HomeMy WebLinkAboutPermit Building 1980-9-8
CITY Of SPRINGFIELD
Cm1BIIIATION APPLICATION/PERMIT
EnERGY SOURCES:
Hea t gas
Hater Heaterelectric
Range NA
ValuE of (-lark:
325,000
Bu;le;nq Permit Info: Descr,be Work(i~e.~
. Family nes;dence IHth .Attached Garaae)
.
.
n INSPECTION LINE
726- 37 69
"1
1
Job Address 1126 Gateway Loop
Legal Description Easterly End of Lot B, MP 834
-----------
Part of T,L, 2400, 17-03-22-2
Owner
Address
A. W. McFarland
25260 Parkway
Phone
Wilsonville, Oregon 682-2030
Construction Lende'First Northwest Mortgage
Addres;3045 NE Division, Gresham OR Phone666-9 5:'. 5
UESIGII IlAll (name) (address)
INFORIIATION llNt
726-3753
Sq, Fto. 1,lain u;, )))
~q. Ftg. Access.
So. Fto, Other
XNew Add Alter Rep.
--Fence Demo Change/Use
Other - -
I
o<l
<:>
()
cf}
;t.)
I (}l
Su; ld Single
Office Building New construction
Site Review #80-~8
I
11 Of
I 1
11
I ISSUANCE OF PFRI1IT 10,00
TOTAL C~ARGES 55,00 I TOTAL CHARGES 11 0.00 TOTAL CHARGES 74.50
WHERE STATE L'\\1 REQUIRES that tile Electrical work be done by an Electrical Contractor. the electrical portion of this perli1it (
shall not be valiJ until the label has been signed by an Electrical Supervisor and returned to the Building Divisiqn
(lies. no.)
Primary VanLom & Kraxberger
\
'I. Structl,ra), VanL,?!,,~ Kraxberger
t~'r:!C'l Kalm~~(:h Electric
11echanical K-2 Heating___
:.QJtITRACTORS -- I name I
'General First Northwest' Const.
~ rl umbi na"'HOl~e;-;lumbing
,
Electrical Kalmbach Electric
4455 SW Scholls Ferry Rd.,Portland, OR
4455 SW S~~olls,Ferry_Rd.,Portland, OR
13836 SE Holgate, ~~rtlan~, OR
PO Box 66068, Portland, OR
(address) -.-----{f.ic:s. no.J_
CO. 3045 NE Division, Gresham, OR
1080 NE 8th, Gresham, OR
13836 SE Holgate, Po~tland, OR
PO Box 66068, Portl~!2dL....9B...c~,
~h"n~g1..]( -2_ He~!.in~_
PLlJlIBlIlG ELECTRICAL
NQ.~ (m~-~~' ._-. -------...---~FfFrH^Rr,E ,NO. r
I Residence of
11 Each single fixtur'e
5.00 55,00 sq. FT,
Relocated building New circuits alts.
(new fix. addition~l) or extensions
HL_J:JJlIJlliF !iO,
s. F. Res i dence
(] bath)
Ouplex (1 bath) each
SERVICES I
I
1 Temporary Construction 110,O(
Change in existing I
rf'sidpnc::e.
multifamily, comm. or I
lndustrial 2
1 Of (iO" amps. 150.0(
C0I11'1. II ND. FEEDERS
Additional bath
~!ater service
Sewer
Storm Sewer
Install/alter/relocate
nic;.t.riIL feedprs
225
amps.
25,OC X
150
Amps
Amps
15,OC 5
100
10,OC
(expi res)
(ohane no.)
292-8895
_,_,~~~:~?~L.. .
7~0-2487 '
---618~2~76--- -,
_(~xpir~s'l--.=----fi)hqj1:: no.l.. -,
666-9255 ,_
665-3168
7do-~IJ:ElL__,
,
.....22~~~9Z~
9
MECHA!iTCAL i i
- ~~-~',..'," ,', ,-" ,"" -'-.' i
___,_Lt.r.f_ J1jt,1G.E.~
furnace/burner '~O'I ~':"
BTlI's 6.0 54,00 i:
-.+
II,
u,____J
Recessed ~all I
Sanep hp,ter "nrl vpnt --1
Floor fur.nace
and vent
Appliance vent
s€o.ari'lt.f'
Stationarv evao.
cooler . ~ .
. Vent fan with
sinale duct
Vent system apart
heating or A.C.
Mechanical exhaust
hood i'lnd due t.
3,0 6,00
from
I
!
· 2.00 i '
.5Q 2.50.
I
Hood s tove/hea tcr.
I Gas outletsl-4'
IGas Outlets over41
I I
I HAVE CAREFULLY EXM1H1EO the completed application for permit. and do hereby certify that all information hereon is true
and corr~ct, and I further cert"ify that any and all Nark performed shall be done in accordance \'lith the Ordinances of the City
of Springfield and the Laws of the State of Oregon pertaining to the work described herein. and that tW OCCUPArlCY will be made
of any structure without the permission of the Building Oivi~JLon. I further certify that my registration \'lith the.Guilder's
Board is in full force and effect as required by ORS 701.05~, that if exempt the basis for exemption is noted hereon, and that
only subcontractors and employees who are in comoliance with OP.S 7nl.055 will be used on this proJect.
IIAIIE(please print) /)"}VA I J \! FA M/l/llcLs SIr,;IATU~-G-,a(0~/~JL ~Dm5/V.r;)
FO~ OFFICE USE 01iLY
Zone C-4 Type/Canst. V-1hr. Uni. ts Sq. Ftg. 1,1ain 12.333 x Value 30/i.412./in
Fi re Zone NA Bedrooms NA Occy Load 104 Sq, Ft~. Access x Value
F1aod Plain NO Stories 1 Occy Group B-2 Sq. Ftg. Other A,C, x Value 18,587,00
TOTAL VALUATlDrI 325 ,OQ,O, 00
BUILDING PERI.IIT 597.50 Plan Ck. C01TU1l/Ind
Chi'lrges and 65%/Rldo Ppr Fpp
Surcharge:s --------------p;-an Ck. Res
23.90 30X/BldQ Per Fee
PLUt1BING PERMIT 55.00 , ence
Charges and ------------
"- Surcharges 2,20 Ot;!mo
~ ELECTRICft,L PERI:IT 110.00 Sidewalk NA
I< Charges and ------------ I A/C Pavingl8,587,
Surcharges 4,40 10
11ECHAN I CAL PERM IT 74.50 I Curb Cut NA
Charges and ------------
Surcharges 2,98 I
388,38
88.00
Sys,ter.1S Deve 1 opmen t
Cha roe (1. 5'1
4,875.00
Plan Ck,feedue
388.38
Total Comb. Permit
958,48
TOTAL
6,221.86
\
j
,
,
F'
~
"
i
~
r.
r,
r.-
~
1
F n.
1
;
l
I
I
I
......".,
.
COMBINATION APPLICATION/PERMIT (CAP)
I:!
J, Applicant to furnish
A. Job Address
B. Legal Description
1. examole- Tax Lot 100, Lane County Map R(.
II 03 43 (
2. examo 1 e- Lot 1. Block 3, 2nd Add it ion tc
~pringfield Estates
C. Name. etc. of owner and construction lender
D. Energy Sources ~.
1. examole- heat/electrical ceil inQ/or fore (~;..
2. exam~le- waterheater/electrical/or solar
E. Square footage or valuation, etc. -
1. examole- 1250 sq. foot house. 500 sq, fa, po'.
2. example- if new project, check----riew - if i Ijt~
check add, etc. _;
Fo'. Building pernrit informaticil: .1
]. example - r:onstruct single familY'house::~
attach2d gc::re<ge ~ ('
r.. p.xamole.. remodel Existing garage into f~
3. .. e:X,:'jmD 1 e"" convert s i il91 e family res i cici1r:~
.restaul~an.t (change of use) : I.
(i. Value of \'!ork dS defined in Section 303 (a)a (hI':
St.ructural SrcC"ialty Code --I
H. OESIGil TEM! MID CONTRACTORS !
To avoid ciesign or constf"ucUon de'Jays,_ B'.lifd I.'
Division Staff must. b~." ab1c to contact appropl t~
pe,sons regardir1Y design informi'ltion or job $'.
corrections_ etr..
.J',!",.i,reviated Plu~bing: f'lcchan";r;a..I, & F."le:ctrical si:,.
. A, Except \.there blt'l.nk spoces occur in the descrip ~
portion of the l"'1echi'nical and Elcctrica-J Sched
the ap~l-icant need fill.."in on.ly the No. Boxes
to the appropriate item(s) to be installed
R. Full Plumbing. Mechanical-, and Electrical Sche,
are available at the Building Divisio~
1. To conserve space on the permit form the Sl
have been abbreviated
2. If the item(s) to be instal"led are not COVE (0
the abbreviated schedules you should consul
full schedules ':
C. BUILDIiIG DIVISION STAFF WILL FILL OUT ALL FEES
CHARGES OH THE SCHEDULES
0'. As noted on the CAP, the 1 abe 1 mus t
electrical contractor for signature
supervisor. The general contractor
to sign the electrical label.
Applicant to sign and date
Whenever possible, the initial application will be t
a worksheet only. Where possible, Building Divisiof
will prepare a type written copy and return it to tt <:
applicant at the time the actual permit is issued fc
signature.
Fees and Charges
Plan check fees are due and payable at the time of t (
appl ication. and no plans will be processed until th ,"
fees are paid. All other fees and charges are due a+-
payable when the penmit is issued.
.
PERMIT VALIDATION
CITY
OF
SPRINGFIELD
(
be delivere
by h.is elec
is not auth,
I I 1.
IV.
V.
FOR OFFICE USE ON.Y
City Hall
Springfield, Oregan
Department of Public Works
OFFICIAL RECEIPT
(
'" . .. ... ....&~
.."'",.,-,. .... ... I'~.'"' . _._..... . ",., ..,
(
,No.- B
Date Cf-I Y) 198r)
Rec'd From J iYt D 11 } (b.D.sf( /n~_(
Address Prl ~ 7.ffT7 3
0\ G-tt-- q ('?'Z-U
R~p For: esLn bU
L\Cl: 1'~ q n
ffJ_ o()
L\ O'b 1-/Z/J
r I() ,oc
q 140
! L(. SO
461D 745 ('
pGf CO rnnl) 39fA. 3 0
\:!CUYLm7: _ tp/o .gg
~Q(~iV~ /)-"'_l.__c../Vol ~e
\C'l.-----v--..-c;\O L.-
~4"17
j b Ie
(i
(I
pp
([
(s --c; p
(1'
C\O)n
<&:
t---'r'
\
<i
(
~
"
c. r .,'HO","O SOOH"'"
S..ELfON.U.......PLJ.... ~"'NTER" " EUGENE, OR 97.01
Q
(~
i
5a,,,.a \.
(
- -] - !
.. ~
. ," P2rmi t SI e:rk____._____________.___j
"II" ',L _. I ~ I. " , ... .1
PROJECT CONDITIONS, TO BE SATISFIED BEFORE OCCUPANCY:
,1..._", .,.,...,..
I
I
I
Permit applicant exempt from regi'stration with the Builder's Board because:
Additional Proj'ect Information:
.
PLANS REVIEWED BY:
.1
Signature_44 ~~:r~
name
date 2"-;;27-go