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HomeMy WebLinkAboutPermit Building 1982-03-03INSPECIION TTNE 7263769 CITY OF SPRINGTIEID COTIBINAITON APPTICAIlON / PER''III INFORIAAIION UNE 726.3753 orth 181435Job Ro ecENERGY Heot Woler Heoler I Description Sq. Ftg. Moin Sq. Ftg. Acess. -New-Add X Alter-Rep. - OrL:, _._...........=-- nge/ Useah^ Sq. Frg. Other -Fence 7 500.00 Volue of Work: Building Permil lnfo: Fo Describe Work (i.e., Bui ld Single Phone Owner Address nffi coRemodel Le Address Phone lics. no.)ress)DESIGN TEAM (nome) no.)s) Primo nicol John Plumbi Electricol Mechonicol MECHANICAL NO. ETECTRICAT FEE CHARGENO. PTUMBING FEE CHARGE furnoce/burner lo '-BTU'SResidence of --sq. ft.Eoch single fixture 15.00 Applionce vent seporo le2 New circuits, olterotions or extensionsRelocoted building (new fix. oddilionol)Stolionory evop coolerSERVICES S.F. Residence (r borh)Vent fon with single ductTemporory ConslructimDuplex (l both) eoch Vent syslem oport from heoting or A.C.Amps.Additionol both Mechonicol exhqusi hood ond ductWoler rervice Wood stove/heoter Sewer Heot PumpFEEDERSStorm Sewer Air hondler to r0,000 crMAmpr. Air hondler over r0,000 crM 4. 50Extend ducts ISSUANCE OF PERMIT TOTAT CHARGESTOTAT CHARGESTOTAT CHARGES 11?O Plon Ck. Comm/lnd___i_4{. DATETtr-I E-/Lt volidbe untilthisofshollnotelectricolrhepermitConl?octot,portionlheElectricslbaworkdonethctholElectricolbytAwTEIRESREQUSTAWHEREnel.lhe elcctricolto Poo$ochedondConlloclo,on Elaclricalhosbeensignedbylobel EXAMTNED the comPleted oll work performed sholl of ony req uired uelr nd I furtherondolltioinformohennreosIcorrecl,lhotondcertifydoforherebyopPlicotionpermit,YCAREFUTT'HA VE ofStotendLowsthetheofofofrhencethewithOrdinoncesSpringfieldCitytndoneqcordobeondthotonycertify Oregon furtherDisron.Iofsslo n thethewithoutstructure BuildingP€rmrwilbedemondNOthotPANCYoccuheridescribedoworkn,lo thepertqining n notedstsforrhebo701oRsthoifexemptio.055,exemptoeffectbytnforefullondtstheBuiBoordlder'swith,thq t my regi strotioncertlfy rhion 5irh701oRswill.055 used proiectbetnwhoreoqndmplionethotondosubconlroctorsemployeesheron,nly FOR OFFICE USE ONTY slems Development 15. 00 i4.5 Bosis for Builder's Boord exemption: NAlriE (pleose Print) Ftg. Moin Iood Flg. Access Per Plqn Ck. Res Per fee BUITDING PERMIT Chorges ond Surchorges zon C 2 Type/const. V-N Units Fire Zone-Bedrooms occy Flood Ploin NO stori., 1 o""Y , 6. 70 vot," x --Volue x -Volue TOTAT YATUATION, G.orp R2 sq. Ftg. other.-......-_.- Totol Comb. Permit PI.UMBING PERMIT Chorges ond Surcho rges Demo ETECTRICAT PERMIT Chorges ond Surchorges ---$-_-15- Sidewolk TOTAI. $76.44 MECHANICAI. PERMIT Chorges ond S urcho rge s Curb Cut14. 50___t Prrbl i c lRrh qt t llniodor al'l ovces F 12 E, NA( | .50/"\q2R 60 Pd >-17-p.2 #R5Rn7'l Fe nce A/C Pavino -coMBINAT|ON AppUCAT|ON/pE...,rtT (cAp) l. A,pplicont to furnish A. Job Address B. Legol DescriptionI. exomple-tox lot'l 00, Lone County Mop Reference lZ 03 432. exomple-Lot l. Block 3, 2nd Addirion ro Springfield Estores C. Nome, etc. of owner ond construction lender D. Energy Sources l. exomple-heot/electricol ceiling /or forced oir qqs2. exomFle-woter1-eEIETTElE-crricol, or --E. Squore footoge or voluotion, elc,I. exomp!s-1250 sq. foot house, 500 sq. foot goroge2. exomple-if new proiect, check-new-if oddition, check odd, etc. F. Building permit informotion:l. exomple-construct single fomily house with on oltoched goroge 2. exomple-remodel existing goroge into fomily room3. gIg@-convert single fomily 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 p"rron, regording design informolion or iob site corrections, elc. ll. Abbrevioted Plumbing, Mechonicol & Electricol Schedules A. Except where blonk spoces occur in the description portion of the Mechonicol ond Electricol Schedules, rhe oppiicont need fill-in only the No. Boxes odiocent to the oppropriote item(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 obbrevioted 2. lf the item(s) to be instolled ore not covered on the obbrevi- ored sc,hedules you should consult the full schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES lll. Applicont to sign ond dote Whenever possible, rhe initiol opplicotion will be used os o worksheet only. Where possible, Building Division Stoff will prepore o typewritten copy qnd return it to the opplicont ot the time the octuol 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 permit is issued. V. FOR OFFICE USE ONLY PROJECT CONDIIIONS TO BE SATISFIED BEFORE OCCUPANCY: Additional Proiect Informotion: nome signoture dote PTANS REVIEWED BY: PERMIT VATIDATION Permit Clerk fr CITY Of SPRINGfIETD COMBINATION APPTICATION/ PERTAII INFORMAIION I.INE 72(-37s3INSPECIION tINE 7263769 1435 North 1Job Rq ENERGY Heot SOURCES: El ec Wqter Heoler _.