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HomeMy WebLinkAboutPermit Building 1982-3-9 ".'~""'" . -ty.- ~';;:.':':~~::, . t:~:-~~ ~:?;c1~'-i.' .~: - ~'" . ::,. ~ INSPECTION LINE 726-3769 .. CITY OF SPRINGFIElD COMBINATION APPLICATION/PERMIT .. INFORMATION LINE 726-3753 Own" Doroth~~ Spt'pr~ Add'".1n1 N. ?n <:trppt !iF. phon. 747- 35 73 $13.800,00 Building Permit Info: Delcribe Work (i.e., Build Single Familv Residence With Attached Garaqel Sq. Frg. Main _29.3.7__ 00 Sq. Ftg. Access. N Sq. Ftg. Other ;3 _New_Add_Alter_Rep. ~ _Fence_Demo_Change/Use _Other /l II II )0 - ::> ::> '" D of> :> , of> :> ~ Legal Description 1Z=.03=.35=.31.,_LL_7J3(ln ,. ENERGY SOURCES: Hoot Water Heater Range Value of Work: Job Add"" 446 M~JIJ Strppt Snrin,:,Ue1r1, OR Q7aD Masonrv shell onlv for new_cQs..t~h.op- buildina Conltruc1ion Lendor Address DESIGN TEAM Phone (name) (address) (Iics. no.) (OXp;,..)~. (phon. no.) ~ 8Z-0?Q1 ~ [ [ Primary DrnWinp SPY'V; rp . Tl'lr_ ~Q-Coh"rg Rn'l.n Structural Electrical , r Mechanical CDNTRACTORS (name) (address) (lies. no.) (expires) (phone no'\ !O General Mel ean Ma!=:onY'v Onfill Hill Roan sr~n 746-559~ , '- D 1 n ~ Plumbing Electrical . .. Mechanical ., PLUMBING elECTRICAL MECHANICAL j T NO. I FEE I CHARGE NO. FEE CHARGE NO. FEE CHARGE SERVICES furnace/ burner to GTU's Appliance vent separate Stationary ovap. cooler Vent fan with sinAle duct Vent system apart from heatinA or A.C. Mechanical exhaust hood and duct '- Residence of Each sin~le fixture Relocated building (new fix. additional) S.F. Residence (1 bath) s9' ft. New circuits, alterations or extensions Duolex (1 both) each Temporary Construction Additional both Amps. Water service Sewer Wood stove/heater Storm Sewer FEEDERS Heat Puma Air handler to 10.000 CFM Air handler over 10,000 CFM Amps. ISSUANCE OF PERMIT . I TOT AL CHARGES TOTAL CHARGES TOTAL CHARGES WHERE STATE LAW REQUIRES that the Electrical work be done by the Electrical Contractor, the electrical portion of this permit shall not be valid until 0 label has been signed by an Electrical Contractor and attached to the electrical panel. I 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 performed shall be done in accordance with tho Ordinances of the City of Springfield and the laws of the State of Oregon pertaining to the work described herin, and that NO OCCUPANCY will be mode of any structure without the permission of the Building Division. I furthor eartHy that my registration with the Builder's Board is in full force and efffect os required by ORS 701.055, that if exempt the basis for exomption is noted horan, and that only subcontractors and employeos who ore in compliance with ORS 701.055 will be used on this project. Basis for Builder's Board exemption" / ()___.#----- NAME (pl.o.. pdnl) f'nRn THt:11 St:7EIZ':; 'IGNATURE 'iJ./J1"7..A r-<' ~bu OATE ,) Sf. !?:; FOR OFFICE USE ONLY Zone~1 Fire Zone Flood Plain Type/Const.~ Bedrooms c:.tori.... Units Occy load nccy Group 56. R2 Sq. Ftg. Main 11;:'1. Ftg. Access" Sq. Ftg. Other 2937 x Vol..$13 ,ROO, on_ x Value x Value TOTAL VALUATION $13 .800,00 BUILDING PERMIT Charges and Surcharges Plan Ck. Comm/lnd ____.$__6R: nn 65%/BldQ Per Fee PlanCk. Res ? _ 7? 30%/ Bld~ Per Fee $ 44.20 Systems Development Chortle (1.5%) $ 207.00 PLUMBING PERMIT Charges and Surcharges Fence Demo Total Comb. Permit ~ 7n.7? ELECTRICAL PERMIT Charges and Surcharges Sidewalk AIC PavinQ MECHANICAL PERMIT Charges and Surcharges Curb Cut TOTAL $ 321. 