HomeMy WebLinkAboutPermit Building 1989-8-30
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II INSPECTION LIIIE . LITY u' SPKINGrlELO .
R 726-3769 ;;- COMBINATION APPLICATION/PERMIT
J9)>,Address 27S0 6.RrE.Wkl/ ~TReer I ~~~~GY SOURCESAA5
Legal Description 17~03-Z2 -00, 1':)23190 I ~:~:: Heate_~~A~__
valu/, of Work: INCRi?ASefj)
Owner 1A1<6 E. -r '5'TO'R ec::; fI\I I 03 '1 F{oc> '
Add C- BU11dlAQ PennH Info: Deser,be Work!i'.e..
ress "'" '2, -JoU7'U $0(. 7'H S'r\;;>~rPhone Familv Residence liith Attached Garaoe\
~INN8I.'PDLl's) MtJ. 554.....40 NE.W RETAil ~E. l'lUILT nAJ f'PE'fADP'II
Construction Lender N/A ~. PAT\:6 ALL --;'r~""-'<P"'- f'RDVl]),B") "-
Address Phone '?';J 6FA..1{Zf2.A./ ~-rl-l-
DESIGN TEAM (name) (address) 1 (lic::s- no.) (exoirflS) (Dhone no.
. Primary ~P.TT~ J t..6AI'A:f f UIJTl:'!TJ=A<(J '1./". I~.~~~i~~. '2797 (A.,J3C/6'i' ~/2J ">.3<t-c813
Structural 91f'Ja"PD V-A~J..TfGA._ "/21I_Z ~/U11i9 t"2.):33'i-1J311
Electrical 68oRr:iE 7i.4Fz'1'T1nRF.. " 13/6. t:J j,1J'1/~ "
Mechanical 1.(.4.40': F.4.""o=;,o ,. J3j,"lf1:J VI/l./e.<; "
CONTRACTORS (n~. - (addre~s\ flit:c:. no.l (~ir"c:.' (nhonp no. 1_
4'1/ 1'/3';~f>
. ,
INFORl~T[ON LlN~ .1_
726-3753 ~
SQ. Ftg. Wain /0"'.4<:10
~q: Ftg. Access. .
Sq. Ftg. Other I
)lJlew-^dd_Alter~ep. ~
__Fence__Demo__Change/Use
_Other
Build Single U\
~.
" I
Genera 1
Vile
('~N~T~ur'TJ{)Il...) I'.n. B.tz..Piw ''-24)0 W& 1111.
4.IJf -II~
Plumbina
E1 ectrica 1
~1echanical
PLUllB I NG
ELECTRICAL
MECHANICAL
NO. '
FEE CH~RGE Nn
FFF rJiARr,r NO.
't'H rlll.UlC..L
SQ. FT.
furnace/burner to
BTU's
Each single fixture
Residence of
Relocated building
(new fix. additional)
New circuits alts.
or extensions
Floor furnace
and vent
S.F. Residence
(1 bath \
Duplex (1 bath) each
Additional bath
SERVICES
Recessed wa 11
~llohllo.-t,:lol"~t
Storm Sewer
Of
amps.
Appliance vent
seDaratp
Stationary evap.
!=no]er
Vent fan with
5.in~l~ 4\!ct
Vent system apart from
heatinq or A,t.
Mechanical exhaust
hood and duct
Wood stove/heater
Sewer
Temporary Construction
~nange 1n existing
resj~e~ce
multifamily. camm. or
'nrll,LdriAl
Water service
COHM./IND. FEEDERS
Install/alter/relocate
distrib. feeders
Of
amps.
I I
TOTAL CHARGES N / A TOTAL CHARGES N / A TOTAL CHARGES N I A
WHERE STATE L,\li REQUIRES that the Electrical work be done by an,'Electrical Contractor, the electrical portion of this permit
shall not be vali1 until the label has been signed by an Electrical Supervisor and returned to the Building Oivision
ISSUANce OF PFR/IIT
I HAVE CAREFUllY EXAMINED the completed application 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 Laws of the State of Oregon pertaining to the work described herein. and that NO OCCUPAIICY 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 7nl.055 will be used on 'this project.
Zone r c..
Fire Zone
Flood Plain
:2./ol' <SpR Units
,
Occy Load
Occy Group
SIGNATURE'
FOP. OFFICE USE ONLY
Sq. Ftg. Main
Sq. Ftg..J\eeeS<
R- 2.. Sq. Ft9. Other
OATE'
1<" NAl.1E (p 1 ease pri nt) .
Type/Const.
