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HomeMy WebLinkAboutPermit Building 1980-8-19 II/FORlIATlON liNt 726-3753 Sq. F~~. ;";aln .1.0 ~CUU ~q. Ftg. Access. Sq. Ftg. Other -'~e\"_Add_Al ter ~qep. __Fence__Demo__Change/Use _Other [ 1 : 2 Temporary Construction 110, OJ20, 001 I Change in existing I rps i dpnre I multifamily, CQTlI!1. or 16 IndlJc;tr;<ll I 1 Of , ?nn amps, 65, 001 I COI11'I./IND. FEEDERS 'Z- ,t,. 9 I Install/alter/relocate I I I dic;trih. fpprlprc; I 5 Of 400, amps.125, OQ125. 0~8 I 2 600 AMP 50. Oq100. O~ I 1 225 AMP I 25,O~ ,I 4 100 AMP 110,Oq 40,OD ISSUANCE OF PFRllIT lV, Vl' TOTAL CHARGES 150.001 TOTAL CHARGES j/';), UUI TOTAL CHARGES 76,01 WHERE STATEL:'\\~ REQUIRES that the Electrical work be done by an Electrical Contractor. the electrical portion of this permit shall not be valiJ until the label has been signed by an Electrical Supervisor and returned to the Building Division I I I I I Vent fan wi th I ,inole duct 3,00 18.0 I Vent system apart from I ' heatina or A.C. I Mechanical exhaust hood and dlJr:t I ~'Iood stove/heater I Heat Pumps I I I HAVE CAREFULLY EXAr1INED 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 nerformed 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 NO OCCUPAIKY will be made of any structure without the permission of the Building Division. I further certify that my registration with the Builder's Board 1s in full force and effect as required by ons 701.055, that if exemot the basis for exemption ;s noted hereon, and that only subcontractors and employees who are in compliance with OP.S 7(11.055 \-/ill be used on this project. sIG;IAT~jiL:';"~r11 j!fktdt;;~.~ DATE~..,-) ~ I FOr. OFFiCE USE allL // So. Ftg. Ilain x Value 483',848, 00 Sq. Ft9. Access x Value Sq. Ftg. Other A.C. x Value 14,500,00 TOTAL VALUATION 4~tS, j4ts, UO . . INSPECTION LIIIE 726-3769 Job Address 1077 Gateway Loop Legal De,cript;on TL 2604 Map 17 03 22 02 Owner Associated Oregon Loggers - -- Address 1077 Gateway Loop CITY OF sPRlflGFIELD COtIBIIIATIOtI APPLICATION/PERMIT ErIERGY ,SUURJ:.S: t Heat HP tleC !~ater Heater~l prt Phone Range ValuE. of Hark: 498,348.00 Builiino Permit Info: Descrlbe Hork{i,e., Family t'!es;dence IHth JI..ttached Garaqe) Office Buildinq Construction Lender Address DESIGN HAIl Phone (address) (lies. no.' 200 South Mill Street Primary (name) The Amundson Associates (ex"; res) Structura 1 Electrical f1echanical CONTRA.cTORS (name) (acidress) flies. on. \ (tomirp<;\ General Millhollen r;pn. r.ontr~dnr 133 Silver Lane Euqene 1801 8-81 Plumbino ElectricaV-WaV El ectri c 4739 Main Street Sorinafield ~lecha n i ca 1 PLUlIBIIIG ELECTRICAL MECHANICAL NO.1 ~IEaCh single fixture [Relocated building (new fix. additional) S.F. Residence fl bathl Duplex (1 bath) each IAdditional bath 1~later service I Sewer I Storm Sewer FEF r.HARGF L~~~ I I rlJARlif.. ..I1Q.....1 I [furnace/burner to , BTlI's Floor furnace and ven~ Nn Residence of i. 00 150. 00 SQ. FT. New circuits alts. or extensions SERVICES Recessed wall So~~P hp~t~r ~nrl vpnt Appliance vent <;/O'(l!'lratp Stationary evap. cooler IlAHE (p 1 ease pc; nt) RICHARD S. MILLHOLLEN Zone F; re Zone C-4 Units V-I HR Type/Canst. Bedrooms Occy Load Occy Group lJ-l:' Flood Plain NO Stories l:' BUILDING PERHIT Charges anG Surcharges 884.00 . Plan Ck. COI1'll1/lnd IPD 6s%lBldo Per FeoJ -.,Jr'E ------3S-:-36---PTan Ck. Res 30%/61 do Per Fee I Fence I Demo I Sidewalk 164' I I A/C Paving 14,5DO, ~~____~g~__1 Curb Cut 34' 574.60 554.13 LC.:;] Isyste~s Development Charqe O.S~) P _AN CHECK DUE PLO!1BING PERlaIT Charges and Surcharges n___l5b.OO 6,00 375,00 ------ts.uu ITotal : TOTAL ELECTRICA.L PER;~IT \ Cha rges and Surcharges i!IECHANICAL PERMIT ~harges and urcharges \ .