92 -" ,. ./ '- ~ COMBINATION APPlICATION/P.T .P) - . -. ~ ", '" -.' , ... I. Applicant t~ furnish . A. Job Address B. Legal Description 1. example-tax lot 100, Lone County Mop Reference 17 03 43 2. exomple-Lat 1. Block 3, 2nd Addition ta Springfield Estotes C. Name, etc. of owner and construction lender " " . D. Energy Sources 1. example-heat/electrical ceiling/or forced air gas 2. . exa mple-woter heater I electrical/or sola r'.. .:. :'1;' .,.' . E. Square footage or valuation, etc. . _.. 1. exomple-1250 sq. foot house, 500 sq. foet goroge 2. example.if new project, check new-if addition, check odd, etc. .. F. Building permit information: 1. ex'ample-construct single family house with an attached: ", garage 2. example.remodel existing garage into family room 3. example-convert single family residence into restaurant (change of use) G. Volue of work os defined in Section 303 (a) of the Structurol Specialty Code H. . DESIGN TEAM AND CONTRACTORS .... ..: To avoid design or construction delays, Building Di~isi~n Staff must be able to contact appropriate persons regarding design information or job site corrections, etc. II. .Abbrevioted Plumbing, Mechanical & Electrical'Schedules A. Except where blank spaces occur in the description portion of the Mechanical and Electricol Schedules, the applicant need fill-in only the No. Boxes odjacent to the appropriate item(s) to be installed B. Full Plumbing, Mechanicol, ond 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 ore not covered on the obbrevi- ated schedules you should consult the full schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES . _Mil ~ALlDAlION '. ,. 1" ~ : , - - . . . , .~. '.': . " '. III. Applicant to sign ond dote 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 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 poid. All other fees and charges ore due and payable when the permit is issued. V. FOR OFFICE USE ONLY Permit Cler" - ~ -- ..-~. . ......- " . PR~~E~T.5O:N.DiTioNf j6--ilE.SATISFIED BEFORE OCCUPANCY: -~ ....., -,' . -..;., :- . - '. - 'n_ ..,' Thr~ pArmit i.~ f"n;' th;' m;.<nn",y ~h,," 'n"'~' ~.t!Il.o. '^h ~!0~~[J 4:~~ ~3-:::!~~:~1sr.JI ~lnh ~ IInrtprc:1F1h ~,_., ,__ I^::i:-~:~=~ ", ,,_H< ""ill h.. r..ouired orior to starting any work btlyond this point. ...'1.111.......,:;,. t\ ;Icr:::: l\ par!~in; \.a:-~::":c: IJ.-~-! ~J:'~~;'-'~,{ ~' foha fll..Pnn-fnlJ rnmndcc:::in,:, d_'_R1 C:lJhi~ct to the following conditions. 1. ':"::~,,'" to sign imp..n"<>m',"io ~'lr..<>m..nt f"nr future oarticioation in the purchase of land to be used for a new off~street public parking lot which will provide required parking spaces to' 4;~1, 'r~~r~~~~' '- Addition",' xRral.ectllnformotionl'X 1\1\1\1\1\1\'" J\'\.II\I\/i""'''..,......." .... 2. ~ir.l!r t: ::r:ltin"'J jni""-o.<<> 'p.r~ing ~"r....m..nt ....i.thjI~1t. I ~"ton as. 'lono as oarkino space deficiency occurs. The rear parking area is to be posted with a notice stating additional r;:rl:fr:] :.ni~:~l: 1t I.I~~~ L~r.~,,"~. ~~1~..t1~r:lal PrQj<>~+ Tnf"n~.ioinn' Pl~n r..vi..w f.... nf.~17R.75 Daid 1-27-78 for construction value of.$93.001 to $94,000 which is enttre project value. Since this'is phased construction and ---aM~t~g::al rl=~ ~m,,'" +.~'? ,.... ....'l,lir..rl ,1.... ion i,,~ri..nll;ori..~ ~nn ~dditions 1n the plans. an additional fee has now been charged at usual rate. Ii PLANS REVIEWED BY, nome I nrnA Pl "2Ar signaturo -;f~- ~~- ~=~ .r ..late ?-?:>-R? ....... 'tf . ,.~ - \ \, 1"""- ..'=;:.. ~ . '. ..........- ~.~~.~~.,~!,~,;.~~,~,,,.~I~:::~~~;':~;~..~l .', " ... ~ '-'. . , ...~.................. '-""I.!IlI. l '~~J3!,:!...__:,t~iNiA~:.J~=l~iR. I INSPECTION LINE 72603769 I Job Add,e.. 44'; Ma i n Strppt ~al DeS[ription 17-01-35- "11 TI -180(1 ENERGY SOURCES: Heat Water Heater Range .. Value of Work: INFORMATION LINE 726>-3753 Sq. Fig. Main i'Q] 7 Sq. Ftg. Aceen. Sq. Fig. Other _Now_Add_Alter_Rep. _Ftlnco_Oomo_Chango/UslI _Other co '" o .