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Home My WebLink AboutPermit Building 1981-10-07INFORMATION TINE 726.3753 INSPECIION TINE 7263769 CITY OF SPRINGTIEID - cottBtN;iloN APPtlcATtol/Prtmr Job RCESIEN aqWoler Heqt Legol DescriPtion Sq. ftg. Access' Sq. Ftg. Other -New X Add-j(Alter-ReP' Fence-Demo-Chonge/ Use -Other5,000.00 Volue of Work: zz aPke'tSden1Gone Permit lnfo:Build SingleDescribe Wo rk (i.e', 67 Phone Address @ o Or @Ol Phone Address ne no.) (lics. no.) DESIGN TEAM Pri MECHANICAL PTUMBING Eoch siL7 ELECTRICAI. NO.CHARGEFEENO.FEE ft5fixture ro teo lte ro tions Residence of Mechonicol Electricol furnoce/burner lo Applionce vent New circuits, or exlansions eoch Sewer Addi tionol both Relocoted building S.F. Residence fix.StolionorY evoP. Vent syslem oPort from Mechonicol exhousl or A.C. hood coole r Yent fon with duct duct heo Conslruclion sERVlcEs FEEDERS Sewer 1 Compressol '----- ISSUANCE OF PERMIT OATE Plon Ck. Comm/lnd 72.8 Fee C ?6onr1. V-'l HR unitt 3191.7 4 HAVE be mode of onY effect os required CHARGESA!TOTCHARGESAtTOTCHARGESALTOT untilvolidnolbashollthisoIparmitclcctricolportiontheConltoclot,ElcclricolthodonebybeworkElectricqllhathorREOUIREStAWrESTA'WHERE th.ponel'clectricolloottochedondContrqctoronElectricalhossignedbeenbylobel ffurtheondcorIrecl,ond5lr uehereoninformotionollthotdondcertifyoherebyforpermit,ofopplicotiontheofLowsStotethe OregonEXAMINEDYcompletedtheondCAREFUTTofSpringfieldofthencesOrdinoCitythwitheoccordoncebelndoneshollDivision.furtherrheBuildiollondperformedworkofnngthotthewithoutPermlslloonystru€turecerlifywillOCCUPANCYNOthqtond I notedsherin,described the sbosi forworktotheiflhot exemption701oRsexemPtnrng.055,perloi byondforefulltstnBuilder'Boordlhewith U lhisonlhqlwill.055 be sed project.my registrolion 701rhORScertlfywhotnrecomplioneondemployeessubcontroctorsthotondonlyhero n, Bosi s for Builder's Boord exemPlion: Developmenl Zone Flood Ploin FOR OFFICE USE SIGNATUREt NAME (pleose Plon Ck. Res Per FeeBUII.DING PERMIT Chorges ond Surchorges r""d 101 Sq. ttg. Access -?r"r-74--Group A? sq. rtg. othet J64'oZ Sq. Ftg. Moin Fire Zone-Bedroom: x Yo lue x Yolue a -Volue TOTAT VATUATION. 2ER OATotol Comb. Permit PI.UMBING PERMIT Chorges ond Surchorges 95.0 3. 80 Demo ELECTRICAL SidewolkChorges ond Surchorges TOTAI. MECHANICAT PERMIT Chorges ond Surchorges 27 .00 Curb Cut $509. 77 Amps.*"-] Air hondler over__l =I I 2.00 16. 00 I 000 15. 00 A/C PcvinaAn 1nR COMBINATION APPLICATION/PERMIT (CAP) l. Applicont ro furnish A. Job Address B. Legol Description 'I . exomple-rox lor I00, Lone County Mop Reference I7 03 43 - 3: "E;itr-Lot r. Bto;i'3);; A;jiion to sprinsfierd EsroresC. Nome, etc. of owner ond construction lenderD. Energy Sources 2 E. sq 2 k F. Building permir informotion:I. exomple-construc, single fomily house with on oilochedgoroge 2. exomple-remodel existing goroge into fomily roomr. exompte-convert single fomily residence intorErEIIdnr (chonge oi ,r.) ' ' G. Volue of workos defined in Section 303 (o) of theStructurol Speciolty CodeH. DESIGN TEAM AND CONTRACTORS To ovoid design or construction deloys, Building DivisionStoff mus, be oble to contocl "pprop.iot" persons regordingdesign informorion or iob siteTJrJcrions, erc. ll. Abbreviored prumbing, Mechonicor & Electricor