The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 1981-03-02INSPECTION I.tNE 7263769 CIIY OF sPRINGFIEID COMBINAIION APPI.ICATION / PERMII INFORMATION tINE 72e3753 4 &.,ob Address oLegol De:cription ENERGY SOURCES:Sq. Ftg. Moin Sq. Ftg. Acces! 5q. Ftg. Other Heot Woler Heoler R -.New-,-Add-,Alter -ReP.. Fence- Demo- ChoPge/Use Ylo*,", (' )o'zr)A*Zf)Ao{ Work: flo,a9 Building Permit lnfo: Describe Work (i'e', Build Single Fomi With Attoched q\ a -N Owner Address Phone Conclruclion Lender # Addre ss Phone --l 4 DESIGN TEAM (nome)(oddre:s)(lics. no.)(expires)(phone no.) Primo ry Structurol Electrico I Mechonicol CONTRACTORS (nomei (oddress)(lics. no.)s)(phone no.) Plumbi Eleqirico I Mechonicol PTUMBING ETECTRICAL fiECH.ANICAL NO.FEE CHARGE NO,FEE CHARGE NO FEE CHARGE Eoch sincle fixture Residence of -sq. ft. furnoce/burner 1o Relocoted building (new {ix. odditionol) New circuits. olteroiions or exlensions Applionce veni se po ro te S.F. Residence (l both)SERVICES Stotionory evop, coo ler Duplex (I both) eoch Temporory Consiruclion Vent fon with single riuct Additionql both Amps. Vent syslem oport from heoting or A.C. Woler:ervice Mechonicol exhourl hood qnd duct Sewer Wood siove/ heoter .<oo).-zco Storm Sewer FEEDERS Heot Pump Amp:. Air hondler to t0,000 cFM Air hqndler over 10,000 cFM tssuANcE oF PERM|T /d,"9 TOTAT CHARGES c-TOTAT CHARGES --o-TOTAT CHARGES WHERE STATE tAW REQUIRES thor lhe Electricol work be done by the Electritol Conlrcclot, the elcctricol portion of lhis permit shsll not be volid until o lobel hos b*n signed by on Elactricol Coniroctor ond qttoched to the clectricol ponel. I HAVE CAREFUTLY EXAMINED rhe completed opplicotion for permif, ond do hereby certify thof oll informotion hereon is lrue ond correct, ond I further certify thot ony ond oll work performed sholl be done in qccordonce with lhe Ordinonces of the Ciry of Springfield ond lhe Lows of the Stqte of Oregon pertoining to lhe work described herin, ond thor NO OCCUPANCY will be mode of ony structure without the permission of the Building Division. I further ertlfy thot my registrotion with the Builder's Boord is in full fore ond effect os required by ORS 7Ol .055, thot if exempt the bosis for exemption is noted heron, ond thot only subcontroctors ond employees who ore in complione with ORS 701.055 will be ued on this Bosis for Builder's Boord exemption: NAME (pleose print)D^rE&E-& FOR. OFFICE UsE ONLY zon" F= \ Type/Consr. - Units -sd Ftg. Moin x Vo lue x Yolue a -Volug TOTAT YATUATION Fire Zone-Bedrooms Iood Ftg. Access FloodPloinStoriel-OccyGroup-Sq.Ftg.other- -&4'oZ BUITDING PERMIT Chorges ond Surchorges -L) Plon Ck. Comm/lnd 65%/Blclg Per Fee Systems Development Chorqe ( I .5",/o) Plon Ck. Res 30%/Bldg Per Fee PIUMBING PERMIT Chorges ond Surchorges .-o Fence Demo Totol Comb. Permit ETECTRICAT PERMII Chorges ond Surchorges ,_O Sidewqlk A/C Povino MECHANICAT PERMIT Chorges ond Surchorges $o Curb Cut TOTAT /< 66t-J>- -BTU'S COMBINATION AppLTCATtON/FcRMtr (CAp) l. Aoplicont to furnish A. Job Address PERMIT VAI.IDATION B. D. tr Legol DescriptionI. exomple-tox lot I00, Lone County Mop Reference l7 03 432. exomple-Lor l. Block 3, 2nd Addiiion ro Springfield Estotes Nome, etc. of owner ond construction lender Energy Sources 2. lectricol ceili /or forced oir gos eoter ect or solorcol Squore footoge or voluoti on, etc. foot goroge oddition, check F 'I . exomple-i250 sq. foot house.500 so2. exompE-iT nEw project, .ie.[ ".