HomeMy WebLinkAboutPermit Building 1982-06-07CTI
769
L CC)MB I IIAT APPL ICATI ERI4IT
EIIERGY SOURCES
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CONSTRUCT DOCK SALES AREA
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555 SHELLEY STREET
17-03-27-10, T.L.8900
Job Address
Legal DescriPtion
555 She'l1ey Street
Owner
Address
Constructi on Lender
Addres s
l"'lec ha n i ca I
El ectri cal
Structura I
Pri
Sq
Value of I'lork:
$4 ,500 . 00
Sq. Ftg. Access.=---
Sq. Fts. Otner I 50 -llew Add A1 ter X P.eP.
lence-oemo Change/Use
Coast Distributors, Inc.
7 46-497324]5 Corral DriveRonald l,'l. Parr rB2l5 02/24/83
Perferred Electric Sunderman Roadr1
MECHAN I CALELECTRI CALPLUI{B I NG
furnace/burner to
B'ILI ' s
Residence of
FTSQEach single fixture
1s.00
Floor furnace
and vento2
New ci rcui ts al ts '
extensionsor moreX
Relocated building
(new fix. additionaI)
Recessed wal I
Soace heater and veltSERV I C ESS. F. Residence(l bath)
Duplex (1 bath) each
Apol i ance vent
se pa rateTemporary ConstructionAdditional bath
Stati onar.v evaP
cool erge in existing
dence
Chan
res itlater service
Vent fan with
sinole ductTndustrial
multifami1y, comm. or
Sewer
apart from
.c.
Vent systern
heatinq or A0fs.Storm Sewer l,4echanical exhaust
hood and ductCOMI'I./IND. FEEDERS
llood stove/heaterInstal I /al ter/re1 ocate
di st-ri b. feeders
0f s.
ISSUANCE OF PFRIIiT
TOTAL CHARGES$t 5.00TOTAL CHARGESTOTAL CHARGES
WHERE STATE LAI,J REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit
trical Supervisor and returned to the Building Divisionshall not be vali,l until the label has been siqned by an Elec
the completed application for oermit, and do hereb.y certify that all information hereon is true
and correct, and I further certif-v that any and all work Derformed shall be done in accordance with the 0rdinances of the City
of Springfield and the Laws of the State of Oregon oertaining to the work described herein, and that NC 0CCUPAI,ICY will be made
of any structure without the permission of the Building Division, I further certify that my registration r,rith the Builder's
Board is in full force and effect as required by ORS 701.055, that if
only subcontractors and employees who are in comcliance with ORS 70i.1
o A-'tlAl'lE(please print IGiIA DATE //r-
I HAVE CAREFULLY EXAI'IINED
tthe basis for exemption is noted hereon, and that
sed on
zone M-R tyoe/const. 3-l hr units sq. Ftg. t,lain Val ue
in work area Rec #59.l 2l
Flood Plain NO S Grou
Load
tories I + llezz.Remodel xB-2 sq. Fts. other vat ue $4 ,500-00
ToTAL vALUATrou$4,500.00 _
Fire Zone ll| .A. Bedrooms N.A Ftg. Access x Value_
Plan Ck. Comm/Ind
65%/B1r1a Per Fee
59t2-.1
Q.'
Svstems Deve
Charqe (1.51 opmentBUILDING PERNIT
Charges and
Su rc harges
2.00_ __ _$!
1.28 Plan Ck. Res
3}%/Bldq Per Fee
FencePLUI4BING PERMIT
Charges and
Surcha rges Demo
Sidewalk
$+4. ae
ELECTRiCP.L PERIlIT
Charges and
Surcha rges A/C Pav.i ng Total Comb. Permit
Curb Cut $+e. eeTOTAL
MECHANiCAL PERMIT
Charges and
Su rc harge s
esc r'l
ta che,
)e
I
[^lork
Ga raqr
----$-lq-o-o---
PERMIT VALIDATION
RECEr n *1591_9!
B'ldg.
El ect.
4%
$+e. sa
4%
{.
Permi t Cl erk
32.00
1.28
.l5.00
.60
aateL
COMBINATION APPLICATION/PERMIT (CAP)
i. Applicant to furnishA. Job AddressB. Legal Description1. glaTplg: Tax Lot 100, Lane County Map Reference17 03 432. gxample- Lot 1. Block 3, ?nd Addition toSpringfield Estatesq. Name, etc. of owner and construct.ion IenderD. Energy Sourcesi. exampl e- heat/2. exfmFTe- water
Square footage orE
fr gas
foot house,500 sq. foot garageroject, check new - if addition,
1 examp l e-
examo I e-
check add
1250 sq.if new p, etc.
2
II.
III.
IV
F. Building permit information:1. glglpl_q - construct single family house with anattached garage
?. glgrp]" --rem5del existing garage into fam.ily roomJ. example - convert single family residence intorestaurant (change of use)G. Value of work as defined in Section 303 (a) of the. Structural Specialty CodeH. DESIGN TEAI,I AND CONTRACTORS
To avoid design or construction delays, BuildingDivision Staff must be able to contait appropriitepers0ns.regarding design .information or job iitecorrecti ons , etc.
Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. txcept where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes iaji6ent
_ t0-the appropriate item(s) to be .installed
B. Full Plumbing, Mechanical, and Electrical Schedu.lesare available at the Building Division1. To conserve space on the permit form the scheduleshave been abbreviated2. If the item(s) to be .installed are not covered onthe abbreviated schedules you should consult theful I schedul esC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to theelectrical contractor for signature by his electricalsupervisor. The general contractor ii not authorizedto sign the electrical labelApplicant to sign and date
lJhenever possible, the initial app)icat.ion wilI be used asa worksheet oniy. Where possible, Building D.ivis.ion Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit is issued for his
s i gna tu re.
Fees and Charges
PIan 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.
FOR OFFICE USE ONLYV
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY:
Permit applicant exempt from registratjon with the Builder's Board because:
Additional Project Information :
PLANS REVIEWED BY:
name Lorne P1 eger si g nature date 6/2/82