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Home My WebLink AboutPermit Building 1981-4-16 INSPECTION LINE 726-3769 "'~ 1, CITY OF SPRINGFIELD COMBINATION APPLICATION/PERMIT ENERGY SOURCES: Heat el ectrtc_B,B Water Heat,r e 1 ec t r i c Range e ectric Value of Work: . INFORMATION LINE 726-3753 Legal Description 53! Centennial Boulevard 17-03-26-3-4 1800B Sq. Ftg. Main Sq. Ftg. Access. Sq. Ftg. Other _New_Add_Alter_Rep. _Fence_Demo_Change/ Use _Other -Ho I J "p MOY p b'l-U Job Address OJ -' o N U1 W Address 1093 East 25th Eugene, Oregon Phone 485-3.021 $1 6 . 00_0___0_0 Building Permit Info: Describe Work (i.e., Build Single Family Residence With Attached Garaae) Owner Robert Kinvon Construction Lender ) "- Phone Move 'single family residence complete to code for occuoancv Address DESIGN TEAM (name) (address) (lies. no.) (expires) (phone no.) Primary OWlpr Structural Electrical Mechanical CONTRACTORS (name) (address) (lies. no.) (expires) (phone no.) General owner Plumbinq Electrical I Mechanical PLUMBING elECTRICAL MECHANICAL NO. FEE . CHARGE NO. FEE 'CHARGE NO. , FEE 'CHARGE Residence of furnace/ burner to Each single fixture -9-92 sq. ft. I\TU's Relocated building New circuits, alterations Appliance vent (new fix. additional) 15.00 or extensions separate S.F. Residence Stationary evap. (1 bath) SERVICES cooler Vent fan with Duplex (I bath) each Temporary Construction single duct Vent system apart from Additiona I bath Amps. heati"g or A.C. 15.00 Mechanical exhaust Water service new service hood and duct 1 Sewer 1 O. 00 Wood stove/ heater Storm Sewer FEEDERS Heat Pump Air handler to Amp.. 10,000 CFM Air handler over 10,000 CFM ISSUANCE OF PERMIT TOTAL CHARGES 25.00, TOTAL CHARGES 1 5 . 00 , TOTAL CHARGES I WHERE STATE LAW REQUIRES that the Electrical work be done by the Electrical Contractor, the electrical portion of this permit shall not be valid until a label has been signed by an Electrical Contractor and attached to the electrical panel. v I HA VE CAREFULLY EXAMINED 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 Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herin, and that NO OCCUPANCY wHl be made of any structure without the permission of the Building ,Division. I further certify that my registration with, the Builder's Board is in full fo,rce and eiffect a s required by ORS 701.055, that if exempt the basis for exemption is noted "::;(:::::::::::~il;;;"~;i;:~'" wmPH::~"~:R~~~ ' DATE / FOR OFFICE USE ONLY ~ 1 R-) Type/ Const. Bedroom' V-N Units C)ccy Load C)ccy Group x f' Flood Plain Nn StoriD.~ 1 R 3 <;q. Ftg. Main <;q. Ftg. Acces' Sq. Ftg. Other foundation x Value Value Val~e 3 )000-00- Zon.. Fire Zone x TOTAL VALUATION BUILDING PERMIT Charges and Surcharges 24.00 .96 Plan Ck. Comm/lnd 65%/ Bldg Per Fee I Plan Ck. Res 30%/ Bldg Per Fee I Fence I Demo 1 Systems Development Charlie (1.5%) 22.80 paid 4-10-81 reee-i-pt--#SG2Ca I I Total Comb. Permit Ie 1 ect 1 abe" # 240.00 PLUMBING PERMIT Charges and Surcharges 25.00 1.00 66.56 ELECTRICAL PERMIT Charges and Surcharges 15.00 .bU Sidewalk I A/ C Pavinll _?n ~, MECHANICAL PERMIT Charges and Surcharges Curb Cut ---------1 TOTAL $306.76 COMBINATION APPLlCA TION/PERf!r.CAP) I. Applicant to furnish A. Job Address B. Legal Description 1. example-tax lot 100, Lane County Map Reference 17 03 43 2. example-Lot 1. 