HomeMy WebLinkAboutPermit Building 1982-1-21
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INSPECTION LINE
726-3769
.
CITY Of SPRINGfiElD
COMBINATION APPLlCATlON/pERMIT
.
INfORMATION LINE
726-3753
Owner
Nicolai Comll-anv
1117 South "A" St.t:.eJ~J
Sori ng.fktd. OR
phone
[26=.197_1
$162,000.00
Building Permit Info: Describe Work ,Le., Build Single
Fomily Rosidonce With Attached Garage)
Sq. Ftg. Main 1 b . UUU
Sq. Fig. Access.
Sq. Ftg. Other
_New_Add_Alter_Rep.
_Fence_Demo_Changel Use
_Other
co
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legal Description
1117 South "A"
17-03-35-41
ENERGY SOURCES:
Street" Sori,ngfj,eld,_( R.at
T. L. 08000 :::: Heater
Value of Work:
Job Address
Address
Wa,t:ehous"
Construction lender
Address
Phone
DESIGN TEAM
(name)
(oddress)
(lics. no.)
(expires)
(phone no.)
Pdma,y Auqust Construction Comoanv
Su"<I",al John Herri ck
30002
485-6961
342-7256
485-0922
Electrical RlJilrlpY'c:. Flpr+Y';r
Mechonical
CONTRACTORS (nome)
G.n"al Auqust Construction Comoanv
(address)
(ljcs. no.)
(expires)
(phone noJ
loon?
4R~-nOfi'
Plumbinq
Electrical N i CO 1 a ;
Mechanical
PLUMBING
ELECTRICAL
MECHANICAL
NO
FEE CHARGE NO.
FEE CHARGE NO.
FEE CHARGE
Each sinRle fixture
Relocated building
(new fix. additionol)
S.F. Residence
(1 bath)
1
~',. ft.
New circuits, alterations
or extensions
10,00
furnace/burner to
Il,TU's
Appliance vent
separate
Stationary evap.
cooler
Vent fan with
single duct
Vent system "apart from
heatil"'R or A.C.
Mechonical exhaust
hood and duct
Residence of
SERVICES
Duplex (l bath) each
Temporary Construction
Additional bath
Amps.
Water service
Sewer
Wood stove/heoter
1
FEEDERS
Ampo, 100
10.00
Heat Pum!)
Air hondler to
10.000 CFM
Air handler over
10,000 CFM
Storm Sewer
ISSUANCE OF PERMIT
TOT AL CHARGES
TOTAL CHARGES
20.00 TOTAL CHARGES
WHERE STATE LAW REQUIRES that the Eledrica) work be done by the Electrical Contractor, the electrical portion of this permit shall not be valid until a
lab.1 has b..n signed by an Electrical Contractor and attached to the electrical panel.
I' HAVE CAREFULLY EXAMIN.ED the completed application for permit, and do hereby certify that all information hereon is true and correct, and I further
certify that any and 011 work performed shall be done in accordance with the Ordinances of the City of Springfield and the laws of the State of Oregon
peltaining to the work described herin, and that NO OCCUPANCY will be- made of any structure without the permission of the Building .Division. I further
a,ltlfY that my registration with- the Builder's Board is in full force and effect as required by ORS 7(J01.055 that if exempt the basis for exemption is noted
h,8'0n, and thot only subcontractors and employees who are in compliance WithC11.055 will be this project.
