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Home My WebLink AboutPermit Building 1983-01-13IN 72 liL CITY OF SPRINGFIELD COI1BI iIATI ON APPLICAIION/PERMIT 726-3753 483 Shel 1 ey StreetJob Address r-ega1 Description fi _03_27 _1008900 l'later Heater Range EIIERGY SOURCES: Hea t Owner LH Morris Electric, Inc. Val ue of l,lork: 12 ,000. 00 ig. Ftq. Other ,\ll ew_Ad d_A I t e r____nEE. _Fence_Demo Change/Use -other- !q. Ftg. Acc Ftg n.;..-2100- Addres s 483 Shel 1 ey Street Phone Descri .e. , Bui ld Farn i I U tI ing e Springfield, 0regon 747-0811 Commercial Storage Building Construction Lender Phone oof\)(/)oO! utsI JN TEAI.I name address lics. no.exD l res ohone no- Pri ma ry structural He.i nz Kaiser Steel Building Co., Eu51ene, 0regon El ectri cal l,lec han i ca I CONT name address 'Iics- no-exol res ohone no- SZ Contractors 1919 Laura Street, Springfield, 0regon 7 47 -3397Genera I Pl umbi nq Electrical 0wner ['lechanical PLUI{BI NG ELECTR I CAL MECHAN ICAL N0.FEF CHARGF NN FFF CHARGF NO FFF r:HAPGF Each single fixture Residence of FTSQ furnacelburner to BTU' S Relocated bui ldinq (new fix. additional)New ci rcui ts a'l ts or extensions Floor furnace and vent S. F. Residence ( I bath)SERV I CES Recessed wal I Snarp hpefcr end vpnf Duplex (1 bath) each Additional bath Temporary Constructi on Apol iance vent seDa rate l,later servi ce Change in existing res i dence Stationary evap cool er Sewer multifamily, comm. or lndustria l Vent fan with sinole duct Storm Sewer 0f amps.Vent systern apart from heatinq or A.C. cor.lr'r. / IND. FEEDERS Mechanical exhaust hood and drrct Instal I /al ter/re l ocate di stri b. feeders l'Jood stove/heater 0f -amp s. 1 Li ghti ng Ci rcu'i t 15. 00 I Recept. Circuit ISSUANCF OF PFRIlIT TOTAL CHARGES TOTAL CHARGES 15. 00 TOTAL CHARGES WHERE STATE LAl,l REQUIRES that tlte E'lectrical work be done by an Electrical Contractor, the electrica sha'l1 not be vali,l until the label has been signed by an Electrica'l Supervisor and returned to the Build 1 portion of this permit ing Division I HAVE CAREFULLY EXAI1INED the completed apnlication for permit, and do here and correct, and I further certify that any and all work performed shall be do rlAr,lE(pl ease p.rntD4 i-E-,lf ,pqf f O il S IGiIATU /43-8-n Ci ty made b.y certify that all inforrnation hereon is true ne in accordance with the 0rdinances of theof Spri ngfield and the Laws of the State of 0regon oertaining to the structure without the permission of the Building Division. I work described herein, and that NC 0CCUPANCY will be further certify that m.y reqistration with the Builder'sof any Board i s in full force and effect as required by ORS 701.055, that if e the basis for exemption is noted hereon, and thatonly subcontractors and ernployees lvho are in compliance with 0l1S 70i.055 w be used on this project, Flood Plain Stories 1 0cc.v Group B-1 Sq Fts Ftg Ftg 2100 TOTAL VALUATION 12,OOO. OO -00Load SqFire Zo xr Val xr5.71 v xr Val itsConst. I I-N alue 12.0 l'la i n Bed rooms Zone MM . Access. .0ther Plan Ck. Comm/lnd 65"1/B1do Per Fpc 36. 00PD/ l?-n-e Svsteris Devedhu.q. ( t.5q opment 180.00BUILDING PERI'IIT Charges and Surcharges 60.00 2.40 Plan Ck. Res 30%/81dq Per Fee Fence P.C.F. Bal.3.00PLUI^4BING PERMIT Charges and Su rc ha rges Demo Sidewal kELECTRICP.L PERIlIT Charges and Surcha rges 15.00 60 A/C Paving Total Conrb. Permit 94.20 Curb cut 35'16. 20IlECHANICAL PERMIT Charges and Su rc ha rges 277.20IOTAL Addres s AI, I0R5 I 46oL<v PERMIT VALIDATION Permi t Cl erk Applicant to furnishA. Job AddressB. Legal Description l. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, 7nd Addition to Springfield Estates C. Name, etc. of owner and construction lenderD. Energy Sources l. example- 1250 sq. foot house, 500 sq. foot ga,2. example- if new project, check new - if addit check add, etc.F. Building permit information:l. example - construct singie family house with an attached garage 2. exampie - remodel existing garage into family room3. example - convert single family residence into restaurant (change of use)G. Value of work as defined in Section 303 (a) of the Structural Specialty CodeH. OESIGN TEAI4 AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact persons regarding design information or corrections, etc. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except vrhere blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedules are available at the Building Division1. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult theful I schedulesC. BUILDING DIVISION STAFF WILL FILL OUI ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the labe] must be delivered to theelectrical contractor for signature by h'is electricalsupervisor. The general contractor is not authorizedto sign the electrical labelIIL Appiicant to sign and date lJhenever possible, the initial application wiII be used as a worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to thelicant at the time the actual permit is issued for his na ture.IV. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans will be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is issued. V. FOR OFFICE USE ONLY II I 1. example- heat/2. examole- water Square footage orE air gas COMBINATION APPLICATION/PERMIT (CAP) rage 'ion, appropri ate' job site app sig PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI'ICY: If paved access to this building does not ex'ist it shall be provided. Additional Plan and perrn'it required for paving Permit applicant exempt from registration with the Builder's Board because: Additional Project Informat'ion: PLANS REVIEWED BY s'l gnaname Lorne W. Pleqer date 1-10-83, JOB ADDRESS: 483 Shelley Street JOB #: LAST ACTIVITY DATE: January s1. 1e8s N0 INSPECTION REC0RDED: OTHER: 823007 ^^. CURRENT STATUS OF PERMIT: VAL I D:However, you permit will exp ire on If you wish to request an extension of your permit, please notify thisoffice in writing prior to the above mentioned date. xx EXPIRED: Your permit expired on Julv 1. -1983 If you plan to start or resume work on the project, a new permit must be appl ied for. *If the "expired" box, a * bove, is checked and we do not hear frorn you ten (10) days from the date of thjs letter), information wjth regard to the perm'it. by Februarv we will clear ou es lh a re a