The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 1981-06-04INsPECTION UNE 1283769 clI./ or SPRlNGflEtD COMEIN', " ION APPI.ICATION/P€FMII INFOPMATION TINE ,2t3753 IJob tio ntegol \rFvn 1C vb \-t\ Sq. Frg. Other -New-Add -Alter-ReP.. . -Fence-Demo-Chon9e7 Use -Qlher ENERGY SOURCES: Heot Buildinq Permit lnfo, Ro With Attoched Dercribe Work (i.e.,8uild Single Woter Heoler Volue of Worl: Sq. Ftg. Iroin Sq. ttg. Acce!t. PhoneAddrerrdv\ Co (oddrer:)(nomc) Phone (e( licr. Addrc rr DESIGN TEAM Struclurol Electrico I Mechonicol ne nonomc) \Plumbing Electricol ETECTRICAT FEECHARGENo. MECHANICAT PIUMBING Me<honicol I tEENO.rET i CHARGE furnoce/burner io -.-BTU'S Re:idence of -_.=..---5q: !-Eoch ringlo fixlure Applionce vent sepo loteNew <ircuils, olterorion3 or extensionrRelocoted building (new {ix. oddirionol}Stotionory evop. coolerSERVICESS.f. Reridence both)Vent fqn wiih sinqie ductTemporory ContlructimI both) eochDuolex Vent syslem oport from heoting or A.C.-Ampr.Additionol both Mechonicol exhqurl hood ond duct Woler gatvice Wood stove/heolet- Scwcr Heot PumpFEED ERSScwar Air hondler to 't 0,000 cFlAmpr. Air hondler over 10,000 cra Totol ICAI. PERMIT Permit BI Per Fee c Sy:tems DeveloPment tsstlANCE OFTPeRMIT Flood Plqin NAME (pleose Print) FOR OTFICE USE ONI.Y Plon Ck. Comm/lnd fee Plon Ck. Res Demo SidewolkChorger ond 5urthorger 1 Vo lue x Vo luc , Volue TOTAL VAI.UATION, BUTTDING PERMIT Chorger ond Surchorges PTUMBING PERMIT Chorger ond Surchorge: Zone TYPe/Consl'nils Sq' Ftg' lrtain -'--'---"---- Fire Zono Ecdroomr Group Sq' Ftg' Other wTOTAL MECHANICAT PERMIT Chorger ond Surchorger Curb Cut Iq itr fmnaoxl.)t 1 tQ0 (phonc no.) COMBINAIION APPLICATIONz'PER:6lT (CAP) :l. Applicon! to furnish A. Job Address B. legol DescriprionI. exomple.tox lot 100, Lone County Mop Reference I7 03 43 2. exfi;G-Lot l. Block 3, 2nd Addiiion to Springfield Esrores C. Nome, etc. of owner ond construction lender D. Energy Sources PERMIT VALIDATION l. exomple-heotr'electricol ceilinq/or forced oir gosz. exomole-woter heoter,. electricolu'or solor E. Sguore foologe or voluotion, etc.l. exomgle-l_250 sq. foot house, 500 sq. foot goroge2. exompie-if new proiect, check-new-if oddition, check odd, etc. F. Building permit informotion: l. exomple-construct single fomily house with on ottochedgoroge 2. exomple-remodel exisling goroge into fomily room3. exfiFE-converr single fomily residence inro restouront (chonge of use) G. Volue of work os defined in Secrion 303 (o) of the Structurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction deloys, Building DivisionStoff must be oble to contoct oppropriote p.rrJn, regordingdesign informotion or job site iorrections, etc. ll- Ab6ievioted Plumbing, Mechonicor & Erectricor schedures A. Except where blcnk spoces occur in the description portionof the Mechonicol ond Electricol Schedules, the oppiicont need fill-in only rhe No. Boxes odiocent to the oppropriole. irem(s) to be instolled B. Full