HomeMy WebLinkAboutPermit Building 1980-12-22--
a;
rNsPEciloil UNE
726.3769 CITY OF SPRINGfTEID
co^tEtNATtoN AppucArtoN/pEnttr lNfOIlAATtOtra ttNE
72G3753
454 North 35th Pl ace3l
17 02 21 24 Tr 77400 Water Heoter
Heot
1
Jess R. Broo s
PaAofMi volue of work: f 1'pgpl aCe
36 ,999. 00 -Fence_Demo_Chonge/
U rc
IRA
-Other
Frg. Orher
Sq. ftg. Accesr.
Sg. Ftg. Moin
Add,e,s P,0. Box 116 p6o," 747-5009 Building Permir lnfo:Describe Work (i.e.,Single
e'ld 97 477r10reon S.F"RES.. at t gar
Address Phone
COo
Nf\)o
DESIGN TEAM (nome)(oddrers)(lics.no.)
Owner
Slructurol
Electrico I
lilecho
116 Rq ?7 1 -6-R1 747 -50nqGenerol ,lP q s R- Brooks P0 Rnv
Contraet P'lumbing 2038 N 2nd Street 6-28-81Plumbinq22779 746-0220
Eleoricor DaVeS EleCtfiC Main Street 2-27-8126544 746-56404015
Mechonicol Marshal I s Heatinq 4131 E Street ?57qO 747 -74451?-20-81
PTUMBING ETECTRICAT MECHANIC,AT
NO.FEE CHARGE NO.FEE CHARGE NO.rEE ChARGT
Eoch single fixture 1
*ffintt "' .o. rr.15. 00 furnoce/burner lo
-BTIJ':
Relocoted building
(new fix. oddilionol)
New circuits, olterotions
or extensions
Applionce vent
seporote
x S.F. Residence
(l both)2s. 00 SERVTCES
Slolionory evop.
cooler
Duplex (l bolh) eoch 1 Temporory Construclion 10.00 3 Vent fon with
single duct ]. 00 9. 00
1 Additionol borh 10.00 Amps.
Vent 3yslem oport from
heoling or A.C.
Woter service 1
Mechqnicol exhoust
hood ond duct 4. 50
1 Sewer 10.00 Wood slove/heoter
Storm Scwer FEEDERS Hcot Pump
Amps.
Air hondlcr to
10.m0 cFA{
Air hondlcr over
r0,000 cFA,r
ISSUANCE OF PERMIT 10. OO
TOTAT CHARGES 45. 00 TOTAI CHARGES 25-OO TOTAT CHARGES 23. 50
wHEnE SIATE lAw REQUIRES thot th. Eloctriccl work be donc by rhc Elecrilcol Conlroctor, the oharicol poaion of thir pcrmir :hotl not bc volid uatil olobcl hor bren signcd by on Elcoricol Cortroctor and onochod to tbr chcricol ponel.
I HAVE CAREFULLY EXAMINED the completed opplicotion for permit, ond do hareby certify thol oll informotion hereon is true ond correct, ond I furthercortify thot ony ond oll work performed sholl be done in octordonce with the Ordinonces of the City of Springfield ond the Lows of the Stote of Oregonpertoining to lhe work described herin, ond thot NO OCCUPAN'CY will be mode of ony slructure without the permission of the Building Division. lfurther
certlfy thot my registrotion with rhe Builder's Boord is in full force ond effect os required by ORS 701.055, thot if exempt the bosis for exemption is noted
heron, ond thot only subconlroctors ond employees who qre in complionce wirh ORS 701.055 will be used on this proiect.
