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Home My WebLink AboutPermit Building 1980-4-11 . ;;:;..1 . ..,-~- ~ INSPECTlOII L1I1E )726.3769 CITY OF SPRIIIGFIELD COIIBINATlON APPLlCATION/PERMlT E!IERGY SOURCES: Heat none t.later Heater none none Job Address 3188 Gateway Loop Legal Description lNFORlIATlON LINE I 726-3753 Sq, Ftq. 1.lain ~q. ~tg. Access. Sq, Ftg, Other 270' . New Add Alter Rep, --Fence Demo Change/Use -Other- - (Xl o o w w o Tax Lot 3300. MaD # 17 03 22 20 Owner' Pannatoni & Farrel. Address 1819 K Street #210 Sacramento, Cal ifornia_ .95814 Range Va1uf...-of l'Jork: ~7~..'" . " Buil'tina Pennit Info: Describe Work(Le., Fami1v ~esidence With Attached Garaoel Phone Build Single Construction Lender Adding room to Skate World 20' X 13.5' Address DESIGN TEAH Phone (address) (name) (1 ics. no,) Primary Leo McGlade same Structural Electrical C;;lmp same t1echani ca 1 CONTRACTORS (name) (addr~s<;. ) (lir:s. no. Genera 1 Cook & Oates (owner) 1633 51st St" Sacto #273142 P1umbina Electrical r.ook & Oate5 (owner) ~lechani ca 1 PLUIIBIIIG I..HL 'J:H8.R!iE.!..!ill....1 ELECTRICAL NO. I I FFF I rHi\Rr:F ~n I Each single fixture Residence of SQ, FT. Relocated building (new fix, additional) ~'New circu~ts alts, or extenSlons 1<7. .. I 1 1 S.F. Residence (1 bath1 Ouplex (1 bath) SERVICES each Additional bath ITempora\y Construction IChange in existing rpc:idp.,nr:p multifamily, COll1!1. or Inrlustrial I ~Iater servi ce I Sewer I Storm Sewer 1 I 1 I I I Of amps.1 (exoires) I (ohone no. (pxoires) (ohone no.l 6/30/81 916-456-7635 MECHANICAL furnace/burner to BTU's i-EEL' J:H8.R!iE. Floor furnace and vent Recessed wa 11 ~o~rp np~tpr ~nrl ~pnt 1 Appliance vent seoaratf> I Stationary evap, cooler ./'1 Vent fan wi th sinole duct 1 Vent system apart heating or A.C. 1 Mechanical exhaust honrl and dlJct ;3 from I I I I I I TOTAL CHARGES TOTAL CHARGES 10, <10. I TOTAL CHARGES WHERE STATE UI~ REQUIRES that the Electrical work be done by an 'Electr;cal Contractor, the electrical portion of shall not be v~lij until the label haS.been signed by an ,E1ectrica1~Supervisor and returned to the BUilding Division COMM,/INO. FEEDERS Install/alter/relocate rli"trih fpprlPr"<:' IOf I I I amps.1 1 I I I /0.- 1"3.- Wood stove/heater ISSUANCE OF PFR!IlT thi 5 pernit " I HAVE CAREFULLY EXAt1INED the completed ap[llication 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 110 OCCUPAllCY 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. IWIE(please print)i7)nAm<.J) i c21s.c:.d{_ SIGIIATUREi.AatAi1a1~ .M'~..I O~T~ 0-//-fiJ FO~ OEFICE Zone c..-Lf Fi re Zone. "7I:. Flood Plain Tyoe/Constp 11M. ~Uni ts Bedrooms Occy Lqad Stories Occy Group USE miL Y Sq. Ftg. t1ain Sq, Ft9' Access ~"c> Sq, Ftg, Other BUILDING PER:,IIT. Charges anc Surcharges . Plan Ck, 65%!Bldo Plan Ck, 3D%!Bl do I Fence I Demo 10.0" I'Sidewalk - h___ -~Cj';~IA/c'paVi~g ~ __ _1.~.: _Q_~ _! Curb Cut , ____.52,' - - " ...Irotal Comb.. Permi t I :OTA.L ::(' 0/. C.... ------------ .% Conm/lnd Ppr F~e Res Per Fee / s: ~.:> PLUl1BING PERMIT Charges and Surcha rges ELECTRICAL PERI:IT Charges and Surcharges MECHANICAL PERMIT Charges and .~ .,,", P' "'" x Value x /0. ~"Va1ue x Value :2 Z~C>. .- TOTAL VALUATION Systems Development Charqe (1.5%) I I I .1 1# ~'1. itS ; n . , ..,,-. . COMBINATION APPLICATIONIPERMIT (CAP) PERMIT VALIDATION . I. Applicant to furnish A, Job Address B. Legal Description 1, example- Tax lot 100, lane County Map Reference 17 03 43 2. examole- Lot 1. Block 3. 