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Home My WebLink AboutPermit Building 1984-09-07TT-TY 0F SPRINGFIELD COHBI IIATI ON APPL I CATION/PERMIT Job Address EIIERGY SOURCES: lJater Heater Ftg. I'lai Sq. Ftg. Access._ Sq. Ftg. 0ther l,ler^r Add A -Fence Derno -0ther- ,l ter p _Change/ Use o f.. \4 \ S" Lesal Descri ption.Q :OZ, ?5.-E}- Owner Va lue of l,lork: 4 o, **s ot Address Phone 7qo Yaab u it I 'i1d S ing e Fam i td Construction Lender '' 'l+l-otll /,UWU, h) Addre s s Phone lv DESIGN TEAM name address rcs. no.exD l res ohone no. Primary *a Elz?a/g€R GXactp- tA 7 Structura I El ectri ca'l l''lechan ical I CONTRACTORS name 'rU I Iics. no-exot res nhonp no- ) 7 Genera I Pl umbi nq El ectri cal I'lechani cal PLUHB I NG ELECTR I CAL I,,IECHAN I CAL FFF IlHARGF NN FFF rHA PCF NO FFF (.HAAGF .z-Each si ng1 e fi xture ?aoy'./o,4 furnace/burner to BTU' s Relocated building (new fix. additionai ) New circuits alts. '2"5PT*aza r5.- Floor furnace and vent S. F. Residence(1 bath)SERV I CES Recessed wal i Soace heater and vent Duplex (l bath) each ,/trca Dt<ryo 7</aoo Additional bath Temporary Constructi on Apol iance vent spnaratF l,later servi ce Change i n exi sti ng res i dence Stationary evap cool er Sewer multifamily, comm. or I ndu stri a l Vent fan with sinole duct Storm Sewer 0f amps. Vent systern apart from heatino or A.C. COMI.I./IND, FEEDERS Mechani cal exhaust hnnd and duct I nsta l I /a l ter/ re l ocatedistrib. feeders [iood stove/heater 0f %t li",-z +M ISSIJANCF OF PFRIlIT TOTAL CHARGES /a.?TOTAL CHARGES /fr*TOTAL CHARGES /a.* WHERE STATE LII.I shalI not be val iC REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFULLY EXAHINED the completed application for oermit, and do hereb.y 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 0rdinances of the City of Soringfield and the Laws of the State of Oregon oertaining to the work described herein, and that N0 0CCUPAI,ICY 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 ORS 701.055, that if exempt the basis for exemption is noted hereon, and that only subcontractors and employees who are in comcliance with 0l?S 701.055 will be used on this project. llAtlE(please print)S IGN ATURE- DATE- F0t1 0F Zone 4 C Const. 9- r//R, unilsSo*Wt,Ftq. l4ain x Value_ Fire Zone Bedrooms Occy Ftg. Access Val ue Flood Plain Stories 0ccy croup 4-3 Sq. Ftg. 0the ,P;l ilqh,/ (*uz3P[ vntrY -e-;E/ BUILDING PERI'IIT Charges and Surc harges aa €.% Plan Ck. Corrn/Ind 65%/B1do Per Fee 8a.sr opment /y/. Plan Ck. Res 30%/Bldq Per Fee PLUI4BING PERMIT Charges and Surc ha rges __/_Q=_=_.7o Fence Dgmo ELECTRICAL PERI1IT Charges and Su_rcha rges __/5_ao Sidewal k / t,8, ,8A/C Paving Total Cor.rb. Permi t I4ECHANICAL PERMIT Charges and .Surc ha rges ---E-,A w-Curb Cut TOTAL /69. e/8 n--- ' /, t, /,, Residence of s0. FT. t/ -,-.. ,-- o5-7o COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description 1. elample- Tax Lot I00, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, 2nd Addition toSpringfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources1. example- heat/electrical ceilinq,/or forced a.ir oas2. ExampTe- wa te rtrea teiZtilEETil ci7or s ofaF-E. Square footage or valuation-, Gtil- 1. example- 1450 sq. foot house, 500 sq. foot garage2. exampie- JT new project, check-new - if aOdit.ion, check add, etc.F. Building permit information:l. example - construct single family house with anattached garage ?. examp_le - remodel ex.isting garage into family room3. example - convert single family residence iniorestaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructurai Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construct.ion delays, BuildingDivision Staff must be able to contact appropriitepersons regarding design information or job sitecorrections, etc.II. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the description--portion of the Mechanical and Electrical Schedu.les,the applicant need fill-in only the No. Boxes adjaientto the appropriate item(s) to be.installedB. Full Plumbing, Mechanical, and Electrical Schedulesare available at the Bu.ilding Division1. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult theful I schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAp, the labe'l must be delivered to theelectrical contractor for signature by his electricalsupervisor, The general contractor ii not authorizedto sign the electrical labelIII. Applicant to siqn and date Hhenever possible, the initial application will be used asa.worksheet on1y. Where possibie, Building Division Staffwill prepare a type wr.itten copy and return it to theappiicant at the tjme the actuai perm.it is issued for his-signature.IV. Fees and Charges Plan check fees are due and payable at the t.ime of theapplication, and no plans will be processed unt.il thesefees are paid. All other fees and charges are due andpayable when the permit is issued. V. FOR OFFICE USE ONLY PERMIT VALIDATION Permi t Cl erk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: & Permit applicant exempt from registration with the Builder's Boatd because: Additional Project Information: /,aareP.<*'7 '''s PLANS REVIEI^IED BY: date ?'7-E? name nature 2', .ADDRESS- 1220 MOHAWK BLVD DESCR:REMODEL REST. -OI|lNER. FRANK KREBS 686-8?26 610 E BROADWAY EUGENE, OREGON 9740I BUILNING DIVISION JOB# 840570 -LEGAL.LOT BLOCK FINAL -VALUE. 30000 REPT CAT # SEQ.REQUIRED PERMITS-..-*.FEE...SURCHARGE-DATE-RECEIPT...PERMIT#-...-.VALUE-.. . INFO- REPAI R COMMERC IAL 5300 OO1-OO1.PLAN CHECK FEE 82.55 OOz.OO2.BUILDING PERMIT ),27 .OO OO3.OO4-ELECTRICAL 15.00004-005-PLUMBING 10.00 OOs*OO6.MECHANICAL 10.OO OO6.OO6.MECHANICAL 10.OO OOl.O2l.UNDERFLOOR PLUMB 002-004-sLAB OO3.O2O-UNDERGROUND PLUM OO4.O41-UNDERGROUND ELEC OO5.031.ROUGH MECHANICAL 006-023-ROUGH PLUMBING OO7.O42.ROUGH ELECTRIC OO8.OO9. I NSULAT ION OO9.006-FRAM I NG O1O.O1 l.DRYWALL O11.O29.FINAL PLUMBING 012-039-FINAL MECHANI CAL 013-049-FINAL ELECTRICAL 014.019.FINAL BUILDING 015-O64.FINAL FIRE DEPT OOl-O42.ROUGH ELECTRIC OO2.O23-ROUGH PLUMBING OO3-006.FRAMING OO4-O42.ROUGH ELECTRIC OO5-O3O-ROUGH GAS 006.O3O.ROUGH GAS 007-030-R0UGH GAS OO8.031.ROUGH MECHANICAL OO9-O49.FINAL ELECTRICAL O1O.O29-FINAL PLUMB ING 011.039-FINAL MECHANICAL 012-019-FINAL BUILDING O13.O64.FINAL FIRE DEPT 014-049-FINAL ELECTRICAL 015.019-FINAL BUILDING 016-019-FINAL BUILDING O17.O39.FINAL MECHANICAL O1B-O19.FINAL BUILDING 019.019-FINAL BUILDING 1703253310100 84091t / 85t204 .ENERGY- .STATS- HEATI. 2. 1 BLDG ZONE CCHZO. 1 STORIES FLOODPLAINRANGE. BEDRM OCC GRP A31 UNITS SQ FEET CONST TYPE 3.1 -CONTRACTORS- GENL.PARR CONTRACTOR PHONE. PLMB-CHAPMAN ELECT. MECH- DESGN.BALHISER 0.00 5.08 0.60 0.40 0.40 0.40 840809 841025 841025 841025 841025 8412t2 RAISED DECK ONLY PIPING ONLY NO TEST CONCEALED UNION. CORRECTION LIST POSTED 63351 63762 6376? 63762 6376? 63985 0 30,000 0 0 0 0 SEQ-MINIMUM INSPECTIONS + REQUIREMENTS.. EXP DATE--.ACT DATE- 841 130 850107 850205 8501 07 850107 SEQ.. I NSPECT I ONS.----..COMMENTS. --.-... DATE-... RESULT.. I NSP..- 841 130 841 130 841130 841206 841219 84t226 841,227 841,228 850107 850107 850107 850107 850107 850107 850107 850108 850205 8502 1 1 85 1204 POK ?4 POK 200K 10 POK 24 NOTOK 20 NOTOK 200K 20 POK 200K 240K 20 NOTOK 20 NOTOK 250K 150K ?4T0 25NR 250K 20I0 250K 25