- .- '" /l 1> 1> )) ~ :> :> "" o ... ~ ~ ... ~ , -:>. u CITY OF SPRINGFIELD COMBINATION APPLICATION/PERMIT Own" norothea Seter~ Add,...3n1 N. ?rl <:;tr"ct ill'. Snringfielrl, nR Q7477 ,Phone 747-3573 Ju.ann,OO Building Permit Info; Describe Work (i.e., Build Single Familv Residence With Attached Garoqo) Construction Lend.r Masonrv shell onlv for new co~tllme ~ho-p- buil di no Addren Phone DESIGN TEAM (nome) (address) (lies. no.l (expires) (phone no.) Primary Drawi no <;'pY'vi rp _ Tnr ~O (nb'lrg RO'''' 'iR7-0?0~ J. J J Structural Electrical n ~ CONTRACTORS (name) (address) Wcs. na.) (expires) (phane no,) 7" .. Mechanical G.n"ol Mr I p~ n Mi\SOIl ry QDh11 Hill-Ro,n. ~n~n 746-55q~ , J. . 1 n ~ " Plumbinc:l Electrical :. Mechanical .~ ~ PLUMBING ELECTRICAL MECHANICAL 3 .' T FEE CHARGE:S ,., NO. FEE CHARGE NO. I FEE , CHARGE NO. Residence of furnace/burner to "TU's Appliance vent separate Stationary evap. coaler Vent fan with single duct Vent system apart fram heatinp ar A.C. Mechanical exhaust hood and duct Each sin~le fixture Relocated building (new fix. additional) S.F. Residence (1 bath) '9' ft. New circuits, alterations or extensions SERVICES Duplex (1 bath) each Temporary Construction Additional bath Amps. Water senice Sewer Wood stove/heater Storm Sewer FEEDERS Heat Puma Air handler to 10.000 CFM Air handl.r over 10,000 CFM Amps. ISSUANCE OF PERMIT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES WHERE STATE LAW REQUIRES that Ih. Electrical work b. done by tho Electrical Contrador, tho electrical portion of this permit .hall not be valid until a label has bean signed by an Electrical Contractor and attach.d to tho .I.drical panel. I HAVE CAREFULLY EXAMINED the completed application for permit. and do hereby certify that all information hereon Is true and corroct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of tho City of Springfield ond tho Laws of tho State of Orogon pertaining to thll work describod horin, and that NO OCCUPANCY will be modo of any structure without thll permission of the Building Division. I furth.r certify that my registration with tho Buildllr'. Board is in full force and eff.ct as required by ORS 701.0.5.5. that if exampt the basi. for exemption Is noted heron, and that only subcontractors and employees who ore in compliance with ORS 701.055 will be used on this project. Basis for Builder's Board exemption- SIGNATURE ~!'Y7-t-<c ~ OATE') st. g;( NAME (pleo.e p,;n') DcoRo THE.'1l .5L=TG"1? J4. 1 Units nccy Load n..y Group FOR OFFICE USE ONLY <'. F'g. Mo;n ~7 c;.,... Ftg. Access Sq. Fig. Othllr 56 R2 x "olueV 3 . ROn _ OIL- Zone r 1. Firo Zone Flood Plain Typo/Canst.~ Bedrooms c.tori.. x Value x Value TOTAL VALUATION $13 .800.00 BUILDING PERMIT Plan Ck. Comm/lnd $ 44.20 Systems Development .~ 207.00 Charges and ____.$.._6B.1lfl 65%/ BldCl Per Fee Charroe (1.5%) Surcharges Plan Ck. Res 'I ? 7? 30%/ BldR Per Fee 11 PLUMBING PERMIT Charges and Fence " , Surcharges , Demo Total Comb. Permit $ 70._?? ELECTRICAL PERMIT I I, Charges and Sidewalk Surcharges lAIC Pavina I ~l MECHANICAL PERMIT I Curb Cut _.._L$. Charges and ~-------- Surcharges I TOTAL 321. 92 . \'" . : ". ',:"<"'" ~.'d '~. <,:-., .'.-.~~., ~~." ", - '. ." ..:...,:. ....: ~".:-~':-:'~~:"_~;;?'i',-:::,';,,;,,"~:~.:":?r.-:., ,~:::---'.. \. . . .'.. ;-'-'" '...... . ~,/.. t-t.. . ~T;;~U.J~~;~_~;~~~~.t~~:.