2nd Addition to Springtield Estates C. Name, etc. of owner and construction lender 0, Energy Sources 1, example- heat/electrical ceilinQ!or forced air Qas 2. examole- waterheater/electrlcal/or solar E. Square footage or valuation, etc. - I, examole- 1250 sq, foot house, 500 sq. foot 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 gar"ge 2. example - remodel existing garage into family room 3. examole - convert single family residence into restaurant (change of use) G, Value of work as defined in Section 303 (aJ of the Structural Specialty Code H. OESIGN TEAM AND CONTRACTORS To avoid design or construction delays. Building ~ivision 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 OIVISION STAFF WILL FILL OUT ALL FEES ANO 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. V, FOR OFF! CE USE ONLY. Permit Clerk " 1 PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: /- IY'~ ~h"'/IY'€€,q~ LeTT~R ???'"~~Z>/h'c., C;>P~__;'.h c::;.., n'V , .Ej-'/ST: T/,-r G..J jZ> W-4 u.... . Permit applicant exempt from registration with the Builder's Board because: \ Additional Project Information: PLANS REVIEWED BY: name L<>l'!n&" PC~e:R signature ~7!4. ., date </-//-80 ,. ..." ' -.r., ',.....' , , .,~., :;"."~ ',~"\-4...-" .o, - ~~~:v.. . ,--~-"'~- .....;' '\( -./ .. .. ':.- ~l HISPECTlOil LIIIE 726-3769 Tax Lot 3300, Map # 17 03 22 20 Owner Pannatoni & Farrel Address 1819 K Street #210 Sacramento, California ~95814 INFORI1ATION LJ,'lt. 726-3753 50, Ftq. 1.la;n ~q. ftg. Access, Sq. Ftq, Other 270' Ue\'l Add Alter Rep. Fence _Demo_Change/Use _Other f' CITY Of SPRlilGFIELD CQrIBIilATlON APPLICATIO:i1PERMrT EtIERGY SOURCES: Heat none !'!ater HeaternOne Ran~e none ValuE of Hark: ~?'~.."'''' 00 o o w w o Jab Address 3188 Gateway Loop Legal Description Phone ., Builtina Permit Info: Describe Hork(Le,. Far.1ilv l1esidence !'Iith Attached (1araae) Build Single Construction lender Adding room to Skate World 20' X 13,5' Address DESIGII TEAll (name) Phone (address 1 llics,no,) (exnires) (nhone no.) Primary Leo McGlade same Structural Electrical c:,~mp _ same /1echanical CONTRACTORS (name) (address) nics. no.) (pxci res) (nhonf> nt),) Genera 1 Cook & Oates (owner) 1633 51st St., Sacto #273142 6/30/81 916-456-7635 Plumbina Electrical rook & nat~s (owner) ~'l\-chani ~a 1 " PLUIIB HIG ELECTRICAL MECHANICAL 110,1 -----lEach s;ngle f;xture IRelocated building {new fix. additional} IS.F, Residence (l bath) !OuPlex (1 bath) each Additional bath FEF rHI1Rr.F Nn ",-- J:lIAIlliE ..l!Q....1 sq, FT, furnace/burner to BTU's 7 I I I Residence of ~INew circu~ts alts. or extenSlons ISERVICES ;17. .~ Floor furnace and vent Recessed wall Sn~rp hp~tpr ~nrl vpnt Of amps. Appliance vent seoar<'ltl=' I' Stationary evap. cooler I ~ I Vent fan with sinole duct I I Vent system apart heatina or A.C. I I ~lechanical exhaust hnnrl ilnd dlJrt. I I Hood stove/heater I I I I I I I I 3 Hater service Tempora~y Construction Change in existing rps;den('~ multifamily, comm, or Tnntlc:.triill Sewer Storm Sewer amps,l I IInstall/alter/relocate I r!ic:.trih_ f",pr!prc:. C0I11'1./1 NO, FEEDERS Of from ISSUANCE OF PFRmT I I I /0,- 13.- TOTAL CHARGES TOTAL CHARGES ~!HERE STATE LII,! REQUIRES that the Electr;cal work be done by an shall not be va1iJ until the label has been signed by an Electrical </0 (0, TOTAL CHARGES Electrical Contractor. the electrical rortion of this permit Surervisor and returned to the Building Division I HAVE CAREFULLY EXN1INED 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 \vork. oerformed shall be done .in accordance with the Ordinances of the City of Soringfield and the lalt's of the State of OreC)on pertaining to the work. described herein, and that UO OCCUPAllCY 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 exemntion is noted hereon, and that only subcontractors and emnloyees who are in compliance with OP.S 7n1.055 will be used on this project. HAI.IE(please pr;nt)i 7}'MU,;:J j ~L-c.t:,O!,_ SIGiIATURE-t /2t'('o.i!c1:f ~L J OAT~ r:-//-.fV FO~ OFFICE USE OilLY Zone c.. -0/- Tyoe/Const..12lI/;'!? -;Z!z:Units Sf]. Ftg. t1ain x Value Fire Zone 7I:.. Bedrooms Occy. Lood Sq, Ft~, Access ~-'O /Ci.