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Home My WebLink AboutPermit Building 1981-08-10r CIIY OF sPRINGTIELD co^rErNAncN aPPLlcarloN / PEnmlI INTORMAIION TINE 1263753,IION TINE 169 /,lechonicol tl LZ /,,/)/Job Addrerr De rcr i lnfo: Dercribe Work (i.e., Build Single Woter Heoler Volve of Work: e 00 EN ERGY tou*'l/r,-7 Heo I Sq. trg. Other | -Altet/Rep.-New -Add i -Other 5q. Flg. Moin Sq. Ftg. Acceit. - , -Fenca-Demo-Chonge/ Use with A Go t 5r.t Ph"^.?/ [ Z '3a/?ct Owner Addrerr ,o 'rNaa €-Conrtruction Lender m F, UrD -J (PhoneAddre r r ne no.)(expirer)oddrers)(lics. no.)DESIGN IEAM (no m e1 Prim /hrr ltte n5 no me) Mechonicol CONTR Al -/q st,n',2v fr a , r/C a- y') c(p 3c 3 /2s-2.-3 Non< Electrico I NO.FEECHARGE ?TUMEING CI-IARGENOt rza iurnoce/burner lo I Re:icience oi sq. ft.acan rtnole lrxlulQ i ! Applionce vent sepo rq te New <ircuiir, olteroliorr or extenricnl Relocored building (n:w tix. odciilionol) 5lolionorl, evop. coole;SERVICES I I 5.F. Rerrdence (l borh) Temporory Conilruciion I IDuoler ll bothl eocn Vent fqn wirh 3rng ie ducl Vent syslem oporl from heorinq or A.C.Ampr.Aciditionol borh Mechonicol exhou:t hood ond duct\lt/orer !etvi(e Wood :tove/ heoterScwer I I I I Heol PumorEED ERSStorm Se*er I I I Air hondler lo 'r 0,000 cF,rrAmpr.I Air hondler over t0,000 cFAri I ISSUANCE OT PERA{IT WHERE STATE tAW REOUIRES thor thc Eledriccl work ba dcnc by rhe Ele.tri(ol Conlroctor, tha olectricsl portion of thir permit:holl not bc volid until o lobcl ho; bcrn :ignod by on Elecrricol Controctor ond otloched to lhc eledricol ponel. f HAVE CrLREFUtly EXAAINED rhe complered opplicotion for permil, ond do hereby certify thot oll informaiion hereon is ,ruc ond correcl, ond I furthcr Gertify thot ony ond oll work pcrformed sholl bc done in occordsnce with the Ordinoncer of the City of Springfiald qnd the Lows of the Stote of Oregon perroining lo tle work Ccrcribeci herin, ond thot NO OCCUPANCY will be mode of ony:lructure without lho pcrmi$ion of lhe Building Division. I furlhcr eaify rh-ot my regilrrorion with the Builder'r Boord ir in full {orce ond efFert os required by ORS 701.055, thot if e:empt rhe bosir for exemplion is noted heron, ond thor only subconrrqclors ond employees who qre in omplionce wilh ORS 701.055 will be ssld on this proiect' TOIAT CHARGESTOTAI CHARGES /o-8/DAIESIGNATURE a TOTAT CHARGES Bosir {or Buildcr's Eoord eremplion; NA,}{E (pleo:e print) sft*7 FOR OfFICE USE ,Y Unit: -Sq' Ftg' Moin x ----Voluea -Volua x -Volue TOTA! VATUATION Sto rier-OccY GrouP \Eo.oomr ccy lood Flcod Ploin Fire Zone-Sq- Fto- Access Sq. Ftg. Other- Systcmr Development Chorqe (1.596) Plon Ck. Com-/lnd 65",L1 Bldo Pe( Fee Plon Ck. Res 3096/8ldq Per Fee _5BUITDING PERMIT Chorgc: ond Surchorgc r Fence fotol Comb. PermitDemo PIUMBING PERMIT Chorger ond Surchorgcr Sidewoik A/C Povinq Chorger ond Surcho rger L PERMII Cvrb Cut TOTAL MECHANICAI. PERMIT Chorger ond 5urchorger EIECTR ICAT MECHANICAL xU JD i - (fC I I coMElNAT|ON ApPUCATION, pERMIT (CAp) l. Applicont to furnish A. Job Address 6. Legol DescriptionI. exomole-rox lot ,l00, Lone County Mop Referen, 2. eEffire-[ot I. Block 3, 2nd Addition ro Springfit C. Nome, etc. of owner ond construction lender D. Energy Sources I. exomole-heot/electricol ceiling/or forced oir go: 2. eEEEE-* o te r IEJ6r,EGiT r-iEo t,,' o'-ElE7- E. Squore footoge or voluotion, etc. l. exomole-l 250 sq. foot house, 500 sq. foot gorog 2. exomiG-iIiiw proieo, checkiEi-ii oddition, c'i odd, etc. F. Building permit informorion: l. exomole-construc, single fomily house with on o goroge 2. exomole-remodel existing goroge inlo fomily rot 3. ;xo;;l-e-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 construclion cieloys, Building Div Sloff must be oble lo contocl oppropriote persons r€ design