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Home My WebLink AboutPermit Building 1989-5-31 ,. \. IiISPECT JOil Ll ilE 726-3769 . !<ib Add'~-;SS Legal De~cription d70 /l : I Cl n uF SPR IIlGF I ELIJ CD/1BIrIATlDN APPLICATION/PERMIT C~t-l-rl'Lt(r{IA.l- ~J-0. ~~;~r;y ~~~~, Hater Heater ~L.ac. Ran'll' l:!.~~, t1A9 #. J7-0~-=')-:L.7-4.:!!, -~l5'~ ValuE of l'/ork: Owner ~t1A.t1... Ol1-W'~ ~ H{.)~Fl..f.Ustl!e..P.6.# ~~. - - - . . - Ii - ...lluill;ino Permit Info: Addrcss l:1.t~ ..!:x:Jc..:),'''~A._' .c:>o,'/F{.~ Plf'.)l..~~^~ Family flesidence "ith 6~, Construction Lender ..\ddress DE S I Gtl TEAll Pri ma ry Structural Electrical r1echanica 1 CONTRACTORS Genera 1 Plumbinq Electrical ~1p.chiln i cill i:U.1 O~. <:f7+7"'7 \ hmrrl.n Q NFORIIAT: ..'1 ll.,~ 726-3753 So. F tq. na i n ":!;4-2-~ ~q. rtl). Access. SQ. FtC}. Other _rle\~_AddA!'.1 ter _['I'D. L{Fence~Demo_Change/Use Other Describe1iOrk( i.e., Bui Id Single /lHached r.araoe) ilfu ~ ~ l~ G\C\~ (naillI') Phonc (address) (1 ics. no. I '1<v~~~p :' I ,. ".Iu' \. , . .~_""__ I..:!J~& E:.. ~'?~-r-.,j ~P't=O. (name) (address) ( 1 i cs. no.) PLurm [fJG ELECTR I CAL FEE I CHARGE J~I Residence of I WL'-DJ1illGL' NO. ' furnace/burner .to SC). FT. BTlI' s ITL-1LHARGf. Each single fixture Relocated building (new fix. additional) IS. F. res idence (1 ba th I IDuPlex (1 bath) each 'Additional bath I~!ater service I Sewer I 'vf;;;';;?~ I .. - , -... I I I I I , ., I I , i I I I I I Hood stove/heater I I I "1.IfL~ p~~~~ I I I I I I I I I I I '-(<'-5'-~1 TOTAL CHARGES New circJits alts. .......- 'or extens ions ~~~I , , I I I I I I I I I I I I I !SERVICES I " I /Temporary Construction IChan'le in, existing residence I /multifamilly, comm. or Industrial __ 10f amps,! IC0f1fL/lND; FEEDERS I /Install/alter/relocate di~trib, feeder~ Of amps./ I I I I /~~I . p ~_ . TOTAL CHARGES that tile Electrical \~ork be done by an label has been signed by an El,~ctrical TOTAL CHARGFS ~/"J"C/ [./IIERE STATE L'\l~ REQUIIlES sha 11 not. be Vil,] i J unt i 1 the I HAVE CAREFULLY EXNlINED t~le cOll1pleted apnlication for permit. and do herebv certify that all information hereon is true and correct. and I further certify that any and all work ne~formed shall be done in accordance with the Ordinances of the City of Soringfield and the Laws of the State of Orenon oertaining to the work described herein, and that rw OCCUPAIICY will be made of any structure ~lithout the permission of the lluilding Division. I further certify that my re<jistration ~lith the lluilder's lloard is in full force and effect as required by ORS 701.055, that if exemot the basis for exemntion is noted hereon, and that only subcontractors and employees who are in cO~Dliance with ORS 7"1.055 w~ll be used on this nroject. , " . . (2u. it- SIr.rJ^TURE~dAJ FO[' riTI'TC:EnSE. OilL Y U I So. F t fJ. rIa i n IIA:IE(please print) Zone Fire lone Flood Plain BUILDItIG PERIIIT Charges anc Surcharges PLU11BING PERMIT C~arges and Surcha rges . ELECTRICf..L PEnr~IT Cha rges. and Surcha,~ges I1ECHAN I CAL PERf1 IT Charges and Surcharges. . ITotal Comb. Permit LnTo. I IL ilL Electrical Contractor, the Supervisor and returned to 1)/Ntt{) ZtfR."OtC4V _ _ Tyoe/Const. Bed rooms <"-po Units Occy Load .occy Group p-":2- Sq. Ftc). Access Sf!. i'tg. Other./# /~/~/~ Stories I --:>/~ e:-c::;;> P I an Ck. ~ ~- 65%/Blda - - -- -;;Z?