The URL can be used to link to this page

Home My WebLink AboutPermit Building 1982-1-21 INSPECTION LINE 726-3769 Job Address 1290 W. Centennial 17-03-27-34 Legal Description Owner Lohri ng~~. SUS_allllab 1733 Riverview Euqene. OR 97403 Address Construction Lender Address DESIGN TEAM (name) Wilson. Bryant. Gunderson Seider 1410 Oak <;,t. Primary Structural Electrical Mechanical CONTRACTORS (name) General WMS r.onstruction r.o_ Plumbing Electrical Mechanical PLUMBING NO. FEE Each single fixture Relocated building (new fix. additional) S.F. Residence (1 bath) Duplex (1 bath) each Additional bath Water service Sewer 1 Storm Sewer $1 0/100 1. f. TOT AL CHARGES , ~ INFORMATION LINE 726-3753 Sq. Ftg. Main L::>::>::> Sq..Ftg. Access. Sq. Ftg. Other _New _XAdd_X_Alti!r ":"'Rep. : ~Fence_DemollChange/Use "':""'Other co N o o W -....J CITY O~,SPRINGFIELD COMBINATION APPLICATION/PERMIT T.L. 2919 ENERGY SOURCES: Heat Electric Water Heater E 1 e c t r:..i c Range Value of, Work: Mi IJ_er Phone343-3542 $70,000.00 Building Permit Info: Describe Work (i.e., Build Single Family Residence With Attached Garalle) c;lGNATURE 3 FOR OFFICE USE ONLY C;q. Ftg. Main -25SS C;q. Ftg. Access Sq. Ftg. Other Remodel and addition ,,'to house for use as office buildinq. Phone (address) (Iics. no.) SR-81-11 (expires) (phone no.) (address) (lies. no;) 342-7291 (expires) (phone no.) ELECTRICAL CHARGE NO. FEE CHARGE NO. Residence of 'q. ft. 2 New circuits, alterations 15.00 or extensions SERVICES Temporary Construction _L- Amps. 2.00 15-~OO- 3-(1.-00- 10. or FEEDERS Amps. I I I I 10.od TOTAL CHARGES 45.00 4RS- 7177 MECHANICAL FEE CHARGE ,furnace/ burner to BTU's Appliance vent sepia rate Stationary evap. "cooler Vent fan with "single duct Vent system apart from heating or A.C. Mechonicol exhaust hood and duct Wood stove/heater Heat Pump 'Air handler to 10,000 CFM Air handler over : 10,000 CFM ISSUANCE OF PERMIT TOT AL 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. I HAVE CAREFULLY EXAMIN'EP the completed application for permit, ond do hereby certify that all information:; hereon is true and correct, and I further certify that any and all work perform,ed shall be done in accordance with the Ordinances af 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 an this project. Basis for Builder's Board exemption: NAME (please print) Zone R P Fire Zone Flood Plain Type/Const.~f'J Bedrooms C;torip. 2 Units ('lecy Load ()ccy Group B2 BUILDING PERMIT $227.00 Plan Ck. tomm/lnd Charges and 65%/ Bldg Per Fee Surcharges Plan Ck. Res 9.08 30%/ Bldg Per Fee PLUMBING PERMIT 10.00 Charges and Fence Surcharges .40 Demo ELECTRICAL PERMIT Charges and 45.00 Sidewalk Surcharges LAO Alc Pavin!! ',. MECHANICAL PERMIT Charges and Curb Cut Surcharges --------- ',' DATE x Value x Valup '( Value TOTAL VALUATION $70.000.00 Systems Development $147. 55 CharlIe (1.5%) Jd. 6-10-81 #566195 1-18-82 #578177 Total Co;"b. Permit I I I 1 TOT At I $293.28 ., ~~., ~~\ COMBINATION APPLlCA TION/PE~CAP) ~~~~. . . I. Applicant to furnish A. Job Address B. Lega.1 Descri ption 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 sQlar 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 (a) 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. 'j'"", t- ,.,.. . ~;~I;VALlDA~~/ ..... ~... , "" 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 Permit Cler" PROJECT CONDITIONS TO BE SATISFIED BEF,ORE G(:€tjpANG;V~ Issu1 ng Penni t: \. Ymrll"n\l~mpil1t t'lQII'PpmiCIn'l" ;anrl P II i='.:a~omQn'l- lI'on -.:...