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 gas 2. example-water heater/electrical/or solar . E. Square footage or valuation, etc. 1. example.1250 sq. foot house, 500 sq. foot garage 2. example-if new project, check new-if addition, check add, etc. F. Building permit information: 1. example-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 as defined in Section 303 (0) of the Structural Specialty Code H. 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. Abbreviated 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 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 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 worksheet 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 no 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: AdditionClI Project Information: PLANS REVIEWED BY: S)a.n ~l iJ / signaturo namE> .'SRMIT V A~IDATION Permit CierI< " " ~ate 4--[ (n-~ . INSPECTION LINE 726-3769 . to., \ CITY OF SPRINGFIELD COMBINATION APPLICATION/PERMIT . INFORMATION LINE 726-3753 Legal Description 53b Centennial Bouleva~d 17-03-2~-3-4- 180n~ ENERGY SOURCES: H~t electric B9 Water Heater ----el,artnr 6'11eJr'll-lf"i,. Sq. Ftg. Main Sq. Ftg. Access. Sq. Ftg. Other _New_Add_Alter_Rep. _Fence_Demo_Change/ Use _Other House ~1o'.'e ~16.nn(lI}Q Building Permit Info: Describe Work (i.e., Build Single Family Residence With Attached Garage) Mn Job Address Range Value of Work: 0.- -' o N Ul eN Owner, .__..- Robert Kirwon -,._-,- - 1093 East 25th -Eugene>> Oregon Phone lJ.A~-1n?1 _.""---...-._......~.....:"'-~-- 'Address ' Construction Lender Move sing&i family residente comolete to ~~p for occupancy Address Phone DESIGN TEAM (name) (address) (lies. no.) (expires) (phone no.) Primary n"'IVltl:lV' Structural Electrical Mechanical CONTRACTORS (name) (address) (lics. no.) (expires) (Dhone no.) General owner Plumbing Electrical Mechanical PLUMBING ELECTRICAL MECHANICAL NO. FEE CHARGE NO. FEE CHARGE NO. FEE CHARGE Residence of furnace/burner to Each single fixture ~ sq. ft. BTU's Relocated building New circuits, alteratians Appliance vent 1 (new fix. additional) Hi _ 00 or extensions separate S.F. Residence Stationary evap. (1 bath) SERVICES cooler Vent fan with Duplex (1 bath) each Temporary Construction single duct Vent system apart from Additional bath Amps. heating or A.C. Mechanical exhaust Water service new ~2ru.c.e 1 soon hood and duct 1 Sewer 10..00 Wood stove/ heater Storm Sewer FEEDERS Heat Pump Air handler to Amps. 10,000 CFM Air handler over 10,000 CFM ISSUANCE OF PERMIT TOT AL CHARGES 25..00 TOTAL CHARGES 15.. 00 TOTAL CHARGES ." WHERE STATE LAW REQUIRES that the Electrical work be done by the Electrical Contractor, the electrical portion of this permit shall not be valid until a label has been signed by ~n Electrical Contractor and attachl\d to the electrical ~anel. , _ \ ~ I HAVE CAREFun. i ~MI~ thJ ~~~~~h~~ for~mit, ~~cla 'h~~,? certi'l>i ll1a~all i~~~~1*.:reo~ ~ true 1'ntl\ ~.Qe~t') ~~ ~~urther certi(y that any and~1 work perfarmed sh~t' be done in accordance with- the Ordinances~f the City oi--S~'r~gfield and the Laws of the State of Oregon p~n~~~~.,orl ribe~~n,'1md ~t~Q,(;CUP~ wilbPe;. mad.}.. of aQy~~~gur~ w.jtho\t t~e per?t"issl.o.n of the BulJding 'Div~~'d\ further ce'it that in)' re-g~ation ith'd;e -B\Jitch.r's Boar'tIit i"iii'ull ~ and Jff""t'l,) ~quireil tty"O"'1ts ~~t.055~ tlu.'f'0;4:......