*-iiocid, etc. Building permit informotion: I. exomple-construct single fomily house with on oltoched gorsge 2. exompie-remodel existing goroge into fomily room3. @-convert s;ngle fomily residence into restouront (chonge of use) G. Volue of work os defined in Secrion 303 (o) of the Structu rol Specialty Code H. DESIGN TEAM AND CONTRACTORS To o_void design or construction deloys, Building Division Stoff must be qbie to contoct oppropriote p.rron. regordingdesigninformotionoriobsitecorrections,etc. ll. Abbrevioted Plumbing, Mechonicol & Electricol Schedules ,A,. Except where blonk spoces occur in the description portion of the Mechanicol ond Electricql Schedules, rhe oppiicont need fill-in only the No. Boxes odiocent to the oppropriote irem(s) to be insto!led B. Full Plumbing, Mechonicol, ond Electricol Schedulesqre ovoiloble ot the Building Division l. To conserve spoce on the permit form the schedules .: hove been obbrevioted 2. lf the item(s) to be instolled ore not covered on the obbrevi-. oted scheduies you shouid consult the full schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES lll. Applicont to sign ond dore Whenever possible, the initiol opplicotion will be used os o worksheet only. Where possible, Building Division Stoff will prepore o typewritten copy ond return it to the oppliconl ot the time fhe octuol permit is issued for his signolure. lV. Fees ond Chorges PIon check fees ore due ond poyoble ot the time of the opplicolion, ond no plons will be processed until these f,ees ore poid. All other fees ond chorges ore due ond poyoble when the permit is issued. V. FOR OFFICE USE ONLY Permit Clerk PROJECT CONDITIONS TO SE SATISFIED BEFORE OCCUPANCY: Additionol Proiect lnformotion: PLANS REVIEWED BY. nome signoture dote INSPECIION tINE 726..3769 CITY OF SPRINGTIETD COIABINAIION APPTICATION / PERTIII INFORMAIION [INE 72U3753 Jsc 8 Lt-o9 5(,job Address Legol Dercription r r-o< - 15-Rc nV 3/og Rcn ENERGY SOURCES: Wqler Heqler Heot Sq. Frg' Moin Sq. ftg. Accesr. 5q. Flg. Other - N ew --Add-Alter--R e P. Fence -Demo - ChoPge/ Use {o,h,, U)ndA.lzLA-of Work: fl139Owner (i.e., Build SingleBui Gonce Permil lnfo: Describe Address -j)3 Pho"" 747-s{ # Q\ -a + '4 PhoneAddrers (oddress)(lics. no.)DESIGN TEAIA (nome) Structuro I € le <iri co I Mechonicol MECHANICALETECTRICALPIUMBING iEE CHARGEFEECHARGENOFEECHAR,GE NO furnqce/burner to .=-*-BTU'S Residence of ft.Eoch single fixture Applionce vent seporq le New circuits, olterotions or exlension: Relocqted building (new fix. odditionol) Stotionory evop. cooierSERVICES S.F. Residence (l both) Yent fon with single <iuttTempororv ConsiruclionDuplex (l both) eoch Vent syslem oporf from heoting or A.C.Amps.Additionol both Mechonicol exhousl hooci ond ductWoler !ervice .<OO .).2 5"Y'Wood stove/ heoterSewer Heot PumoTEEDERSSlorm Sewer Air hondler to r0,000 cFMAmpr. Air hqndler over r0,000 crM ISSUANCE OF PERMIT /d Ou TOTAL CHARGES*\)-TOTAT CHARGESIOTAL CHARGES -l) WHERE SfATE tAV, REOUIR.ES thor the Electricol work be done by the Eleclri<al Conttoctor, the electricol portion of this permit shall not bo valid until a lobel hor bmn signed by on Eleciricol Conitoctor ond qtloched lo the elactricol ponel. SIGNATURE DAIE ' ony to thc of ony req uired true ondollthqthereoninformotiont5ondcorrecl,furthertorlicotiononddoYCAREFUTT'NEXAMI ,heED hereby certifyVEOPPpermit,completedIHA theof lheond ofLows Stotethe ofrhwiihOrdinoncesofbesho ll nedo occordonce City n9f