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Home My WebLink AboutPermit Building 1990-01-17Job Address Legal Description INSPECT I 726-37 69 L COMBI Ran L CA EIIERGY SOURCES: Heat l,later Heater . Ftg. Access.Sq Sq . Ftg 0ther tlai 3Value of l,lork: c* ngle:€. to: Des GaraAddres s Phone Construction Lender N h vl Addre s s Phone Pri ma Structura I E i ectri ca l Mechanical Genera I Plumb MECHAN I CALELECTR I CALPLU}.IB I NG furnace/burner to BTU' s Residence of FTSQEach single fixture Floor furnace and ventNew ci rcui ts al ts or extensions Rel ocated bui l ding (new fix. additional) Recessed wal I Soace heater and ventSERV I CESS.F. Residence ( I bath) Duplex (1 bath) each Appl iance vent seoa rateTemporary Constructi onAdditional bath Stationary evaP cool erChange in existing res i dencel,Jater service Vent fan with sinole duct0rmultifamily, comm I ndustri a ISewer apart from .c. Vent systenn heatino or As.0f amp Storm Sewer Mechanical exhaust hood and duct lJood stove/heaterI ns ta l I /a l ter/ re l ocate di stri b. feeders ISSUANCE OF PFRIlIT S IGNATUREllAl.lE(please print) Ftg Ftg FtgOcc.y Group SqFlood Plain Stories 2-2=td DA x x temsnd S Occy Load an an ts done by El ectri,REQU unti I HARGEC SALTOTSCHARGETOTALESRGCHATOTAL s +rmlIIarto1nthi0f,het Ie tr cec peca'I ConI ctortra ponEectractri'Ia beworkRESItthaE1theecL.1NSTATEl.,HERE td 'I s onIthetoIDiBu1andrernedtung1sorSIcauPerv'Is a nIbeahaIbeesngnedthebeIva,JIash1Inot apr) and Ci ty made performed ning to thOregon the Buiof any Boa rd exemp 055 wi 'Ireon truesn'I tforma on1fatthacertdohereandvonfotcapeEDNtheCARcomp s the0rdnance'IthethnIccoaanrdcewlshaIIdonebeI'I rkwoaIhattanyaIndfurrthecertndtcorrecfy wl I1 beNOCYOCCUPANLtha1rehenIandworedescrbedkItaoftetheSDerta'I 'If Ie ad thend ofLawsofsprng deI r svrihttheIus'|Ltra o'I nrIrtthat'I 1 on fu rthe ce my regId1'l sDI fyng1ssnooftut ruc WIre tthou permithes ha tandthereonnoted1son'Iba'Is fors exemptthet5ttha'I fr'I ORS 07 051andetffecedas'I nI 'Ifu 'l fo rce requ by 'I Lthsed0nu5be'I proj ec1701IInceatwlIh0r?snndIwhoreac0mps'acubcontr rsto aon emp oyees1y Val ue Value0ther Zone TYDe/Const ToTAL VALUATI0N=__.- opmen Fi re Zone Bedrooms BUILDING PERI.IIT Charges and Surcha rges l4a i n. Acce Fence Demo PLUMBING PERMIT Charges and Surc ha rges Sl dewal k Total Comb. PermitA/C Paving ELECTRICAL PERIlIT Charges and Surcha rges Curb Cut /d,zzTOTAL MECHANICAL PERMIT Charges and Surc harges Owner lur :am pYnl rpq'Al4 name (address COMI.!./IND. FEEDERS 0f amps by COMBINATION APPLICATION/PERMIT (CAP) Applicant to furnishA. Job AddressB. Legal DescriPtion1. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, Znd Addition to SpiTn-q"Fi et a Esta tesC. Name, etc. of owner and construction lenderD. Energy Sources 1. example- heat/electricgl ceili!q/o 2, example- waterheater/electrical/or E. Square footage or valuation, etc. L example- 1250 sq. foot house, 500 2. example- if new project, check new check add, etc. r forced air gas:sr- sq. foot garage - if addition, F Bui lding perm1. examp lg - a t tac hed rit information: construct single family house with an gara9e 2. example - remodel existing garage into family room 3. Cxample - convert single family residence into resTanrant (change of use) G. Value of work as defined in Section 303 (a) of the Structural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc, II. Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be instal'led B. Ful l Plumbing, Mechanical, and Electrical Schedules are available at the Building Division t. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be instal'led are not covered on the abbreviated schedules you should consult the ful I schedulesC. BUILDING DIVISION STAFF t^IILL FILL OUT ALL FEES AND CHARGES ON THE SCHEOULES 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 electrica1 label.III. Applicant to sign and date l,Jhenever possible, the initial application will be used as a worksheet only. Where possible, Building Division Staff will prepare a type written copy and return it to the applicant at the time the actual perm'it is issued for his s i gna ture.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 paid. All other fees and charges are due and payable when the permit is issued. V. FOR OFFICE USE ONLY Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit applicant exempt from registratjon with the Bujlder's Board because: Add'itional Project Information : PLANS REVIEWED BY: name /i gnature date /r'2-7a PERMIT VALIDATION Legal Description L INE Job Address llater Heater TCOMBI Ra T EIIERGY SOURCES: Hea t Access. 0ther Ftg Ftg Ftg Sq Sq 14a n Value of llork:3 3*Owner 'Ir€. r s n9 e c scr Fami'lAddressPhone Construction Lender N vl Address Phone name Prima Structura I E I ectri ca I Mechan i ca I El ect MECHANICALELECTRICALPLUI.IBI NG FFENOFFFCHARGENNFEECHARGEfurnace/burner to BTU' s Residence of FTSQEach single fixture Floor furnace and ventNew circuits alts' or extensions Relocated building (new fix. additlonal) Recessed wal l Soace heater and letrl-SERV I CES. Residence Duplex (1 bath) each Appl iance vent seoa rateTemporary ConstructionAdditional bath Stationary evap. coo l erge in existing dence Chan rpc iHater service vent ran ii ttr cinole ductmultifamily, comn. or I ndustri a ISewer Vent system apart from heatinq or A.C.S,0fStorm Sewer Mecha-niael exhaust hnod and ductCOMI.I./IND. FEEDERS llood stove/heaterInstal I /al ter/re1 ocate dist-rih. feeders 0f amps. ISSUANCE OF PFRITIT IRES that the Electtical work be done the label has been signed by an Elect TOTAL CHARGES bv an Electrical Contractor' the .rical Supervisor and returned to electrical portion of this pernit the Building Division TOTAL CHARGES TOTAL CHARGES I.IHERE STATE L]\I,I REQU shalI not be valiC untiI Zone Type/Const. Uni ts Sq' llAtlE(please print) Y s IGNATURE I nad 'I I TOTAL VALUATION 0c cy ValFire for pe rrerfohat any tate of 0regon the Bui n0 70 t the permi and effect of any Board exemp 055 vri s true'IatnformaonIhereontthadohereandtfyoncacompof cithe0rdnIancesththewtnaccordanceIsha1Idonebermeda'II workrIcerttapp andndacorrectIandfurthefy ma ty de'I bewl'| NO OCCUPANCYtthaandbedhenrelInnthtoworkdescriItheofsIIf'Ie andd Lawstheof pertangspr sthethBuIder'I Itrat vrionricertthatI'I onI my regIfurtheiDfydI'I n oftuthouwissstrucre tha tandhenotednreo'Ironti sbassIfoexempthet'|tthat055ItasIred0RsbynIfu'II force requs1 'I tecbeseduthons'I'|projht7010r1s1nI'I wtanceareandIwhos0nubcontrac tos rs oyee compemp1y !q. FtC. Access Flood Plain Stories. Ftg . t'la i Group Sq. Ftg. 0ther opmentPlan Ck. Corm/Ind 651/8ldo Per Fee Plan Ck. Res 30%/Bldq Per Fee BUILDING PERNIT Charges and Surcha rges --{*e--2-2= Fence Demo PLUI.IBING PERMIT Charges and Surcha rges Sl dewa l k Tota'l Comb. PermitA/C Paving ELECTRICAL PERI'IIT Charges and Surcharges Curb Cut /6,22TOTAL I,IECHANICAL PERMIT Charges and Surc harges = \,,,'v GITY OF SPRINGFIELD Clty Hdl Sprlngiold, Orogon DeveloPment Services OFFICIAL RECE!PT l,ct/7 E COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal DescriPtionl. example- Tax Lot 100, Lane County Map Reference I7-rT-i[',32. example- Lot 1. Block 3, 2nd Addition to SpFi ngf i el d Esta tesC. Name, etc. of owner and construction lenderD. Energy Sources 1"5805 1 Rec'd Address Received For: rl. 2.E. Squa 1. ?. examole- heat/electrical