~e'n:W the bas"," )obh~..tion""~ noted heron, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. Basis for Builder's Board~Ption: - , I J. ,/. ';;; I _.,-~ / / N~E (please print) tfl.. (J j P If ;If It' t'i-1/V6 /J <;IGNATURE :;;)~ C I .Ct' ~~ /,/:~'lI ;:; I DATE ~' 'i ....'" FOR OFFICE USE ONLY ftpl Type/Const.~N Bedrooms Zon.. Fire Zone Floo~ f'1,ai,n Nc c:,toripoc 1 Units Occy Load ('kcy Group 1 R-J <;q. Ftg. Main <;q. Ftg. Access <;q. Ftg. Other x Value x Value '( Value TOTAL VALUATION J~OOD~QQ 1~.000--Q0 BUllOING(;P'ERMIT, Charg~~\'ci~d ': " , Surcharges, . ,; ....,1 24.00 .96 ,;Plan' Ck. Comm/lnd 65'}~rBldg Per Fee Plan Ck. Res 3'0%/ Bldg Per Fee ,Systems Development Char!le (1.5%) ,146~:oo :'PLU"'~8INQ 'PE~MIT Chci',giis and' ,.-. Surcharges 25.00 1.00 .:'Fe'~~e':t 22.80 paid 4-10..81 rt:\,;t: h.d. ,,#5dZou ' ::~ '~'>~~:;~~~'~l/.~:~: Demo Total Comb. Permit . ",' ", ,. ...:' ,'1,)- ..': ':.~' ~'... '7-,"' ~_~. :'fr,;. ~tl\ . ,-'. '".' ElECTR.ICAL PERMIT Charges' and: , : S'urcharg,es: , , ___.J.~ 00 __--'-Sidewalk .60 .elert 1ab~ 1 # .-2'1 . A/ C Pavina MECHANICAL PERMIT Charg~"~&\jH\~ Surcharges,'" I, : "i , ;"'.'~~,\:::., '" "~:" . Curb Cut I ~ AI~_.l '. ,',' .~..: .." ',' . <.J , ( TOTAL ciS tiTh, fi60, ,$3'06 .16 \ ~. . ,.:-..' - - ..... .." --- ...... ..... : ~- CbM~I~~ TlON :PPlICA TION/PER~CAP) '? I. Applicant to furnish A. Job Address ,.. , .:) ;'. B. l~gal Description, .. ..J,'" '/_" " , , 1. example-tax lo~ ,l00, Lane County Map. Reference 17 0343 2. e~ample-l~t 1. Block 3, 2nd Addition to Springfield Estates c.. Name, etc. of owner and construction lender " ". o. ..... D. Energy Sources .' , " ' 1. example-heat/electrical ceiling/or forced air gals 2. example-water.,heaterlelectrical/or solar,;, ',fl. E. Square footage or valuation, etc. , 1. example-1250 sq. foot house, 500 sq. foot ga'ra~re~ ,2. ex~mp'le-if new project, check new-if addition, check qdd, etc. . " . F. Building permit information: 1. example-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 as defined in Section 303 (ci) of the Structural Specialty Code H. 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. Abbreviated Plumbing, Me~hanical_& Electrical Schedules A. Except where blank spaces occur in the description portiol) of the Mechanical and Electrical Schedules, the applicant " need fill-in only the No. Boxes adjacent to t~eappropriate - 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 ' Q. If the item(s)to be installed are not covered on the abbrevi- ated sohedules you should consult the :full schedules '.' C. BUILDINC; DIVISION.STAFF WILL FILL OUT ALL FEES AND- CHARGES ON THE SCHEDULES III. Applicant to sig.n ~.nd' dcite , :,:"J\: Whenever possible, the initial application will be used as a worksheet only. Where possible, Building Division Staff will prepar~ a typewritten copy and return it to the applicant at the time the actual permit is issued for his signature. IV. Fees and Charg~s Plan check fees are due 'arid 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. -. ,H . V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:' c . ;] ~p Ild2-tA.f" , ,; . , ',/' .Ln" {'/ ;;[/ t;;.j/' I;;J/ ". , -;l;; V, '1. I,. ,>'e./ V~ 5.- d8#~~~/ , /., . I;t?u.