The URL can be used to link to this page

Home My WebLink AboutPermit Building 1981-5-27 ~ I INSPECTION LINE 726-3769 I Job Address I legal Description I I Owner I Address I .. .. CITY o~'5FRihG'IELD COMBINATION APPLICATION/PERMIT It\l.i t tLt4"5 Ke 11 OQ Street Lot 44. Uke Villaae HENERGtt'e'/!lfE~eat Pump eal tlect Fleet Water Heater Range Value of Work: 62,392.20 Gregs Electric and Construction 1465 Oksanna Street phone So dng.Held.._Qr:egQn_9.I.427 INFORMATION LINE 726-3753 lU":J Sq. Fig. Main Sq. Fig. Access. -5Q? Sq. Fig. Other _XNllw_Add_Alter_Rep, _Fence_Dema_Changel Use _Other 00 ~ o ~ N \0 Building Permit Info: Describe Work (La" Build Single Famih Residence With Attached Garaae' 726-1696 ~,:,nltructj(>n lender SJnglE!-Eamil~-ResJdence.;_att Fireplace ~.,. Address phone DESIGN TEAM (nome) (addren) (lies. no.) Pdma,y Western Desion ~ ~~ Structural Electrical Mechanical CONTRACTORS (name) (address) Gregs electric and Construction same as above General Plumblna Contract Pl umbi ng 2038 North 2nd Street Ele<ld,al Greaorv SchDankvn Same as above Me,honkalRaolf Heatina 21865 Lost Valley Ln. Dexter (lies, no,) 8865 2D-1M 2024 PLUMBING ELECTRICAL NO, . fEE I CHARGE NO. I I fEE 1 CHARGE NO. I x Each sinRle fixture Relocated building (new fix. additional) S,F. Residence (1 bath) x 1\e~1ie!l'e of _lLi:::~_sCl.ft. New circuits, alterations or extensions 25.00 25.00 SERVICES Duplex (1 both) each ;;!' Temporary Construction J4f::SO 1 10.00 Amps, Additional bath Water service 1 10.00 Sewer Storm Sewer FEEDERS Amps. (expires) (phone no.) fiRR_nA7 (expires) (phone no.' 6-23-81 6-19-81 726-6404 726-0220 12-15-81 937-2688 MECHANICAL I FEE I CHARGE 4 furnace/burner to ~TU's Appliance vent separate Stationary evap. cooler Vent fan with single duct Vent system aport from heating or A.C. Mechanical exhaust hood and duct 4.50 3.00 12.00 1 Wood stove/heater' 1 6.00 Heat Pump Air handler to 10,000 CfM Air handler over 10,000 CfM TOT At CHARGES 45. or TOTAL CHARGES .:l" nn TOTAL CHARGES ISSUANCE Of PERMIT 10.00 j~.~U WHERE STATE LAW REQUIRES that the Elemical work be done by the Eledrical Contrador, the electrical portion of this permit sholl not be valid until a label has bHn signed by an Electrical Contractor and attached to the .Iedricol panel. . I HA VE CAREfULLY EXAMINED the completed appllcation 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 lows of the State of Oregon pertaining to the work described herin, and that NO OCCUPANCY will b. made of any structure without the permission of the Building Division. I further certify that my registration with the Builder's Boord is in full force and eff.ct os required by ORS 701.055, that if exempt the basis for exemption is noted ~"~"'fO:n:UI::::,:::,:u:::::i:::' and employ... who a,e In ",mpllon," with ORS 701.055 WI::~ uoed on Ihl> p,.~~. / NAME {please print)~~"'&"/"" ~ ~~"7" .r-ffi-4 ...~. "'I~// SIGNATUR. ~-~-~ - ~~ ~~. ~~.- DATE ~~.;:l> -p/ ". . <.I?'/' ~ __.. //" -- ',)'-- " ... ,j FOR OffiCE USE ONLY Zone R-l Type/Const.-.J -~ Units Sq. F'g. Main ~--lt/1 : 1~. 58 Value -5~,,~t~..~ fire zone~A Bedrooms -i ntcy Load c:.,.., Ftg. Access . U Value . . Flood Plain U c:.torie" nccy Group R-1 Sq, Ftg. Other x Value -- - -- _. TOTAL VALUATION OL,.J::1L.LU BUILDING PERMIT 213.00 Plan Ck, Comm/lnd Systems Development 935.88 Charges and -----8-;-5~ 65%/ Bldq Per Fee Charae f1.5,*,' Surcharges Plan Ck. Res 30%/ Bid" Per Fee 63.00 2-27-81 RI'C 55930 PLUMBING PERMIT 45.00 Charges and Fence ~. "F- Surcharges 1.80 b ~ Demo Total Comb. Permit ~5 ELECTRICAL PERMIT 70.28 7.03 Charges a'nd ____.35..0n Sidewalk Surcharges 1.