HomeMy WebLinkAboutPermit Building 1988-12-22
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CITY OF SPRINGFIELD
COMBINATION APPLICATION/PERMIT
EIIERGY SOURCES:
Heat Gas
I~ater Heater Gas
Range
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I INSPECTION LINE'
726-376g
Job Address Gateway Ma 11 . "2 7-5"0 ~A""'A""",A'''' .?r.
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Legal Oescription 17...,p-:;:-'22-'o &~
Owner', Target Stores
Address 33 South Sixth
Vf2u:35n :I~~O. 00
BuilriinQ Permit Info: Describe Work{i~e., Build Single
Familv nesidence With Attached Garaoel
New retail store built on prepared pad.
Pad and all sitework provided by
Phone Genera 1 Growth.
~cjHress.) flies. no.)
l. ~'~ht.lw" "
Inc. 11 neapo 1S, I'IN 2797
.fHh&'~8fie~"AN"55401~i 13162
~~gn~~~3fi~~eANN55401 13160
At~n~~~3fie~eANI~55401 13138
(address) (lics. no.'
I!emporary Construction
IChange in existing
re<;jdy.ncl'>
1 Imultifamily, corrm. or r-.,'
Innuc:;triill ~.
1 10f -l5(111 amps.1 I ?.{.x' ~
ICO~~./IND. FEEOERS I I 1
I Install/alter/relocate I I
rl;~trih f~pnprc
7 IOf --:Z='5' amps.I>?~2'.~ ;Co ~5 c:'V9"'CE7:J
7 jo~ A VS:""Y"'~-=
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Street
Pt,t.R;57~5
Mi nneaoo 1 is. MN 55440' I
Construction Lender N/A
Address
Ut~jGN T<AH
(name)
~ I
11
Primary Setter. Leach & Lindstrom,
Structural Ri chard Vasatka
Electrical Georqe Theodore
Mechanical Kaare Faber
CONTRACTORS (namel
General Vik Construction Company
P.O. Box 2250 Eugene, OR 471
Plumbino
Electrical
~'echan; ca 1
PLOIIBING
ELECTRICAL
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NO.1
7'~IEach single fixture
IRelocated building
(new fix. additional)
I"S,F. Residence
11 bath!
IOuPlex (1 bath) each I
IAdditional bath I
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SERVICES
-//
1
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FEF
rHARr.F
Nn
':~~
r~ARG.E. NO
Residence of
7,9:; ?f7?4
SQ. FT.
New circuits alts.
or extensions
I-!~ tcr"~c:,....i cc
I;
Sewer
Storm Sewer
I.
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INFORlIATlON LINe
726-3753
Sq. Ftg. 1.lain lOj.4UU
~q. Ftg. Access.
Sq. Ftg. Other
X lIew Add Alter Rep.
~Fence Demo Change/Use
Other- -
~
--\J
0\
()'
(exoiresl (ohane no_l
6/30/89 (612 ) 339-0313
1/16/89 (612) 339-0313
1/16/89' (612) 339-0313
1/16/89 (612) 339-0313
(p)/oirpc;, ). (ohnnp nn. )
10/31/88 484-1188
1").....
) .
<""~ 06
_ /'J'''?
(1/
MECHANICAL
/b
furnace/burner to
BTU's
'TI-.tllARli.E.
7.53/2'
Floor furnace
and vent
/
7
I
Recessed wall
Sn~rp hp~tp~ ~nrl upnt
7.5<:;
G. .....IY.Z...
Apol iance vent I....
~~oarate IA#''''- 2- :?
Stationary evap. I
cooler
Vent fan with 7. ""'I, /.-z:~
sinole duct ;/. /,:7..-
Vent system apart from ~ ,-=,,1 ,.~ Cf
heatina or A.C. . r Y <... ;)
Mechanical exhaust I' I ~ '"'
hMd and nurt 7".""
I I
I Vt?=
1 i
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Wood stove/heater
ISSUANCE OF PFRlllT
TOTAL CMARGES .~ &>< TOTAL CHARGES tJ6'1. "''''1 TOTAL CHARGES -;z 14t, t:><!.
WHERE STATE L\l/ REQUIRES that tile Electrical work be done by an,'E1ectrical Contractor, the electrical portion of this pemit
shall not be valiJ until the labe.l.has .bee~ .signedby an Electrical Supervisor and returned to the Building Division
J 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 cerformed 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 110 OCCUPAfKY 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 ORS 701.055, that if exempt the basis for exemption is noted hereon. and that
only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project.
IlAf.IE(please print) Kir.t E W Johnson Jr. ' SIGlIATu;jt.;;:;t {t;~
"for. OFFICE USE DriLY ~, l'
Tyoe/Const. 2'>f- ~~nits Sq. Ftg. 11ain x
Bedrooms Occy Load -;;> 9'~Sq. Ftg. Access x
Stories /r~~::2 Occy Group ;t?- '2- Sq. Ftg. Other x
cD /0-) q.-F,g
2C,:2/,c/S JZhI.f... ~J;~;~~St~~~~lopm"'!t I ~'i S'ae:>. ""~
~t '
Zone
L.C-
Fire Zone
F1 ood PI a i n
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BUILDING PERfIlT
Charges and
Surcharges
Plan Ck. Comm/lnd
65%/Bldo P.l'r Fpp
Plan Ck. Res
30%/Bldo Per Fee
__qQ22.'~~_
?.'26>1.65
PLO!~BING PERMI.T .: ..' " 50. ""'" Fence
Charges and"....~ ------ "
Surcharges ~ lB. = Oemo
ELECTRICAL PERIUT %:{. cO I'Sidewalk
~~~~~:~g:~d '1 -----;3 ~z.;-I A/C Pa_ving.
~~~~~~:C:~/ERMlT n_~~f::_~-' Curb Cut
Surcharges It' 10.. 70.' I,
(\,,""0
..f) fl
G.% I
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DATE 10/18/88
Value:2. ~.=:>..o
,
Value
Value
TOTAL VALUATION
~.j"'-I'I)
./ 'f:"
ITotal Comb. Permit .1
Ii"
,.,:iLVOt?
. ---- -00
-, ,~
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I TOTAL
5; "5-=<'<I. 55
57.&"Z r. $'.s::::
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COMBINATION APPLICATION/PERMIT (CAP)
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I. Applicant to furnish
A. Job Address
B. Legal Description
I. example- Tax Lot 100, Lane County Map Reference
11 03 43
2. example- Lot I. Block 3, 2nd Addition to
~prlngtield Estates
C. Name, etc. of owner and construction lender
D. Energy Sources
1. example- heat/electrical ceili~Q/or forced air Qas
2. examole- waterheater/electrlcal/or solar
E. Square footage or valuation, etc. -
I. example- 1250 sq. foot house, 500 sq. foot garage
2. example- if new project, check new :~\Iif addition,
check add, etc.
F. Building permit information: '. ',,; r ",II:.'.'
1. example - construct single family house with an
attached garage
2. examyle - remodel existing garage into family room
3. exa~le - convert single family residence into
restaurant (change of use)
G. Value of work as defined in Section 303 (a) of the
Structural Specialty Code
H. DESIGN TEAfI 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.
II. 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
1. 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
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
Whenever 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.
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V. FOR OFFICE USE ONLY
_PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
e.
PERMIT VALIDATION
~r
r l-q:3 C{
(2/y~~J t
Permit Clerk
c;v
Permit appl icant exempt. from registration with the Builder I s Board because:
Additional Project Information:
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PLANS REVIEWED BY:
'.
. name ~7i/Y€ 1l. 62;:; ~
Signature~P~~
-/ '/'
date //-7-88