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Home My WebLink AboutPermit Building 1989-2-10 Job Address 424 Main St., SprIngfield, Oregon Legal Description East 10 feet at Lot b and the I INSPECTION LINE 726-3769 I - CITY df'SPRINGFIELD COMBJ:lATION APPLICATION/PERMIT E!/ERGY SOURCES: Mea t '? R t:_!,. F_ \\ ~ Hater Heater 'l'1?l: ( l: "or Ran~e__ _ ___ ValuE of Hork:epG? 2. 0 DO - BuilGina Permit Info: Describe Work(i.e.. Farnil v l1es i dence Hith Attached Garaae) INFORlIATlON LINE 726-3753 Sq. Ft~, 1.lain J J Q 0 ~q. Ftg. Access, (il:;: 0 Sq, Ftg. Other ~ lIew Add Alter_ep, Fence_Demo .J.#!l'Onge/Use _Other I ~ \) "- W '-,) DwnerMap West 28 feet 2 Inches of Lot 7, Block 35 Address of. Springfield .'''CIIIE ~ur~ 444 'B' St. Springfield, Oregon Phone :'.li-71H ~Construction lender Address OESIGN TEAl.' Primary Structural Electrical Mechanical CONTRACTORS Build Single l\l ~J..)'7\ --,:AVa'N - . ~t=P,t7)~ . -, Tb RE~nkJJ l~a.e- ~. 'na~! Phone (~ddr~~\ I flies. no.) (~xniresl (ohone no.) ~ . (nare) (addrps~' (lice:.. on.' (pxn;rpc:.) (ohnnp on. \ Genera I \ I:: /"\ loJ ~ t? t') \S. \~ 'P.- )\ "" rJ'V\. \ t""\ . Plumbino ("~>=:\":o:. 1,\.,.Mn",Q . , . - \ Electrical \2,11 1'- \.) f 1'1..... ~ \... w (' "'t' ~ \ r . 'lechani~al P \ t 0--" (l v. T l..\.\' I... '- l.+. 17. y>,.. T\,,~ ~ PlU!ia11lG ELECTRICAL I Each single fixture U= Z-6<../ h/J//E. ) Relocated b"ildTng (new fix, additional) S,F, Residence 11 bath\ Duplex (1 batb) each Additional bath NO. ~Iater serwice Sewer Storm Sewer I I I I +- \'\ \.~ ~Ci"\--l"\\r: .,^'". ~ MECHANICAL Fr, rlJARGL 1'n t't't' r~ARG.E...llfl J;:t't' I rlJARtiE 15'~ Residence of furnace/burner to BTU's SQ, FT, New circuits alts; or extensions "2/h1'1 /Yb,,;::; I SERVICES I ITempOrary Construction IChange in existing I"'psil'lep!"p Imultifamily, camm. or Tndllc:trii'll 10f amps,l ICOMfl,/IND. FEEDERS Install/alter/relocate I dic:trin_ fppdprc: .22~ Floor furnace and vent Recessed wall ~o~rp np~tpr ~"~ vpnt Appliance vent ~F!o!,ratp Stationary evap. cooler V'ent fan wi th sinole duct Vent system apart from I hea t i no or A. C. " Mechanical exhaust hood i!;nd durt I ~Jood stove/heater Aa) 1I/A-e-/f&/5T. .1 I I I I/S~- I I Of amps. I I SSUANCf OF PFRlIIT TOTAL CHARGES J 5 '3!!.. I TOTAL CHARGES ;2.2.!f!? TOTAE CHARGES IS'?:!. WHERE STATE loW REQUIRES that the Electrical work be done by an 'Electrical Contractor, the electrical portion of this pen:1it shall not be valj~ until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFUllY [XM,INED the completed aprlication for permit. and do hereby certify that all infonmation hereon is true and correct. and I further certify that any and all work oerfonmed shall be done in accordance with the Ordinances of the City of Springfield iInd'the laws of the State of Oregon pertaining to the work described herein. and that 110 OCCUPArKY 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 DRS 701.055. that if exempt the basis for exemption is noted hereon. and that only subcontractor~ and employees who are in compliance with ORS 701.055 will be used on this project. NAI.IE(please print) Zone ('~ (!. . Fire Zone Flood Plain !' BUILOING PERMIT Charges an~ Surcharges PLUI1BING PERMIT Charges and Surcha rges ELECTRICAL P[~IT Charges and Surcharges MECHANICAL PERMIT Charges and Surcharges ARCHIE RUFF q~~ DATf 2/10/89 SIr,U~TURE FO~ OfFICE. USE DULY SO, Ftg, Sq, FtD, .A- -'l, Sq, Ftg, I ~ Tyoe/Const, .~.J\I Bedrooms Stories Units Dccy Load Occy Group Hain Access Other x Value x Va 1 ue x Value TOTAL VALUATION . ,;z z.. 5"0 Plan Ck, COIll!J/lnd ___?