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HomeMy WebLinkAboutPermit Building 1981-05-26INFORMAIION TINE INSPECIION UNE 72t3769 Job Addresr #r +a --./ /) clIY oF SPRINGTIEtD COIUBINATICN APPI.ICATION/PERMII tood =f.€r-- , -5q.croup FlStM I 5.. 7?An53 Ftg. Moin x Volue 1----VolueFtg. Access Phone **,Or,"tf R-^,,* o*n", JA So. fto. Acce3t. -- s.- 7,i. 6,rs.rtt*tl,*- 6aA lh"* -oat -Aflter -R'P'Volue of Work: da/A,ooo' SingleDescribe Work Demo-C Bui d Ure ERGY 5:EN Heo H Sq. Flg, Moin - --fen Permit lnfo: nce With r DNc Addre sr Phone c.)(lics. no.) DESIGN TEAM (odJ res r)(noma) ?ri ,t.1ech ddre ne s I ETECTRICAT FEE CHARGECHARGE L- MECHANICALPLUMEING NO- Me<honicol NO.i,'-F?E i CIiARGEi.o. I furnocel'burner io I Residence oi -*.q. ft.Eoth ringle fixture Applionce vent seporote New circuils, olterotion: or exiensions,aat5!9Relocored building (new fix. odditionol) Sfoiionory evop. ccolerSERVICES I S.F. Reridence (l both)Vent fon with sinqie duclTemporory ConslructionDuolex (l bolh) eoch Vent syslem oporl from heoting or A.C.AmprAciditionol bolh Mechonicol exhous, hood ond duct,-4?/S.ryTa6lhl@ Butt DNq too-uo AAP9I Wood stove/ heoter/a.09/0.d9I-/oofcaL \y'oter 3erYi(e Sewer Heot PumpFEEDERSSewer Air hondler to 10,000 CF^^Ampr. Air hqndler over r0,000 cFM tssu*NcE oFrPeRMlT VJHERE SIATE tAW REOUIRES rhqr the Elcrtricol work be done by the Elerrri<ol Conlrocroa, the clcclricol portiort of lhis pcrmit sholl not be valid until o TOIAT CHARGES15,09TOTAT CHARGES Lip,IGNATURE 4qog E of ony req uireci slruclurepertoining proiect, certify thot oll informotion hereon is frue qnd correct, ond I furtherfor permit, ond do herebYI HAVE CAREFULLY EXAMINED rhe compleied opplicotion qccordonce with the Ordinonces of the the Lcws of the Stote of Oregoncertify thol ony ond oll work performed sholl be done in of rhe Building Division- I furtherPANCY will be mode Cily of Springfield ond withoul the permissionto the work dercribed herin, ond thot NO OCCU by ORS 70I.055, thot if exempt rhe bosis for exemption is notedrirtrolion wilh the Euilder's Boord is in f ull force ond effect o serlify thot my reg subontroctors ond employees who ore in omplionce with ORS 70.I'055 will be usad onheron, ond thot only lobal hor bon rigned by on Elcctri<ol Controctot ond ottcshcd lo tha elearicol ponel, TOTAT CHARGES Bosir for Builder'r Boord excmpiion; NArUE (pleose print) FOR OTFICE USE ONTY b42]2Sysiems Development Ch"ree l!.5j4--;1*8(trbPP Plon Ck. Comm/lndBUITDING PERMIT 20,o9 0,89 Per Fee Plon Ck. Res Per Fee30% Chorges ond Su rcho rge s Aao+ h@i-Da"c6baz #74r,&Totol Comb. Permit aE 09/ 4'---PI.UMBING PERMIT nce Demooo* Chorges ond 5 urcho rg e s t4,33ELECTRICAT PERMIT Sidewolk I C Povi a9Chorges ond Surchorges / t,6: TOIAT MECHANICAT PERMIT Chorger ond Surchorge: o Addrers p O. k -6 Fts' oiher ---- -' i;;;; i,.;i: 4 TrroP \/ Ll I lnil< .,.e aanc- Flood Plqin 6 .b9 Curb Cut /8' coMEl NATTON AppLtcaTtoN z/pEx,<,ti-(cAp) l. Appliconr ro furnish A. Job Address B. tegol DescriptionI. exomple-tox lot ,l00, Lone County Mop Reference'l 7 03 43 2. exomple-Lot l. Block 3, 2nd Addition to Springfield Estores C. Nome, etc, of owner ond construction lender D- Energy Sources l. exomple-heot/'electricol ceiling/or forced oir gos 2. exo m o I e-wo ter heoter, ele.trko l,i o.