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Home My WebLink AboutPermit Building 1982-04-22INSPECTION IINE 7?G3769 CITY OF SPRINGTIETD COMBINATION APPTICAIION/ PERMIT TNFORMAIION TINE 72e3r53 Job Address 810 7th T I 57nnLesol Descriptio" 'l 7-O j- 35-'12 Woler Heoler Ronge ENERGY SOURCES: Heot - -New-Add-Altcr-Rcp.-Fence--Dcmo-Chonge/ Use -Other Sq. Ftg- Moin Sq. Ftg. Accert. 46qSq. Frs. 0[*& Volue of Work: $550. 00owner A'l icp & ,loseoh Greoorv Building Permit lnfo: Describe Work (i.e., Build Single Fomily Residance With Attoched Goroge)Phone 7 46-7 477Address I06n trffrt Stree t- Enclose existino Datio and roof into aSnrinnfip'l .l - OQ q7A,77 -Con:truclion Lender N)c 30\I PhoneAddress (nome)(oddrers)DESIGN TEAM Electricol lllechonicsl (nome)(oddrass) (lics. no.) (exPirer) (phone no')CONTRACTORS OwnprGenerol Plumbins Electricol Mechonicol MECHANICALEI.ECTRICATPI.UMBING rEE CHARGEFEECHARGENO.CHARGE NO.NO.FEE furnoce/burner lo -BTU'S Residence of -=--sq. ft.Eoch:ingle fixture Applionce vent seporole New circuits, ollerotions or exlensions Relocoted building (new fix. oddifionol) Stolionory evop. coolerSERVICES S.F. Residence (l both) Vent fqn with single ductTemporory ConslruciionDuplex (l bolh) eoch Vent sy3tem oport from heotins or A.C,Amps.Additionol bolh Mechonicol exhoust hood ond duclWcter rervice Wood stove/ heoterSewer Hcol PumpFEEDERSSlorm Scwer Air hqndler to r0,000 cFMAmpr. Air hondler over 10,000 cFfi ISSUANCE Of PERMIT TOTAI CHARGESTOTAT CHARGESTOIAT CHARGES WHERE STATE tAW REQUIRES that lhc Elcctricol work be done by thc Electricol Contqcto?, thc clcclricol porlion of this permit sholl not bc volid until o I HAVE CAREfUtLy EXAMINED the completed opplicotion for permit, ond do hereby certify thot. oll informotion hereon is lrue ond correct, ond I furiher certify thot ony ond oll *ork f.formei rholl be done in occordonce with rhe Ordinonces of the City of Springfield ond the Lows of lho Stote of Oregon p"rioin;ng to tira work describei herin, ond thot No occUpANcY will be mode of ony structura witho-ui the permirsion of rhe Building Division. I further ertlfy thot my regi3trotion with the Builder,s Boord is in full fore ond effect os required by ORS 701.055, thot if exempt lhe bosis for axemption is noted heron, ond thot Jnly rub@ntrqctors ond employees who ore in omplionce wirh ORS 701.055 will be ured on this proiact. Bosi: for Builder's Boord exemPtion: SIGNATURE(DATE labol hos bacn sigmd by on Ehctricsl Conltsclor cnd ottoched to thc eleclricol ponel' NA/vtE (pleose print) FOR OTFICE USE ONTY lt/ zon" C- 1 Type/Conrt. V-N Units ......--.Sq' Ftg' tv{oin x --_-Voluex -Volue x -Volue $650 n0 Flood Ploin Fire Zo Bedrooms TOTAT VATUATION Groug B? sq. rl9. othcr 465 Lood --Sq' Ftg. Access *? -45 Syslems Development Chorge (1.5olo) Plqn Ck. Comm/lnd 6596/Bldq Per tee Plon Ck. Res 30%/Bldq Per Fee BUITDING PERMIT Chorge: ond Surchorges ---J7---0!.-.28 Fence $7.28Totol Comb. PermitDemo Chorges ond Surchorges PTUMBING PERMIT Sidewolk A/C Povins Chorger ond Surchorges ELECTRICAL PERMIT Curb Cut q7 ?R TOTAT MECHANICAL PERMIT Chorges ond Svr cho rge: (lics. no.) (expires) (Phonc no.) Primory Owner Slructuro I coMBTNAT|ON A,ppLtCATION/pERMtT (CAp) l. A,pplicont to furnish A. Job Address B. Legol DescriptionI. exomple-tox lot I00, Lone County Mop Reference ' 2. exomple-Lot l. Block 3,2nd Addition to Springfield 6r.C. Nome, elc. of owner ond construction lender D. Energy Sources PERMIT VATIDATION f CITY OF SPRINGFIELD City Hatt Sprlqglleld, Oregon Dopartment ol Publlc Works OFFICTAL RECETPT No. B 58921 ( I I I. exomple-heot,/electricol ceiling,/or forced oir gos 2. exo--mFlE-woterT-ert lEct?iEoIl"@- E. Squore footoge or voluotion, etc. l. exomple-l250 sq. fool house,500 sq. foot goroge I2. exomple-if new proiect, check new-if oddition, chec ;e-d, etc. F. Building permit informotion:I. exomple-construcl single fomily house