-"va1ue :<,~7;~O. --- -' / x Flood Plain Stories Occy Group S~, Ftg, Other x Value TOTAL VALUATlql1 BUILDING PER:-iIT Charges ane Surcharges ";{". d"" Plan Ck. Comm/1nd 7 65%/Rld(1 P".r Fpp --.----~X-- Plan Ck, Res 30%/Blda Per Fee I Fence / ;). <:~ ISystems Development Charoe (1.5!.) PLUl1BING PERMIT Charges and Surcharges ELECTRIC~,L PERI~IT Charges and Surcharges ;0."'''' Sidewalk -------~-<j.;;-I AIC Pav;ng L___ 1.3-.: _"'_",:J Curb Cut Iro;al Comb. Permit 1___, "'\"', I I I It$' ~<;, '18 I :: Demo /1ECHAII I Cft.L PERI1IT C~ar,;es and ~.. ..., . ..:.... .,J' COMBINATION APPLICATION/PERMIT (CAP) I. II. Applicant to furnish A, Job Address B. Legal Description 1. examole- Tax Lot 100. Lane County Map Refer (e 17 03 43 2. examole. Lot 1. Block 3, 2nd Addition to Sprlngtield Estates c. Name, etc. of owner and construction lender ~. Energy Sources 1. examole- heat/electrical ceilinq/or forced 2. examole- \."aterheater/electrlcal~/or solar E, Square footage or valuation, etc, - 1. examole- 1250 sq, foot house, 500 sq. foot 2. example- if new project, check-new - if adc check add, etc. F. Building permit information: ( 1. examole - construct single family house "lit attached garage 2. examole - remodel existing garage into fami 3. examole - convert single family residence i >: restaurant (change of use) G, Value of work as defined in Section 303 (a) of Structural Specialty Code 'H. DESIGN TENl AllO CONTRACTORS C To avoid design or construction delays, Buildir- Division Staff must be able to contact appropri persons regarding design information or jOb sil corrections. etc, ( Abbreviated Plumbing, Mechanical, & Electrical SchE A. Except where blank spaces occur in the descript portion of the Mechanical and Electrical Schedl the applicant need fill-in only the No, Boxes t t~e to the appropriate item(s) to be installed B. Full Plumbing, Mechanical, and Electrical Sche< are available at the Building Division 1. To conserve space on the permi t form the s< .Itl t have been abbreviated \ 2. If the item(s) to be installed are not COVE the abbreviated schedules you should consu: full schedules , C. BUILDIiiG DIVISION STAFF WILL FILL OUT ALL FEES '. CHARGES Oil THE SCHEDULES D. As noted on the CAP, the label must be deliver€ electrical contractor for signature by his ele( fC~ supervisor. The general contractor is not aut! ~. to sign the electrical label. --- Applicant to si9n and date Whenever possible. the initial application will be a worksheet only. Where possible. Building Oivisi( will prepare a type written copy and return it to ; applicant at the time the actual permit is issued i signature. f' Fees and Charges Plan check fees are due and payable at the time of.!- ~ 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 1. IV, V, FOR OFFICE USE OilL Y ~ 'I 53258'0 -....,~... . I CITY OF PERMIT VALIDATION SPRINGFIELD ( City Hall Springfield, Oregon Deportment of Public Works OFFICIAL RECEIPT G No. B Dote L\- \ \ 1900 Rec'd Frorh5~1tt~ U Jrw ( ri Address 3-1 C))) .L-khwCtt1 'dp ~ Received For: hv '/~Li'OO Cf?) 1{),QO 4() Y'JO .qUI A \ a, l ~n LycQ1fl l--:'\p l'=l O() c;:; 1_ t;-OI f) I. :PI n!(\ rJ=-, () tc)u ~1 /Oq , ifSS CJj,~ Amount Received (;, " --cj Op' '~ AUTHORIZED SIGNATURE ...UTOH.TU....."ll ~'''''T[.S' lUGl"l[, 0.. .'.0' ..,"'. Ii Permit Clerk ,.,... "..- .... ~ ...... -.... ..".."... ._"" ..- ,.,'.' ,_., ..- " ,...~ ..".. -' PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: 1- NG=-?:> G/r~/'/Y;:--='-;;;?~ LeTT~R ??~~4-r-:r:V/h'C" c:>Pc:,.y//y=-' //V E:Vr ST: T/~T C--' ?=> W4c.:.., I J Permit applicant exempt from registration with the Builder's Board because: Addi tiona 1 Project Informati on: I PLANS REVIEWED BY: , name L~nfl& !YC.,:z;C:::=OR signature A~Z4~-~ date <(-//-80 " ] 'd (, tD cD (I (\J CII '8 " (B - CD (0 \J .J ...: I