HomeMy WebLinkAboutPermit Building 1980-07-03-JU[ 10 ig$O-:;trA
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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