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
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,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
(
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BY
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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