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HomeMy WebLinkAboutPermit Building 1980-07-03-JU[ 10 ig$O-:;trA TIOX L 69 Iilt CITY OFSPNINTFIELD -COHBI iIATI ON APPL I CATION/PERMIT 726-3) Job Address 1590 Mohawk Boulevard r-esa1 Description i7 03 25 02, 14000 fl5lntHP,uoEf..t l,later Heaterffi Ranqe Val ue of l.lork: 80,000.00 Sq. Ftg. Access._ 5q. Ftq. Other_ _l,lew3ddrql fe r_nep:- _Fence_Demo Change/Use 0ther n Owne r Pa cific Builders Builtiing Pernrit Info: Describe l.lork(i.e., Build SingleFanily Residence liith Attached Garaqe)'\ddress 3185 Gateway #70 746-0314 Ph""" Commercial block buildinq- cement floor w/,Springfield,0R 97477Paci f ic Vi'l l age coverinq - retail convenience store.Construction Lender @oo(n or(, .\dd re s s Phone name address exni res phone no-DESTGTI IEAI{ Bill McCabe 1510 Highway 99 North 688-0836Primary Structura I Electrical llechanical nalTte address (lics. no.exDt res ohone no. ) Generat Dan Mclntyre 85830 Pine Grove Rd, Eugene 3550 687 -2847 Savage & Hough P1b 683 McKenley, Eugene 345-1241Pl umbi nq Erectrjcat McKenzie Electric 1300 N 28th St, Spfld 726-0103 rlechanicar Crown Heating Co 1665 Irging Rd, Eugene 689-8763 PLUIlB I NG ELECTR I CAL MECHAN I CAL FFF CHA RGF NO FFF CHARGF NO FFF CHARGF oJ Each single fixture 5. 00 40. 00 Residence of SQ. FT furnace/burner to BTU' S Relocated building (new fix. additional) New ci rcui ts al ts or extensions Floor furnace and vent S. F. Res i dence(l uattr)SERV I C ES Recessed wal I Soace heater and vent Duplex (1 bath) each Additiona'l bath Temporary Constructi on Apol iance vent seDa rate tlater servi ce i n exi sti ng nce C hange res i de Stati onar.v evap. cool er Sewer multifamily, conrn or Industria l Vent fan with sinole duct 3. 00 Storm Sewer 2 -amps.0f 200 25.0 )50. 0(Vent systenn apart from heatino or A.C. COI4I.I./IND. FEEDERS Mechanical exhaust hood and duct Instal I /al ter/rel ocate di ctri h fppdprs l'lood stove/heater f ,amp s.0f 1- 1(IO,OOOBTU Ht PMP 6. 00 2-5 HP Com Units t1.0(22.00 3.7!K. W. BTU, L2,726 ,76 E RUS ISSUANCF OF PFRI1IT 10. OO 40.00TOTAL CHARGES TOTAL CHARGES 50. 00 41.00TOTAL CHARGES WHERE STATE LlN REQUIRES that the Electrical work be done by an Electrical Contractor, the eiectrical portion of this permitshall not be valil until the label has been signed by an Eiectrical Supervisor and returned to the Buildin! Division that any and all work performed shall be done in accordance with t formation hereon is true ,he Ordinances of the City NC 0CCUPAI,ICY wi I l be made tion with the Builder'sis noted hereon, and that -^DATE , )-)'-'1,() HAV comp g 01 + s Y EXAMINED app ication for oermit, and do hereb-y certify that all in and correct, and I further certifyof Soringfield and the Laws of the State of 0regon oertaining to the work described herein; and thatof any structure without the permis sion of the Buil din Division. I further certi,'y that my reqistra Board is in full force and effect as required by ORS 7 055, that if exempt the basisonly subcontractors and ernployees rvho are in comciiance with 0i?S 701.055 vliII be used o B I LL IlCCABE l,lAt'lE ( pl ease pri nt )I GiIATU RE tforexemp 'ltn T Val ue---vut r" 4 ,5oo:00- r ovu I n r u nr I orl-BG0D-[T-0- E OiILY Ftg 0c B-2 xcy Load 0ther A FI g Cone/ iF re z Bed 0msr0 tS ts 0cc.y Group Ftg. Acces Ftq. l4ain Val ue t Flood Plain N0 Stories Svstems Development charoe (1.51)1,200.00Plan Ck. Conrn/Ind 65%/81dq Per Fee 161.85 REC53812BUILDING PERI'IIT Charges and Surcharges 239.00----3:56-Plan Ck. Res 30%/Bldq Per Fee 6-17 -80 FencePLUi4BING PERMIT Charges and Surcha rge s 40.00-----1;6f,--- Dgrno Sidewalk 851.44'35, 14 Total Comb. Permit ELECTRICAL PERIIIT Charges and Surcha rges ---- 2 00 50.00 32. 00 501. 94A/c Pavins{$00.00 Curb CutIIECHANICAL PERHIT Charges and Surc ha rge s 41. 00-----h6+---TOTAL 1701.94 \ ]TORS 1 ---- c-'z J-N II - +'.'i-t '-'-' BlA3 a39.o*" 1?o q,5k Plvnbg 'ic' {9 1'1o l'G9 eLec+r^cb.l 3),o9 F l'/oq Q +<rzb a.09 4 iqo4 7 l'techrr.rt cg1 4l'09 42o (,b:4 5,dey,ot\L 6t{'tg A,/:Pa'tet^3 3a.'9 S DC l3lo},og P"..,pf rt sqobq PERMIT VALIDATION Permit Clerk COMBINATION APPLICATION/PERMIT (CAP) I . APPI i cant to furni sh A. Job Address. tj: Legal DescriPtionl. examo'le- Tax Lot 100, Lane County Map Reference -- TTTI-73 Z. exarole- Lot 1. Block 3, ?nd Addition to SFTIigTieta Estates C. llame, etc. of owner and construction Iender D. EnergY Sources 1. examole- heat/electricgl ceililrglor fqrced air gas ?, damol-e- waterheater/electrica l/or solar E. iquaiE-ootage or valuation' etc' i '' examoje-'1250 sq. foot house, 500 sq' foot garage ,'. ffi.rJT-** proiect' check-iew - if addition' ZfrEZT-aad' etc' F. Building Permit information: il .iifipi. - construct single familv house with an attached garage ?. eiimple --remodel existing garage into family room 3. A;#lE - convert single fami1y residence into restaurant (change of use) 6. Value of work ai defined in Section 303 (a) of the Structural SPecialtY Code H. DESIGN TEAI.I AIID CONTRACTORS To avoid design or construction delays' Building Division Stafi must be able to contact appropriate persons regarding design information or iob site corrections, etc. II.AUUrevlateaPlumb'ing,Mechanical,&ElectricalSchedulesA: Except vrhere blink spaces occur in the description portion of the Mechanical and Electrical Schedules' itre appticant need fill-in only the No' Boxes adjacent to the appropriate item(s) to be installed B. Full PiumLing, Mechanical, and Electrical Schedules are available at the Building Division 1. To conserve space on the-permit form the schedules have been abbreviated ?. If the item(s) to be installed are not covered on the abbreviated schedules you shouid consult the ful i schedul es C. BUILDING DIVISION STAFF l^llLL FILL OUT ALL FEES AND 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 lJirenever possibie, the initial application will be used as i wortsneit oniy.' t',lhere possible, Building Division Staff will prepare a type written copy and return it to the appiltant at the time the actuai permit is issued for his s i gna ture. IV. Fees and Charges Plan check feis 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 OFFICE USE ONLY PRoJECTCoNDITIoNST0BESATISFIEDBEFoRE0CCUPAIICY: UI REDSIGN PERI4iTS R FIRE DEPARTMENT (HYDRANTS)FINAL APPROVAL FROI4 VAL FROM TRAFFIC DIVISiONLANDSCAPING APPRO Su eecabrdBoaSruDIiedhteonjWhtSIrattreromfgCXttiIaCnaempePIrmtpp VEMENT AGREEMENT, 7 FOOT SIDEWALKSNEED STREET LIGHT IMP RO I nformati on :ProiectonaAd PLANS REVIEWED BY: Dan Smithname signature da te 7-3-80) I