Plumbing, Mechonicol, ond Electricol Schedules ore ovoiloble ot the Building Divisionl. To conserve spoce on the permit form the schedules .:hove been obbrevioted2. lf rhe item(s) to be insrolled qre not covered on the obbrevi-. oted schedules you should consulf the full schedulesC. BUILOING DIVISION STAFF WILL FILL OUT ALL FEES ANDCHARGES ON THE SCHEDUTES lll. Applicont to sign ond dote Whenever possible, the iniiiol opplicotion will be used os qworksheer only. Where possible, building Division Sroff willprepore o typewrirten copy ond relurn it to the opplicont otthe time ,he ocruol permir is issued for his ,ign"tJJ;. --"' -' lV. Fees ond Chorges Plon check fees ore due ond poyobre ot the time of the oppricorion,ond no plons will be processed Lnril rhese fees ore poid. ittother fees ond chorges ore due ond poyoble ;i.; if," p"._i,is isrued. V. FOR OFFICE USE ONLY Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: J Additionol Proiecr lnformorion: nqme signoture dote PTANS REVIEWED BY: INFORMATION LINE 72&3753 INSPECI|Ot{ LtNE 77L3769 CIIY Of SPPINGTIEI.D COMBINA' ICN APPI.ICATION /PENMIT \Tvn De:<riplion O-^"t 5q. Frg. Moin 5q. Ftg. Accerr. Sq. Frg. Other -New--Add -Alrer-ReP.-. -Fence-Demo-Chongef U re -Other Euilding Permit lnfo: Dercribe Work (i.e.,8uild Singla ENERGY SOURCES: Heot Woler Heoler Fom Reri Ro With Auoched Volue of Work: Addrcrr Phone,\\ Addrcrr Phone (lics. no,)r)no.)DESIGN TEAM (oddres r)(noma) Pri Stru<turol Electrico I Mechonicol me)ne Plum Eleclricol EI.ECTRICAT Mcchonicol PI.UMBING CHARGECHARGENO.I FeEi !!a!9El_!9-NO. r i FEE furnoce/burner lo -3TU'S Reridence of -sq: fr.Eoch ringla fixture Applioncc vent seporo te New <ircuilr. olrcroriont or exteniicntRelocored building (new fir. odditionol)Stolionory evop. coolerSERVICES S.F. Reridencr (l both)Vent fon with sinqie ductTemporory ContrructionDuolcx {l both) eoch Vent tyslem oporl from heoting or A.C.Amp:.Aciditionol bolh Mechonicol exhourl hood ond ductWoler t".vi(e Wood rtove/heoter Sewcr Heol PumpFEEDERSSlcr.m Scwcr Air hondler io r0,000 cFr!^Ampr. Air hondler over t0,000 cilA lsst {NcE orrPeRA\lr IOTAI, CHARGESTOIAT CHARGES TOTAT CHARGES nolcholl untilbcvalidlhirofrlcclricalthcpcrmitConlroctoz,portioaE!edricsldoncthabcworkthcrholbyElectricolwIAEOIR ESETEWHSIAIE clcaricolthr ponel.oltochcd loondConrtoclorEh.tri(slonbonho;rigncd bylqbel Ordinoncer de of ony s requireci ,$-4.v.fr"s ond furtherlslr ue correcl,o tionformo hereonnlholdoondcertifYhforerebytheopplicotionpermit,YLI EXA}^INED compleiedCARETUHAVE Low theof ofSiotctheondoflheofSpringfieldCityrhwithtndonecordoncaqbarhollilo Oregon furtherthoondperformedanyofDivi:ion.lhecertifyrtttton BuildinglhawithoutttructurePermbewillmoNlhqlOCCUPANCYoonddercribedworkhcrin,lhclo exem notcdforptionthcborisperto ini ng 70rORS rhot ll.055,cxemptbyeffeclondforcalnf ullt5BoordlhEuilde/lhethotrlrqtionregiettilYmy rhi701will.055 usdbe on proicct.oRswirhnorewhocomPlioncaondcmployeertholondlub6nlloctotrharon,only