-lolE7--+ _- PERMIT VALIDATION fu<- 5G5X5 Uhil- 4obB Permit Clerk PROJECT CONDTTTONS TO BE SATISFIED BEFORE OCCUPANCY: { Additionol Proiecl lnformotion PLANS REVIEWED BY: nome signotu dote 5-?to'l?6 I \ \ E. Squore footoge sr voluotion, etc.t. g411p]g-I250 sq. foot house, 500 sq. foor goroge 2. e-Erni]E-iTlIw proiect, checki-ew-ii oddition, cieck odd, etc. F. Building permit informotion: l. exomple-construct single fomily house with on ottoched goro9e 2. exomple-remodel existing goroge into fomily room 3. giGFi-"-convert single fomily residence into restourront (chonge of use) G. Volue of work os defined in Section 303 (o) of the Structurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction deloys, Building Division Stoff must be oble to contoct oppropriote persons regording design informotion or iob site corrections, etc. ll. AbLievioted Plumbing, Mechonicol & Electricol Schedules A. Except where blcnk spoces occur in the description portion of the Mechonicol ond Electricol Schedules, the opplicont need fill-in only the No. Boxes odiocent to the oppropriole item(s) to be instolled B. Full Plumbing, Mechonicol, ond Electricol Schedules ore ovoiloble ot the Building Division I. To conserve spoce on the permil form the schedules .: hove been obbrevioted 2. lf the item(s) to be instolled ore nol covered on the obbrevi' . oted schedules you should consult rhe full schedules C. BUILDING DIVISION STAFF WILL FILI OUT ALT FEES AND CHARGES ON THE SCHEDULES lll. Applicont to sign ond dote Whenever possible, the iniriol opplicotion will be used os o worksheet only. Where possible, Building Division Stoff will prepore o typewritten copy ond return it to the opplicont ot the time the octuol permit is issued for his signoture. lV. Fees ond Chorges Plon check fees ore due ond poyoble ol the time of the opplicolion, ond no plons will be processed unlil these fees ore poid. All other fees ond chorges ore due ond poyoble when the permit is issued. V. FOR OFFICE USE ONI,Y / -t'IAI A DE CITY OF SPRINGFIELD l(ay 22, l98l MEMO TO: FROM: SUBJECT: q,4( Tom Sheirbon, Permits Coordinator Gary McKenney, Traffic Techn'ic'ian Building Moving Permits #Bl034l and #8.l0342 The fol'lowing corrnents apply to permit #81034I: 1. This move will be permitted on'ly between the hours of 0500 and 0900 on Sunday, May 3l , l98l to avoid congest'ion a'long Mohawk Bl vd. 2. At "Q" Street and Mohawk Blvd. The pedestrian signal pole'in the "Q" Street island must be unbolted at the base and "laid down" to clear the structure. This work will be performed by a City Traffic Technician and the permit holder will be billed according'ly. 3. 'rQrr Street is a county road and a permit to move on it must be obtajned from Lane County prior to irSSUdhce of a City permit. In addition to the above,the following conments apply to permit #8.l0342: 4. S'ince this bui'lding is 34'6" wide and the "curb to curb" width on Mohawk Blvd. is 24' in some'locations, it will be necessary for the mover to remove and replace several roadside traffic signs. In the v'icinity of the "Taco Bell" shop, it may be necessary for the wheels of the mov'ing dolly to tnavel onto the sidewalk. The permit holder wi'll be billed for any damage to public property at this or any other po'int along the route. 5. The curb to curb width of North lSth Street is 32' with several mail boxes at the curb and numerous street trees within 3'of the back of curb. The mover should be reminded of this constricted' area and advised to double check it for possib'le prob'lems. For both of the above permits, the mover will be responsible for placing and removing "No Parking" signs as needed to provide for a safe move. GM/bj TRA IO-4 mflN,t 0 D A U I : I;ISPECTIONS 726-3769 0ld Address 933 Mo Hewl1 v3Lp CiTY OF SPRIiIGFIELD BUS IIIESS 7?6-3753 BUILDIi.IG I4O IIIG PERIIIT--BUILDING DIVISIOII.