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Home My WebLink AboutPermit Building 1988-02-01NL CITY OF SPRINGFIELD COHBI I1ATI ON APPL ICATION/PERMIT Job Address -7., l-egal Description /),2 EIIERGY SOURCES Hea t tlater Heater Ranrle. l.1a n Sq. Ftg. Access._ Sq. Ftg. 0ther_ _l.lew_AddJl ter_Pep. _Fence Demo_Change/Use 0ther o0 ,0Dc oa f^l o0 trooc 5 too.Owner Addres s Phone ff4 Builclinq Pernrit Info: Descrit Fanril y Reside-nce I,li th Attacher l,lo rk e., Build Single a02a Cons t 'I Lender () Ad s Phone DESIGIHEAI.I name \)address exot res n0 Primary Structura I aK Electrical Mechan i ca I CONTRACTORS ndnl€;address I i cs. no.exDl rFs )(ohone no- ) Genera l U- Pl umbi ng 7,)z E I ectri ca l I'techanical PLUI{B I NG ELECTRI CAL MECHAN ICAL NO FEF CHARGF NO FFF CHAAGF IIJO FFF CHARGF Each single fixture Residence of SQ FT furnace/burner to BTLI' s Relocated building (new fix. additional)New ci rcui ts al ts or extensions Floor furnace and vent S. F. Residence ( I uattr)SERV I CES Recessed wal l Soace heater and vent Duplex (1 bath) each Additional bath Temporary Constructi on Apoi iance vent seDa rate l^later servi ce Chan rpsi ge in existing dence Stationar-v evap. cool er Sewer multifamily, comm. or Indrrstria l Vent fan with sinqle duct Storm Sewer 0f amps.Vent systern apart from heatinq or A.C. c0Mr.1./rND. FEEDERS Mechan ical exhaust hood and duct Insta l I /al ter/re1 ocate distrih- fppdprs tJood stove/heater 0f q,\ a 1 \\\-ISSUANCF OF PFRI1IT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES WHERE STATE LAI,J REQUIRES that the Electrical work be done byshalI not be valiC untiI the label has been signed by an Electri ' an Electrical Contractor, the electrical portion of this permit ca1 Supervisor and returned to the Building Division I ED t he comp l eted app'l i c and al 0regon the Bui at 'I t and do he re b.y cert I fy tha t a I I 1 nfo rma t o n he reon 1 t rueand correctof Springfir of any stru, Board is in only subcon' a nd i furth er c ert 'I fy t ha t a ny 'I w0 r k oe d s ha 1 I be do ne I n a cc orda nc e WI t h the 0rd I nance s of the ci tyIdandtheLawsoftheStatofoe rta 'I n 'I n s to th e wor k desc r 'I bed herei n a nd tha t NO OCCUPAI,,ICY wl I I be madecturewlthoutthepermrssIonofId'I ng D 'I 'I 'I on I fu rther c xempt t 5 wi'l 1 ert 'I fy tha f m.y reg I stra t ,l 0 n u/l f h the Bu I I sfUIIforceandeffrasreqUIredby0RS701055that'I f he bas 'I s 'I 0 'I s n0 ted he reon a nd tha ttrACtorsandsare1nc0mcI'I an ce wl th nDc 7 0 1 05 be th 'I s roj ect l.lAtlE(please print)/rH SIGNATU TE Zone tt' un 'i ts c^Ftg Ftg Ftg l'la i n Value Fire Zone Bed rooms Load Sq Acces 0ther x Val Dp Flood Plain Stories Group Sq Val ue TOTAL VALUATION _ -_ _,I SO PIan Ck. Comm/Ind 65%/8ldq Per Fee S vs terils Charqe Deve'(1.52 o pmen t PIan Ck. Res 30%/81dq Per Fee PLUI4BING PERMIT Charges and Surcha rges t5 'oa Fence \1 q.eo Demo ELECTRICAL PERIIIT Charges and Surcha rges Si dewal k A/C Paving Curb Cut Total Cornb. Permit I,IECHANICAL PERMIT Charges and Surc ha rges TOTAL at'(r Val ue of l,/ork: '/-(-, (n I der' BUILDING PERI'IIT Charges andSurcharges ) COMBINATION APPLICATION/PERMIT (CAP) I. Appl icant to furnish A. Job AddressB. Legal Description l. example- Tax Lot 100, Lane County Map Reference 17 03 43?. example- Lot 1. Block 3, 2nd Addition to Springfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources l. examp]e- heat/electrical ceiling/or forced air gas2. examElE waterhEa'TEiTEfeEti] ca7or s5Ta_F--E. Square footage or valuation, etc.1. example- 1250 sq. foot house, 500 sq. foot garage2. example- if new project, check new - if addition, check add, etc. t. Building permit information:1. example - construct single family house with an attached garage 2. example - remodel existing garage into family room3. example - convert single family residence into restaurhnt (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 SchedulesA. Except where 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 Eiectrical 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 the ful I schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES0. As noted on the CAP, the label must be delivered to theelectrical contractor for signature by his electricalsupervisor. The general contractor is not authorizedto sign the electrical label.III. Applicant to sign and date lJhenever possible, the initial appf ication wil'l be used as a worksheet oniy. Where possible, Building 0ivision Staffwill prepare a type written copy and return it to the applicant at the time the actual permit 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 VALIDATION 0r1/ 2-I -(f, Permi t Cl erk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information : PLANS REVIEWED BY: name s'l g na tu re date CZ Sori ngf i el d Bui 1di ng Di v'ision Department of Publ ic Works 225 North Sth Street DATE: Aori I 14. 1 . SprinqfieI d. Oreqon (Aquari us ApartmentsLOCAT I OII:1490 North 5th Street Sect'ion 1401 (a) of the Oregon State Plumbing Specialty Code SPECIFIC VIOLATION: (copy attached).The Pa rking lot will not read'ilY drain.During a rainY.Period. the parking 'lot has standing water. The park'ing drai n st be cleaned of debris and mud somuREQU I RED COP.RECTIOI*I: that the water will drain freely. DEADLINE FOR COI"IPLIANCE:Thirty (30) daYs May 14, 1983) Roy BordeauxI N SP ECTOR : SPRINGFIELT' CITY OF SPRINGFIELD Department of Public Works April 14, 1983 CERTIFIED LETTER Mr. Gordon Gallic P0 Box 1107 Eugene, 0regon 97440 Dear Mr. Gall ic : Your property at the address referenced on the attached notice is in violation of the Springfield Code and/or City 0rdinance. Rather than issuing a citation or im- mediately instituting l4unicipal Court proceedings, it is the City's standard prac-tice to inform citizens of the violation and request that it be corrected within a reasonable tirne. The attached forn specifies the violation, the required corrections necessary in order to comp'ly r^rith thd applicable Springfield Code and/or City Ordinances and the date by which your corrective action should be completed. The City very much appreciates your anticipated courtesy and cooperation. If you have any questions regarding this letter, the violat'ion or the required correction, p'lease feel free to contact the Springfield Building Division (725-3753). In the event that your corrective action is not compieted within the time specifiedthis matter will be referred to the City Attorney's Office for further appropriate action consistent with the Springfield Code and/or City OrC'inances. Thank you for your attention to this matter. Si ncerel .(/,2,4L(? Y, Sal ly Johnson Envi ronmental Inspector cc Joe Leahy, Assistant City Attorney attachrnent sJ/t h 225 North 5th Street a Springfield, Oregon 97477 o 503/726-3753