___~___ 65%/Bldo Pj'r Fpp I ~~ Plan Ck, Res ~ 30%/Bldo Per Fee J S~O Fence ------------ ,7.L IDeM 2-2 :;>.0 I Sidewalk -----/!T---' A/C Paving -Lfi ~~ I Curb Cut --- - ~7]---1 '2.113_ Systems Development Charqe (].5~) I I ITotaJ Comb~ Permit .1. l: l/o]L I I , " , : i'- , . .' . ,.. COMBINATION APPLICATION/PERMIT (CAP) ..' .;.. - , '. PERMIT VALIDATION " 0 , ,.,1,,,; ,; ^ 0 I. Applicant to furnish A, Job Address , B, Legal Oescription " 1. ~xample- Tax Lot 100, Lane County Map Reference 17 03 43 I I " . 2, exam~le- Lot I, Block 3, 2nd Addition to . - l'~_' " ..' ~prlngtield Estates . . :'n" '; C, Name, etc. 'of owner. 'and,e'onstruction lender' 0, Energy Sources '. 1. example- heat/electrical- C'eili"J/or forced air Qas 2, exameJe- waterheater/electrical or ~ E, Square footage or valuation, etc. 1. examole- 1250 sq, foot house, 500 sq, foot garage 2, examole- if new project. check-new - if addition, 'check add, etc, F, Building permit information: I. example - construct single family house with an attached garage 2, examole - remodel existing garage into family ~oo~ 3. exa~le - 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 TEAf1 ANO CONTRACTORS To avoid design or construction delays. Building ?v'J')- Division Staff must be able to contact appropriate persons regarding design infonmation or job site corrections, etc. II, Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except where blank spaces Occur in the description \ IV't\ 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 d/\'" l- Ta 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 AND CHARGES ON THE SCHEOULES 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 typewritten copy and return it to the applicant at the time the actual penmit 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 penmit is issued. V, FOR OFFICE USE ONLY Permit Clerk . - PROJECT CONDITIONS TO BE SA}lS~IED BEFORE OCCUPANCY: ~ff. kllAr<hfa Lt~r , , "",Pet.mit applicant eX,empt from registration with the Builder's Board because: . . Additional Project Information: ~ " , PLANS REVIEWED BY: I name TJ'i)1J1l{ ~ fl1tJ?~ signature ,//~u date o/2r7 I INSPECTION LINE 726-3769 CITY F SPR NGF I ELO COHBHIATlON APPLICATION/PERMIT EIIERGY SOURCES: Heat '? r< .. ~ .. \\ "'\ Hater Heater '9fl'~ c: r,; \,.,- Job Address 424 Main St., Springfield, Oregon ._, tegal Description East 16 feet of Lot b and the I West 28 feet 2 Inches of Lot 7 , Block 35 I . tNFORllATION LINE 726-3753 So' Ftg. l-Iain..,L1 t1 0 ~q. ng. Access. :f';- 4.") So. fig, Other ~. flew Add A1ter~ep, Fence_Demo~ge/Use _Other S] \) I~ J~ I -.\),), I Range \ q n~ '31) 3l . - Phone '1 LRU- ' '?'.~~ ValUE of f/ork:oO " 2. 0 OD - Bui16inQ Permit Info: Describe Work(i.e.. Familv nesidence l~ith A.ttached Garaael Build Single Address of Springfield .' RCIlIE ~ur" 444 'B' St. Sprlngfleld,Oregon OwnerMa P Construction lender Address UE~ J (i'l I EArl Primary Structural Electrical Mechanical CONTRACTORS \\! (nar.-el Genera 1 \ \~ () \'/ \-\ (( \) Cna~1 Electrical Plumbtna C ~ 0 T ' ~) PI, &'PA/."Yf) fA VI5<N D ,f=. P., L 7)C? To R&n.4:;.l JAa;( Phone (address) (lies.no.\ (eXnir~{OhOne no. I " } \~ (addrpc;c;l \-\- ''''''' ,". (,"i'- lohnnp nn \ (1i(':<.~ nn^ 1 lpxnirpc;,l -) , \ \_\1".'\ (OJ ~ ....__.\ p, '_ 1> \~\'I...L , (" ""\ \7 \ r . (..x.. I;' \,-T\ \~ ~ *- \\ \ .\~ ELECTRICAL MECHANICAL \2,,1 \ \....D e 11,' <, \) \ . c\ ,\ (l. \ \ T Hechanical NO, Pll!1ilIUG I Each single ftxt~re Gc= 1.