HomeMy WebLinkAboutPermit Building 1982-4-27
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I INSPECTION LINE
726-3769
I Job Address
Ilegol Description
Park
Lots 5 &
Subdivision
6 Commercial
Owne,
NTT c: UTTT'"
Address
4n1 "'?9t: :!.0':l:
Conltruction lender
Addre"
DESIGN TEAM
. (nome)
...4
CITY OF SPRINGfiELD
COMBINATION APPLICATION/PERMIT
INFORMATION LINE
726-3753
Sq. FIg- Main .llJ - hZ ')
Sq. fig. Aceon.
S$o. Ftg. Other
ANew_Add_Altor_Rep.
_Fence_Demo_Chonge/Ule
_Other
.~
o
R
ENERGY SOURCES:
Heat Fl p,...r-r; ,..
Water Heater Electr-i-e-
Ron~e -NAf'4
Value of Work:
480.000
phone 686-8ZR?
Building Permit Info: Oelcribe Work (i.e., Build Single
Family Relidence With Attached Goraae\
TELEVIS:rON STllnTO ANn OFFTr.F
BUILDING
Phone
(addrou)
(lies. no.) (expirel)
" - C:p.f.rl . ?20
5742
4.t-)., - C::.pLcl 11 ':I~0
[..t-).,_ "-r ~rl S32-,7
(lies. no.) (exoired
(phone no.)
Structural
LUTES/SANETEL/ARCHTTFCTC:: - ~17 Nn
John,Herrick- 1188 01ive~ Eugene
Marauess En~ineerinq Co. -L~l Nn
Primary
Electrical
~"9/~/~
342-7256
747-1?61
'7~7 12E
(ohone no.~
CONTRACTORS
~,~""~'1P~~ ~~;"PP-r;~~ _11:\1 Nn
(nama) (addreul
NO. FEE . CHARGE NO.
Relidenee of
15 Each sin~lf' fixture 0; or 7~ ro '-, ft.
Relocated building New c:ircuih, alterations
(new fix. additional) or extensions
S.F. Residence
(1 bath) SERVICES
Duolex (1 bath) each Temporary Construction
Additional bath 1 Amps. ROO
t:.r\ Water service lr.C~
26) Sewer 10/100 L.I= 30.0C
56! Storm Sewer 1 n 11 nnT t;".... r.;'I 'If' FEEDERS
? ~rnTm ~,:lol.J~-r 'r.!n ? 'LOD 2 Amps. 100
.
1 C::!:lI'1"; rary Sewe~~!.0.1)r;: 1 ,~oo AMP
1 Water TaD 5.00
Mechanical
General Galo M ~obertg C-:-.
PlumbinQ T" R", ~pl o,..rl::",..l
flectrical To Be Se l.P" t- ",.if
Mechanica'To Be Se1ect:erl
PLUMBING
12 ~ Pzst: 11 t:h f,-';i;':':-.':'
~1l~_~?~1
ElECTRICAL
MECHANICAL
FEE CHARGE NO.
FEE I CHARGE
2
,,~ nl,J 1
furnace/burner to
lTU's
Appliance vent
separate
Stationary evop.
cooler
Vent fan with
single duct
V.nt syst.m aport from
heating or A.C.
Mechanical exhaust
hood and duct
10) 6r!)
~. ~rl
Wood "o...e/hoater
"
H.ot Pump
Air handler to
10.000 CFM
Air handler o....r
10,000 CFM
~ nn ':II', n)
0-111, ?n (.(I
?~ O(
ISSUANCE OF PERMIT
1O.UJ
TOTAL CHARGES
21 0 . 0 )TOTAL CHARGES
110. or TOTAL CHARGES
56.50
WHERE STATE LAW REQUIRES that the Elec:trical work be done by the Eledrical Contractor, the .Iedricol portion of ,hi, permit ,hall not be valid until a
label has been signed by an Electrical Contractor and attached to the electrical panel.
I HAVE CAREfULLY EXAMINEO tho completed application for permit, and do hereby certify that all information h.reon is true and corr.ct, and I further
~rtify tho' any and all work performed sholl be done in accordanc. with the 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 b. made of any structure without the p.rmission of the Building Di...ision. I further
certify that my registration with the Builder's Board is in full force and effect 0 s required by ORS 701.055, that if exempt the basis for exemption is noted
heron, and that only subcontractors and employees who ore in compliance with ORS 70~S will be used on this project.
Bo.i. /0' Build.,', ~exemPtion' ~ t:tf, ~
NAME (plme p,;nt) ()~.e{ W. }j,+vis . ~IGN~TURE _ It /I.
Zon' C-4
Fire Zan.-H.......A
Flood Plain
Type/Canst. ~ - 1 HR
Bedrooms
C-tari-- 1
BUILDING PERMIT
Charges and
Surcharges
._83~.2.<L__
33.38
210.00
8.40
PLUMBING PERMIT
Charges and
Surcharges
ELECTRICAL PERMIT
Charges and
Surcharges
110.00
4.UO
MECHANICAL PERMIT
Ch:ug.s and
Surcharges
DATE~~7 ;f~~
, ,
FOR OFFICE USE ONLY
Unih
n~cy Load
"ccy Group
"'. Ft.. Moin 1062 ~
Sq. Ftg. tll.tal'n ~.,.; 't"'l.g
Sq. Ftg. Other
00
x
~::~: ~~~B8-:-8B-
gL"
B-L
x
Vol...
TOTAL VALUATION 480.000
'~~~77 4-13-82sy,tem, Development 7200.00
.05 c.k Charae fl.5%l
Plan Ck. Comm/lnd
65%/Blda Per fee
Plan Ck. Ros
30%/ Blda Per F.e
Fence
Demo
Total Comb. Permit
11QQ ? l'
Sid'WQI~11?". 1?= 1Q p.~
Alc Pa...ino 1 1:\ 'i,nn nn= '1t:. tin
56.50 Cu,b Cut
'--2.26--
$R~QQ ?R
2 x12.00= 24.00
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1111 ..111"I_lIHIL
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CITY OF SPRINGFIELD
"
City Hell
Springfield, Oregon
Department of Public Works
OFFICIAL RECEIPT
( No. B 5894.6 (
, Oath. .A\>!\ . 2fL9 6~
(' Rec'd From K\'v\ tt. &t\~" ('
c .Mdres~j)~ ~,\3\n~ 1.~L5 C
R~celved For. :il- ?:J) 2:C(') "
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'Amount Received
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o .,U008 PtlINTIE"./UTHOGR"PHERS, EUGENE. ORIEGON
ed Co
,~ sch.-:
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III. Applicont 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 ond Chorges '. .
Pion check fees ore due ond poyoble ot the time of the applicotion,
ond no pions will be processed until these fees ore paid. All
other fees ond chorges ore due ond poyoble when the permit
is issued.' .
V. FOR OFFICE USE ONLY
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
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CITY OF SPRINGFIELD
City Hell
Springfield, Oregon
Depertment of Public Works (j
OFFICIAL RECEIPT
..1,." On No. B 5894\;
Dare V '\ 0 . (, (19 ~9 J
Rec'd From K~\(( ~ . "
AddresUl\) \:xW ~.~~
(I
Recelved~R2Q~ '
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\..... -AuntORlZEDSs~NATURE \..
BalOGa PIUNTltU/UTHOGRAPHU8. !tUG.NIt. OIl,:ooN (,
.,...-.:
Permit CierI-
-.'
.
.
1-PuhljJ~ Inprovements for commerical PR-rk Snhc!ivi"in':' Sh...ll hp "''''''",ptpr! by tne
.. ./!
city prior to occuoancv
.. 'J>.' .,-;
. 2-Permits . cannot be is'sued until lp.ttp.r f-rn11l count'v rp,.ph,,,,c! r"'~-'lrr!;ni t-h", 1
" .
Ft. witho1dine strio & written O.K. ~ivp.n t'n n-rn,.ppr!
~'
i-'Coordinate fire orotection reauirp.l'lp.nt" during
Amnmma~P~~d-mkwmm~~ Dist. & City Fire Dept.
. '. .' ~qjJ
..J;:!1lYl /1b~L~dt.: 4-M89-
......
'..'.'
PLANS REVIEWED BY:
nam""
Lorne P1eger
. , ,
~~:;'~t'T-ll,..~i n~ ":t,7/R~;T'IhnT..7 l.l~t-~,...
.