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Home My WebLink AboutPermit Mechanical 1980-10-24 \ \ - -","':~~':~iv ~.t....,..,h::,.' ~~.~~~~.~~~~.,.~g~.i.\~.~~,:,.~,~~.~,II~:,~~,~.~'14 ~".::.;~ ~:i!,~.~1 ..llll.' _ ::~~~ '~-':':~.\-7":_~ ..'~:": :._~~:'i!!'7'<~~~. "::~,- ...,.,,! 7ll'tLntt -.. .- '..,", ....... m...~. I INSPECTION LINE 72~3769 Job Addren 6082 Main Street 17.02 34 30 Tax Lot 901 CITY Of SPRINGFIElD COMBINATION APPLICATION/PERMIT I ENERGY SOURCES: Heat I Water Heater Range Value of Work: INFORMATION LINE 726-3753 Owner Allen L. Coleman 6082 Main Street 97477 1,000.00 Sq. Ftg. Main Sq. Ftg. Accen. Sq. Ftg. Other _New_Add_Alter_Rep. _Fence_Demo_Change/ Use _Other co o ...... o ...... '-D legal Dlncription Addren Phon. 747-2947 Building Permit Info~- Describ;"W~rk (i.e., Build Single Familv Residence With Attlld,,,d Gr.na.,el Sorinofip.ld. Orpnnn Add p~rtition' ~nd woodsto~o Craft Wood stove UL approved Model fp300 Construction lender Addreu phone DESIGN TEAM (nome) (addreu) (lies. no.) (eJlpires) (phone no.) _ A .~ Primory Structural Electricol Mechonical CONTRACTORS (nome) (address) (Jju. no.) (eJlDires) (ohone no,) General Zi ebart Des ion and Construrti.DlL-4'i4 North ?l't <;t,.""t 1n11l1 74h_n?':;1 Plumbing Electrical Owner Mechanical PLUMBING ELECTRICAL MECHANICAL NO, FEE CHARGE NO. FEE CHARGE NO. FEE CHARGE Each sinqle fixture Relocoted building (new fix. additional) S.F. Residence (I bath) 1 sq. ft. New circuih, olterations or extensions 10.00 furnoce/burner to BTU's Appliance vent separate Stationary evap. cooler Vent fan with single duct Vent system apart from heating or A.C. Mechonical eJlhaust hood and duct Residence of SERVICES Duplex (1 both) eoch Temporary Construction Additionol both Amps. Water service Sewer Wood stove/heoter 5.00 Storm Sewer FEEDERS Heat Pump Air handler to 10.000 CFM Air hondler over JO.OOO CFM Amps. ISSUANCE OF PERMIT I I I I 10.00 I I I TOTAL CHARGES TOTAL CHARGES 10.00 TOTAL CHARGES g nn WHERE STATE LAW REQUIRES that the Electrical work be done by the Eledrical Conhadar, the elechical portion of this permit shall not be valid until a label has bHn signed by an Electrical Contrador and anached to the .Iedrical panel. I HAVE CAREFUllY EXAMINED the completed applic:otion for permit, and do hereby certify thot 011 information hereon is true and correct, and I further certify that any and 011 work performed sholl be done in accordance with the Ordinances of the City of Springfield and the laws of the State of Oregon pertaining ta the work described herin, and that NO OCCUPANCY will be made of any structure without the permission of the Building Division. I further cerUfy that my registration with the Builder's Board is in full force and effect a, required by ORS 701.055, that if exempt the basis for exemption is nated hero.4, and that only .subcontractors and employees who ore in compliance with ORS 701.055 will be used on this project. Basis for Builder's Board exemption" NAME (please print) /1//",-"" <If ("A /"'"",Q;lSNATURe_q ~A'l. FOR OFFICE USE ONLY -;;t (' ~_ft-,ML\g(~ Zone Fire Zone Flood Plain K-l Nil NO Type/ Canst Bedrooms C;tori". V-N Ilnits 1 Cq. Ftg. Main Sq. Ftg. Access Sq. Ftg. Other x Value Value Value "ccy Load nccy Group_R-1 x TOTAL VALUATION BUilDING PERMIT Charges and Surcharges 5.00 .20 Plan Ck. Comm/lnd 65%/ BldQ Per Fee Plan Ck. Res 30%/ Sldq Per Fee Systems Development ChartUli f1,5%) PLUMBING PERMIT Charges and Surcharges Fence. Demo I Tatal Comb. Permit 31.20 10.00 Sidewalk I, () 0 . {f'ff..S ,eD .