with on ofio, goroge 2. exomple-remodel existing goroge into fomily room 3. exompfe-convert single fomily residence into reElo-Eront (chonge of use) G. Volue of work os defined in Section 303 (o) of the Structurql Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction deloys, Building Divisi Sloff must be qble lo conlocl oppropriole persons reg( design informotion or iob site corrections, etc. ll. Abbrevioted Plumbing, Mechonicol & Electricol Schedules A. Except where blonk spoces occur in the descriplion po of the Mechonicol ond Electricol Schedules, the oppiicr need fill-in only the No. Boxes odiocent to the opprop item(s) to be instolled B. Full Plumbing, Mechonicol, ond Electricol Schedules ore ovoiloble ot the Building DivisionI. To conserve spoce on the permit form the schedule hove been obbrevioted 2. lf rhe irem(s) to be instolled ore not covered on the oted schedules you should consult rhe full schedule C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES A! CHARGES ON THE SCHEDULES lll. Applicont to sign ond dote Whenever possible, the initiol opplicotion will be used os worksheet only. Where possible, Building Division Sroff v prepore o typewritten copy ond relurn it lo the opplicont By Ithe lime the octuol permit is issued for his signoture. - |lV. Fees ond Chorges ( Plon check fees ore due ond poyoble ot the time of lhe orr..,-.._... ond no plons will be processed until these fees ore poid. All other fees ond chorges ore due ond poyoble when ihe permit is issued. V. FOR OFFICE USE ONLY 19 fl (a Flec'd Address Received ( ( fl (l (t ( ( ( G. ( Amount t:a (l iitcc! par!rreag/LtrHooRApHERs. EuoEilE, oRE6or{ Permit Clerk (r PROJECT CONDITIONS TO BE SAIISFIED BEFORE OCCUPANCY: Additional Proiect lnformotion: 4-20-82signoturedole PTANS REVIEWED BY: nome Lorne Pleger I INSPECTION LINE 726-37 69 COI{BI NATION APPL ICATION/PERMIT 726-3753 Job Address t +\ Legal Description l,later Heater Range EIIERGY SOURCES Heat Owner varue orKl#t Sq. Ftg. l'lain_ Sq. Ftg. Access.--- n r I Ga el,l in ,e., Build SingleAddresse \n(Construction Lender rA I \ ts oo { Addres s Phone ICS- nO exD I resDt5iGN ItAI.1 name address Pri mary Structura I El ectr i ca I l4echanical (lics- no.)exDl res ohone no.ACTORS name addres s Genera I Pl umb i nq \I I ! MECHAN ICALELECTRI CALPLUtlBI NG FFF CHAAGFFFFNHARGFNOFEECHARGEN0- furnace/burner to BTU' SEach single fixture Residence of FTSQ New ci rcui ts al ts. or extensions Floor furnace and vent SERV I CES Recessed wal i Soace heater and vent( l hath) Relocated building (new fix. additional ) Apol iance vent sFna ratpTemporary Constructi onAdditional bath reci dpnrp Change in existing Stati onar.v evap. coo I erllater service Vent fan with sinole duct multifamily, comn. or I ndu stri a ISewer Vent systern apart from heatino or A.C.0f amps.Storm Sewer Mechanical exhaust hnnd and drrctc0r.'[.1. / rND. FEEDERS lrJood stove/heaterInsta'l I /aI ter/rel ocatedistrih. feeders 0f ampr ISSUANCE OF PFRIlIT TOTAL CHARGESTOTAL CHARGESTOTAL CHARGES ne by an Electrical Contractor, the electrical portion of this permit ectrical Supervisor and returned to the Building Division S I GI{ATUREl.lAt'!E(please print REQU unti I onrr 9* I ?: &2 Dermi t 'fo rmedfy ng stof any Board f exempt .055 wi l 'Icert +tha adodanonhereb.y fycaEI NEDxAtl hetY ap pcomp s Iha be1 Idone accordan nc wl hLc0rrectIandcfu rther 'Iert hatt a aand II kw0randny per th tarkWOcrldeshere ibed n ndaefidItheandofLawsSta tethe f0 0n rt la In to theof0regoengSpri fu tha +s'I trIcturerUtwlthehoutS,ls of0n het 'IBu diI Di svl on'l certirtherperming IJ m.y reg ba 'Is fo r ontiexempthesIn'I Ifu forceI nda fectef sa I red 701ORS 055 tha t 'Ireq u by n s'IIononIawho'Ire n 1I wlance 0t?sth 7 0 I1 be sedu o thSUbctorstracand proj ecvempoyeescomp WHERE STATE LAt,l shal I not be val i'l rk be do by an El IRES that the Electrical wo the label has been signed nformation