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Home My WebLink AboutPermit Building 1980-10-30 y _I. CITY OF SPRINGFIELD COMBINATION APPLICATION/PERMIT ErlERGY SOURCES: Heat Hater Heater INFORt1ATION LJNt: 726-3753 Sq. Ftg. r.1a i n 5q. Ftg. Access. ,Sq. Ftg. Other New Add Alter Rep. --Fence Demo Change/Use ,,-Other -- -- .~ ~ Q) -- St., Springfield J:A~Te tI ,':iI ~ OJ). Address Range ValuE of Hark: James Bell .I.;{oo qp 488 d S S. f' 1t:11h 726 59"I,~uilc;inq Permit Info: Gasca e t., pr~ng ~e u"one - .''"''1-amilv Residence I'Jith Descr be Work(i.e., Build Single Attached Garaqe) , Owner. {:,P.E D.4MJt.G.E REf>nJ~. Construction Lender Address R DESIGN TEAt1 (name) Phone (address) (1 ics, no.) (expires) (phone no,~i Primary Structural ; El ectri ca 1 . r1echanical ; CONTRACTORS (name) (address) (1 i cs. no,) (expires) (phone no.) ; Genera 1 ] Excel Construction Co.. 2610 W. 5th. Eugene 10242 9/81 .484-9888 ! Pl umbi nq : El ectri ca 1 i ~1echanical . J. PLUt1B I NG ELECTRICAL MECHANICAL NO. FEE CHARGE. NO. FFF (HARGF NO. FFF (HARGF SQ. FT, furnace/burner to BTU's Each single fixture Residence of Relocated building (new fix. additional) New circuits alts. or extensions Floor furnace and vent S.F. Residence (1 bath) Duplex (1 bath) each IAdditional bath I ~Iater servi ce I Sewer I Storm Sewer I I I I I I I I I I I II ISERVICES I ITempOrary Construction IChange in existing residence Imultifamily, comm. or Industrial 10f amps,l /COMM./IND. FEEDERS I IInstall/alter/relocate I distrib. feeders IOf amps.1 I I I I I I Recessed wall Space heater and vent Appliance vent separate Stati onary evap. cooler I Vent fan wi th sinale duct I Vent system apart heatinq or A.C. Mechanical exhaust hood and duct Wood stove/heater from ISSUANCE OF PFR11IT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES I~HERE STATE L!\11 REQUIRES that tile Electrical work be done by an Electrical Contractor, the electrical portion of this permit shall not be valid until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFULLY EXMlINED the completed application for permit, and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordfnances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPAI~CY will be made of any structure without the permission of the Building Division. I further certify that my registration v,;th the Builder's Board is in full force and effect as required by ORS 701.055, that if ex~mpt the basis for exemption is noted hereon, and that only subcontractors and employees who are in comoliance with OP.S 701.055 will be used on this project. rW.1E(please print) .~4 eX () f VI B~ -(-'('( s S IGilllTURE iJJ1,-,~ ~ k5 ~ FOP. OFFICE USE 6NLY{ DflTE/'o1'36/ 'ff 0 Zone Fire Zone Flood Plain Type/Canst. Bedrooms Stori es Units Occy Load Occy Group Sa. Ftc]. Sq. Ftc]. Sq. Ftg. /1a in Access Other x Value Value Value x x TOTAL VALUATION /.200 tz.O BUILDING PER~1IT Charges and Surcharges ______..Ibf.OO ,-Yt Plan Ck. CommlInd 65%/Blda Per Fee Plan Ck. Res 30%/Bldq Per Fee I Fence I D~mo. ISidewal k I AIC Paving Curb Cut Systems Development Cha rqe (1. 5%). .... PLUf1BING PERMIT Charges and Surcharges I ELECTRICft,L PERrlIT Cha rges and Surc'ha rges . Total Comb. Permit MECHANICAL PERMIT Charges and Surcharges . i sIIJ ;( I 9'g' . l , I?TAL L..<......,.,.....'....lJlllool.l....'I.II....I.......__ III. ... :~- ().--;~ COMBINATION APPLICATION/PERMIT (CAP) I. PERMIT VALIDATION II. Applicant to furnish A. Job Address B. Legal Oescription 1. example- Tax Lot 100, Lane County Map Refer,ence, ,~. 17 03 43 2. example- Lot 1. Block 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- waterheater/electricalior solar E. Square footage or valuation, etc.. 1. example- 1250 sq. foot house, 500 sq. foot garage 2. examp 1 e- if new project, chec k ----new - if add it ion, check add, etc. F. Building permit information: 1. example - construct single family house with an attached garage 2. example - remode.lexisting garage into family room 3. example - convert single family residence into restaurant (change of use) G. Value of work-as defined in Section 303 (a) of the '. :.'Structura 1 Spec i'a 1 ty Code ~ : ~., " ., ',' H. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Buil~ing Division Staff must be able to contact appropriate persons regarding design information or job'site corrections, etc. Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except where blank spaces occur in the descrlption portion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be installed B. Full Plumbing, Mechanical, and Electrical Schedules are available at the 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 abbreviated schedules you should consult the full schedul es C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES D. As noted on the CAP, the label must electrical contractor for signature supervisor. The general contractor to sign the electrical label. Applicant to sign and date Whenever possible, the i,nitial application will be used. as a worksheet only. Where possible, Building Division Staff will prepare a type written copy and return it to the applicant at the time the actual permit is issued for his signature. Fees and Charges Plan check fees are due and payable at the time of the application, and no plans will be processed until these fees are paid. All other fees and charges are due and payable when the permit is issued. ~ f' - .. r "-. -"" be delivered to the by his electrical is not authorized : . . :! IV. . " V. FOR OFFICE USE ONLY Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: .",.~>!.'lt~~...-",:.:.&,. Additional Project Information: . ...;~~ ~:'.~,~' ,~, ;\", . j,J:~i:"':~,:;.., ; <. '" 0 , ,.....>'i.;:,..ul.<<.. . PLANS REVIEWED BY: J/2 date./tJ-30rff) . -1 OJ ~ name signature /.,. ! I I I I I ISSUANCf OF PFR'1IT I TOTAL CHARGES. Contractor, the electrical portion of this permit ahd returned to the Building Division j . 1. INSPECTION LINE . 726-3769 . . Job Address 488 Casoode St., Sprin~field Legal Description .L6T3t..{ EAsl/.9li :;, '2 f;C{), Owner James Bell CITY OF SPRINGFIELD Cm1BHIATION ApPLICATION/PERMIT .E!lERGY SOURCES: Heat t'Jater Heater Range ValuE of>t.Jork: l/~:?J:;O ~-:7' . INFORf1ATION UN!: 726-3753 . Sq. F tg. r.ia in :q.. !"tg. Access. Sq. Ftg. Other . Ne\~ Add Alter.. Rep. : -:-Fence. Demo . Change/Use ..:1 Other- - . .Address 48.8 Cascade '.. . t:Ih 726 59"I,~uilc;jnq Permit Info: Describe Vlork(Le., Build Single SL, Spr~ngf1.elu..one - ''"'l-amily l1esidence \Iith /I.ttached Garaqe) ;::.. /' .:~';:; ~.~ is'/i}~ ~i.~~,_6:. /P~.~ Pr~ /i .::~ . . Constructi on .Lender Address. . DESIGN TEAt1 ~hone (address) (exoires) (ohone no:) (I ics. no.) (name) Primary .. ." Structural Electrica(.. . r1ech~nical CONTRACTORS (name) ('address) (1 i cs. no.) (exoires) (ohone no, ) . General Excel Construction Co.. 2610 W. 5th. Eugene 10242 484-9888 9/81 Plumbinq Electrical ~1echa n i ca I . . PLUlmI NG ELECTRICAL. MECHAN I CAL . . NO.1 FEE I CHARGE NO. . FFF rHARGF NO. Eac~ single fixture Residence of furnace/burner to BTU's SQ. FT. Relocated building (new fix. additional) New. circuits alts. or extens ions. Floor furnace and vent Is.F. Residence (1 bath) I Duplex (1 bath) IAdditional bath ~!ater servi ce I I I /SERVICES I I Recessed wall. , Soace heater.~nd. vent I I I I I I I I I ., I each I I I I I I I I I I I I I I.APPl iance vent seoa rate I Stationary.evap. cooler I Vent fan wi th sinole duct I Vent system apart heating or A.C. Mechanical exhaust hood and duct Wood stove/heater. from Temporary Construction Change in existing. residence Imultifamily, comm. or Industrial Sewer Of amps.. Storm I I I I I I Sewer COMM./JND. FEEDERS. I I I I I I I I I . TOTAL CHARGES I TOTAL CHARGES VlHERE STATE L'l,l~ REQUIRES that tile Electrical work be done by an shall not be val iJ until the label has beeh signed by an Electrical I Install/alter/relocate I" distrib. feeders 10famps.1 I I I I I Electrical Surervisor . . ]j. ~:} ".-- as ~ FFF OiARGF I I I I I I I I I I' I HAVE CAREFULLY EXNlINED the completed application for permit, and do hereby certify that all information hereon is true. and correct, and I further certify that any and a 11 \~ork oerformed sha 11 be done in accordance .~Iith the, Ordi na-nces of the City of Spri n9fi e 1 d and the Laws of the State of Oregon oerta in i ng to the work descri bed herei n, and that NO OCCUPAfKY will be made of any structure without the permission of the Building Division. I further certify that my re9.istration ~Iith the Builder's Boa rd is in fu 11 force a nd effect asrequ i red by ons 701. 