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Home My WebLink AboutPermit Plumbing 1989-10-27-7C()MBI Hea lJater [.leater Job Address l-egal Descri ption Sq. Ftg. Other_ J'lew Add AltEF-nep:- _Fence_Demo_C ha n ge/ Use 0therVal Descr .€. tWo e Fami s Ga I . I'la n rkuo afr 5q. Ftg. Access 0wne r Address Phone t*11I?_-t C] Cons truc t er B6$ N *, q.\ttAddres s Phone exn res no-ronenameaddresslics. no Pri ma ry Struc tura I Eiectrical l'lechani ca l name address'I i cs. no.exDl resACTORS Genera I PI 1 1- It'lechanica l MECHAN I CALELECTR I CALPLUI{BI NG FFFFFFCHARGFNOFFFCHARGFI'10 Residence of FTSQ furnace/burner to BTU, S7Each single fixture ?e f2.fr FIoor furnace and vent New ci rcui ts al ts"2bH'We 4/g Relocated building (new fix. additional) SERV I CES Recessed wal I SDace heater and vent S . F. Res i dence(l bath) Duplex (l bath) each Temporary Constructi on Apol iance vent seDa rateAdditional bath Chan qe in existing dpnc prpq 1 Stationary evap cool ertlater servi ce I ndus tri a I multifamily, comm, or (Vent fan with s.inole ductSewer Vent systern apart from heatino or A.C..amps.0fStorm Sewer Mechanical exhaust hood and ductc0r.1t1./tND. FEEDERS I nstal I /al ter/re1 ocate di ctri h fppderc I'lood stove/heater 0f s. 'q4 =-.24 --)L ISSUANCF OF PFRIlIT -TfiAL cHARGES lflf.g, /5 * TOTAL CHARGES .R-dPTOTAL CHARGES ffi-5-3 WHERE STATE L.Il,l REQUIRES that tlre Electrical work bc done by an ilectrical Contractor, the electrical portion of this permit shall not be vali,l until the Iabel has been si.cJned by an Electrical Supervisor and returned to the Building Division ORS 701.055, that if exempt the basis for exemption is noted hereon, liance with 0l1S 701.055 wilI be used on this nro,ject. llAt'lE(please prin DATEIGNA'/(r f.y reonYtonndaheredoc'Iert ttha Ia nttrcaonICARHAVEULEFLNtheEDetb.ycomp I oshaIIdoneben'I ccoa anrd wlce t 0rdhe na sncethIIrkndar'I t rmed app and a wocorrectndfurthertcehatIfy IrfIdtrnnIwordesck'Ir hebed Ire n dan ttha 0cNC w1 ICUPAI,ICY any ofIeIndaLawsthetheoftaSte ta 'I to the0Spngperegont 'I t ts tra on,l thv,.t Buitheatustrucwlretthouthe1ssoofnButhe'I'I ,ld D 1 S'I on'I cf u rt.her ert thaInypermingfy req irn.y Board is in full force and effect as required by only subcontractors and ernployees who are in comp i s true the City be made I der' s and that iiii, iiWi;nW*-li',iZ-w= TOTAL VALUATION al llpZone 1Z- Fire Zo nst. Uni ts. StoriesFlood Plain .0ccy Fto. l'lain opment ?y4 -Pl an Ck. Corm/Ind 65%lBlrlo Pcr Fee /r-za Svstens Deve C[arqe (1.51 Plan Ck. Res 30%/Bldq Per Fee BUILDING PERNIT Charges and Surcharges --/-Z=&.- FencePLUI4BING PERMIT Charges and Surcha rges 41re7 Demo ^u>26-.s tdewal k Total Comb. Permit y' ELECTRICAL PERI,IIT Charges and Surcha rges -A/C Pav i ng Curb Cut 6?.//*+1->-ffi;TOTAL 14ECHANICAL PERMIT Charges and Surcha rges *zf,f,-e EIIERGY SOURCES: (nILAI.I {n , USE 0t{t Y COMBINATION APPLICATION/PERMIT (CAP) Applicant to furnishA. Job AddressB. Lega l Description]' example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, Znd Addition to ffii'fr!-field EstatesC. Name, etc. of owner and construction IenderD. Energy Sources I examol e- examp I e- are footag hea t/I 'forced air gas sol ar2wateeaE. Squ e or valuation, II l. example- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project, check new - if addition, check add, etc.F. Bui lding permi t information:1. example - construct single family house with an attached garage 2. example - remodel existing garage into family room3. qxamfle - convert single fami ly residence into FEETauFant (change of use)G. Value of work as defined in Section 303 (a) of the Structural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc. Abbreviated Piunrbing, Mechanical, E Electrical SchedulesA. Except vrhere blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be instal'ledB. FulI Plumbing, Mechanical, and Eiectrical Schedules are available at the Building Division1. