HomeMy WebLinkAboutPermit Building 1982-07-08INSPECTIOII LIIiE
726-37 69 c0t,1B I L T 726-3753
Job Address EIIERGY SOURCES:Heat GAS
tiater Heater Electric
Ra
tq 1n
Sq. Ftg. Access.--__--
Sq. Fto. Other__
J'lew--_-.466 Rl ter_P.ep.
_Fe nce_Demo_C han gel u se
0ther
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Lesal Description 17-03-27-L, Tax Lot 08200
Val ue of l.lork:
15 .000. 000wner McKay fnvestment Company
Address23gg oaJrmont way Phone Bui I cii n
Farni I y
q Pernrit Info: Describe l,lork(
Residence l,lith Attached Garage
re., Bui1d Single
Eugene, Oregon )+Bt-)+f1]Remodle d.ock loading area and storage
Constructi on Lender area to existine varehouse
Address Phone
DES]GN TEAH name addre s s 'lcs. no exDl res ohone no.
Primary
Struc tura I
llec han i ca I
CONT ACTORS n ame address lics. no.exol res (nhonp no. )
6a-tdC=XLeEn t_{-i I Cf I O.- @2ei&s,iiffib€rf;i6@.a:.,--l--r
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\_tr.I cal
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PLUIIB I NG ELECTR I CAL MECHAN I CAL
N0-FEF CHARGE N0_FFF NHARGF NO FFF CHARGF
3
Each singie fixture
5.00 1r. oo
Residence of
SQ FT
furnace/burner to
BTLI' s
Relocated building
(new fix. addi tiona l )2
New ci rcui ts al ts.
or extens i ons 15.00
Floor furnace
and vent
S. F. Res i dence
( I bath)SERV I C ES
Recessed wal I
Soace heater" and vent
Duplex (l bath) each
Addi tional bath Temporary Constructi on Apol iance vent
seoa rate
[,later servi ce Change in existing
res i dpnce
Stati onary evap
cool er
Sewer multifamily, comm, or
Indrrstrial 1
Vent fan with
sinole duct 3. 00
Storm Sewer 0f amPs
Vent system
heatinq or A
apart from
.c.
COMI.I./IND. FEEDERS
Mechanical exhaust
hood and duct
Insta l I /al ter/rel ocate
distrih- feeders llood stove/heater
0f q
ISSUANCF OF PFRI1IT 10.0c
TOTAL CHARGES 1r. 00 TOTAL CHARGES 1r. 00 TOTAL CHARGES 13. 00
t"lHERE STATE Lr\l,l REQUIRES that the Electrical work be done
shall not be valiI untiI the label has been signed by an Elect
by an Electrical Contractor, the electrical portion of this permit
rical Supervisor and returned to the Building Division
INE D the c0 mp e app ca ti on fo r DC rml t an he reb.y ce rt 'I fy tha t a I 'I n on reon i s true
the CityI be made
ilder's
and that
a nd co rrect an d I fu rther cer t I fy tha t any a nd a 'I I work pe rfo rmed s ha 1 I be don e I n ac cordance wl th the 0rdi nance s of
o f Sp r I n9 f 'I e I d and th e La ws of the s ta te of 0re gon DE rta 'I n n g to the WO rk d es crt bed herei n and tha t NC 0c CUPANCY wl I
of any struc tu re wl t hou t t he p erm I s s I on of the Bu i ldi ns Di
oRS 701.0
S 'I on I fu rthe r cer t 'I fy tha t m-y re gi stra t 'I 0n vrl t h the Bu
Boa rd ,I s t n fu I I force a nd ffec t a s req u 'I r ed by 55 th t 1 f xemp t t he bas 'I s fo r ex empt 'l 0 n ,l
S no ted hereo n
on 1y s ubco n t rac tor and erxp I 0yees r.rho are 1 n comD 1 ance wi th OPS 7 0 i AE 5 l,J l I I be u S ed 0n th 'I s p roJ ect
I'lAl.lE( pl ease print)I GiIATURE DATE
Zone ML eg766n5g. III-N Uni ts 2 Sq Ftg.
Ftg.