~-I ~b~~B~~~ - -- -H~-f ____/~__-__ Fence ~. ?5""./OF-mo ~--Dc:>1 Sidewa.lk ------/~/3'-1 AlC Pavin<) '. . 1"5-: ~ I Curb Cut ---- . --.?5:~-' Fee I I I I I I -.1 (exnires) (nhone no. J ~R-. 74/-:2.ett"9.5 (expires) (Dhone no. I , ! I -I I I ~ I I I MECHANICAL Floor furnace. and vent I Recessed wall. SOilce he~ ter ilnn I vent " Appl iance vent seoal'ate I Stationary evaa. cooler I Vent fanl'lith sinole duct I Vent system apart from I. heatino or A.C. I rlechanical exhaust hood and duct I SSUANCf or PFR/11T /.----- ~ e> (/';':) - electrical portion ~f this permit the Building Division I~O()-3 DATE . 5l..~ x . Value x Value ?~lu~ .~5? TOTAL VALUATlOtI_ p ~~.~I . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal ;DE!scription 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 . .b. Energy Sources . 1. example- heat/electrical ceilin~/or forced air qas 2. example- waterheat~r/electrical/or solar E. Squa re foo tage or va 1 ua ti on, e tc . 1. examole- 1250 sq. friot house, 500' sq. foot garage 2. example- if new project, checknew - if addition, check add, etc. F. Building permit information: 1. example - construct sinyle' family house with an attached garage 2. examole - remodel existing garage into fami ly room 3. example - convert single family .residence into restaurant (change of use) G. Value of \~ork as defined in Section 303 (a) of the Structural Specialty Code H. DESIGN TEAN 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 Nd. 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 schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES D. As noted on the CAP, the label must be delivered to the electrical contractor for sig~ature by his electrical supervisor. The general contractor is not authorized to sign the electrica I label. III. Applicant to sign and date Wheneve~ possible, the initial application will be used as a worksheet only.! Where possible, Bui lding Division Staff wi 11 prepa re a type wri t ten copy and return it fo 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 adplication; arld nb plans will be processed until these fees are paid.. Ali other fees and charges are due and payable when the permit is issued. V. FOR OFFICE USE ONLY 1.<,.,_ "'.. 41: " " PERMIT VALIDATION I c/lJo~ i .' :l i' :J ;i !l '1 ,) l Permit Cler~ q!3{jt1 . . I I i I I I 'PROJECT CONOl TIONS TO BE SATI SFI ED B~FORE OCCUPMlc'yi: Additional Project Information: ': PLANS REVIEWED BY: .I , 1 I , Permit applicant exempt from registration with the Builder's Board because: name ~ .' I LG, ~ : L:(?>;?J'~ ~~~?fsignature '~ ~. /' /~~..-'J // /" r date 5'''''/~ 27 II BUILDING DIVISION JOBt 890381 . .... (.:lDDHESEi.... 870 W CENTENNIAL ST - ....LEGt~L- LOT BLOCi< DESCR:REMODEL OfFICE 1 '70~i27 430TSOO ....Ol~NEH.... ACKERMANf DEWENTER '74G-6573 1212 SOUTH A STREET SPRINGfIELDf OREGON 9'74'77 ... ENERGy.... HEAT1.- H20.... R(")NGE- ,~ ~.... f INi-"'1L ....vt~LUE- 3~:.;OOO B(j0620 / 8-30628 ..- S T (~l T E; .... BLDG ZONE STORIES fLOODPLAIN BEDI~M oce [3RP UNITS SI] FEET CCiNST If'''{P:E ....C 0 I"'! T R ACT 0 I~~; .... i.lENt.... CONTRACTOR PHONE- PLr1B.... E L He T... F\:t: Y N 0 L D ~;; 1'1E C H.... DEBON.... .... INfO.... HEPfi It( CDI"hERC IfiL ~j300 REPI C{~iT :iJ:824 SED-REQUIRED PERMITS-----------fEE-SURCHARGE-DAIE-RECEIPT-PERMITI-------VALUE--- OOl-002-BUILDING PERMIT 002....00~.i....PLUt'iB ING 003-004-ELECTRICAt 004-00G-MECHANICAL 005-001-PLAN CHECK fEE 00G-004-ELECTRICAL 21 ~.; 00 10 1'1 t:' B90~531 14003 . u I 'oJ ]. ~5 00 0 '7 !=- 8-:jO!5~31 1400~.3 u u /' <.J r) .', ~:jO , ] ';j 890531 14003 t:.',I';1 u J. . . ~, 1 ~) . 00 0 . 7~5 8'30:5~31 14003 140 . 0:3 0 . 00 ::~SI042? 1]689 1 ~5 . 00 0 u 7~'5 8\.,")0627 B ILLED $ oj c' OO() .' ,,,},,.} , $ 0 "$ (l ~t, () <$ 0 <l: C' oj' SEQ-MINIMUM INSPECTIONS + REQUIREMENTS~-------------------EXP DAIE---ACT DATE- OOl-023-RDUGH PLUMBING 002-031-ROUGH MECHANICAL 003-042-ROUGH ELECTRIC 004...006....FRAt.1ING 005--0 II... Ii I< Y~.JI;L L 006-029-PINAL PLUMBING 00'7-049-PINAL ELECTRICAL 008-039-fINAL MECHANICAL 009-019-PINAL BUILDING 890601 8,:}Of)01 B90601 890626 890622 890626 B~}0628 SEQ--INSPECTIONS-------COMMENTS-------~------------------IiATE----RESULT--INSP--- OOl-023-ROUGH PLUMBING 002-042-ROUGH ELECTRIC o <.d....006... E' l:<r=H1 ING 004"-01:1.-'DHY~J(:lLL 005-049-fINAL ELECTRICAL LABEL 1555C OOG-049-fINAL ELECTRICAL 007-029-PINAL PLUMBING 008-019-fINAL BUILDING 009-039-PINAL MECHANICAL OlO-042-ROUGH ELECTRIC LABEL 2769C OI1-049-fINAL ELECTRICAL MINIMUM INSPECTION DONE 890622 012-019-PINAL BUILDING B90t":.0 1 01< 28 89060 :I. m< 3!5 89060 1 ~j IR r.:, i;) ...,(..1 1390601 m< 38 B906 J. St NOTOt( :~ ~:.:; 890622 Oi< 3~.; B,:)OG26 O!{ :?s 8 89062'7 POI< 2~5 B'::)OI:;~~6 Or( ::.~ 8 89062'7 01< ~3 ~) B<.:)<)f:}27 01< '-j f::" \.1-..J 890620 01< ',1::- I-'~ ..J /0 de '=# 0 /V~11e ? " ELECTRICAL INSTALLATION RECORD /3,&-.6 Job Address: f)/D ~7E?hn/rl ( Property Owner: Tenant: Owner's Address: El ectri ca 1 Contractor: f1?Jnc=",(' p/8> c -f t Address: gy () q I ~~\JPA/- Q0 Label # 276f1c:::. 9u-v.U'()0 City, of( ~-?-7--X~ qo;~ -C~LfiJ f::::.ou f--. 'P d (/y\ '1= r- Supervi s>i ng I::l ectri ci an Uate Description of Work: CO/"r.-tDI kitJ rrJ cJ ~ c> -f-....!; v . - Inspection Results ..~~~~~ ; // Electrical Fee $. /S;c?O - _/5 $ ~~:=Z~ // ijfttl~ In~~r~S~gnatu~ Surcharge Total #451 r--" (-.-~ .... ~ ,.' ~...,'''..,r'''"'''..' .' r .~' ., ..' ..,.,' . "I' . \. . . " \' .~ p \ ... .... . ;; ~4','- .,:" .... . . . .' , 1 .,