hereon is true the Ordinances of the City , I'lC 0CCUPAI,ICY will be made 'ation vrith the Builder's is noted hereon, and that t. FOI1 OFF I CT TOTAL VALUATION- x Val 0e Ftg cy Load Sq. FtC Flood Plain Stories Occ.y Grou Val ueFire Zone Bedrooms Zone Type/Const 0the r Acces s Svstems Deve Charqe (1.5X opmentPlan Ck. Corrn/Ind 65%/Bldo Per Fee BUILDING PERI'1IT Charges and Surcharges Plan Ck. Res 30%/81dq Per Fee FencePLUI4BING PERMIT Charges and Surcha rges Demo Si dewa I k Tota'l Comb. PermitA/C Pavi ng ELECTRICAL PERI|IT Charges and Surcha rges oo Curb Cut qd\TOTAL I,IECHANICAL PERMIT Charges and Surcharge s Duplex (l bath) each nits Sq.Ftg. l4ain x Value- to COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Lega l Descriptionl. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, 2nd Addition toS[FTffiietd EstatesC. Name, etc. of owner and construction IenderD. Energy Sources PERMIT VALIDATION btsLzl1. examp l e-?. examp l e-E. Square foota hea t/I iti or forced air qas wa or sol ar ge or valuation,etc 1. example- 1250 sq. foot house, 500 sq. foot garage?. example- if new project, check-new - if addition, check add, etc.F. Building permit information:1. example - construct singie family house with an attached garage 2. example - remodel existing garage into family room3. example - convert singie family residence intorestaurant (change of use)G. Value of work as defined in Section 303 (a) of the Structura l Specia l ty CodeH. DESIGN TEAIq AND CONTRACTORS To avoid design or construction delays, BuildingDivision Staff must be able to contact appropr.iite persons regarding design information or job sitecorrections, etc. Abbreviated Plumbing, Mechanical , & Electrica l SchedulesA. Except where blank spaces occur .in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fil'l-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Full PIumbing, Mechanical, and Electrical Schedulesare avaiiable 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 onthe abbreviated schedules you should consult thefull 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 theelectrical contractor for signature by his electricalsupervisor. The general contractor is not authorizedto sign the electrical label. Appl icant to sign and date l,lhenever possible, the initial application wi]l 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 permit is issued for hissi gnature. 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 andpayabie when the permit is issued. FOR OFFICE USE ONLY 4% OO .Lto 1 .qo II CP III IV t V Permi t Cl PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit applicant exempt from registration with the Builder's Board because: Add'itional Project Information : PLANS REVIEt^lED BY: name s't gn ature date CTION LII'IE 769 CITY OF SPRiNGFIILD COIlBI IIATI OI'I APPL ICATI ONIPERMIT Job Address Legal Description Hea EIIERGY SOURCES l'rater Heater LUqS I I Owner a ue of l,Jork /60 0 Sq. Fto. l'lain-- Sq. Ftg. Access._ Sq. Ftg. Other Addrdss Phone Descri ce A Ga Pernr t 'i ld ng e Phone ConSffiioc-{esde.r- Addre s s oa) )j \ \ \ Structura I E l ectri n 0"urt Zf Prima Hechani cal PLUIIBI NG NO F-F F Each single fixture ELECTRICAL Residence of FTsQ furnace/burner to BTU' S MECHAN ICAL Rel ocated (new fix.fuildins / {ddi ti onal ) New circuits alts or extensiops FIoor furnace and vent S. F. Residdnce i(l bath) \ 1 SERV I CES \/Recessed wal I SDa.p heatpr and ,x/ Dupl ex ( I o\n,)' .u.n Temporary conrfrqionAddi tional r\Apol iance vent seoa rate water ser/c. \Change in exilting \ res i dence I Stationary evap. cool er Vent fan with sinolr drrct Vent systern apart from heatirro or A.C.Storm Sewer sewer I s.0f multifami ly,r conrn. or -lrustrial .