055, tha t if ex!;mpt the ba s is for: exempti on is noted hereon, ~nd tha t only subcontractors.and employees who are in comDlian~e.with ORS 701.055 will.be used on this rroject~ rW1E(please print) /14 e.( u (VlB~ -(--e( S SIGiU\TUREm~/l!-trCv .r!S~ FOR OFFICE USE O~LY{ DATE/O!"56//fO Zone Tyoe/ Cons t. Units Sa. Ftg. r1a in. Fire Zone Bedrooms Occy Load Sq. Ftg. Access Flood Plain Stori es Occy Group. Sq. Ftg. Other -'.. x Value x .Value x Value TOT^L .VALUATIONl.-2oo qp BUILDING PER~1IT Charges and Surcharges Plan Ck. CommlInd 65%/Bldq Per Fee Plan Ck. Res 30%/Bldq Per Fee. Fence '.. ~... -~. . -, ". t,'j"..'<".ff Isyste. msDevelopment Cha rqe (1. S%j I I I. I .ITotal Comb. rermit I I TOTAL- w " I/} //0' . ,1..0(1/(5 ,.f /) /i /j _ _ _~ _ _ ~'..:.:'Ll~ y_ PLU~1BING PERMIT Cha rges and Surcha rges Dt;mo I Sidewalk ELECTRICAL PERrHT Charges and Surcharges A/C paving I - MECHANICAL PERMIT Charges and Surcharges Curb Cut. --.-- --~-~-~-I . COMBINAT.ION APPLICAnON/PER~1IT(CAP)'/ Applica~tto fur"ish A. Job' Address B. Legal Description . 1. examp le:. Tax Lot 100, Lane County Map Refer.ence. 17 03 43 , 2. example:" Lot 1. Block J, 2nd Addition to . Springfield Estates .. . ' C. . Name; etc. of owner. arid construction lender . D. Energy Sources .' .. . .1. example- heat/electrical ceilinq/or for,ced air qas. 2. example- w~terheater/electrica~/o~' solar. E. Square footage or valuation, etc. . . . 1. examp le- 1250 sq. foot house ,5005q. foot garage 2. example- if new project, check new - if'addition che'ck add, etc. . .'. , F. Building permit informa'tion: 1~ example - construct. single.f~~ilyhouse with an: attached garage . ., . 2. . example ;-remodelexisting gar:ageinto family room 3. examole - convert single family residence into restaurant (change of use) .: .... .. G. Value or work as defined in Section 303 (a) of the Structural Specialty Code ". " .' H. DES I GN TEA1'l Arm CONTRACTORS To avoid design or construction delays, Building Division Staff~ust be able.to contact appropriate persons regarding design inforrriationorjOb site corrections, etc. II. Abbrev.;ated Plumbing, j.lechanical, &. Electrical: Schedules A. Except where blank spac~s octur.in the description portion of the Mechanical and Electrical Schedules, the appl icant need fill-:in only the No. Boxes adjacent to the appropriate item(s) to be installed B.. Full Plumbing, Mechanical, .and Electrical Schedules are available ~t the Building Divi~ion 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 abbreviated schedules you should consul t the. ful) schedules.. . . .. ... . . C. BUILDING DIVISION STAFF WILL FILL OUT ALLHES AND CHARGES. ON THE SCHEDULES. . . .. D. As noted on the CAP, the label must be delivere.d to the electrical contractor. for signature by his electrical supervi SOl'. The genera I . contractor is not authori zed to sign the electrical label. Applicant to'sign and date Whenever possible, the initial application.will be used as a ~Iorksheetonly. Where possible, Building Division Staff wi 11 prepa're a type wri tten copy and return it to. the applicant at the time the.actual permit is. issued for his signature. IV . Fees and Cha.rges . Plan check fees are due. and. payable..at the timeof.the application; and no planswill.be processed until these, 'fees are. paid." All other fees and char.ges !'Ire due and payable when the permit is issued.. III. . V, FOR OFFI CEo ,USE ONLY PROJECT CONDITIONS,io BE SATISFIED. BEFORE OCCUPANCY: I :llY . ...>. P EW~I fVAL I DATION> ..1 ". . ived For: OF S.PRINGFIElD ., .. . f City Hall . Springfield,. Or~gon Department of Public Works OFFICIAL RECEIPT. . No. BS.5052( \D '-.~19 y:{) . I From ~t\' ~~- ~5j~\t(\ .( - (\.\\0.\. (~. \J" l. . <?\'\-V"\ \t~ 1')0.\. .. esS C$.../.. - -.. . ~( ( . c. ~.. ~ \. \P .~~~f\rz() \[\.co. . r:J'4~. Cl <l 41 .( \8_.SfQ . 0\f~-,/ "S.~r')D SIGNATURE . . EUGENE: OR 9'140\ SHE~TON.TURNBULL p~'NTERS unt Received ~8~l\.a .( ( Permit Clerk . . 1 Permit applicant exempt from registration with the Builder1sBoard because: Additi ona lProj ect I nformat.i on: -- PLANS REVIEWgD BY: name. si.gnature I ,..../2-;." .. ..,...,. 7~) date/{/'- :5{)r(.'V