ceilinq/or forced air r "- *iiE- ri t.ina;r-e;zaa.rn afio r s oTaF- re footage or valuation, etc. example- 1250 sq. foot house, 500 sq. foot garat ;xamiTF lT-new project, checklEw - if additior check add, etc.F. Building permit information: examp l e a t tached To avoid desi Division Staf 2. example - remodel existing garage into family rc 3. example - convert single family residence into EfTaurant (change of use) G. Value of work as defined in Section 303 (a) of the Structural Specialty Code H. DESIGN TEAM AND CONTRACTORS - construct single family house with an 9arage gn or construction delays, Building'f must be able to contact appropriate I aP-/ttu z-* persons regarding design information or iob site corrections, etc. II. Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except where blank spaces occur in the description portion of the Mechan'ical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjace to the appropriate item(s) to be installed B. Full Plumbing, Mechanical, and Electrical Schedules are available at the Building Division 1. To conserve space on the permit form the schedul have been abbreviated 2. If the item(s) to be installed are not covered o the abbreviated schedules you should consult the fulI schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEOULES D. As noted on the CAP, the label must be delivered to electrical contractor,for signature by his electrica supervisor. The general contractor is not authorizer to sign the electrical label. III. Applicant to sign and date l,lhenever possible, the initial application wi'l 1 be used as a worksheet only. Where possible, Building Division Staff will prepare a type written copy and return it to the applicant at the time the actual permit is issued for hi5 s i gna ture.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 paid. All other fees and charges are due and payable when the permit is issued. V. FOR OFFICE UsE ONLY Amount Received 4s.>7 eL_ 8d6l Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI.ICY: Permit applicant exempt from registrat'ion with the Builder's Board because: i Additional Project Information: PLANS REVIEWED BY: i gnaturename date /y'2*7a ft 47r>=go T CEN-TEi{ \ .T.ROOFING & GUTTERING 688-9550 S ran l'lerrel1 C/0 Taco Ile11 1505 Iloltarvk Blvd Springfield, Oregon 97477 c€ ESTIMATE & AGREEMENT OATE. BlD, We hereby propose to lurnish malerial and labor to complele lhe work outlined herein for the sum o[, dollars ) Paymenl to be made as follows, -l To ($ L We hereby submil -rl 746-v?,rr/ and bid [or'b I SubJ ect--iloof ent <iil 'Iaco Bcl1 1. Remove roof i-ng as close to t-he shr:ating ari possible an<1 I{au1 Of f . 2. Install 27ll Fibreglass llase SheeL. 3. Hot l{op Two Plyrs #11 Flbreglass ply Sheers. 4. Hot Mop ll72 i{hite !'ibreglass Granulat,erl ctrp sheerFinish. 5, Three Ycar }{antanance Guaranl-ee. (r. This is a Class A Flre Rate<l Roof . 7 . Co.sE of above t*rork woulcl be $3,996.00 B . Thank You ilasi.1 D . Crame r: - D-zn-L /./ t\ t. ^ t l| ' t,/'ll '\*-I r /.j.ut/.I | ,..1' -\.- CONTR,ACTOR'S GUARANTEE Wr guaranloc all malcrial urcd in lhir conlracl lo be as specified abovc and tho entirc iob to bc dono in a ncal, workmanlikc mann.r. Any varia. lionr lrom plan or ahcrations rcguiring oxtra labor or material will ba pcrlormod only upon writton ordcr cnd billcd in addition lo lha sum covared by thil conlrccl, Agrcomcnls madc with our workmcn arc nol recognized. ACCEPTANCE OF BID The abovc spccilications, lcrms and conlracl arc salislaclory, and (U (wc) hercby aulhorizc lhc perlormancc of this worl. 0A'l SIGNEDDATE Wt COMPI.Y WIIH ALL WORKMAN'S COMPTNSAIION & PROPIRIY OAMAGT LIAIILIIY INSURANCT TAWS