Buh for Builder's Board exemption" / /
N>.ME (pr.ao. pdn,;j:1"d "" -p (/ N 1: ~ /J SIGNATU ~ . IA-A ~- DATE -'/1JJfj L-
1
hnc
lire Zone
nood Plain
M 3
Typ.!Can",--Il I -N
Bedrooms
'tori-'
Units
/"'Itcy Load
-r"Iccy Group_l-I1
fOR OFfiCE USE ONLY
Sq, Ftg, Mo;nt~QO_O
x
Val". ~$162..DOO 00
,~. Ftg. Access
Sq. Ftg. Other
x Value
x Value
TOTAL VALUATION $162.000,00
BUILDING PERMIT
Charges and
Surcharges
$380.00
--------
15.20
Plan Ck. Comm/lnd
65%1 Bid!:! Per Fee
Plan Ck. Res
30%/BldA Per Fee
Systems Development
$247.00 Pd l-lS-<:ham.(L5%'
82 #B57878
L2.4]n_nn
PLUMBING PERMIT
Charges and
Surcharges
Fence
Demo
Total Comb. Permit
41" r:n
ELECTRICAL PERMIT
Charges and
" Surcharges
20.00
_80
Sidewalk
AIC Pavinfl
MECHANICAL PERMIT
Charges and
Surcharges
Curb Cut
TOTAL
$
2,846.0C
COMBINATION APPLlC~TION/PE.- (CAP)
r -
.~~RMI; VALlDATI~(N
.-.,('-.^ ~...
'/
I. Applicant to furnish
A Job Address
B. legal Description
I, exomple-lox 101 100, Lane County Map Reference 17 03 43
2, example-Lot L Block 3, 2nd Addition to Springfield Estates
C. Name, etc. of owner and construction lender
D. Energy Sources
1. example-heat/electrical ceiling/or forced air qas
2. examp.le-water heater/electrical/or solar
E. Square footage or valuation, etc.
1, example-l 250 sq, foot house, 500 sq, foot garage
2. example-if new project, check new-if addition, check
add, etc.
F. Building permit information:
1. examole-construct single family house with an attached
garage
2. example.remodel existing garage into family room
3. example-convert single family residence into
restaurant (change of use)
G, Value of work os defined in Section 303 (a) of the
Structural Speciolty Code
H, DESIGN TEAM AND CONTRACTORS
To avoid,design' or'construction delays, Building Division
Stdff.fr,,1~t be 'able to cont~ct appropriate persons regarding
! desi9~ information or job site corrections, etc.
II. Abbreviated Plumbing, Mechanib61 & Electrical-Schedules
A. .Ex~ept where blank spaces ~~bur in the description portion
of the Mechanical ana Electrical Schedules, the applicant
." need fill-in only thEi No. B~~'~s adjacent to the appropriate
, item(s) to be insla)led "
" B, Full Plumbing, ti';"hanicC;l, ond Electrical Schedules
are available~t the Building Division . ./. "
/'. '\ .
1. To conse:rve space'on the permit form the schedules
have be''-n 'abbreviated ! .
2, If the jje'in(s) to be installed are nol covered on the abbrevi-
at,l}d'/so~'~dules you should consult the full~ ~che,dules .
C. BUI(DING DIVISION STAFF WILL FILL OUT ALL FEES AND
#'CHARGESON THE SCHEDULES \'
1I.1;9Applicant to sign and date ;': '
.,;,/~ Whenever possible, the initial application will. be' usid as a
:~. worksheet only. Where possible, Building Divisio'1,Staff will
prepare a typewritten copy and return it to the,l.cfpplicant at
the time the actual permit is issued for his si9fJ,ature.
IV. Fees and Charges . ;.( . .
Plan check fees are due ond payabl';:."fThe time of the application,
and no plans will be processE!d until these fees are paid. All
~other fees and charges are due ond.payable when the permit
is issued..-. .." -' ~ '.- -' - ~ .
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V,, Fo"R OFFICE USE Oi'!LY
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t PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
The existina olaner.ccuttina. detail. and finishina daoartmants nf tha olant. whi~h ara 011
under one roof and not seoarated from ona onothar hv an onornl/ad oraa sPoilrotinn "011 _ must
be modified to comply with the followina: 1.5% of the roof area of each bay (from curtafn
board to curtain board) shall be provided with olastic skvliahts havina a fusina temoerat'llre
not to exceed 350 dearees F or thermally activated roof vents.
Additi,onal Project Information:
c,ignaturDo
I}
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PLANS REVIEWED BY:
nam-:- 1),'0 Smith
,
," 'T'r: . , ' , - '
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1-21-8?
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