Ftg.
l4ain Val ue 1' ,000. 00
Load 2,Acce s s x Val
Group 82 , H3 So 0ther Val ue--_-
oN 15,000.00TOTAL VALUATI
BUILDING PERI'IIT
Charges anC
Su rc ha rges
72.00
2. BB
Plan Ck. Comm/Ind
65,J/Bldo Per Fee )+5. oB Pd.Syster:is Deve
Charqe (i.51 opment
Plan Ck. Res
30%/Bldq Per Fee
,91 64
PLUI4BING PERI,lIT
Charges and
Surc ha rges
.00
.50
Fence
DCmo
ELECTRiCAL PERI,:IT
Charges and
Surcha rges
__12.-0Q_
.5o
Sidewalk
A/C Paving Total Cornb. Permit
Curb Cut
TOTAL $rtq.5o
I,IECHANICAL PERMIT
Charges and
Surcharges
__11._0Q_
.52
E I ectri ca I
Gpnpra I
Fire Zone Bedrooms 0ccy
Flood Plain Stories 1 Occ.Y
i
COMBINATION APPLI CATION/PERI,IIT (CAP )
I. Applicant to furnishA. Job AddressB. Legal Descriptionl. glample- Tax Lot 100, Lane County Map Refer E170343 ,
2. example- Lot l. Block 3, Znd Addition toSpringfield EstatesC. Name, etc. of owner and construction lender ,D. Energy Sources (I. example- heat/electrical ceiling/or forced2. examp ie- waterheaTETTeTEITrlZiTor soTarE. Square:6otage or vaiuation, etl-
CITY OF SPRINGFIELD
City Hatt
Springlield, Oregon
Deparlment ol public Works
OFFICIAL RECEIPT
PERMIT VALIDATION
-t -
I
No. B 59764
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6
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1. examp_le- 1250 sq. foot house, 500 sq. foot2. examp'ie- if new project, check-new - if addEIETI--add, etc.F. Buiiding permit information:1. example - construct single family house witattached garage2. example - remodel existing garage into fami3. ExaffilE - convert single iaiily-residence i, restaurant (change of use)G. Vaiue of work as defined in Section 303 (a) ofStructural Specialty CodeH. DESIGN TEAI.I AND CONTRACTORS
To avoid design or construction delays, Build.inDivision Staff must be able to contait appropripers0ns.regarding design information or job sitcorrections, etc.
Abbreviated Plumbing, Mechanical, & Electrical ScheA. Lxcept where blank spaces occur in the descriptportion of the Mechanical and Electrica.l Schedr,the applicant need fill-in on)y the No. Boxes a_ to-the appropriate item(s) to 6e installedB. Full Plumbing, Hechanical, and Ejectrical Schecare avaiiable at the Building Divisionl. To conserve space on the-permit form the schave been abbreviated2. If the item(s) to be instal'led are not cov€the abbreviated schedules you should consulfull schedulesC. BUILDING DIVISION STAFF I.,ILL FILL OUT ALL FEES
CHARGES ON THE SCHEDULESD. As noted on the CAp, the labei musteiectrical contractor for signaturesupervisor. The general coniractorto sign the electrical label.Applicant to sign and date
Hhenever possible, the initial appl.ication wi.l .l
bea.worksheet only. }Jhere possible, Building Divisic ;twill_prepare a type written copy and returi it to i 1-
applicant at the time the actuai permit is issued Isignature.
Fees and Charges tPlan check fees are due and payable at the time ofapplication, and no plans wiil be processed until t .tees are paid. Al l other fees and charges are due andpayable when the permit is issued.
FOR OFFICE USE OIILY
'ao,
Date,r
G Rec'd From
Address
I
19,
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Received For:.J 1 N"o3i
II.
III.
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be delivere
by his elecis not autl r2e
Amount
a
AUTHORIZEO
intocg pnrntsng/LlrHoGRApHERs. EUGEHE, oREooil
Permit Clerk
da te z-B-Bz
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IV.
PLANS REVIEWED BY
name Dan Smith
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY:
Final inspection by tr'ire Department require$etix
rmit applicant exempt from registration with the Builder's Board because:Pe
Additional Project Information
si gnature
()C
BY
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