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HomeMy WebLinkAboutPermit Building 1988-12-22 , . .. CITY OF SPRINGFIELD COMBINATION APPLICATION/PERMIT EIIERGY SOURCES: Heat Gas I~ater Heater Gas Range .. :~ .: . ! I INSPECTION LINE' 726-376g Job Address Gateway Ma 11 . "2 7-5"0 ~A""'A""",A'''' .?r. I 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"'~-= I I 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 ; i I I; 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 I I I I '1 I SERVICES -// 1 I 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. , , I, '. 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 I I 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 Ii , i II 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 ~\' DATE 10/18/88 Value:2. ~.=:>..o , Value Value TOTAL VALUATION ~.j"'-I'I) ./ 'f:" ITotal Comb. Permit .1 Ii" ,.,:iLVOt? . ---- -00 -, ,~ I I TOTAL 5; "5-=<'<I. 55 57.&"Z r. $'.s:::: , .. COMBINATION APPLICATION/PERMIT (CAP) , , ' 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. I I' 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: " PLANS REVIEWED BY: '. . name ~7i/Y€ 1l. 62;:; ~ Signature~P~~ -/ '/' date //-7-88