~h ~"~I ~ ~~ p;~ IN .G -;"~'Efg;;-.:.':"~~.;;:'I City Hall Springfield, Oregon Department of Public Works OFFICIAL RECEIPT COMBINA nON APPLICATION/PERMIT (CAP) ( (\ I. Applicant to furnish A. ;. B. Job Address legal Description 1. exomple.tax lot 100, Lone County Mop Reference 2. example.Lot 1. Block 3, 2nd Addition to Springfield C. Name, etc. of owner and construction lender 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. . 1. example-1250 sq. foot house, 500 sq. foot garoge 2. example-if new project, check new-if addition, chec add, etc. F. Building permit information: 1. example.construct single family house with an otto garage 2. example-remodel existing garage into family room 3. example-convert single family residence into restaurant (change of use) G. Value of work os defined in Section 303 (a) of the Structurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Divisj, ( Staff must be able to contact appropriate persons regc .... design information or job site corrections, etc. No. B 19 g~ ( Rec.d From ~.Ad. d A L W h-- :1 Address &, I 7/. 2 d.. SUI. <..LJ (." -/~ - - - (I Received For: t-' d3 f;.t.I#-d Pv, .., 7.J "/f;::z;'1. >~ ,j~ ...4 )jpk~"/'r,dJJ1'&r) Dote :3-q 58169q. (~. ~.'. i. g tR. tf;) n ( (I ( (I f"1 :q ':JI. 9-Z.. (\ . 11.: Abbreviated Plumbing, Mechanical & Electricol'Schedules ( '" \' A. Except where blank spaces occur in the description P'OI of the Mechonical and Electrical Schedules, the opplicc need fill-in only the No. Boxes adjocent to the opprop' (. item{s) to be instolled B. Full Plumbin9, Mechanical, ond Electrical Schedules are available at the Building Division . ~. .1. To conserve space on the permit form the schedule~ \.. have been abbreviated . 2. If the item(s) to be installed are not covered on the ated schedules you should consult the full schedule: .". . C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES A~ ( CHARGES ON THE SCHEDULES ~. III. Applicont to sign and dote 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 permit is issued for his signature. IV. Fees and Chorges Plan check fees are due ond payable at the time of the application, and no plans will be processed until these fees ore paid. All other fees and charges are due and payable when the permit is issued. (I Amount Received ('g,J fif _,'-iJ-L9.2, (I cJ JJ.- (I AUTHO"lZI!:D SIGNATUIltE !!IHf:lTOI'l'TUIIlN8Ull ""'NTIIII5 . 11:\,1011'11(. 0111 .'uo, ....".. (. .. .~,. .....1. CI . . , \. ",. .. ., ~.',.. ....., ,. ... ,,'j. ., . ...."'. .... V. FOR OFFICE USE ONLY Permit Cler~ PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: .t. . '. Thi s permit is for the masonry s~p 11 nnJ y. C;pp .lob 810049 fer f:l:~:a-:-+::;~., d ah !I. IInrlers l,h ~lllj!1h;ng Arlrlitinn,l nprmit~will be reouired Drior to startinq any work bevond this Doint. .. t.. NOTF. A parking vari?nrp wa~ ?pprnuprl hy thp PlaPnin~ ~i<<i~ 4_1_Al~lhip('t tn thp following conditions. 1. Owner to sion imgrovement aareement for future partici9ation in the gurchase of land to be used for a new off-street public parking lot which will provide required parking spaces for the oroDertv. .,':' >>.'(OO)j~Xl*X1jijtK)(j(**~;x,lI)( 2. Ownpr t.O rrmtinue joint'Hse parking ?l}rpp'lleJlt with W?J.t I ?ytnn ?<, Inn!' ?< lJ?r~ino ~~p deficiency occurs. The rear parking area is to be posted with a notice stating additional ~~r~ing ~v~il~hl~ ~t W~lt l~ytnnc Mrlitinnal Projprt Tnform?llin' Plan rpuipw fpp nf $178.75 nairl l-2Z::.7R fnr construction v.Qluf of $93,001 to $94;000 which is entire project value. Since this .is phased construction and rarJrlitinnal....pl;:\n rpvipw til'Tlej@<: rP~Il;rpn nllP to inadp-qllnr:;pc; ;:tnri Arlrli-ti..Dnc:: in t':1P nl;l.nc::_ an additional fee has now been charged at usual rate. PLANS REVIEWED BY: name Lornp Plpger --./ n..,,' Signature~~--d~ date ?_??_A?