--_- De scription Sq. Ftg. Moin -New-Add X Alter-Rep. -Fence-Demo-Chonge/ Use -Other Sq, Ftg. Accer:. Sq. Fig. Othcr 7 500.00 Volue of Work: Building Permit lnfo: Fomil With Atloched Describe Work (i'e., Build Single Address Phone n PhoneAddress (lics. no.)DESIGN TEAM (nome)(phone3s) Primo Electricol Mechoni RS John Eleclricol Mechonicol MECHANICALEI.ECTRICATPTUMBING FEE CHARGECHARGENO.rEECHARGENO.FEENo. furnoce/burner to -BTU'T Residenca of fr.Eoch single lixture Applionce vent sepo rote15. 002 New circuits, olterotionr or extensions Relocqted building (new fix. odditionol) Stotionory evop. coolerSERVICES S,F. Residence (l bolh) Vent fon with single ductTemporory ConslruclionDuplex (l borh) eoch Vent system oport from heoting or A.C.Amps.Additionol both Mechonicol exhoust hood ond ductWoler rervice Wood stove/heolerSewer Heot PumpFEEDERSStorm Sewer Air hqndler to r0,000 cFA{Ampr. Air hondler over r0,000 cFM Extend ducts 4. 50 rssuANcE of PERMTT 10 . 00 TOTAT CHARGES 14.5015. 00TOTAT CHARGESTOTAI. CHARGES WHERE STATE tAw REQUIRES thot the Electricol work be donc by the Electricol Conltoctot, lhe olectricol porlion of lhis permit sholl not bc vslid until o I HAVE CAREFUtty EXAMINED the completed oppticotion for permit, ond do hereby cerlify thot. oll informotion hereon is lrue ond correcl, ond I further certify thot ony ond oll work p.rfor*j sholl be done in qccordonce with the Ordinonces of the City of Springfield ond the Lows of ,he Stote of Oregon p"rt"ini"g to tie work described herin, ond thot NO occUPANcY will be mode of ony structure without the permi:sion of the Building Division. I further ce*lfy th-ot my regisrrotion with the Brilder,r Boord is in full force ond effect os required by ORS 701,055, thot if exempt the boris for exemption is noted he.on, ond rhot o-nly subcontroctors ond employees who ore in complione wirh ORS 701.055 will be used on this proiect' DATESIGNA'F ,L,l A"rtr lobel hos bcen signed by on Elaclricol Conlroclot ond ottoched to the clectricol ponel' Bosis for Builder's Boord exemption: NAME (pleose print) .7" ?QI FOR OFFICE USE ONIY Fire Zone - Eedrooms ---------------OccyFlood Ploin NO Stories-l-OccY x Volue x -Volue TOTAI VATUATION. 't120 , 6.70 vor," $.500--00- $7 .500. 00 Zone r.?Ftg. MoinType/Consr. V-N unirr I sq. 1oo6 1 1 sq.Ftg. Access Grorp B2 Sq. Ftg. oiher--- NA(28.60 pd Syslems Development Chorqe (.l.57o) l-17-82 #858071 BUII-DING PERMIT ___l__4{.Plon Ck. Comm/lnd Per Fee Plon Ck. Res Per Fee30% Chorge: ond Surchorges Fence Totol Comb. PermitDemo PI.UMBING PERMIT Chorges ond Surcho rges Sidewolk A/C Povino Chorges ond Surcho rger ELECTR CAL PERMIT Curb Cut MECHANICAT PERMIT Chorge: ond Surchorger ___t 14. 50 f^ TOTAI. fi7 6 .44 't 7R ( tc nn AN 1 ( ( ( (t il (t (l ( { ( ,i ctrY oF SPRTNGFTELD .City Holl Springfield, Oregon Deportment of Pubtic Works OFFICIAT RECEIPT ilo. B 59144 I9 ec'd \.1 6 Rece ng Amount Rece ived rbrevi-SXaLtot.tutiauLL ptttTEig . EUOEXE. Oi '7aot !a!I.a lll. Applicont to sign ond dote Whenever possible, the initiol opplicotion will be used os q worksheel only. Where possible, Building Division Sroff will prepore o typewritten copy ond relurn it to the oppliconl ot the time the octuol permit is issued for his signoture. lV. Fees ond Chorges Plon check fees ore due ond poyoble ot the time of the opplicolion, ond no plons will be processed unlil these fees ore poid. All other fees ond chorges ore due ond poyoble when the permit is issued. V. FOR OFFICE USE ONLY ( f,., ( 13 \L ( (' ( (e @o rd + )n l" BY ( (A _( l PERMIT VATIDATION Permit Clerk ino.lrcr coNDtnoNs ro BE sATrsFrED BEFoRE occupANCY: Additional Proiect lnformotion: PLANS REVIEWED BY: nome Dan Smi th signolure dote ?- 1 -Q? SIGNATURE ff tttttfcute of @ccupnnrf CITY OF SPRINGFIETD BUITDING DEPARTMENT Tltis Certifcate issued purtuant to the requirement of Section 306 of the Unifonn Building Code certifying that at the time of issuance this structure rsat in conpliance witlt t/te aaious ordinances of tlte City regulating building constructioil 0r use. For the following: Occ. Group F Type Construction V N -Fire Tsns III gt.c-2 Owner of Buildin S P E Federal- Cr. Union 1435 North 18th Street Buildins Add Bldg. Permit 7784 no POST IN A CONSPICUOUS PTACE 1435 Norrh 18th Street