-6<../ mlJ//C ) Relocated build1~ (new fix, adOitional) S,F, Resideoct' (l bathl IDuplex (1 bath) each IAdditional bath Water service Sewer Storm Sewer I I I I I I TOTAL CHARGES WHERE STATE L~ REQUIRES shall not be valii until the C::Cl-, t','tf:,,,',,. \i frF rHARr.L yn I-EH r~~ ~ln ~~~ t r~ /5'~ Residence of furnace/burner to BTU's SQ. FT. New circuits alts. or extensions "2./'tw? rn;.,n 22~ Floor furnace and vent SERVICES Recessed wall ~n~r~ hPAtpr ~nrl vpnt ITemporary Constructio~ jCh.ange in existing l"p~ j de!H:':p Imultifamily. camm. or Jndu<r;trial I I I I I I I/s~ I I App 1 i ance vent s!oarat~ I Stationary evap. cool@f I' Vent fan wi th sinol@ dtJct I Vent syster.l apart from I heatinq or A.C- Mechanical exhaust hood lInd duet 10f amps,l I ICOMH,/INO, FEEDERS I I Install/alter/relocate I distr1b. f@pders IOf amps. I II I I I I I I I I I SSUANCf OF PFR!1lT J5~ I TOTAL CHARGES ;22. ~ I TOTAL CHARGES / 5~ that the Electrical work be done by an Electrical Contractor. the electrical portion of this pemit label has been signed by an Electrical Supervisor and returned to the Building Division Wood stove/heater 1At)) 1I,i/M!-- /e&tsT. I I 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 work performed shall be done in accordance with the Ordina~ces of the City of Springfield ~ the Laws of the State of Orel')on pertaining to the work described herein. and that He OCCUPAUCY 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 ons 701.055. that if exempt the basis for exemption is noted hereon. and that only subcontractors and employees who are in com~liance with OPOS 701.055 will be used on this project. IIAJ.lE(please print) Zone (', C'... Fire Zone Flood Plain BUILDItlG PER/.IIT Charges an~ Surcharges PLUI~BING PERMIT Charges and Surcharges ELECTRICAL PER~IT Cha rges and Surcha rges MECHANICAL PERMIT Charges and Surcharges I ,:z 2. 5"0 I Plan Ck, Conm!lnd ___:2'___-=-=___ 65%1Rldo PJ'r Fpp I ~~ Plan Ck, Res ~ 30~/BldQ Per Fee ) S 0.9 Fence ------------ ,~ 10eRlO 2-2 ~C> I S1dewalk -----/1[---, A/C Paving ..L 5'.. iJ 0 I Curb Cut --- - ~?]---I ARCHIE RUFF. Tyoe/Const, e:::N Bed rooms Stories Q-/~ ~ DATE 2/10/89 Units Occy Load Occy Group SIr.tl~TURE FOP. OffICE USE mil Y Sq. Hg. ltaiR Sq. Hg. Access Sq, Ftg, Other . x . Value' Value Value I - ;.~ TOTAL VALUATlOII C)-I1-S-'1I~Z.32 , .-"} / /3 'Systems Development ' k-..,...- Charae (!,5~) . I ITotal Comb. rermit I I TOTAL I ~~ - . COMBINATION APPLICATION/PERMIT (CAP) ..- I. Applicant to furnish A. Job Address B. Legal Description . . I. examele- Tax Lot 100. Lane County Map Reference~'\, 11 UJ 43 2. examele- Lot 1. Block 3. 2nd Addition to ~prlnglield Estates . C. Name~ etc. .of owner 'and c'onstruction lender D. Energy Sources 1. examele- hea~/electrical ceilinqlor forced air Qas 2. examyle-.waterheater/electrlcaIJor ~ . E. Square footage or valuation. etc; L exalllJ?le- 1250 sq. foot house. 500 sq, foot garage 2. example- if new project, check new - if addition, cned:. add. etc. F. Building permit information: 1. examole - construct single family house with an attached garage 2. exam!?1e - remodel exi!.ting garage into familj' :"00:01 3. examele - 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 TEAll 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 Oivision 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 AND CHARGES ON THE SCHEDULES O. As noted on the CAP. the label must be delivered to the electrical contractor for signature by his electrical supervisor. The general contractor 1s.not authorized to sign the electrical label. --- Applicant to sian and date Whenever possibie. 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. ) . . ,"-' Ill. V, FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: L6r .:;EE k,1 / /if' H E?J . .... ,- ...., '11 . . , ....":"'-1 'j' .' . C" , .. PERMIT VAll DATION . .'..., . ~ ,. I I ..,.,. ~} II AjytJ:- In""?J r \)} rJA (\/ \ \ ~/\ . ( 3 ;)1L J ~ d-I-f f Permit Clerk \)~ name [)rJJJIl{ ~. Jt1d;M./5 Signature ,/r~u . 'Permit applicant exempt from registration wjth the Builder's Board because: date 2(2r7 . Additional Project Information: PLANS REVIEWED BY: