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HomeMy WebLinkAboutPermit Plumbing 1980-8-8 '---- "j- . ,. . ,";:, ., . . ~, lli IE . \: ~ 'i :.-'" . ~. ~ J ( :.. ! '--.-----' --- :'ll:! ,',(!dreSS 5650 Da i S1 Street l,t"';JI :e~criptionTL 300, 400, 401 r,1.R. 17 02 33 {J, " . ' NOTiFIED , CITY OF SPRINGFIELD 'CQ/1BItIATION APPLICATION/PERMIT E!IERGY SOURCES: Heat Hater Heater AUG ~ '1~80 - '. .. RanCle Va1u€0~tr-Hor"'0' 00 L...:J,lJlJ . -t'tlFOIUlATlON liNt 726-3753 Sq. F tg. 1'1a i n ~q. Ftg. Access. Sq. Ftg. Other ~ew Add Alter ~ep. Fence_Demo _Change/ Use Other 1 ,~Jr"SS Olson & Parker Investments 995 West 5th Avenue Eugene, Oregon 97401 Buih;ina Permit Info: Describe ;.jorK(i,.e., Build Single Family nesidence With Attached Garaqe) co o o U'1 0' \.0 """.C r Phone con~truction Lender Construct streets. sewers. and drainage for ~1opile Home P.lI.1) storm Phone (address) 71 Centennial Loop < (lics. no.) (expires) (phone no. \ 4,<35-11.64^ ....JJ reS S S~)j(,;l iD';:, :;rir.~ary (name) Olson & Thompson Inc 7123 S~ructural ~lectrical :~echanica I CC::iR~.cTORS (address) (1 ics, no") (expires) (phone no, ) \name) r,~neral ?1 u;;lbina ~lectrical "l'I:;hanical PLUf1B IrIG ELECTRICAL MECHANICAL ',,), i FEE I CHARGE NO. I"FF r.HARGFNO,' I ~FF 'fHARr,F SQ. FT. furnace/burner to BTlI's Each single fixture, Residence of IRelocated building I (new fix. additional) I I S,F, Residence 1(1 hilth) !Duplex (1 bath) each , New circuits alts, or extensions Floor furnace and vent SERVICES Recessed wall Soace heater and vent 3357; Sewer 10.00/100 l.F. 390.0( 127rJStorm SewerlO.00/10lLF. 130.0e Of amps. Appliance vent seoa ra te Stationary evap. cooler Vent fan with sinole duct Vent system apart from heatina or A.C. Mechanical exhaust hood i1nd duc:t Wood stove/heater Indditional bath , !',:ater service Temporary Construction Change in existing residence multifamily, comm. or Industrial COMM./IND. FEEDERS Install/alter/relocate ~;~trih, fp~~~r~ Of amps, ISSUANCE OF PFRMIT , . '~;.:L CH,ll,RGES 520.0( TOTAL CHARGES . niiEr.E STATE L.iH REQUIRES that the Electrical work be done by an ~"111 not be valiJ until the label has been signed by an Electrical TOTAL CHARGES Electrical Contractor, the electrical portion of this permit Supervisor and returned to the Building Division J 1 HAVE CAREFULLY EXNlINED the completed application for permit, and do hereby certify that all information hereon is true .:"tl correct. and I further certify that any and all \~ork performed shall be done in accordance with the Ordinances of the City -. Sarlngfield and the Laws of the State of Oregon pertaining to the work described herein, and that ~O OCCUPA"CY will be made ~: ,lnY,strllcture without the permission of the Building Division. I further certify that my registration ~lith the Builder's ";~rd IS In full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted hereon, and that (~IY subcontractors and employees who are in compliance with OP.S 701.055 ~li11 be used on this project. FlOOd Plain ,- ;'{tJ Units Occy Load Occy Group S IGil^TURE FO~ OFFICE USE OilLY So. Ftg. /1a i n Sq. Ftg. Access Sq. Ftg. Other OJl.TE I .. ';~;'~(oledse print) : :~'! TmSTfJUD r'r~ lone 111 Tyoe/Const. Bedrooms Stories x Value x Value x Value TOTAL VALUATION255. ')()'). 0'1 :.'