BoordBuilder'r cxamplioo:8o:i r {or OATETUREA NA.I,{E (pleorc print) Zona tire Zonc-Ecdroomr Flood Plqin (lotict OccY Conrt. Unitr 59 occy Lood Sq' FOR OTFICE USE ONIY Systemi DeveloPmenlPlon Ck. Comm/lnd Fee6s%l Plon Ck. Rer Fee300h1 BUII.DING PERMIT Chorger ond Surchorger 1 Volue x Volur 1 Volue TOTAT VATUATION Ftg. ,'{oin Ftg. Accers Group Sq. Ftg' Othcr Fe Totol Perm it Demo PIUMBING PERMIT Chorger ond Surchorger Sidewolk c ELECTRICAT PERMII Chorgcr ond Surchorger Curb Cut wTOIAL MECHANICAT PERMIT Chorgar ond S vrchorg e r }'{ECHANICAL I CoMBINAT|ON AppLtcATtONz F_lttT (CAp) t. Appliconr to furnish A. Job Address B. Legol Descriptionl. exomole-tox lot 100, Lone County Mop Re.2. e-IEiiJE-Lot l. Block 3, 2nd Addiiion ro Spr ficc. Nolffiof owner ond construction lender D. Energy Sources I exomole-heol r.electricol ceilin /or forced oi JS2. ;E;;E-worer eoter rt co lu'orJ6iE7-- E. Sguore footoge or voluotio n. etc. PERMIT VALIDATION CITY OF SPRINGFIETD CirY Holl Sp ringfield. Public Works Oregon ( I. exomole-1250. sq. foot house,500 sq. foot gc2. efG;EG-iT;& proiect, checkiEi-if oddirio .hr ocid, erc. F. Euilding permit informotion:l. exomole-consrrucr single fomily house with or itogoroge 2. exomole-remodel existing goroge into fomily3. Ei;.,rro-e-converr single fomiiy risidence intoEiE-IEnt (chonge of use) G. Volue of work os defined in Seciion 303 (o) of theStructurol Speciolty Code H. DESIGN TEAM AND CONTRACTCRS To o-void design or construction cleloys, Building DiSloff must be oble ?o contoct oppropriote persons rdesign informotion or iob site corrections, etc. ,Ab6reviored Plumbing, Mechonicol & Electricol ScheduA. Except where blcnk spoces occur in the description 1of the Mechonicol ond Electricol Schedules, the oppineed fill-in only the No. Boxes od[ccent to the opprc- irem(s) to be insrolled B. Full Plumbing, Mechoniccl, ond Elecfricol Schedules ore ovoiloble ot rhe Building Divisionl. fo conserve spoce on the permit form the schedulthove been obbrevioted 2. lf the item(s) to be instolled ore not covered on the. ored schecjules you should consult the fuil scheduleC. BUILDING DIVISIoN STAFF wILL FILL oUT ALL FEES AI, CHARGES ON THE SCHEDUTES lll. Appliconr to sign ond dote Whenever possible, the iniriol opplicotion will be used os tworksheet only. Where possible, 'Buiiding Division Stoif wiprepore o typewritten copy ond return it to the oppliconr cthe ,ime rhe ocruol permir is issued for his ,ign"tJ;;. --"' - lV. Fees ond Chorges Plon check fees ore due ond poyoble ot the time of the oppr_ond no plons will be processed until these;"u. "r" p"ia. iTftother fees ond chorges ore ciue ond poyoble ;i"; ifr"i..rn1,is irsued. V. FOR OFFICE USE ONLY DePodment oFFlcl For: Amou nt Rece,ived SHELTON'TUIi.ULL ol AL RECEIPT 0.B 53664 19 :br {.r ( -rl _-) o ATURE EUGENE OR 9?.OI o o Permit Clerk PROJECT CONDITTONS TO BE SATISFIED SEFORE OCCUPANCY: ( Additionol Proiect tnformotion: nclme signoture dole PTANS REVIEWED BY: ( (