-----.'10-- I . . I. Alc Povina 15.00 I Curb Cut I 3\ ,L\O r ~~..<~c .-----=.60~ I TOTAL ! .. ELECTRICAL PERMIT Charges and Surcharges MECHANICAL PERMIT Charges ond Surcharges ~b~,,~'(', ~ . . ~~1:~__~- ",&", ~ O APPl.CA liON PERMIT (CAP) ''C....DJNA II N I Ap~.(unl 10 fUfnith A. Job Addf(lU B. l(loal Descriprion 1. exomole-Iax 101 100, lane County Map Reference 17 03 43 2, example. Lot 1, Black 3, 2nd Addition to Springfield Estates C. Name, etc. of owner and construction lender. o. Energy Sources .. 1. example-heat/electrical ceiling/or forced air gas 2. example-water~ he.ate.r/electrical/or. solar E{)$,~rEf!.<1?JF:g~9'i/l'!l.uq'!io!lUet5voj 2booH j T 6"!J 1. exomple.1250 sq, 700t house, 500 sq, foot garoge 2. example-if .~ew project, check new-if addition, check add, etc. '. F. Building permit information: 1. example-construct single family h~use witn an attached garage 2. example-remodel existing garage into family room 3. example-convert single family residence into restaurant (change of use) G, Volue of work as defined in Section 303 (0) of the Structurol Specialty Code Ii: 'DESIGN TEAM AND CONTRACTORS ':'. To"avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc. II, Abbrevioted Plumbing, Mechanical & Electrical Schedules A. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the,applicant need fill.in only the No, Boxes adiacentla the appropriate item(s) to be ,installed B, Full Plumbing, Mechanical, and Electrical Schedules are available at th~ Building Division 1. To conserve space on the permit form the schedules have been abbreviated 2. If the item{s) to be installed are not covered on the abbrevi- ated schedules you should consult the full schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES III, Applicant to sign and date Whenever possible, the initial application will be used as a , warksheet only, Where possible, Building Division Staff will prepare a typewritten copy and return it to the applicant at the time the actual permit is issued for his signature. IV, Fees and Charges Plan check fees are due and payable at the time of the application, and na plans will be processed until these fees are paid. All other fees and charges are due and payable when the permit . is issued. V, FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: \ , . Additional Project Information: ('\\) ,;::>-:y ....") n n ......J.---->--.J---...,J PLANS REVIEWED BY, . .,.... ""' '~l . '-'.'-~'" ~ " B " ~ i LJ . PERMIT VAlIDAllON CITY OF SPRINGFIELD City Hall Springfield. Oregon Department of Public Works 13 OFFICIAL RECEIPT \p"\.: L\/\ No. B 54999" e \ )_CY'-\ 19 ~ ' 'd Fra: l \. ~ ~I\ (\' N 0 f\~~(j) ,ress \oD~? ~ \'0f\ \. f\ ' (;) eived For: '- D\C1 ~ \ 0\)()['T 0, . .""0 ::J ,LJU U--111 ,'LO'~ ~ \ f) C;() 19(j .Ll()~ f L (Y)~ ~ p" ,f} () " \ '::-J,CU . (00- \ \ \(:1'J.:'\ l.{Y' 0 '- flU]] ~ << lOunt Received. ~ \ ~ ) 'ffi(~ '( ...UTO...TU.....UU ....'..fI... . ~UQ~"~ O. .'.0' ...... l "'UTMOlIIlZIO SIGM",TUIIII ~ Permit Clery " name TOM SflE~1I30~ --, '--' signatur: .. _ 7c'?l"- 7(0 ,:-d"'__u;,J~ dot.... 10-24-80