ieldSprilnoIworkondthoperformedcerlify Oregon furtherstruclurethethoutollheDiStonBuildingOCCUPANCYNObewilldemopermissiondescribedihotondherin,pertoining rhe701oRsthofIt bosis for ts notedndoby.055,exempt exemptioBoordBuilde/s tnrs {orcef ull o effectthotwiththeerrlfymyregi strotion wil.055 beI rhisInnerh701onusadRSondorewhoondthotsubcontroctorsemployeesrcmplioonlyheron, Eoris for Builder's Boord exemption: NAME (pleqse pri FOR, OFFICE USE ONtY zoru F= \ Type/Const. - Units - 5q' Ftg' Main x Yolue 1-Volue 1-Volue Fire Zone-Bedrooms Occy Lood Sq. Ftg. Access -fll -o-oIOTAT VATUATION Ftg. Olher - Flood Plqin Stories-OccY GrouP Sy:tems Developmeni Chorgg (1.59/q[_---Plon Ck. Comm/lnd 6596lBldg Per Fee Plon Ck. Re: 309./0/ Bldg Per Fee BUILDING PERMIT -:oChorges ond Surchorge: Fence Totol Comb. PermitDemo PIUMBING PERMIT Chorges ond Surchorges .-o Sidewqlk A/C Povinc Chorger ond Surchorges ICAI PERMIT .-c Curb Cut MECHANICAT PERMIT Chorger ond Surchorger oc) $o /5. TOTAI./5,-e 0- ")rt ^lluv n J7E 73 Construciion Lender Nr) A.dditionol Proiec lnformotion: nome signoture dote PLANS REVIEWED BY: F. Building permit informorion:l. exomple-construct single fomily house with on ottoch Eoroge2. exompie-remodel existing goroge into fomily room3. 6fomile-convert single fomily risidence into Ei6u?Ent (chonge o1 use) G. Volue of work os defined in Section 303 (a) of theStructurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction delovs, Building DivisicStoff must be oble to contoct oppropriote persons regodesign informction or iob site corrections, etc. CITY OF SPRINGFIETD Ciry Holt ,.r^- -tlt'ntfield, oregon ""L';H?,'^T I,.H,X;*. PERMIT VALIDATION No. B t9 Co . 6<; I ( ( ( t),.55948 { (l ,d r\,l ll. Abbrevioteci Plumbing, Mechonicol & Electricol Schedules A. Except where blonk spoces occur in the description porof the Mechonicol ond Electricol Schedules, rhe oppiicc need. fill-in only the No. Boxes odiocent to the oppropr item(s) to be instolled B. Full Plumbing, Mechoniccl, ond Electricol Schedulesqre ovoiloble ot lhe Building DivisionI. To conserve spoce on the permii form the schedule hove been obbrevioted 2. lf the item(s) to be insrolled ore not covered on the oted schedules you shouicj consult the full schedulr C. BUILDING DIVISION STAFF WILL FILL OUT AtL FEES A CHARGES ON THE SCHEDULES lll. Applicont to sign ond dore Whenever possible, the initiol opplicotion will be used o workshee, oniy. Where possible, Building Division Stoff prepore o typewritten copy ond return it to the opplicor the time the octuol permit is issued for his signotuie. lV. Fees ond Chorges PIon check fees ore due ond poyoble ot the time of the ond no plons will be processed until these fees ore poi< other fees ond chorges ore due ond poyoble when ihe is issued. V. FOR OFFICE USE ONLY JO, tt EY ( ( -4mo unl Recei ved ELTON.TURIBU!L bct AUIH oRtzEO SIGiATU t5, tRE-r PROJECT CONDITIONS TO BE SATISF|ED BEFORE OCCLirn,r-,. \(. coMBINATION AppLtcATtoN/pERMlr (CAp) l. Appliconf. to furnish A. Job Address B. Legol Descriprionl. exomple-lox-lot.lOp,^Lole.Counry Mop Reference I7 03 43 - 2. exomple-Lor l. Block 3, 2nd Addirion ro Springfield EstoresC. Nome, etc. of owner ond construction lenderD. Energy SourcesI. exomple-heot/'electricol ceiling,ror forced oir gos2.exomEle-woterTeo-IEiTEIErric-icot,ro6 jff E. Squore footoge o. rolrotioi-lt.-l. exomple-l 250 sq. foot house, 500 sq. foor goroge2. #-iTIEw projecr, .i.,".[ n.*-ii "Jairi"., j.,..t iodd, elc. (' I (