informotion or iob site corrections, etc. ll. Abbrevioted Plumbing, Mechonicol & Elecrricol Schedul A. Excepr where blcnk spoces occur in fhe description 1. of the Ai\echonicol ond Electricol Schedules, the oppi need fill-in only the No. Boxes odiccent to the opprr item(s) to be insrolled B. Full Plumbing, Mechonicol, ond Electricol Schedules ore ovoiloble ot the Building Division I. To conserve spoce on the permit form the schedu hove been obbrevioted 2. lf the item(s) to be instolled ore not ccvered on tl. oted schedules 7ou should consull the full schedr C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES, CHARGES ON THE SCHEDULES lll. Applicont to sign onci dote Whenever possible, the iniriol opplicotion will be used 'worksheet only. Where possible, Building Division Stof{ prepore o typewritten copy ond return it to the opplico lhe time the octuol permit is issued for his signoture. PERMIT VATIDATION CITY OF SPRINGFIELD City Holl Springfield, Oregon Deporlment of Public Works OFFICIAL RECEIPT 17 dF ( No. B 57041 Received For: ()O ( ( Amounl Received 6Y lV. Fees ond Chorges l- Plon check fees ore due ond poyoble ol the time of the opplicolion, ond no plon: will be processed until these fees ore poid. All other fees ond chorger ore due ond poyoble when the permit is issued. V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: AUIHO D SIGNAIURE sxElron.ruiiault pFrnt€Rs - €uGENE Oi 9r.Or !attr.a Permit Cterk ( Additionol Proiect lnformofion: -//-y/ PTANS REVIEWED BY: nome signolure dote v7*//. a ( ( tn , ( t ?[- n CITY OF SPRINGFIELD COMEINAIICN APPTICATION / PERMII INTORMAIION TINE 72e3f53INSPECIION TINE 77C376i ISSUANCE OF PERIAII TOTAT CHARGES WHERE STAIE IAW REOUIRES that thG Elcctriral work bs donc by the Elerlrical Contrqctor, lhc cleclricol portion of this permit rhsll not bc volid ualil o lobel hor bccn rigned by on Electricol ConrrsGlor cnd ottochad to thc clectricol ponel' I HAVE CA,REFULLY EXAT tNED the compleied opplicotion for permit, ond do hareby cerrify rhot. oll informolion heron is lruc snd Gorrect, ond I further certify thor ony ond ott *orr p.'.formei sholl bc done in occordonca with rhc Ordinonces of lhe City of Springfield ond lhe Lswr of th? Slote of Oregon perroining lo rie *ork ccrcribe<i herin. ond rhol No occupANcy will be mode of ony structure wirhoul lha permission of rhe Building Division. I furlher ertify thot my regisrrorion with rhe Builder,r Boord ir in full force ond eftect os required by oRS 701.055, lhol if exempt the bo:is for cxemption ir noled heror, ond rhot only lubconrroctors ond empioyee: who ore in ompliono with oRS 701'055 will be used on lhis proiect' Eosir for Builder'r Eoord ercmplion:sftT /o-g/ NAr\{E (pleorc print)SIGNATURE OA Zone f ype/Const. -Units Ftg. lloin Fire Zone-Ecdroomr occy Lood 5q' ftg' Accerr-So. , Volue x -Voluc Flood Plqin -Storie Group_sq. FtE. o*er-;.r^,' r^,r#;; LZ /,,1;/Job Addre:r Dercri , ll Volue of Work: [2r3$o r( (lics. no.)(expirer) J OO rht o, <-lruc Phone no.)(odd ress)(nome) Bui t + Sq. Frg. Orh"r --Nw4ep Pho^.7 ,10 '0( f f-t Deroiba Wort (i.e., Suild 5in9lc Wo ter Heorer EN€R6Y Heo t - -tencc--Demo-Chongcf ure 0wner Addrerr t ln(o: Addrerr DESIGN TEAI'{ SOURCES:, <:-l ? 5q- f t9. Moin Mechoni<ol 3c a Y7r',2v37nelol - t- /"nPlumbio Electricol FEENO.CHARGENO PTUMBING CHARGEl:: furnocel'burnar lo 3 Residence oi ft.lc fixtureEOCN ,l l,{e.honicol ,\^ECHAN ICALETECTR ICAt FEE Applionce vent te New circuit:, olteroliorrs or extenrion:Relocoted builciing n:w iix. odciilionol)Stotionor'y evop coolerSERVICES S.F. ?eldence I both)Vent fcn with 3l ductCo nclruclionTI borh) eochDuoler Vent iyslem oporl from orAAciditionoi borh l'{echonicol exhqv:l hoodWol"i tcrvi(" Sewcr HeotT EED ERS55cwer I Air honciler ro Air hqndler over t CFM TOTAT CHARGESIOTAI