scheduresA. Except where blonk spoces occur in the description portionof rhe Mechonicol ond Electricol Sii;arf"r, lf,I'.p;iil;;,need fill-in only rhe No. Boxes odiicent t" rf," op.pIopri"r"item(s) to be instolled '- B. Full Plumbing, Mechonicol, ond Electricol Schedulesore ovoiloble ot the Building Divisionl. To conserve spoce on thJpermitlorrn the scheduleshove been obbrevioted2. lf the irem(s) to be instolled ore no, covered on the obbrevi-ored schedules you should consult rhe full-sched;i;"--"C. BUILDING DIVISION STAFF WILL FItL OUT ALt FEES ANDCHARGES ON THE SCHEDULES lll. Appliconr to sign ond dote Whenever possible., rhe initio.l opplicotion will be used os oworksheet only. Where possible, 'illl;i"g Division Sroff willprepore o typewritten copy ond return iito the "pplii"nr "ithe time the ocruol permiii, i.rr"i ioi his signorure. lV. Fees ond Chorges Plon check fees ore due ond poyoble ot the time of the opplicotion,ond no plons will be processed Lntir1h"." tees ore ooid- Ailother fees ond chorses ore due .;J p;t;bt;;; I*iJ,,',,is issued- V. FOR OFFICE USE ONLY PERMIT VAI.IDATION Permit Clerk nome signoture dote -8 PLANS REVIEWED BY CITY OF SPRINGFIETD coMBtNATtoN AppUcATloN / pERMtr INfORMATIOX tINE 72e3r53 SOURCES:lecHeotF ENERGY Woler Ronge o*n,' Gol den ike P Volue of Work: $25,000.00 Sq. Ftg. Moin -New X Add-_IAlter_Rep. -Fence---Demo-Chonge/ U se -Other Sq. Ftg. Access. Sq. frg. Orher Phoneadd.ess 1675 N, lgth Building Permit lnfo: Dercribe Work (i.e., Fqmily Residence With Attoched Goroge) Build Single taurantRemodpl pYictin.r Foc Conslruclion Lender Address Phone @ lJO O) @Ol DESIGN TEAI{(oddress)(lics. no.)(nome) no.) A&A Strucrurol MOf i gt E lectricol Mechqnicql RS Generor Boh i ca Con t Inc.qR8 N 6? Plumbing Electricol Mechonicol PTUMBING ETECTRICAT ATECHANICAL NO FEE CHARGE NO.FEE CHARGE NO.FEE CHARGE L7 Eoch sinqle fixture 5.00 85. 00 Residence of ft. furnoce/burner lo -BTU'S Relocoled building (new fix. odditionol)2 New circuits, olterotions or extentions 15. 00 Applionce vent seporo re S.F. Residence (l bolh)SERVICES Slolionory evop. cooler Temporory Conslruction Vent fon with sinqle ductDuplex (l both) eoch Amps. Vent syslem oport from heoting or A.C.Additionol both 4- 5n? Mechonicol exhousi hood ond ducl 9. 00Woler rervice Wood slove/heoler10.001Sawer Heol PumpFEEDERSStorm Sewer Air hondler to t0,000 cFrAmpr. Air hondler over r0,000 crA x Gas to 4 outlets 2.00 6. 001Compressor rssuANcE oF PERMTT 10 . 00 IOTAT CHARGES ?7 nnTOTAT CIIARGES 15-nOIOTAL CHARGES 95. 00 WHERE STAIE IAW REQUIRES thot lhe Electricol work bo done by tha Elcctricol Conlroctor. the clcctricol portion of thit Permit rholl nof bc volid until o lobel hor bcen signed by on Elcclrico! Conlroclor ond otlqchcd lo the clectricol ponel. .2- .TURE DATE EXAMINED the completed oll work performed sholl by ORS .055 will thot hereoninformotion lruet5 ond ond furlhercorrect,dondofor cerlityherebyYCAREFUtIHA,VE pplicotion permit, erh nce IOrdino lheof of ndo Lowsthe lheof tole5 ofbenedooccordqncelnwithCityngfield Oregonondothotcertify thewithout tSron theof Bui Division.furtherltbedeofslructurethotondOCCUPANCYNOonypermilding ny the work herin,perto i ni ng 701 thot if bothe forlr3 ts noledo.055,exempt exemptiontsBoordf ulltn ondforce