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult the ful I schedulesC. BUILDING DIVISION STAFF l,llLL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to theelectrical contractor for signature by his electricalsupervisor. The general contractor is not authorizedto sign the electrical label. Applicant to sign and date Whenever possible, the initial application will be used as a worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit is issued for his signature. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans will be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is issued. III IV V. FOR OFFICE USE ONLY PERMIT VALIDATION Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI.ICY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information PLANS REVIEWED BY: name si gnature date I}ISPECTION LINE 726-37 69 Ct)HBI L I CATI IT N 7?6-3753 Job Address l-egal Description EIIERGY SOURCES: Hea t l,tater lleater Owner 5q. Ftg. Access..- Sq. Ftg. Other__ _l{ewadd_Al ter_P.ep. _Fence_Demo_Cha n ge/ U se 0ther n_ . Value of l,lork'I /8o,.*.e., Build Singlescr Fami s e AtAddressPhonc )P -t q r-1-l rnD.Construct r -l1.0 'l n 0,. sc \N N *, []tl qI c-.Address Phone FXn rFqnameaddressrcs. no. Pri ma ry Structura I E l ectri ca I l,lechan i ca I eYn res (nhonp no-name addres s 'I ics. no.CONTRACTORS Genera I Pl umbi 1 l.techan i ca I MECHANICALPLUt.IBI NG ELECTR I CAL FFF l^HAAGF t\,ll t_FFF CIIARGFFEECHARGENO furnace/burner to BTLI' s7Each single fixture 2P f".fr 2 Residence of FTSQ New circuits alts.2bl4\We ?-9 , Floor furnace and vent Relocated building (new fix. additional ) SERV I CE S Recessed wal I Snace heater and vent S . F, Res i dence ( l bath) Duplex (| bath) each Appl iance vent sena ra teAdditional bath Temporary Construction Change i n exi sti ng rpc i dence Stationar.v evap. cool erl,later servi ce (Vent fan with sinole ductSewermultifamily, conm. or Industria l 0f _ amps,Vent systern apart from heatinq or A.C.Storm Sewer coMr.r./IND. FEEDERS Mechanical exhaust hood and duct l.lood stove/heaterInstal I /al ter/re l ocatedistrib. feeders 0f ISSI'ANCF OF PFRIlIT *rdrAL crl^RGES nrrg. /5 * TOTAL CHARGES R#>TOTAL CHARGTS %--5-? I{IIERE STATE LAI,I shal'l not be vali'l REQUIRES that the Electrical work be done by an ilectrical Contractor, the electrical portion of this permit until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFULLY EXAMINfD the completed application and correct, and I further certif.y that any and all work of Sprinofield and the Laws of the State of 0regon nerta of any structure without the permission of the Building Board is in full force and effect as required by ORS 701 only subcontractors and ernployees who are in compliance for permit, and do hereb.y certif.y that all information hereon is true oerformed shall be done in accordance with the 0rdinances of the City ininq to the work described herein, and that l{C 0CCUPAHCY will be made Division. I further certify that m.y reqistration vrith the Builder's .055, that if exempt the basis for exemption is noted hereon, and that with 0l?S 701.055 will be used on this nroject. l,lAl'lE(please prin IGNA'/(r DL ,, io. i '','= Uni ts Fire Zone Bedrooms Flood Plain Stori es x !q Fln. Acceffffi"Value, /aaa, Load 0c c.y Grou IZone 14 Ftg. l'lainCons t. Val ue ToTAL VALUATI0N_ &4-/r-78 Svstems Deve charqe (t.51 opmentPIan Ck. Corrn,/lnd 65%/8ldo Per Fee Plan Ck. Res 30%/Bldo Per Fee BUILDING PERNIT Charges and Surcharges --/-Z=ffi.- Fence D6mo PLUI4BING PERMIT Charges and Surc ha rges <24e7 ^f>?d-*Sidewal k Tota'l Comb. Permit y'ffi ELECTRICAL PENIIIT Charges and Surcha rges -A/C Pavi ng Curb Cut 6?.//***.