CHARGES FOR OF'ICE USE SyJtemi Development Chorqo ( I .51'")_5 Plon Ck. Comm/lndCO Per Fee Plon Cl. Res Per Fee309',o BUILDING PERMIT Chorgcr ond Surchorgc r Demo Totol Comb. Permit PI,UMBING PERMIT Chorger ond 5urchorge r ELECTRICAI PERMII SidewoikChorger ond Surchorger TOTAI ,tAECHANICAI, PER.IAIT Chor-oer ond 5vrchorger Curb Cut 5 JD -New _Add coME'NAilON Appl,cAiloNz pEi-MtT (CAp) l. ApplicorU. ro furnish A. Job Addresr B. Legol DescriptionI. exomole-tox lot 100. Lone County Mop Referen, - 1: "@-Lor I. Btock 3, 2^d AjJi;on to SpringfirC. Nome, etc. of owner ond construction lenderD. Energy Sources PERMIT VALIDATTON 77 CITY OF SPRINGFIEID Ciry Hoil Springfield, Oregon Deporlment of public Works OFFICIAT RECE!PT (l. exomole-h."t/"J=jji.gl_sgjlilg /or forced oir so:z. exo m o I e-wo ter heo ter, electriio l,,,orJ6iEr-.- l. =-PF'.!,259 rs. foot ho.use, 500 sq. foor sorosz. exo.mpte-rt new proiect, check new-if oddition, clodd, erc. No. B 5704L t9 FF. Building permit informotion:l. exomole-construct single fomily house with on ogoroge 2. exomole-remodel existing goroge into forriily ror3. ilEmFie-converr single fi.;ily residence into' restouront (chonge of use) G. Volue of work os defined in Section 303 (o) of theStructurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS' To ovoid design or construction deloys, Building DivStoff must be obte ,o contoct opf.opriote persons r(design informolion or iob site corrections, etc. ll. Abbreviored Plumbing, Mechonicol & Elecrricol SchedulA. Except where blcnk spoces occur in the description 1. of the Mechonicol ond Electricol Schedules, th; ";pineed fill-in only the No. Boxes odiccent to fhe opprritem(s) ro be instolled B. Full Plumbing, Mechonicol, ond Electricol Schedulesore ovoiloble ot rhe Building DivisionI. To conserve spoce on the permit form the schedu hove been obbrevioled2. lf the irem(s) to be instolled ore not ccvered on tl. oted schedules you should consult the full schedr.C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES , CHARGES ON THE SCHEDULES lll. Appliconr to sign oncj dote Whenever possible. the iniiiol opplicotion will be used ,worksheet only. Where possible, 'Building Division Stoffprepore o typewritten copy ond return it to the opplicothe time the octuol permit is issued for his signotule. Received For: ( ( 1n (.. CO , ( ( Amount Received EY IGNAIUREsHaLloN.tuRr!u!L pRtNtEhS EUGaNE OR erao! !85!t.a Permit Clerk (. lV. Fees ond Chorges l- Plon check fees ore due ond poyoble ot the time of the opplicotion,ond no plons will be processed until these fees ore poid. ellother fees ond chorges ore due ond poyoble when ihe permitis issued. V. FOR OFFICE USE ONTY PROJECT CONDTTIONS TO 8E SATISFIED BEFORE OCCUPANCY: Additionol Proiect lnformotion: nome signolure dole PTANS REVIEWED BY a (. ( ( INSPECTION TINE 726-3769 CtTY OT SPRINGf IETD COMBINAIICN APPI'ICATION / PERMIT INFORMATION tINE 72('3753 ZZ flal /,,1;/ tl f l,,t Pr"^.\'/ [ Z 33(?ctAddrers ire s)(lics. no.)(nome)(oddress) -? nder Phone (phone o ENERGY 50U *'77r --7Heot Sq. trg. Orhe, -Alter/Rep.-New'--Add 5 <.-,1 Info: Dercribe Work (i.e.,Build 5in9lc Ro e Woter Heoler Volue of Work: 5q. t19. Moin Sq. Ftg. Accesr. Legol Description Addrerr DESIGN TEAM Addre rr Conr With Attoched 00-,+ - -tence-Demo-ChongclUre r ,/cPrimo Structurol NTRACTORS (nome)dd li cs. 3? 