NAA{E (pleose prinl) SIGNAIURE DATE
,Y
Bosis for Euilder's Boord exemplion;
FOR OTFICE USE
910Type/Const.4W
B:3
36,899.00TOTAT VATUATION
xFire
Group
Lood Sq. Ftg. Acccrs
Zone
Flood Ploin
Sq. Ftg. ,r{sin
Sq. Ftg. Other--1-fqlgs
Plon Ck. Comm/lnd
6596/Bldq Pa. tee (1 .50/"1
DevelopmeniSritomt
Choroe 553.49
BUII.DING PERMII
Chorges ond
Surchorges
148. 00
5.92 Plon Ck. Res
3o%/Bldg Per Fe6 40.80 PD REC#Pl an Check Due 3. 60
Fence
55328 Elect Label Teml .20
Totol Comb. Permit 267.96
PTU'NBING PERMIT
Chorges ond
Surchorgcs
45. 00----r30-
Demo
5. 00Sidewolk 20'
ETECTRICAL PERMIT
Chorges ond
Surchorges
25. 00---T-. oo--A/C Povinq
11 .80Curb Cut 18'
MECHANICAT PERMIT
Chorges ond
Surchorges
23. 50
34-IOIAT 825.25
II
{
A/\
CIT Y OF SPRINGFIELD ?
COMBINATION APPLICATION/PERMIT (CAP)
l. Applicont to furnish
l. '.toU Address
B. Legol DescriPtion
i.-el"-pf":tox lot I00, Lone Counlv M:Ol:l:ltl:i
2. exodG-Lot l. Block 3, 2nd Addition to SPrrngtrer'
C, No-., "r. of owner ond construction lender
D. Energy Sources-- i. =iJ-ple'heot/electricol leiling/o.r forc-ed oir gos
2. exfiFE-woter heoteri 9!SgI!9lior solor
CirY Holl
'"Hlli,tiii '-'*""1r-' -r A 4
(
No. B 554'i0 ,
{
r"19
r'l
rlE. sq
l..2.
is issued.
.FOR OFFICE USE ONLY
PTANS REVIEWED BY:
uore foologe or voluotion, elc.
exom I 250
new proiecl,
sq.foot house,500 sq.
new-ifexocheck
o , elc.
foot goroge
oddition, chet ?C
e
-(
J b:
60 (
F. Building Permit informolion:
i. .-"iirf.-construct single fomily house with on otto( e
9qroge
Z. !r.o.-pt"'remodel existing goroge into fomily room
3. exom-Fle-convert single fo.mily residence inlo
iEGuront (chonge of use)
G. Volue of work os defined in Section 303 (o) of the
Structurol SpecioltY Code
H. DESIGN TEAM AND CONTRACTORS
--.--Toovoiddesignor'conslrUcliondeloys,BuildingDivisiot
Stoff must be oble to contoct oppropriote Persons regor
desigh informotion or iob site correclions' etc'
ll. Abbrevioted Plumbing, Mechonicol & Electricol Sc'hedules
A. Except where blonk spoces occur^in the description porlir
oftheMechonicolondElectricolschedules,theopp|icont
need fill-in only the No. Boxes odiocent to the opproprio
item(s) to be instolled
B. Full Plumbing, Mechonicol, ond Electricol Schedules
ore ovoiloble ot the Building Division
I. To conserve spoce on thJpermit form the schedules
hove been obbrevioted
2. lf rhe item(J to be instolled ore not covered on the obl:'.
"t.a ,.huiri., 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 initio.l oppliralion will be used os o
*ortrt""r tnty. wi,u." possible, 'Building Division sroff will
prepore o typewritten coPy ond relurn it to the opplicont ot
ih"'li-. the octuol permit is issued for his signoture'
lV" Fees ond Chorges
Plon check fees ore due ond poyoble ot the time of the-opplicotion'
onJ ,ro plons will Le pro.e,,ed until lhese {ees ore poid' All
-
oth"t felt ond chorges ore due ond poyoble when the permif
q?
'44
/,o
I
.n€
O{*) t aO
a o
.>a
(
(
a3,sg
&
a
(i-
SHE!TOi'TUFilEULL PRI{'EFS EU6ENE OR 97'OI
{
l-- ,J{
V.Permit Clerk
nome signoturb dote 12-15-80
/,
(