*-m4=;TOTAL I,IECHANICAL PERMIT Charges and Surc ha rge s -7f, )- on' Ranqe )e WorkI Garao (r rnnp nntLnt4 : usE ot{LYtoR ut t- I CITY OF SPRINGFIELD Clly Hatt Sprlngfcld, Oregon Development Services OFFICIAL RECEIPT r{ COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description l. qxlrnple- Tax Lot 100, Lane County Map Reference 17-T5-432. example- Lot l. Block 3, ?nd Addition toSffin-g-field EstatesC. Name, etc. of owner and construction lenderD. Energy Sources 15282 From Address Received For h F' 1. example- heat,/electrical ceilinq,/or forced air oas _ ?. exampTe- waterfiEITEF/ElEitTjTTITbr s6-TEI--E. Square footage or valuation, etc,1. example- 1250 sq. foot house, 500 sq. foot garage2. exampTe- jf n-ew project, check-iEw - if aOAition, check add, etc.F. Building permit information:l. example - construct single family house with an attached garage ?. example - remodel existing garage into family roon3. example - convert single family residence into restaurant (change of use)G. Value of work as defined in Sect'ion 303 (a) of theStructural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropr.iate persons regarding design information or job sitecorrections, etc. Abbreviated Piunrbing, Mechanical, & Electrical SchedulesA. Except vrhere blank spaces occur in the descriptionportion of the I'lechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes adjacenlto the appropriate item(s) to be instailedB. Full Plumbing, Mechanical, and Electrical Schedules are available at the Building Divisionl. To conserve space on the permit fornr the schedule: have been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult theful l schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to the -- electrical contractor for signature by his electricalsupervisor. The general contractor is not authorizedto sign the electrical label. Applicant to sign and date Whenever possibie, the initial application will be used asa worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actual pernrit is issued for his s i gna ture. Fees and Charges Plan check fees are due and payable at the time of theappiication, and no plans will be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY + R Pr '7. <O B PP :)-.S63 II. III IV. BY Amount Received Permit Clerk SIGNATUBE Fftttttbr eusrress FonMS. rNc.1503t342.8149 t- 8m6t v PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information : PLANS REVIEWED BY: name s1 gnature da te /2-/G8e ,( Y,"n/^ COMBI AP IT EIIERGY SOURCES: Hea l,later Heater iI ELD'nu / PF Job Address Il-egal Description, . l'la i n--_ Sq.- Ftg. Access._ Value of l'lork: Aoun -0wner 'e., Build SingleDescrn GaraAddres s Phone ttr7v1etu) a/ jtt4'ft.)n L-Construction Lender \ -S b \N F Addres s Phone n Structura l Pri ma El ectri cal Mechanical exDl reslics. no.)addressname-aoNTmetuRs (, l' 13-I bru 6oar'c/-DOPI ZA- I?L tcF-s MECHANICALPLUI{BI NG 1 Z o- ELECTR I CAL furnace/burner to BTU'sResidence of FTSQEach single fixture Floor furnace and vent)r,CI 'I ts.rNew orRel ocated bui 1 ding (new fix. addit'i onal) Recessed wal I Soace heaterand ventSERV ICESS. F. Res i dence(l bath) Duplex (l bath) each Apol iance vent seoa rateTemporary Constructi onAdditional bath Stati onar.v evap coo l erChange in existing res i dence[,later servi ce Vent fan with sinole ductT ndrr s tr i a'l mul ti fami ly, cornm. or Sewer Vent systern aPart from heatinq or A.C,0f _amps.Storm Sewer Mechanical exhaust hood and ductc0Mr.1./IND. FEEDERS llood stove/heaterI nstal I /al ter/rel ocate dictrih. feeders 5.0f amp ISSUANCE OF PFRI,IIT Contractor, the electrical portion of this permit and returned to the Building Division TOTAL CHARGESTOTAL CHARGES rk be done bY an Electrical by an Electrical SuPervisor TOTAL CHARGES WHERE STATE LlI,l shall not be valiC REQUIRES that the E'lectrical wo until the 'label has been signed i frAVE CAREFULLY EiniiiNED th. ;..p1elaa ;pplic;ti.. io; [.;,it; ;;i-a; [e.;w.;;;tirv lh;t ;iilll.ry't,]'! I' on is true and correct, and I further certify that any;;t.ii work periormea'snatl be done in accoidance with the ordinances of the city of springfield and the Lir. or thL state or or.oon rr.ituining.to the work described herein, and that N0 occuPAHCY will be made of any structure without the permission ot t[e-sririils-oir!(ion.'i iriih.r-iertity ttrat mv registration vtith the Builder's Board is in fult force and effect as required by ORS 701.05g,-!!u! it.i.nipt ite baiis for Lxemijtion is noted hereon, and that only subcontractors and employees who are in-coilpiiunce with 0l?s 701.055 wiII be used on this pro.ject' S IGNATUREI,lAl.lE(p lease pri nt)DATE Ftg Ftg Ftg terilsI Fee . Access x ValRedr0oms Fl ood Pl ai n--_--S tori es an luel,la i al 5q. Group Sq. Const. Uni ts SQ P an TOTAL VALUATION Zone Fire Zone BUILDING PERNIT Charges and Su rcharges .0ther Fence DBmo PLUI4BING PERMIT Charges and Surcha rges 5l dewal t< Total Comb. PermitA/C Paving Charges and Surcharges tr I7 :DELECTRICAL PERi'IIT Curb Cut (/A2TOTAL I4ECHANICAL PERMIT Charges and Surc harge s PYNI TFq (( addre s sI)L5IGN I LAP! COMBINATION APPLICATiON/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Descriptionl. exampie- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot l. Block 3, Znd Addition to Sp7in-dTield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources PERMIT VALIDATION \[ \q'g I air gas 2E. Squa I ga rage 2 ition, II F. Bui1ding permit information:1. example - construct single family house with an attached garage2, example - remodel existing garage into family room3. example - convert singie family residence into restaurant (change of use)G. Value of work as defined in Section 303 (a) of the Structural Speciaity CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc. Abbreviated Plumbtng, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. FuIl Plumbing, Mechanical, and Electrical Schedules are available at the Building Divisionl. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be installed are not covered on the abbreviated scheduies you should consult theful I schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be de'livered to theelectrical contractor for signature by his electrical supervisor. The general contractor is not authorizedto sign the electrical label. Applicant to sign and date l,lhenever possible, the initial appiication will be used as a worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit is issued for his signature. Fees and Charges Plan check fees are due and payable at the time of theapp)ication, and no plans will be processed until these fees are paid. All other fees and charges are due and payable when the permit is issued. FOR OFFICE USE ONLY III.W#tru01 IV V Permi t Cl erk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI'ICY: Permit applicant exempt from registration with the Builder's Board because: Addit'ional Project Information PLANS REVIEWED BY: name Si gnature date d INSPECTION LINE 726-37 69 CI-TY OF SPRINGFIELD COMBI NATI ON APPL ICAT ION/PERMIT II{FORI,IATION LTNE 7?6-3753 -2t3t, -Dl-egal Description Job Address Hea Ranqe. EIIERGY SOURCES: l,later Heater Sq . Ftg . l.lai n_ Sq. Ftg. Access._ Sq. Ftg. 0ther_ _tlew_RoU-Rl IeF-Tep. _Fe nce_Demo_C hange/ U se -other-----Value of lJork %-Owner nq Re Bui I cii Fami I v Pernit Info: Describe Work( sidence llith Attached Garaqe e., Build SinglePhoneAddress 4t)4 B 9tru,t- L{nu s t (ow,) Construction Lender +l/tL uu =C_s\as> \) Addres s Phone exn l res ohone no.'name addres s Pri ma ry Structura 1 E I ectri ca I l,lechani ca'l prn'rps l (nhonp no-name addres s Iics. no.CONTRACTORS Genera I Pl umbi nq El ectrical It'lechan i ca l MECHAN I CALELECTR I CALPLUIIB I NG FFF C}IARGFFFFCHARGFNOFFFCHARGFIl0N0. furnace/burner to BTLI' sEach sinqle fixture Residence of FTSQ Fl oor furnace and vent Relocated building (new fix. additional) New circuits alts. or extensions Recessed wal I Snacp hpatpr and veniSERV I CES S. F. Residence(l bath) Duplex (l bath) each Apol iance vent seoa rateTemporary Construct ionAdditional bath Stationary evap. /cooler /e in existing ence C hang res'i d[.later serv ice Vent fan withmultifami1y, comm Industrial or/Sewer 0f Vent systern a heatinq or Armr COMI.I./IND, FEEDE austhanca / tlood stdve/heaterInstall/alter/oca te 0f ISSUANCF 0F pFRl,tIT TOTAL CHARGESTOTAL CHARGESTOTAL CHARGES WHERE STATE LAN REQU sha l I not be val i,l unti l IRES that the Electrical work be done by an Electrical Contractor, the electrical portion of the label has been signed by an Electrical Supervisor and returned to the Buiiding Division this permit ialion for Permit, and and correct, and I further certify that any and all work rrerformed shal of Springfield and the Laws of the State of Oregon pertaining to the wo of any structure without the permission of the Building Division. I fu Board is in full force and effect as required by ORS 701.055, that if e only subcontractors and employees who are in compliance with 0l?S 701.05 do hereb.y certif.y that all information hereon is true'I be done in accordance with the 0rdinances of the City rk described herein, and that NC 0CCUPAI'ICY will be made l,lAl,1E ( pl ease pri nt)S I GNATURE DATE rther certify that m.y registration vrith the Builder's the basis for exemption is noted hereon, and that ect5be used on this / . l'lain T Ftt:ltp 0c c.y Group Sq. FtgFlood Plain Stori es up uni ts So x Val xFtg / Cons t Val Zone Val ue Fire Zone Bedrooms_ Occy Load Acces s 0ther opmentSvstems Deve Charqe ('1.51PIan Ck. Comm/Ind 65%lB1dq Per Fee BUILDING PERI'IIT Charges and Surcharges l <ta '75 Fee Plan Ck. Res 30%/Bl dq Per Fence D0mo PLUI4BING PERMIT Charges and Surcha rges Sidewal k Tota'l Comb. Permit ELECTRICAL PERI|IT Charges and Surcha rges A/C Paving Curb Cut 15,15TOTAL I,IECHANICAL PERMIT Charges and Surc harge s i from TOTAL VALUATION COMBINATI ON APPLICATION/PERI.IIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description1. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, ?nd Addition toSffiffiield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources 1. example- heat/electrical ceiling/2. example- waterheater/electrical/o E. Square footage or valuation, etc. or forced air gasr soTar 1. example- 1250 sq. foot house, 500 sq. foot garage 2. example- 'if new proiect, check new - if addition, check add, etc.F. Bui lding permit information:1. e)(grn!_]g - construct single family house with an attached garage 2. example - remodel existing garage into family room 3. example - convert single family residence into restaurant (change of use)G. Value of work as defined in Section 303 (a) of the Structural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc. II. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be installedB. Full PIumbing, Mechanical, and Electrical Schedules are availab'le at the Building Division 1. To conserve space on the permit form the schedu'les have been abbreviated2. If the item(s) to be installed are not covered on the abbreviated schedules you should consu'lt thefulI schedulesC. BUILDING DIVISION STAFF I.JILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to the electrical contractor for signature by his electrical supervisor. The general contractor is not authorized to sign the electrical Iabel.III. Applicant to sign and date Whenever possible, the initial application will be used as a worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to the applicant at the time the actual permit is issued for his s i gna ture.IV. Fees and Charges Plan check fees are due and payable at the time of the application, and no plans wi1) be processed until these fees are paid. All other fees and charges are due and payable when the permit is issued. V. FOR OFFICE USE ONLY PERMIT VALIDATION # t4qqQ Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information : PLANS REVIEWED BY: name s'l g nature date