr *ort p".formei sholl be done in oclrdonce with the Ordinonces of lhe City of Springfield ond lhe Lows p".toining to tirc work dercriixd herin, ond rhqt NO oCcUPANcY witl be mode of ony slruciure without the permirrion of the Buil certify thoi my (caisnotion with thc Builder's Boord is in full force ond effecl os required by ORS 70I.055, thol if exempt the bosis hero., ond rhot Jnly rvbonrrociors ond empioyee3 who ore in complionce with oRS 701.055 will be usd on lhis proiect. Zone -Type/ Const, -Units -Sq. Ftg. Moin Fire Zone-Bedroomr occy Lood Sq' Ftg' Access TOTAT CHARGESTOTAL CHARGESTOTAL CHARGES DATEo\ -c- Yalidbc untithisofshqlinolrlritqlclectricolthapcrmitbedoneE!e Conlrscror,porliorrthethewarkElectricolbyTA'ATE REOw IR sE thotEWHERST th6 electricol ponel.otlcthed loondConltoclo?on EbctriGqlhorlobcl!lban bygned NA,lvlE (pleose print) Eosis for Builder'r Eoord exrmPtion; FOR OFTICE UsE ONTY SIGNA Flood Ploin x ---Volue x Voluc a --Yolue TOTAT VATUATION, Sq. Frg. Other-- correcl. ond I further of the Stote of Oregon lding Division. I further for exemption is noted PIqn Ck. Comm/lnd 65%/Bld,o Per Fee Sy:tems Development Choree (1.5!!l- Plon Ck. Res 30"././ Blds Per Fee BUILDING PSRMIT Chorger ond S urcho r ge s A. { Fence Totol Comb. PermitDemo PTUMBING PERMIT Chorger ond Surchorges Sidewolk A/C Povinq ELECTRICAT PERMIT Chorger ond Surchorge: Curb Cut TOTAI.31 4MECHANICAT PERMIT Chorger ond Surchorges leqol FFF _ c)_ '>6 4Lfi:6O'q F=ha coMBTNATION AppLtcATloN/p riT (cAp) l. Applicont to furnish '-' A. Job A,ddress B. tegol DescriptionI. exomple-toxfot.'l 00, Lone County Mop Reference IZ 03 432. exoil;E-Lot l. Block 3, 2nd Addition to Springfield EsroresC. Nome, etc. of owner ond construction lender D- Energy Sources 2. ectricol ceilin /or f orced oir gos oler,.e /o'-lolE7- E. Squore footoge o. rolrotioill] I. exomple-.l,2gg ,q.foot house. 500 sq. foot gorogez. exompte-rt new proiect, check new-if oddition, check odd, erc. F. Building permit informorion: l. exomole-construct single fomily house with on ottoched goroge 2. exomple-remodel existing goroge into fomily room3. @-converr single fomiiy residence into restouront (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, Building Division Stoff must be oble to contoct oppropriole pu.ro.,, regording design informotion or iob site correclions, etc. ll. Ab6ievioted Plumbing, Mechonicol & Electricol Schedules A. Except where blonk spoces occur in the description portion of the Mechonicol ond Electricol Schedules, the oppiicont need fill-in only the No. Boxes odiccent to the oppropriote- irem(s) to be insrolled B. Full Plumbing, Mechonicol, ond Electricol Schedules ore ovoiloble ot rhe Building Divisionl. To conserve spoce on the permii form the schedules .r 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 CH.ARGES ON THE SCHEDULES lll. Applicont to sign ond dote Whenever possible. the iniriol opplicotion will be used os o worksheet only. Where possible, Building Division Stoff will prepore o typewritten copy ond return it lo the opplicont ot the time the ocruol permit is issued for his signotuie. 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. all other fees ond chorges ore due ond poyoble when ihe permif is issued. V. FOR OFFICE USE ONLY *?.dow1 6-tz-81 PERMIT VALIDATION .,],! Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: I Additionol Proiect lnformotion: nome signolure dole PLANS REVIEWED BY: