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Home My WebLink AboutPermit Building 1980-6-30 '':'" -Se..cf Z -Z ~ nose... ~ U) Wf1NC.-.'ED. .-JUI't-18, 1mI_ I IrISPECTlOII 1IIIE ZA /~6 . CITY UF SPRINGFIELD INFORlIATION LINt 726.3769 ~rL/ COMBIiIATlON APPliCATION/PERMIT 726-3753 Sq. Ftg. 1.lain.?q,nqL- ~q. Ftg. Access. Sq. Ftg. Other Ilew Add A Iter Rep. --F~nc~ Demo Change/Use -Other- - ......, Park 1144 Gateway Loop Part of Tax Lot 2400 In Gateway Subdivision 1/0322 Z All ied Cornnercial Realty '240t> . E!IERG~~rCPtinp El ectri ' Heat . Hater Heater t I eCtrl C tleCtrlC Range 00 o o .i'> ~ N Job Address legal Description Owner te~a~~6~o~?cAOO,OO Address 25260 Parkway Phone Wilsonville, Oregon 97070 682-2030 Construction lender ,;z,4'2 "Zlo\ l..... Bui ttiinq Permit Info: Oeser be l~ork( Le.. Build Single Family Residence Hith Attached GaraQe) Foundation for two story office plaza. Address DESIGII IEAII (name) Primary 1 ~ar~A~r\;R~pl\raxDerger Structural Otto Van Wal stijn Builders Electric ! Electrical Phone (address) (lies. no.) fexoiresl (ohane no. 11echanical CONTRACTORS CHase Company (name) Jim Johnson 4455 S.W. Scholls Ferry 610 Broadway S.W. 293 Monroe, Eugene P.O. Box 5549, Eugene (addrf'ss) P.O. Box 3196 , Salem 1135 6/30/80 292-8895 222-3452 485-0922 726-1Cl81 (l ics. no.) (exo; rps) rnhnnp M..) 585-7406 , Genera 1 Plumbino Electrical ~lechanical ;. PlUI1BIrlG ElECTRICAl MECHANICAl i NO. FEF CHARr;F NO ~~~ r~ARr.~ NO. ~~~ I r~llQr.~ Each single fixture . Residence of SQ. FT. furnace/burner to BTU's Relocated building (new fix. additional) S.F. Residence {j bathl Duplex (1 bath) each New circuits alts. or extensions Floor furnace and vent SERVICES Recessed wall ; Snal'P hp~tpr ~nd vpnt Storm Sewer Of amps. Appliance vent spoaratfl Stationary evap. cooler Vent fan wi th sinnlf' duct Vent system apart from heatinq or A.C. Mechanical exhaust hood and duct Wood stove/heater Additional bath Temporary Construction Change in existing re<;. j dJ'Jlce multifamily, comm. or Tndll<;.triill Hater service Sewer COffi1./INO. FEEDERS Install/alt~r/relocate di<;.trih. fppdpr<;. Of amps. ISSUANcr OF PFRIIIT TOTAL CHARGES . TOTAl CHARGES , TOTAL CHARGES WHERE STATE L'H REQUIRES that tile Electrical work be done by an "Electrical Contractor, the electrical rortion of this permit shall not be valiJ until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFUllY EXAr1INED the completed aprlication for permit, and do hereby c~rtify that all information hereon is true and correct, and I further certify that any and all work oerformed 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 herein, and that 1m OCCUPAIKY will be made of any structure without the permission of the BU11ding Division. I further certify that my registration with the Builder1s Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted h~reon. and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. IWIE(please print) A . IA/. #/_/~h.?A--r1 SIGil^TUR~'77~~O~ Q OAT~.J'3-? Zone C-4 Fire Zone 11 Flood Plain FOUNDATION Tyoe/Const. V-ll I hr Units Bedrooms Occy load ~ Stories Occy Group ONL Y! !! ! ! ! ! ! ! ! ! ! ! ! ! ! FOP. OFFICE USE DIlLY Sq. Ftg. Sq. Ft9. Sq. Ftg. n-~ 11ain29,092 x Value 865,000.00 Access I viU rlUIJKj Value_ Oth tL~, :JLJ.O LJ.. tH V 1 " I U, UULJ. ~}l) er x a ue TOTAL VALUATION 935.000.00 BUIlDING PERt.IIT Charges an~ Surcharges I Plan Ck. 227.00 65%/Blda ----g.liB-----Pian Ck. 30%/BldQ Fence Conrn/! nd Ppr Fpe Res" Per Fee I 147.55 PO 0618S)Systems Development ' ltharQe (J.5~) I I PlU'1BING PERMIT Charges and Surcha rges Demo ElECTRICAl PERt:IT Charges and ----- Surcharges Sidewalk A/e Paving. Total Comb. rermit I1ECHAN I CAl PERMIT Charges and Sur"c~arges Curb Cut I -- TOTAl I 236.08 I ........:~ . .J - ...J , . " ~ '......- ~~ .' 03_')/11 _r~' J . COMBINATION APPlICATION/PERMIT (CAP) PERMIT VALIDATION .., I. Applicant to furnish A. Job Address B. legal Description 1. example- Tax lot 100. Lane County Map Reference 17 U3 43 2. examole- Lot I. Block 3. 2nd Addition to Springfield Estates C. Name. etc. of owner and construction lender O. Energy Sources 1. example- heat/electrical ceil inq/or forced air Qas 2. examole- waterheater/electrlcal/or solar E. Square footage or valuation, etc. ----- 1. examole- 1250 sq. foot house. 500 sq, foot garage 2. example- if new project, check-n€w - if addition, check add. etc. F. Building permit information: . 1. example - construct sing"le family house ,with an attached garage ' 2. example - remodel existing garage into f~mily room 3. examDle - convert single family residence into res taurant (change of use) : G. Value of work as defined in Section 303 (a) 'of the Structura"l Specialty Code 1'. H. DES I GN TEAH ArlO CONTRACTORS ., To avoid design or construction delays, Bui1~ing Division Staff must be able to contact appropriate persons regarding design information or job.pite corrections. etc. .: II. Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except ~Iher~ 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 'i B. Full Plumbing, Mechanical, and Electrical Scpedules 'are available at the Building Division ; 1. To conserve space on the permit form the: schedules ha ve been abbrev i a ted :~ 2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult the full schedules .i 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 signature by his electrical supervisor. The general contractor is not authorized to sign.the electrical label. III. Applicant to sign and date Whenev~r possible, the initial application will be used as a worksheet only. Where possible. Building Division Staff will prepare a type written 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 Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit appl icant exempt from registration with the, Builder's Board because: Additional Project Information: PLANS REVIEWED BY: LORNE W. PLEGER Signature~~__(' 4"'t" dateJ:; ~/15-80 I name \. . , '-- . ~.... Job Address 1144' Ga teway LOOp Legal Description Part of Tax Lot 2400 Park Subdivision Owner A 11 i ed COlllTIerc i a 1 Rea lty Address 25260 Parkwav Wilsonville, Oregon 97070 r ." If( I IrISPECTIOIl UIIE 726-3769 Construction lender . '-fr~' ~......."..,'"fr' ,~~~~~q::,.:t"1~ ~ITY' OF SP:I1IGFI'ElO ' ' ....~,!0_D CDr1Bl11ATION APPliCATION/PERMIT INFOR/1ATION UN" 726-3753 Sa. Ftg. Hain 2Q.09;> ~q. Ftg. Access. Sq. Ftg. Other Ilew Add A Iter Rep. --Fence Demo .Change/Use Other -- - 00 o o .'" .... N ..JUI'l-ll:l .1~OIl - ..--~ In Gateway I I, I ~~;~r.lIe>g~Rqi~inp El ectri : !.Iater Heater t I ect r1 c Electric ,---- Ran!je te'(illBM6~1)6~I'JAOO' 00 I Phone . Bu;~ina Permit Info: Describe \~ork(i..e.. Build Single Familv nesidence "lith .A.ttach~d Garaoe) 632-2030 Foundation for two story office plaza. Address DESIGH itAl1 (name) '~ar~RgrsR~L~raxoerger Primary IJ Structural Otto Van Hal stijn Electrical Builders Electric 11echanical CHase Company CONTRACTORS (name) Phone (address) 4455 S.W. Scholls Ferry 610 Broadway S.W. 293 Monroe, Eugene P.O. Box 5549, Eugene (address) P.O. Box 3196 , Salem (lies. no.) (exoires) (ohone no_ 29i-8895 222~3452 485-0922' 726-1981 1135 6/30/80 flies. no.) (eXD i rps) rohonp nn. ) 585-7406 Genera 1 Jim Johnson Plumbino Electrical ~,lechanical NO. Each single fixture PlUllB IrIG ElECTRICAl MECHANICAl FFF tIn I I Res i dence of SQ. FT. New circuits alts. or extensions rHARr.f fHARr.;F Nn. 'H '" r!.jARr,!=" furnace/burner to BTU's f Relocated building (new fix. additionJl) S.F. Residence (J bathl Duplex (I bath) each Additional bath Hater service Sewer Storm Sewer I , , I I -f" r I Floor furnace and vent I Recessed wall . ~narp hp~tpr ~nrl vpnt SERVICES 'I I I I I 1 I I ITemporary Construction IChange in existing r@c;,.i rtf'nq~ Imultifamily, comm. or Indust.rial , Appl iance vent seoaratfl Stationarv evao. conler ~ . Vent fan with sinale duct 1 Vent system apart from' heating or A.C. 1 Mechanical exhaust' hood i\nd dud_ . I Hood stove/heater 1 , I 'Of amps. CDr11.1. lIND, FEEDERS I 1 1 TOTAL CHARGES WHERE STATE L~W REQUIRES shall not be valiJ until the perrilit I HAVE CAREFUllY EXAtHNED the completed apfllication for permit, and do hereby certify that all information hereon is true and correct. and I further certify that any and all work oerformed shall be done in accordance with the Ordinances of the City of Springfield and the laws of the State of Orel]on pertaining to the work described herein, and that 1m OCCUPArlCY 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 as required by ons 701.055. that if exempt the basis for exemption is noted hereon~ and that only subcontractors and employees who are in compliance with ORS 7n1.055 will be used on this project. IWIE(please print) ;"'.. I/V. .-- H&/r.p/{/-.n_/l SIGII~TUR~::?J~'P~ 0 ~ FOr. OFFICE USE QillY So, Ftg, 11ain29,092 x Sq, Ftg, Access I WU rLUIJK~ S,q. Ftg. Other lL}~~L~O x "/U,UUU.~H) ~OAT~.2C> ~'" 865,000.00 Zone C-4 Tyoe/Const. V- j II hr Units Fi re Zone I I Bedrooms Occy load ~ Flood Plain Stories Occy Group FOUNDATION ONLY!!!!! I!!! !!!!!!! BUILDING PERI,IIT Charges anC Surcharges PlU'1BING PERMIT Charges and Surcha rges ElECTRICAl PERI:IT Charaes and Surcharges 11ECHAIIlCAL PERHIT Charges and Sur"charges .-:-~ '-" Value Value q .(51 Value tl-iC Plan Ck. Comm/Ind 227.00 65%/Rldo Per Fep ----g.1m----- Plan Ck, Res. 30%lBl dq Per Fee I Fence ------------ I Demo I Sidewa 1 k I Ale Paving" ~----~------l Curb cut, TOTAl VALUATION 935.000.00 '147 .55 PO 06188'ih~~~~s(~~5$,lopmeot ' Total Comb. rermit I TOTAl 236.08 '\- -.. .<lj.. ~ .. ~-.. ...... ........... iiJ.'''''..''... , . COMBINATION APPlICATION/PEP~IT (CAP) I. Applicant to furnish A. Job Address B. legal Description 1. example4 Tax lot 100. lane County ~lap Refer 17 03 43 2. examole- lot 1. Block 3. 2nd Addition to Sprlngtield Estates C. Name. etc. of owner and construction lender D. Energy Sources 1. examole- heat/electrical ceilingjor forced 2. examole- waterheater/electrlcal/or solar E. Square footage or valuation, etc. - I. examole- 1250 sq. foot house, 500 sq. foot 2. example- if new project, check-new - if add ~n check. add. etc. . F. Building perr.lit information: 1. e"xamole - construct single family house wit attached garage ( 2. examole - remodel existing garage into "fami 3. examole - convert single family residence i: restaurant (change of use) G. Value of work as defined in Section 303 (a) .of Structura-I Specialty Code H. DES I G;I TEN: ArlO CONTRACTORS To avoid design or construction delays. Buil~in! Divlsion Staff must be able to contact appropri; ( persons regarding design information or job ?itl corrections, etc. . Abbreviated Plumbing. Mechanical. & Electrical Sche< A. Except where blank spaces occur in the descript" portion of the Mechanical and Electrical Schedu' the applicant need fill-in only the No. Boxes a{ to the appropriate item(s) to be installed B. Full Plumbing. Mechanical. and Electrical Sctledl ( ~re available at the Building Division ) 1. To conserve space on the permit form the'sct have been abbreviated ~ 2. If the item(s) to be installed are not cover the abbreviated schedules you should consult full schedules C. BUIlOIilG DIVISION STAFF WIll FIll OUT All FEES P CHARGES ON THE SCHEDUlES ( D. As noted on the CAP. the label must be deliverec :".. BY electrical contractor for signature by his elect supervisor. The general contractor is not authc to sign .the electrical label. /" Applicant to Sign and date 'I,. Whenever possible. the initial application will be u~ a worksheet only. Where possible. BUllding Division Staff will prepare a typ~ written copy and return it to the applicant at the time the actual permit is issued for his signature. 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 permlt is issued. II. I I I. IV. V. FOR OFFICE USE ONLY . ."...~ ( CITY OF SPRINGFIELD If ..... i City Hall Springfield. Oregan Department af Public Warks OFFICIAL RECEIPT (SF No. B Dale r,,- =<rl 1980 - . Rec'd .Fram 8J.kr.h. ((".l^~' I." f' Ir( If)j A W M..:. Fo...-\('-.\'\d..- Address 2."'=:'/(:. f? . A.vk."";l y _ \~c..."l^;.:1 I 1"'_ I.!'._,,, _~ A. - . . ) "" Received Far: AI (J;., B l.r,^~ " .~ P'(V\L/t.j~- f 53867'8 t2eClII ~\{. . , . c:omW19A/'..r~1 \ ( /3v j' (ell '.1 An ~::2 '7 oCJ { Lf0n qoB ,on 'f-'~ i?B I.,.... , Amount Received C>\.-,::9~ _ c.~ <--=.7 ,711^-' ..~7L.0U~ ( (I AUTHORIZ[D SIGNATUR[ "..UTO...TU....IIULL ."''''l''S' lUGl..l 0" .'.0' Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: , ( € ~ ~ ~ ~ << ., I LORNE vJ. PLEGER Signature~~-_(~ ~....... date ~~/~-80 /'" ~, r ,I.". name ~_' J ......c... '--