~'~' h jrCi/J2 /'" I 0 1;3 .frv-)j. I 'of ;:, Addition'al Project Information: f" ~, ....)4 ,'.,..l .:. . '. ;1 ,.' ..' " . " '" ~, ,'" r , '. PLANS- REVIEWED BY: namE' Dan Smith , ~ignaturE> , ' ~ ':~ERMIT V ALIDA liON I J .\":, . I I _ . 1. "" . , ' ~ .,~ .;'." ," '.' .' 'J,' ,... I.~ ...... '.; I:' ~J.: . '\J~... _,,' fl... 1 .,it... -.. .. J1_,#. \" '.II! ',. " .",J", I. ,,: Permit Clerk h ?l~)t1,Ah/J.t-'r;.:' Sew~.' / ' , ee. j- r; )/ 'de--- tPf'p;V/?/Ay; /' "/' ,~ '" . ;~ :, f .. ;l --late 4ill/81' ....... . .;----......,..,..~"-...... . _>":'.0"''-''. .~._:.-. '.~.:,-,'-4". .- , \ ~J})~~!~,iJ,,~~~,-,~~~~~~'~JVij!~I''I!11n"'J~W.._,_. " . . l IMl..~~~!;,Ij,,~'I\~WJ4~~~ll jJ.~rj ',j~'I'~IfIi-'~WIJlJ,jI., .,jll.~ ..Ill.. Legal Description 535 Centennial Boulevard 1] -03-26~3-4~QB ENERGY SOURCES: Heot e 1 e..c.t.d.c~BB \-Voter Heaty....eJ e~ t.r j C Range e e.c.:tJJ,C Value of Work: INFORMATION LINE 726-3753 Sq. Ftg, Main O'fU Sq. Ftg. Accen. Sq. Ftg. Other ~New~Add~Alter_Rep. ._Fe nee ~Demo_Change / Use __Other House MOVE~ co --' o N U"I W INSPECTION LINE 726-3769 CITY OF SPRINGFIEW COMBINATION APPLICATION/PERMIT Job Address Owner Robert Kinyon Address 1093 East 25th Eugene, Oregon $1 fi . 000..00 Building Permit Info: Describe Work (Le" Build Single Phone 485-3023 Fomily Residence With Attached Garage) Move single family residence complete to code for occu~ancv Comtruction Lender Addren Phone DESIGN TEAM (name) (address) (lies. no.) (expires) (phone no.) Primary flWnpr Structural Electrical Mechanical CONTRACTORS (name) (address) (lies. no,) (expires) (ohone no.) General owner Plumbing Electrical Mechanical PLUMBING ELECTRICAL MECHANICAL NO, FEE CHARGE NO. FEE CHARGE NO. FEE CHARGE Residence of furnace/ burner to Each single fixture -9-92 'q. ft, RTU's Relocated building New circuits, alterations Applionce vent (new fix. additional) 15.00 or extensions separate S,F. Residence Stationary evap. (1 bath) SERVICES coo ler Vent fan with Duplex (1 bath) each Temporary Construction single duct I Vent system apart from Additional bath Amps. heatirg or A.C. I Mechanical exhaust Water service new service 1 5,1)0 hood and duct 1 Sewer 1 O. 00 I Wood stove/ heater Storm Sewer FEEDERS I Heat Pump Air handler to Amps. 10,000 CFM Air handler over 10,000 CFM ISSUANCE OF PERMIT TOT AL CHARGES 25.00 TOTAL CHARGES 15.00 TOTAL CHARGES WHERE STATE LAW REQUIRES that the Electrical work be done by the Electrical Contractor, the electrical portion of this permit shall not be valid until a label has been signed by an Electrical Contractor and attached to the electrical panel. :::: f:I~:~d::::t~t;~f v~i h,V(J/1 / I HAVE CAREFULLY EXAMINED 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 Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herin, and that NO OCCUPANCY will be made of any structure without the permission of the Building ,Division. I further certify that my registration with the Builder's Board is in full force and effect a s required by ORS 701.055, that if exempt the basis for exemption is noted heron. and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. , SOGNAW" ,#~~ DATE {~ FOR OFFICE USE ONLY Zonp Fire Zonp Flood Plain R-I Nn Type/ Canst Bedrooms <;'torip'It V-N Units "ccy Load ('lecy Group 1 1 R 3 Sq. Ftg. Main JoundatiQn "q. Ftg. Access Sq. Ftg. Other x Value x Value '( Value TOTAL VALUATION 3,000 00 BUILDING PERMIT Charges and Surcharges 24.00 .96 I Plan Ck. Comm/lnd 65%/ Bldg Per Fee I Plan Ck. Res 30%/ Bldg Per Fee PLUMBING PERMIT Charges and Surcharges 25.00 1.00 Fence Systems Development Charqe (1.5%) 12~'~9~paid 4-10J81 (.:.e'-'l"t #56280 I I 240.00 Demo I Total Comb. Permit le1 ect 1 abe'U I 66.56 .20- ELEaR!CAL PERMIT Charges and Surcharges 15.00 .60 Sidewalk --- I A/ C Pavinq MECHANICAL PERMIT Charges and Surcharges TOT AL $306.76 Curb Cut . ~_.,--..,.,.