-J 16.40 72,00 13.40 Comb. rermit CX> o o '" CX> ..... Build Single (ohone nt). 748-3231 (ohn'1p nn.. ) 689-3607 746-9743 1 EEE nlARGE..J I I I I ' 16, 00148, O~ I I I I 7.475,22 20.47 1,646,20 9,141.89 ~ ~ i . l" COMBII/ATION APPLICATION/PERMIT (CAP) , ~ . J. Appl icant to furnish A. Job Address B. Legal Description ( 1. example~ Tax lot 100. lane County Map.Re 17 03 43 2. examole- lot 1. Block 3. 2nd Addition tc Springfield Estates ( C. Name. etc. of owner and construction lender D. Energy Sources 1. examole- heat/electrical ceilinq/or fore 2. exa~~le- waterheater/electr;cal/or solar (- E. Square footage or valuation, etc. - I. examole- 1250 sq. foot house, 500 sq. fo 2. examp.le- if new project. check-new - if check. add, etc. F. Building permit information: 1. example - construct single family house 1 a ttached garage 2. example - remodel existing garage into fi {t 3. examole - convert singie family residenc! restaurant (change of use) G. Value of work as defined in Section 303 (a) , Structural Specialty Code H. DESIGN TEN1 ANO CONTRACTORS To avoid design or construction delays. Buil{ Division Staff must be able to contact appror persons regarding design information or job ~ (' corrections, etc. II. Abbreviated Plumbing, Mechanical, & Electrical Sc A. Except where blank spaces occur in-the descri portion of the Mechanical and Electrical Sche ~s_. the applicant need fill-in only the No. Boxes ~ to the appropriate item(s) to be installed B. Full Plumbing, Mechanical, and Electrical Sch are available at the Building Division 1. To conserve space on the permit form the have been abbreviated 2. If the item(s) to be installed are not co the abbreviated schedules you should cons full schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEE: CHARGES ON THE SCHEDULES D. As noted on the CAP, the label must be de1ive; electrical contractor for signature by his ell supervisor. The general contractor is _not au' to sign the electrical label. --- Applicant to sign and date Whenever possible, the initial application will bE a worksheet only. Where possible, Building Divisi will prepare a type written copy and return it to applicant at the time the actual permit is issued ,.... signature. <. . Fees and Charges. Plan check fees are due and payable at the time o~ne application, and no plans will be processed until these fees are paid. All other fees and charges are due and payable when the penmit is issued. I I 1. IV. V. FOR OFFICE USE ONLY i.. . PERMIT VALIDATION CITY OF SPRINGFIELD ( City Hall Springfield. Oregon Department of Public Works OFFICIAL RECEIPT ( S4350( No. B Dole ?J r Iq 19M ( Rec'd From ~((D}11tl.Q_(!V~INjl1c. Address l33 ~I U )~r 1--.. Vl - 'EL~ 12_ P --C.):Q!\ 00 ~ - C Received For: \~ ()7")T ~o;n . .~~. 3(0 { ISO, ()O 1.0. 00 3ir:--). ru I~OO H P ( (r 00 qO)o ~.LA- ~wJCC /q.~O (" --8-( C I?C'U) (YlO . 1 -7 .00 ~hc _ ) l~IS:2.~. (: OLn V7.L/::-CUI/II/I 20,Q, (I. I AmbunlRece.ved q~ C-.t:: ' rD - ,- AUTHOI'lIIEO SIG......TURE: ( 5H[l10"-TU~"'Ull ....'..T[~. . ,[uGIE"I. O. .uo. ..,,,., ~'_ ( PO 40/0 ( yp 4O'-Jn (, c (t (I / 'er~.'1 (I (I Permit Clerk .;t PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: . !/ , . I Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: s ignature~~ L;aL" name DAN Sr1ITH da te 8-19-80 .-