3 Y7t'2v37 tl/o ",--Plumbi Electricol FEE i CHARGF LI /,1e<honicol ,YIECHANlCALETECTRICAT FEE CHARGE PLUMBING CIIARGE NO.tia iurnocel'burner io --BTU'S Re:idence oi -- rq. ft.Eoch rinqle fixlure i I Applionce vent se po.o te New cirsuils, olterotiorrs or exiensions Relocored builciing (new fix. odciitionol) Stolionory evop, coole;SERVICES I I S.F. Rerrdenge (l both) Vent fgn with sinqie ductTemporory ConrlruclionDuoler ll both) eoch I I Vent system oporl from heotinq or A.C.Amps.Aciditionol borh Mechonical exhoust hood ond ductWoter lervice Wood stove/ heoterSewer I I Heot PumpFE ED ER5Stor.m Sewer Air hondler to I0,000 crAiAmpr. Air hondler over 10,000 cFM ISSUANCE OF PERIAII WHERE SIAIE tAW REAUIRES rhot thc Electricol work ba done by the Ele'rricql Conlrocror, tha electricol portion of lhis permit sholl not be valid unlil o lobal hqr been :ignod by on Elecfricol Conlrocto? ond ottoched to tha olectricol ponel' IHAVE CAREfULLy EXAMTNED the compleied opplicotion for permil, ond do hereby <erlify thot oll informotion hereon is true ond correct, ond I further €ertify thor ony ond oll work p".for-ej sholl ba done in occordonce with the Ordinonces of lhe City of Springfield ond the Lows of lhe Siote of Oregon pertoining ro rire work Cc:criberi herin, ond thot NO OCCUPANCY will be mode of ony slructure without lhe permirsion of tha Building Division. lfurther certify th-ot my regi:trorion with the Builder,s Boord is in full force ond effect os required by ORS 701.055, thol if exempt the bosis for exemption is nohd heron, ond thot only subonrrqctors ond employeer who ore in omplionce wifh ORS 701'055 will be usd on this proiect' TOTAI. CHARGESTOTAT CHARGESIOTAI. CHARGES /o-g/SIGNATURE OA Bosir for Builder': Boord exempiion: NAAE (pleose print) sft*7 FOR OfFICE USE tY FlcodPloin-5torier-OccyGroup-Sq.ft9.other- x ----Volue1--Volug a -Volgg Fire TOTAI YATUATION ls _--Sq. Ftg. Moin Bedroomr occy lood Sq. ttg. Accesr Zone -Typ./ Co.rt. Plon Ck, Comm/lnd 65%/Bldo Per Fee Chorqe (l Sy:tems Development Plon Ck. Res 309'"i Bldq Per Fee _5BUITDING PERMIT (fO Chorges ond Surchorger Fence Torql Comb. PermilDemo SidewoikChorger ond Surchorger ETECTRICAI PERMII A/C Povinq Curb Cut JD I5TOTAT MECHANICAI. PERMIT Chorqe: ond Surchorges ( I PI.UMBING PERMIT Chorges ond Surchorge r ' CoMBINAT|ON AppLtcATtoN/pERMtT (CAp) l. Applicoru ro furnish A. Job Address B. Legol Description l. exomple-rox lot .l00, Lone County Mop Reference .l 7 03 432. exompie-Lor l. Block 3,2nd Addition to springfierd EsroresC. Nome, etc. of owner ond construction lender D. Energy Sources I i::*:l::i;y;"#H#l#.J?l.t#@ E. Squore fooiose or roluotioil!f,]-l. exomple-1250 sq. foot house,500 sq. foot goroge2. exomple-if new proiect, check-new-if oddition, check odd, erc. F. Building permil informotion: I. exomple-construcf single fomily house with on ottoched goroge 2. exomple-remodel existing goroge info fomily room3. exompie-convert single fomily residence into' res?ouront (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 contoc, oppropriole p.rro.r. regording design informotion or iob site correclions, etc. ll. Abbrevioted Plumbing, Mechonicol & Elecrricol Schedulas A. Excepr where blcnk spoces occur in the description porlion. of the Mechonicol ond Electricol Schedules, the oppiicont need fill-in only the No. Boxes od[ocent to the oppropriole item(s) ro be instolled B. Full Plumbing, Mechonicol, ond Electricol Schedules ore ovoiloble ot rhe Building Division I. To conserve spoce on the permit form the schedules .: hove been obbrevioted 2. lf the item(s) to be insrolled ore not covered on the obbrevi-. oted schedules 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. the iniiiol opplicotion will be used os o worksheet only. Where possible, Building Division Stoff will prepore o typewritten copy ond 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 or rhe time of the oppricotion, ond no plons will be processed until these fees ore poid. ,lll other fees ond chorges ore due ond poyoble when the permit is issued. V. FOR OFFICE USE ONLY PERMIT VATIDATION Permit Clerk PROJECT CONDITIONS TO 8E SATISFIED BEFORE OCCUPANCY: Additionol Proiect tnformotion: PTANS REVIEWED BY: nome signoture dole