---.----- - -;- .' AdditionClI Project Information: Plumbing, Electrical and Mechanical Perm1-U must be obtained before installation beQins and before any 1nsosct;:ons of these systems. ~" na m<> Dan Smith cignaturp /J '. J AUA/7 <<L<J1~L, ~ate 1~21~82 PLANS REVIEWED BY: !: . '{t ",. it. . ....'... l- ~. . ~<:.~': ~ '.. -,... . .':;(0"' '"~",,;~~:<: h ..'..:.,..":','~:~ ._~. :,,:~:,~~:~:~::/~\~J?~,.~:~.~;~~t"-'~~~~~~~;:~~'~~Ji~~,~~_~~7~i:.J . . , .' ).., .' !:l.,.. ..' ~'-'''':,>r .., ~'. ","':h\ _J1{.... "~~;;;,'.Wl!',,\l,~.';,;.',:-.&'*"~~~ C ... "" - .=;'t '. r,.._. ~~ r";,,"\'r"-,1)~q,,o;'-\:1~.~Jf'~~ :.'t-"..\!t;~:n:!>:.. ~~J:"::~:.. INSPECTION LINE 726-3769 CITY OF SPRINGFIEW COMBINA TION APPLlCA nON/ PERMIT I ENERGY SOURCES:- Heat El ectri c Water Heater El ectrj c Job Address 1290 W. Centennial 17-03-27-34 T.L. 2919 Range Vulue of Work: legal Description INFORMATION LINE 726-3753 Sq. Ftg. Main L:>:>:> Sq. Ftg. Access. Sq. Ftg. Other _New _X Add_X_Alter _Rep. _Fe nee _DemoA...Change I Use _Other co N o o W -....J Owner Lohring & S. Su,s_ann~J.er Address 1733 Riverview Phone343-3542 Euqene. OR 97401 - - $70,000.00 Building Permit Info: Describe Work (i.e., B~ild Single Family Re,idence With Attache~araae) Construction lender Remodel and addition to house for use as office building. Address Phone DESIGN TEAM (address) (lies. no.) (name) Primary Wilson. Brvant. G~nderson Seider 1410 Oi'lk <;t. Structural Electrical Mechanical CONTRACTORS (name) (address) (lies. nc.) General WMS Cnnstrllc:tion ro_ Plumbing Electrical Mechanical PLUMBING elECTRICAL FEE CHARGE t NO. FEE CHARGE NO. I Residence of sq. ft. 2 New circuits, alterations 15.00 or extensions SERVICES Temporary Construction ? Amps. ?no 1 ~OO- 3D.JJ 0- No.1 I I I Each single fixture Relocated building (new fix. additional) S.F. Residence (1 bath) Duplex (1 bath) each Additional bath Water service Sewer Storm Sewer C/;10/10n '_f_ lO.nn FEEDERS Amp.. TOT Al CHARGES 10 . od TOTAL CHARGES 45.00 SR-81-11 (expires) (phone no.) 342-7291 (expires) (phone no.) LJ.85-7177 MECHANICAL FEE iCHARGE I I furnace I burner to RTU's Appliance vent separate Stationary evap. cooler Vent fan with single duct Vent system apart from heating or A.C. Mechanical exhaust hood and duct I Wood stove/heater Heat Pump Air handler to 10,000 CFM Air handler over 10,000 CFM ISSUANCE OF PERMIT TOT Al CHARGES WHERE STATE lAW REQUIRES that the Electrical work be done by the EIActrical Contractor, the electrical portion of this permit. shall not be valid until a label has been signed by on Electrical Contractor and attached to the electrical panel. I HAVE CAREFUU Y 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 Ord:nances of the City of Springfield and the laws of the State of Oregan 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 farce and effect as 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 an this project. Basis for Builder's Board exemption: NAME (please print) "'IGNA TURE Zone R P Fire Zone Flood Plain Type/ Const.---\[..JJ Bedrooms 3 FOR OFFICE USE ONLY "'q. Ftg. Main 2555 "'q. Ftg. Access Sq. Ftg. Other Units nccy load ('key Group 82 c:.torip~ 2 DATE x Value x Value x Value TOTAL VALUATION $70.000.00 BUilDING PERMIT .___J.f27_..DQ_ Plan Ck. Comm/lnd Systems Development Charges and 65%/ Bldg Per Fee $J47.55 Charge (1.5%) Surcharges Plan Ck. Res 9.08 30%/ Bldg Per Fee Jd. 6-10-81 #56695 PLUMBING PERMIT 10 . 