-. Mechanical exhaust hood and ductCOI4I'I./IND. FEEDERS llood stove/heaterI ns ta I I /a l ter/ rel oca te di stri b. feeders 0f S ISSUANCE OF PFRI1IT TOTAL CHARGES IIHERE STATE 1,11, REQUIRES Lnat t;te Electrjcal work be do;it: by an Electrical Co;:tractor, the electrir.a'i portion of thi; permit shalI not be vali'l unti'l the label has been signed by an Electrical Supervisor and returned to the Building Division TOTAL CHARGES TOTAL CHARGES I HAVE CAREFULLY EXAIIINED the completed application for oermit, and do hereby certify that all information hereon is true and correct, and I further certify that any and all work Derformed shall be done in accordance with the 0rdinances of the Cityof Springfield and the Laws of the State of 0regon oertaining to the work described herein, and that NC OCCUPAI'|CY will be madeof any structure without the permission of the Building Division. I further certify that my registration vtith the Builder's Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted hereon, and that on)y subcontractors and ernployees who are in comcliance with 0l?S 7U.055 wilI be used on this ea60F DA TEIGiIATURE t. (-., I'lAl'lE( pl ease pri nt) rlr Plan Ck. Conm/Ind 55%/BIdo Per Fee Svsterxs Deve Charqe (1.57. opment Plan Ck. Res 30Xl8ldq Per Fee BUILDING PERI.IIT Charges and Su rcha rges oo_5 / ZL) Fence 06mo PLUI,IB TNG PERMI T Charges and Surcha rges --,[ Sldewalk Tota'l Cornb. Fermi tA/C Paving Curb Cut >o* ELECTRICF.L PERI:IT Charges and Surcharges I,IECHANICAL PERHIT Charges and Surcharges TOTAL Zone st. Uni ts So tg. t'lain_ _x Val TOTAL VALUATI F F F ire Zone ____Bedrooms_ rrrc.v l1:d Sq A.cccgs x_ _Val.re--- Flood Plain____ :S tori es Val tg tgGroup Sq 0ther iiw iu'r :ann I ( a ddrps sDESIGN TEAl.t (name)pYnt rPs (ohonp no- LUNIRA(, II)RS (addrpsq)/l irc n^ F au^ocr,c l- / i I I : I I I I I I I ! I l COMBINATION APPLICATION/PERNIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Descriptionl. example- Tax Lot 100, Lane County Ma T7l3-432. example- Lot t. Block 3, 2nd Additior Sp-ilngfield EstatesC. Name, etc. of owner and construction lenc 0. Energy Sources CITY OF SPRINGFIELD ( ( ( ( {q f, CirY Holl ""'Jilll,ti^'i '.:ll',,w" aaA, ' t{0. B 58152 3 - {--IIrf (2E. Squa will prepare a app'l icant at s i gna ture . -x 50 sq. i rOUli ,? ( /:r-''':' bUii 1. electrical contractor forsupervisor. The generalto sign the electrical laApplicant to sign and date l,lhenever pos:ihle, thr: initia 2. example - rernodel existing garage into3. example - convert single family resider' resi:aurant (change of use)G, Va ru. oi' wor k as tiif inect in Sect-ion :r,\'J (a )Structura I SpeciaIt-v Cude H . DES I GN TEAr.l Ati0 lt rN'l RAC l'ORr To avoid design c. constructicn delays. Bui i,.vision St.:ff must be able to contact apprc persons rega"ding design information or" job correcti ons , etc.II. Abbreviated P1umhin9, Mechanica l, & Electrical Sn. Except where blank spaces (;ccur in the descrr . ':,' p:rrtion of the Mechanical a;rd Elecr rr'cal Scht. ..._-,-..f-'!e appilicar:: need -!l'l.in on-l;, !;,:,. No BOxe:to the Jp;), ii.'r iate iiem(s) tr. r.':i1-'-'1.:'il: ciB. rul l P'lumbirr;, Meclr,tr,ical, ar,il ..'.ct:tr" ca t Sch are avai'lal:le at t.h€ Bui 1dir,.1 Div isioirl. To conser.re space on thc pern,lt foi-m thr have been ahbreviated2. If the item(s) to be installed are not ct.,the abbreviated schedules you shoul,j consufull schedulesC. BUILDIIIG DIVISION STAFF WILL FILL OUT ALI. FEIS CHARGES ON THE SCHEDULESD. As ncted on the CAP, the label must be deliverr signature by his eler coniractor i! not auti bel. I application wilI be r (. €. (u (I G ( C G ( (' tililtt3'EU6EiE tt0 SAlll a 2 ( ( ( o III IV. SB -pos-:-: bi c , ' 8i, i ',ij,'ng D i r"i ;-iur type written copy and return it to tl ( the time the actu.rl permit is issued fo*_ v Fees and Charges P'lan check fees are due and payable at the time of theapplication, and no plans wii l be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is issued. IOR OFFICE USE ONLY Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information : PLANS REVIEWED BY: name i'a tesignature (