Bedrooms
Stories IT UF7-?'
lNCll6>!Sez)Value~"'':\ c::; t!)/'JC
1PlleVIar..Value ., ~"""'l,I1t9r:
x Va 1 u~
PLUI~BING PERMIT
Charges and
Surcharges
I / 5' 52- 50 Plan Ck. ConmlInd
_U_____.:.____ ,.illIR.1da p.er Fee
Plan Ck. Res
'77. ~3 3D~/BldQ Per Fee
Fence
8 -4 -f'#'i
/..., a.3 Systems Development
vt9 -,. I CharQe t1.5~1 "
TOTAL VALUATlOtl "l ~.....:; ~
. ,
BUILDING PERI>UT
Charges an~
Surcharges
/5'- S2.S- .190
Demo'
ELECTRICAL PER/lIT 'Sldewal k
Charges and ------------
Surcharges AlC Paving
Total Comb. Permit
MECHANICAL PERMIT
Charges and
SurCharges
TOTAL
!;E?liPf. ~
. --' .-
, --
Curb Cut
.~
'..
.
.
,.
. ~
COMBINATION APPLICATION/PERMIT (CAP)
PERMIT VALIDATION
1. Applicant to furnish ,';::.
A, Job Address
B, Legal Description
I. examole- Tax Lot 100, Lane County Map Reference
11 OJ 43
.' ,~. examele- Lot 1. Block). 2nd, Ad.diti?n, to ,
:.. .J'\"~j' ~prlngtield Estates'" , ., ,;. .... I"
C, Name, etc. of owner and construction lender
O. Energy Sources . . '"
I. examele- heat/electrical ceilinq/or forced air Qas
2. example--waterneater/electrlcal}or"sajar' --
E. Square footage or valuation.. etc.
I. examele- 1250 sq. foot house, 500 sq. foot garage
2. . example- lTnew project, check new - if"addition,
Check. add, etc. .' "
F. . Building permit information:
I. examole - construct single family house with an
attached garage
2. examele - remodel .existing garage into family room
3. examele - convert single family residence into
restaurant (change of use)
G. ,Value of work as defined in Section 303 Ca) of the
Structural Specialty Code . ,'.~.\ .' ~...\~.-"~,:,). ,j.'
H. DESIGN TEAM 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.
'11. 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 No. Boxes adjacent
to the appropriate item(s) to be installed
B. Full Plumbing, Mechanical, and Electrical Schedules
are available at the Building Division
I. 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 I
O. As noted on the CAP, the label must be delivered to the
electrical contractor for signature by his electrical
supervisor. The general contractor 1s.not authorized
to sign the electrical label.' - .
III. Applicant to sign and date
Whenever possible, the initial application will b~ 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 i,
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 1s issued.
V. FOR OFFICE USE ONLY Permit C1 erk
PROJECT CONDITIONS TO,BE SATISFIED.BEFORE OCCUPANCY: " ,~
\ . .,(
.. ~. /t , ..., .;~:
\
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Permit applicant exempt from registration with the Builder's Board because:
,.
AdditiQna1"Project Information:
PLANS REVIEWED BY:
'.
name
signature
"
, ,
date
~
. "
.
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DEVELOPMENT SERVICES
ADMINISTRATION
PLANNING / BUILDING
PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD. OR 97477
(503) 726.3753
July 20, 1989
Mr. John Edlund
Target stores Inc.
P.O. Box 70066
Eugene, Or. 97401
Dear Mr. Edlund:
Thank you for your prompt response to my July 18 letter regarding the
valuation of the Target store improvements. The new valuation of
$3,335,000 you quoted during our recent telephone conversation is
acceptable to the City for the purpose of assigning revised permit fees
and the Systems Development Charge.
The following summary of fees will hopefully clarify the difference
between the fees paid and the fees owed based on your new valuation:
Fee/Charqe
New Fee
Amt. Paid
Difference (Duel
Building Permit
State Surcharge
Plan Check Fee
System Dev. Chg.
Totals
.$ 5,585.50 $ 4,033.00 $ 1,552.50
279.28 201.65 77.63
3,630.58 2,621.45 1,009.13
50.025.00 34.500.00 \ $i~:i~~:~~
$59,520.36 $41.~~G.IO ~
the amount of $18,164.26- ShO\L.: ;)e made out to the City of
Please reference the City's Building Permit #880956.
Your check in
Springfield.
As we discussed, I will be out of town until Monday, July 31, 1989.
However, if you have any questions or need further clarification
regarding these fees~ you may contact Lorne ?leger, Plans Examiner, or
Dave Puent, Building-Official, at (5031 726-3759.
cc. Dave Puent, Building Official
Lorne Pleger, Plans Examiner
!1ccr/V6!/ g- 30-.8<;;
. /7 C,7>/,. r9! fCl'7}/C(
Thank you for your continued cooperation in this matter.
Sincerely,
j/~9:P/~
Donald Moore
Construction Representative