00 r 1-18-82 #57877 Charges and Fence Surcharges I .40 Demo Total Comb. Permit elECTRiCAL PERMIT 45.00 I Charges and Sidewalk Surcharges I , .AO A/ C Pavinp '. MECHAN ICAl PERMIT $293.28 Charges and Curb Cut . ~urcharges -------- TOTAL I "'~' -: .~. '.'_' .....:,..,. .... .'~ '_.,_ ,"11, '" i~' ~ i'; 'Ii' g; ~~, ~~ b"'". "" .. < . ,. ~ - . '. : :' -'", ,.: '- '~;rJ." ...~.O<r" "f~~;;~~".." ~-r' ~"" ,.,~t,f$jfg~",~'t,~oi:'t'lii~":~,.. . .' \. \-!.;.'.. ',- '". ~. ,:;;. .~~~,.~.,'..~~~. "'. ~ ;"1. >'l 'i;~~~l~iM r::~.....~..: I ........ . ,'~ ~ -' ....:. ~~~;.S.~>~;:J!:;~~"ft~~~;;-*~~~,,?~~~":f\:~~~\.~~'~~~~~~~' . . \ '.. t} 'I'l q. 0 . "," :.;.;~ \.. .'.;t:r$-:''''''"~1 ~P:-;~ ~-!-.ir.t '~1~'<':~i~~"((%~~~~iI~~~~i~t~ . \ ; ~ 1. ~t~.. .. . '~~~_:"'" f .... ~~~' ;'~:?l~!\~ ;t~~ :';~~'i, ;:~~?}~~ II. Abbreviated Plumbing, Mechanical & Electrical S. A. Except where blank spaces occur in the descri of the Mechanical and Electrical Schedules, th need fill-in only the No. Boxes adjacent to the item(s) to be installed B. Full Plumbing, Mechanical, and Electrical SchE are available at the Building Division 1. To conserve space on the permit form the s have been abbreviated 2. If the item(s) to be installed are not coverec ated schedules you should consult the full s C. BUILDING DIVISION STAFF WILL Fill OUT ALL CHARGES ON THE SCHEDULES III. Applicant to sign and date Whenever possible, the initial application will be I worksheet only. Where possible, Building Division prepare a typewritten copy and return it to the ap the time the actual permit is issued for his signatu, IV. Fees and Charges Plan check fees are due and payable at the time 0 and no plans will be processed until these fees are other fees and charges are due and payable whel1 is issued. V. FOR OFFICE USE ONLY PERMIT VALIDATION OF SPRINGFIELD ( City Hall Springfield. Oregon Department of Public Works OFFICIAL RECEIPT No. B Date :;2 - / S - 19 ~ '2 Rec'd From \A/NJ. ~ ~. Address /0 h::l. {' ~~ .4-:{. , - -~o?9~. .2g> Re~__ :!l::".".~~~~;' ::::::':: .",. ...... C <. .,-' Received For: 1i ~ ~ ()() 3 '7 COMBINATION APPLICATION/PERMIT (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. Enargy Sources 1. example-heat/electrical ceiling/or forced,n;r "..... 2. example-water heater/electrical/or solar C I T Y E. Square footage or valuation, etc. ( 1. example-1250 sq. foot house, 500 sq. foo 2. example-if new project, check new-if add add, etc. F. Building permit information: 1. example-construct single family house wi' garage 2. example-remodel existing garage into far 3. example-convert single family residence i restaurant (change of use) G. Value of work as defined in Section 303 (a) ( 6e Structural Specialty Code H. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Buildi (01 Staff must be able to contact appropriate per design information or job site corrections, etc. (d" f3, PI J t..;t9/i; . Pi p', '-/~, '=. P. 'i&J; . /1 j) "\ ~ /.J.. vA.o" {) /..J-- /PI \ G. (~l ( '0 ~.' Amount Ie, \:: BY .. ( ( t-- PROJECT CONDITIONS TO BE SATISFIED BEFORE ic9ttXJ>>~ Issui ng Permi t: Tm~rO\lement agreement an:;! P. 6!. ~a~ew.~mt n~9. Additional Project Information: ( S8043( ( ( .( dJ9-f, 00 9, {J ~ If!}. cJ}f) .. </0 L/6'.{)tJ I, <t rJ ( ( ( .-i -- ( ( ( ( Plumbinq, Electrical and Mechanical Permits must be ohtainprl before installation begins and before any insoer.tions of thpsp systpms. PLANS REVIEWED BY: name Dan Smith signaturf" LL~ ~ate 1 - 2l=.S?