! ,.'tf'C ~ ."r. rH':-""" ~._,. r'.. .., I {.,....r-::~\ ...nd ',t.,;r'(,..", r1i~ \ STREETS AND SEWERS ONLY I r----------- , I 520.00 , [------~O.30-- ! D~mo I Plan Ck. CommlInd 65%/B1dQ Per Fee Plan Ck. Res 30%/Blda Per Fee Systems Development ~~~ra~ (1.5%) :";ilOI~IG PE?':,llT .:",lr";f!S tln~ . .;r'C~."r;e.\ 337.68 Fence I I , r-:----------- . I ~--------- j "....-.{!! -.'. '.1., '..., U I -to ' l~;'! T .'.. eIt.....~I:.~ ",.,d :.t...~.fl.,~C!.. :l:()lOI.lo,llIh:.:a. "(ll~!! T '..t,u~'_,."." " "'iP1t~~*'IO'\ A/C Paving94, 576 Curb Cut 277 .00 Plan Check FEE Tota 1 cJrl,~ ~ rermit 137.68 817.30 11,155048 , [I Sidewalk -- . TOTAL . ----'.--- """ ':': ':.~"'i~'~ ~~: ~.~i . 1. ,Applicant 'to furnish A. Job Address B. Legal Description 1. examp I e- Tax Lot 100, Lane Count, ......' 17 03 43 t 2. example- Lot 1. Block 3, 2nd Add' Springfield Estates C. Name, etc. of owner and construction D. Energy Sources ( 1. examole- heat/electrical ceilin~ 2. examole- waterheater/electrical/l E. Square footage or valuation, etc, , ' 1. examo I e- 1250 sq. foot house, SOl g. 2. example- if new project, check-rle check add, etc. F. Building permit information: 1. example - construct single famil) fus a ttached garage 2. examole - remodel existing garage, 3. examole - convert single family r restaurant (change of ~se} (' G. 'Value of work as defined in Section 3 '", Structural Specialty Code H. DES I GN TEAr-l Aim CONTRACTORS To avoid design or construction delay Su Division Staff must be able to contac " persons regarding design information corrections; etc. II. Abbreviated Plumbing, Mechanical, & Elect (} A. Except l'lhere blank spaces occur in th portion of the Mechanical and Electri,' the applicant need fill-in only the N. to the appropriate item(s) to be inst;, (d B. .Full Plumbing, ~lechanical, and Electr .' , are available at the Building Divisioi 1. To conserve space on the permit f( have been abbreviated ~ 2. If the item(s) to be installed an \... Amount Received the abbreviated schedules you shol fu 11 schedu 1 es C. BUILDING DIVISION STAFF WILL FILL OUT CHARGES ON THE SCHEDULES , D. As noted on the CAP, the label must be electrical contractor for signature by supervisor. The general contractor is ~, to sign the electrical label. , Applicant to sign and date .j....:.., Whenever po~sible. the i~itial application will be ~sed 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 ~re 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; ...._... . " ' ,COMBINATION APPLICATION/PERMIT '(CAP) ( ;1 J ' I I 1. V. FOR OFFICE USE ONLY City Hall Springfield. Oregon Department of Public Works' OFFICIAL RECEIPT No. B 54808(, Date J 0 - G, 19~n . Rec'd From 01 &QYl' '- Prl.V kIJ y Add'." ~ 5\3 3 K0-dq,,~ . CITY OFS'P'RINGfIELD ~ ( Rei I Received For: PLQ.n', C-ru cl2YW ) f:LtY . J-1 Db.ej) ~ ) 'J-!.f'YJ{j) ~ <--P(1.J() !3 3j, 0~ 'p~~ - 52{) ,DO --, 20.~O Z77.(j(j qD/6 r;>Qu~~ C- ,,' BY. " q~a; t [55,4<0 rD ( l~ - /AUTHORIZED SIGNATURE S~E\.TON.TUANELI.L PRINTERS '. EUGENE. OR 97.01 , , ...",. c. , , , . , . Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: 'I! (. .., ., ( (' ( " \,' ( ,ADDITIONAL PLANS AND PERMITS ARE REQUIRED FOR WATER AND ELECTRICAL SYSTEMS, COMMON SPACE I , ,\, , , " f " . .:r I~1PROVE~1ENTS, LANDSCAPING, IRRIGATION, FENCING, SIGNS, ETC. ALL IMPROVEMENTS MUST BE IN~ STALLED AND APPROVED PRIOR TO OCCUPANCY ,OF ANY MOBILE HOME UNIT Permit applicant exempt from registration with the Builder's Board because: 1 Additional Project Information: j , ,PLANS REVIEWED BY: name LORNE \:J. PLEGER ,. signature ~~~~ , ~ .> date 2.26.80