effectthewithBuilder's requiredthoterlifymyregisfrolion rhion suledbelnirh701oRs proiect.ond orewhothotondsubcontrociorsemployees 6mPlionc€heron,nly Bosis for Builder's Boord exemplion; FOR OTFICE USE Sq. Fte. Atoin 3191.37 x ---Voluex -----Volucx -Yolue TOTAT VATUATION. A? 10 1 Zone ryp"/conrr. V- 1HR unilt Fire Zone-Bedrooms occY lood ll H liill'-rz;ez- c2 flood Ploin -Stories I OccY GrouP 250 _ 81 Sy:tems Developmonl Choroa (1.5%)72.80 PD Plon Ck. Comm/lnd 6595/ Blds Per Fec Plon Ck, Res 3oo/ol Blds Pet Fee 1 l2_00 4.48 BUITDING PERMIT Chorger ond Surchorges Fence 2qR A6Totol Comb. PermitDemo 95.00 3. 80 PLUMBING PERMIT Chorges ond Surcho rge: Sidewolk A/C Povinq -l_5_0!. 60 ELECTRICAT PERMIT Chorges ond Surchorge: $509.77 TOTAI. MECHANICAL PERMIT Chorges ond Surchorge s 27.00 1 .0R INSPECIION I.tNE 72G3769 rob Addresr 1675 N. l8th lesol Descriptio" 17-03-25 T^ I - 300 Heorer E I gC Gas IollI Idescribed NAME (pleose Curb Cut A coMBlNAT|oN APPLICATION/PERMlr (cAP) l. Applicont to furnish A. Job Address B. tegol DescriPtion l. exomple'tox iot 100' Lone C"YllI Mop Refere'nc3'l-7'0: '^ 2 -;H;i; iii i.'er"tk'g, 2nd Addiiion to Sprinsfield Estol " C. No-., "I- of owner ond construction lender k o , elc. PERMIT VATIDATION CITY OF SPRINGFIELD CirY Holl Springfield, Oregon Deportmenl of Public Works OFFICIAI RECEIPT D. E F J{0. I B 5 i a-17tQ,, -Building Permit informotion: l. exomPle-.on,t'utt 'i'git'fornity house with on ottoched goroge Z. I*"--pf.-remodel existing goroge.inlo fomily room A: ;"di"-.onu"* single fo.mily residence inlo iEli6l?ont (chonge of use) Volue of work os defined in Section 303 (o) of the Slructurol SPecioltY Code DESIGN TEAM AND CONTRACTORS Toovoiddesignorcorrstructiondeloys,BuildingDivision.. Stoff must be oble t" .".t*i "pproptiot" Persons regordin' a.tigi inf"tmotion or iob site corrections' elc' ll. Abbrevioted Plurnbing, Mechonicol & Electricol Schedules"' l. fr."pt where blon'-k spoces occu.r-in the description portion of the Mecho"it"i "iiif"ctricol Schedules' the opplicont need fill-in onllih; N.. Boxes odiocent to the oppropriole item(s) to be instolled B. Full Plumbing, Mechonicol' ond Electricol Schedules-' ";. ovoiloblJ ot the Building Divisio-n I. To conser""'t;;;t ;;iie-permit form the schedules hove been obbrevioted 2. lf the it.-ti-tl'[e'i'ttt"ttta ore nol covered on the obbr-' ot"JrJ'"i;i;;t' should co1ylrhe full schedules C. BUILDING DIVISIOI'I STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES lll. Appliconl to sign ond dote' Whenever possible, the initio.l opplicotion will be used os o worksheet "rly. wt;;; p"ttiut"' buildins Division sl:fj-:ll , oreDore o lypewritten coPy ond return it to the oPPllconl or ii;ii." the octuol p"t-it is issued for his signolure' lV. Fees ond Chorges plon check fees ore due ond poyoble ot the time of the.opplict ;;; ;;;l;"t ,"ilr Lu p.oiettea Lntit these fees ore poid' All . ;;;; i;t ina .h"rg"s ore due ond poyoble when the permit . is issued. V. FOR OFFICE USE ONLY G H dF Add ived f'. Amounl Received & ( ( { ( AUTXORIZEO SIGNATURE sHaLlo('tuI{BULL PellilFs Euoaill ol e"ol +- Permit Clerk ,g PRoJECT coNDtTloNS To BE SAIlsFlED BEFoRE ocCUPANcY: Additionol Prolect lnformolion: PLANS REVIEWED BY: dotesignoturenome-Da 1 0-5- -smi th -1 l.