~ AIC PavinQ MECHANICAL PERMIT (-. . 18' l~ 8'~.~ Charges and ___,-J2..5(L_ Curb Cut 11. 80 Surcharges \ f~, - 1-:30-- TOTAL 1,293.23 I[ "j COMBINA nON APP.lICA TIO.t'YPE_C~~L '_._ _ , ,"~' r , "'.....\..... .. ..., . , . II. t '-ERMIT VALIDATION';' r.JAi -.. - ..- . :::...,- ~':j.~,~:.~ ., I , ~"'-"'...,'''' I. Applica,nt to' furnish '.'-:<" ....!:':-: i. A. Jab Address :i - ,~-: " . B.. legal Description' :i~:~ ~"1 , , 1. example.tax lot 100, Lane County Map Reference 17 03 43 .,; ,2. example. Lot 1. Black 3, 2nd Addition 'to Spiingfield Estates . C:' Name, etc. of owner and construction:l~nder.' . '.. D. Energy Sources 1. example-heat/electrical ceiling/or forced air gas 2. example-water heater/electrical/or solar. ,', '.' .. ...,., ",'_'-,., E. Square footage or valuation, etc. L.~,ro:.. f . . 1. example.1250 sq. foot hause, 500 'sq: fex;t'garage 2. example.if new project, check new-if addition, check add, etc. F.,. Building,permit information: .-- ',,1> example-construct single family house with an attached garage \ t, \ ';' , 2, example-remodel existing garage into familY1room 3. example.canvert single family residence int;;" T ~JII restaurant (change of use) ," G. Value of work as defined in Section 303 (a) of the -{ . .Structural Specialty Code - - H: DES'iGN'TEAM AND CONTRACTORS ,. ~.~. .,'i: .T.o avo}d" design or construction delays, Bu!I~.ing Division .:. ~.,.. ?taff must be able to contact appropriate persons regarding design information or job site corrections, etc. ..'.::f:i'.' .1 : :iT.i . .,, :-. ,:,,~,.:.: ~": ( :;i :3 ; "i:: :..:: r~: ;'::''''i.. ''7!" ",." ,'. ...' ~..., :"!'{ .:--::::, t".:,. ':.-.,\'.' :;1'1.,...., ' . - -. ......'.,.., '" ~.. ~. I :' ~ I ; -'. ,,"j ~.<: ;~:. , .,~ ;'.. ~.l;' ;..: ;'..' ".:,.,.. :. I~:' "r"" . '" :.1.1 ~!: .r.'.: ,: f ,. ~... : 'J ?" f ~ ,~ .....;,.. 1 " . II. Ai>bievia,ted Plumbing; Mecha,~ical & Electric"I-Schedules;. i.'::'. '" A. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the applicant need fill.in anly(fhe No. Boxes adjacent to the appropriate item(s) to be installed'l B. F~II Plun1bi~g, IMechanical, and Electrical Schedules are available at tl1e Buildin~Di~ision.-' i 1. To canse,rve space on the pJ"rmit: for~the schedules have been'abbreviated I '-IN..) ~ I , ' 2. If~he it~m(s) to be installed are not covered on the 'C:bbrevi- . "..' ~ r:,". ,'ated s~he.dules you. should con~ full sch-edules . C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES ;!C ,: ~ I:. :~;':' :.' "":.:.:: ~. r.l " '!II .' -~.. I".., . '. i , '\ ': -lit Applicbnt to sign and date. Whenever-possible, the initial application will be used as a worksheet only. Where possible, Building Division Staff will "i~ ." prepare a typewritten copy and;return it to the applicant at the t!me the actual permit is issued for his signature. IV: ,Fees and Charges Plan check fees ore due and payable at the time of the application, ond no plans will be processed until these fees ore paid. All ather fees and charges ore due and payable when the permit is issued. . V. FOR OFF'ICE USE ONLY -','.' :1 Permit Cler~ , i ..~. . I ~ROJECT CONDITIONS TO _ BE SATISFIED BEFORE OCCUPANCY: ,~ ..;. ,- I I i ;i I i , t Additional Project Inform~tion: .. ~ , \. " 'il " " . " ,. ,.. . '~l; .'- ?() 'J-:::.. ", 'V'~ '~. -/ PLANS REVIEWED ,BY: (:.~.~,~, ~IDAN SMITfI nam~ I. , .'oW ,'# O. : 'ignat~r}{)(l[) Am) t11. ) :. -- l .J~---;;:.'Efat.,. , .." '.' ,\ij 3-3-81 -