~~....-, . '~~ ,.~::,,,,:~,,,"",......:~~:,;:.~~-,:~ \ \ 'IliM.Ii '", 1 -t~ ,.,ijr _'l:L:_UU-T:.irtlnJ.,.."!~Jnl\j JIlIt.-_,_.Jln~TJlTUrl.f:t~',~l~ma.~~&'I~t~JJL~4~."",.J.~)j1.L():!lJ . ... III. Applicant to sign and date Whenever possible, the initial application will be used as ( ( BY worksheet only. Where possible, Building Division Staff wi prepare a typewritten copy and return it to the applicant c the time the actual permit is issued for his signature. IV. Fees and Charges -I- 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. COMBINA TrON APPLlCA nON/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal Description 1. example-tax lot 100, Lane County Map Reference 2. example-Lot 1. Block 3, 2nd Addition to Springfielc C. Name, etc. of owner and construction lender D. Energy Sources 1. example-heat/electrical ceiling/or forced air gas 2. example-water_heater/electrical/or solar , E. Square footage or valuation, etc. 1. example-1250 sq. foot house, 500 sq. foot garage 2. example-if new project, check new-if addition, che add, etc. F. Building permit information: 1. example-construct single family house with an attc garage 2. example-remodel existing garage into family roorr 3. example.convert single family residence into restaurant (change of use) G. Value of work as defined in Section 303 (a) of the Structural Specialty Code H. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Divisi Staff must be able to contact appropriate persons regc design information or job site corrections, etc. II. Abbreviated Plumbing, Mechanical & Electrical Schedules A. Except where blank spaces occur in the description por of the Mechanical and Electrical Schedules, the applicc need fill-in only the No. Boxes adjacent to the appropr 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, ated schedules you should consult the full schedules C. BUILDING DIVISION STAFF WILL Fill OUT All FEES AN CHARGES ON THE SCHEDULES V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: A p p /'&.A1-r . ; '/2 It}./' I'dJ I fc; ~~,/.-- f I:J 171/;:J_ I ;;JRt V - I )e/vt!'~- Additional Project Information: ~ , J PLANS REVIEWED BY: namE' Dan Smith c;ignatun. PERMIT VALIDATION (6 CITY OF SPRINGFIELD n ( City Hall Springfield. Oregon Department of Public Works OFFICIAL RECEIPT No. B S 6 3 27 CI Dat~~}\~cQO 19~\ Rec'd From ~\C~LX\:- ~ U\)('\ Address \~ ~ \,9.,,- 6)~'\'0) Received For: ~. /iJr~O ~ LJP/o ,40 '('\ N\ D ~Sc;o \" " Dflo (~ \ ~ ~Q!'-\- \S. $6 ,l{)O J CY\ C' -I' ci)4 () CO \0 ~ ~~~ -,-(;Ill,] t ~a \\\C"L~. ,()7f), [))' ~ ~ of ; ~~, \f) tn.Ool .~- ' 499-\- - · 4-Q Amount Received :3 ~Q ~\Q to ~ K tbm.,2. ( ( , (I (I ( CI {nr (J r , '" ( ( .~ rJ ~, S8SH-8 ( SHELTON-TURNBULL PRINTERS - EUGENE OR 87"01 ( 1 Permit Clerk- df,1i'+---t:<N~ / ju'u., e h ?l,t7;,~ A b().!-'.t 5 e w~Sr- / t!'iJ-j-r ')" ~e~ tPf'P;v~/A~ // o;h , , -iate 4/16/81