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Home My WebLink AboutPermit Building 1981-1-12 (2) ,.j I \ /':' ::> .. ~ ! - ~. , "- ",,:-~''"'''' .',....,--: , .,j-. ll!'@.iijI] ~t! ~. -' III b .-!'fr~'~'@d"lfii' -," '. ' ." - ""-'~" "...~j i .. r:"~ ~~ ---....~,'l,._. . .,......... ..~1..,.,.,_~. ~-...l!.~~ :.L~~ . '_' _... ....<' ... ".- _,' .__._,_..._~...,.T~~'_'" ."'.. ~.._l.,.:., ,....-".~~".-.I~t.,~_.._" ....,-,...'f~ .1e.:J. ~. _ J;.... /--(-~~E:R TAP ISSUED SEPARA1U~S20.80 reel l"-ll'-O~ ,'.. '..... ..-'''',-,'' ,'" I INSPECTION LINE CITY OF SPRINGFIelD 726-3769 COMBINATION APPlICATION/PER!",10TIFIED Job Address Legol Description I I Owner L Address DESIGN TEAM (name) Primary Stan Steele Structural Electr'ical Mechanical CONTRACTORS (name) General C.K. Akers Construction Eugene Plumbing Rexius El ectric Plumbing Electrical Mechanical PLUMBING I NO, I I -I 1 FEE Each sinqle fixture Relocated building (new fix. additional) S.F. Residence (I both) Duplex (l both) eoch Additionol both Woter service Sewer Storm Sewer TOT At CHARGES DEe 1300 INFORMATION LINE 1 g v 726-3753 I EHN.aE~Gte~~~'iili - El ect Sq. "g, Main ~~ Sq. Ftg. AcceSl. :J 1 0 I Woter Heater FleG.-~ Sq. Ftg. Other Ronge l:. ect -ANew_Add_Alter_Rep. I Value of Work: r 1 rep I ace I_FenCe~DemO_ChOnge/use $39,400.80 _Olh. Building Permit Info: Describe Work (i.e., Build Single Family Residence With Attached Goraae) Phon. 484-0707 S.F.RES., Att Ga'r Phone 686-1151 ex> C> ..... N ..... ..... (phone no.) 484-0101 I I I 2;j7q r.lpilrview 17 03 27 01, TL 6602 Lot B of Minor Partition 890 C. Keith Akers 924 East 43rd Street Eugene, Oregon 97405 Construction Lender Far West Address Eugene (address) (Iics. no.) (expires) (address) (expires) 484-0707 (ohone no,) 924 East 43rd Street, Eug. 17278 Eugene Eugene May - 1981 I I CHARGE I NO, I 11 I 25.001 I 1 I I I I I I Euqene (lics. no.) ELECTRICAL MECHANICAL I I I 1 I I 1 I I , I ..1 1 I I FEE c'kARGE I I I FEE I CHARGE NO. 125.00 1 furnace/burner to R,TU's I Appliance vent separate I Stationory evap. cooler l.vent fan with . sin!:lle duct Vent system apart from heotin~ or A.C. Mechanical exhoust hood and duct 3.00, 4.50 1 1 I 10.00 Resifll1..ns.e of _lU.1b-sa. ft. WHERE STATE LAW REQUIRES that the Elemical work be done by the Eledricol Contractor. the electrical portion of this permit sholl not b...valid until 0 label has b..n signed by on Electrical Contrador and attached to th. .Iearical panel. 17.50 New circuits, alterations .or extensions I SERVICES Temporary Construction [0.00 I HAVE CAREFULLY EXAMINED the completed ~pplication 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 Lows of the State of Oregon pertaining to the work described herin, and that NO OCCUPANCY will he mode of any structure without the permission of the Building Division. I further cert7fy tnat my registration wilh the Builder's Board is in full force ond effect a s required by ORS 701.055, that if exempt the basis for exemption is noted heron, ond that only subcontroctors ond employees who are in compliance. with ORS 701.055 will be used on this project. -~ Basis for Builder's Board exemption- NAME (please print) L ~I /1: i .4 r-;, K~ r Zan- R-l Fire Zone---.tJ.A Flood Plain NO Type/Const. Bedrooms Ctori~' V-N ,~ 1 BUILDING PERMIT Charges and Surcharges , 157.00 --------- 6.28 PLUMBING PERMIT Charges and Surcharges 25.00 1. 00 ELECTRICAL PERMIT Charges and Surcharges 35.00 1.40. MECHANICAL PERMIT Chorges ond Surcharges DATEL:/ .;2- /i);.. : Value -~ 34 .4~R, R-a-nj .:: Value ~.9.ll.U Value j;<,qUU.tlU I I Amps. 1 I FEEDERS' I A~ps. Wood stove/heater I Heat Pump lAir hondler to 10,000 CFM Air handler over 10,000 CFM TOTAL CHARGES ISSUANCE OF PERMIT 35. 00 I TOTAL CHARGES 'SIGNATURE'~ FOR OFFICE USE ONL 1 103fi blti x 33.30 '!:J. ~U Units ~ccy Load "'ccy Group Cq. Ftg_ Main Sq. Ftg. Access Sq. Ftg. Other x R-3 TOTAL VALUATION I Plan Ck. Comm/lnd 65%/BldCl Per Fee Plan Ck. Res 30%/ Bldq Per Fee I Systems Development CharDe (1.5%1 4'r,-i:(; 46.20 PD 12-1.80 Pln Ck Due I REC# 55296 I ~alt~~~m~:~:: Tern') Fence I Demo I Sidewalk I AI C Pavina I .1 TOTAL _____17 J1!L_ CUlb Cut .70 'II -", .-. ., . ~ 591.01 .90 .20 243.88 835.99 "'-:'''t':'{'~':''"!~''''".-'''-''f,~",~",.~'';'."...!o<.~...,;.tI:'''''_:~J1.~~.~,,,,Jt";';;""..i"";;~;:T..~_~~J;.:_._~~;!k>~..., . ~_.,,..... '--:-:-r---- J :~.,-;.r.:J_~;;< ...--"-c; . P-.::-'...--_.....,~..- ....... -- - -1'- ,,--I ~ .. ;,.!- -." "-'--i1R -=,~..;.. ,;' .~~- -:~::7 . -,i.. ..:;-...;\~.." f COMBINATlO,N ,.APPlICATlON/PERMIT '(CAP) I. Applicant to furnish A. Job Address B. legal Description L example-tax lot 100, Lane County'Mop Reference 17 03 43 .. ._~.~. 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. foat garage 2. example-if new project, check new-if addition, chE add, etc. F. . Building permit information: .1.' example-construct single family hous~ with an aft go rage ( 2. example-remodel existing garage into family rOOl 3. example-convert single family residence into . restaurant (change of use) G, Value of work as defined in Section 303 (a) of the Struct~ral Specialty Cod~ . H,. DESIGN TEAM'AND CONTRACTORS To avoid design or construction delays, Building Divi 'n Staff must be able to contact appropriate persons re design information or job site corrections, etc. II. Abbreviated Plumbing, Mechanical & Electrical'Schedul. A. Except where blank spaces occur in the description F of the Mechanical and Electrical Schedules, the appl need fill-in only the No. Boxes adjacent to the apprc 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 schedu . have been abbreviated .2. If the item(s) to be installed are not covered on t' ated schedules you should'consu!t !he.full schedl C.' BUILDING DIVISION STAFF Will FILL OUT ALL FEES CHARGES ON THE SCHEDULES 'III. Applicant to sign and date Whenever possible, the initial application will be used '"' worksheet only. Where possible, Building Division Staf prepare a typewritten copy and return it to the applicc 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 thl [p and no plans will be processed until these fees are poi+-- ~ other fees and charges are due and payable when the permit is issuecL V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: ". "..1 '. ,.---'..':-.. ) ._ A~d!tionQI Project Information: ',< 'r 1u:i1,~ PERMIT VALIDATION " CITY OF SPRINGfiELD ;1 City Hall Springfield. Oregan Department of Public Works OFFICIAL RECEIPT ( ( 55567(1 Date 1-12. Reed From (, . Received For: ~ .q OJ/) ~ ( PI) 4G}n ( ( 1P (~' ~{P (' " L\Ob , , ( ( €t ~ ~~ AUTHORIZED SIGNATURE '~HTO"'TU euu ~'''''TE''S . ~UGU'IE_ 0.. ~7.0' ( "'''',( 1 I r.J Permit Cler~ '" -,- .-- .-- ......: ", ", i ...~~, " ] DRIVEWAY CULVERTS' REQUIRED. CONTACT CITY ~lAINTENANCE. DEP^RTMENT 726-3761 .. '; .~ '. PLANS REVIEWED BY, --, ',:,; "-. DAN SMITH ". .. \'ignatu;ell1 In itrlCt~' /(1..0"' H./ .:"./........., datF' 12-16-80 -, --. ," ~ namf'