-346 MAIN ST. N A K \ ; d A NLega 1 Descri pt on 60 "rn P.O, ,i74Y t P eE^/ f{4 3q19 'Ro'B i ng rm name l7-o3'31"- 27 fL 31 Nelv Address (furnish 2o i2 /V /S egal Descript ron RNUSL/N6 AaPET /f / AOar 3-z s-zo !S'f. 3 exp res ed IA by 81dg. Div n q'l a res i]frr-= €0c a rCSS oeEoeti rcs.p one (:-ttodsGno 3q7q RatstN 4{C E&1y6 /?44o scr pt ono n n use: e6Jr eNrt rp t ono 0u L t Lp/ Nq Descr tS4 Sf, .ru DefV/y,4f/at//\0HntllH t STQT_ET Descr-lpfibn of Bui 1ding: Square Footage /,40a Floving Length 5d Heig ht on Do11y /7 '6i' Nr*ber of sections being rnoved Type of Construct'ion lryots p Fe.ArrG // Movi ng I'ii dth 346'7ra0 6Rn6€ Val uati on ?I,W 27' L ilot.ificatjon of Move: The Buildjng Div'ision urill route cop'ies of th'is appllcation to ir i appropri ate di v'isi ons, departmdnts and agencies. H0l'JEVER, THE APPLICANT I'IUST CoN- incr piropEnry oIIi,IERS IF rnrrs.ARE INVOLVED IrI rHE PROPOSED MOVE. IN ADDITION' THE AP- PLICAI{T I,IUST SECURE THE APPROVAL OF ALL APPROPRIATE I{UNICIPAL, COUNTY AND STATE AUTHOR- ITIES SHOULD THE I4OVE ORIGINATE OR TERI'IINATE OUTSIDE THE CITY OF SPRINGF]ELD. s, Fees, and Charges: Plior to receiving a permit to move a building to property in tfre City, the ipplicant or his/her authorized representative must: SuOmit trvo- iopies bf a site or plot_p1an for the new s'ite. irU*it two coi:ies of a foundation plan for the relocated building. Qbtajn a permit coveling the new foundation, as well as al1 plumbing, mechanical and electiical work reliting to the relocated build'ing. Pay the Systems Development Charge, 'if applicable' Sewer Cap: Builclings to be moved from lvithin the City'limits shall have the set{er capped at the prop.ily-iir. uia-intp.Ct.aonuworkrng day prior to the move' if the inspection indicates inat tfre s.rr.i'has not been pr5perly capoed, the moving permit Pl an w'ith 1. 2. 3. 4 w'il I be revoked. the ba s'i s 'i s no ted ING DAYS HAVE ELASPED. I further ce is in full fo rce and effect as requi rti fy that tnY red by ORS 701 reqi strat'iorr wi t .055 and 701 .070 ui red contacts , and that i f exei'rot mpl eteci bY clock @pm on ng sr on. and w'il I be na d t contacting t e u I also certifY that I have been in formed that N0 PERMIT I'IILL BE IS SUED BEFORE 5 I^IORK. h the Bu'i I der' s Board I certify that the above informatt' e beeh made and authorizations obta i neC , on 'is true and correct, that all req move wjll beg in at o' cl ock hav Cffi pn on G3l- l%l ?nd be. co that no chang'eS fn the route hereon. Basis for Bu;G.ff . pS chlftA that theqo' e uli thou ilder's Boa Exeno tion: i2 Date /q. /??i l\lame Si gnature FOR OFFICE USE ONLY Zones -t"l- Flood Pla'in iJ C> T Li vi ng Uni ts 'Q-tu-e S ype/const. -V-P--occv quare Ftg. Ql 7 5.72* uutu Group P.3- "S4emg:1. /c,19Apol i cation Fee Permit Fee /5 e o9 -q,e Server Cap TOTAL 76,N9ilo. of Blocks over 5 0 .5Cd per block/2^5 =7 Il Pol 'ice Departnent tr llj I I amal ane Park & Recreati on D'i st. trlFire Department trPacific Northwest Bell Dspringfield Utilit-v Board Di{orthr';est l{atural Gas tr Rar'nbot.t llater Dist. E Tel eprompter E Other Stories ODE I BUILDING MOVINT - - -, IIT Applicant to furnish (except as jndicated) A. 0ld address for buildingB. Legal DescriptionC. New address for building (Building Div. will furn'ish)D. Lega 1 Descri pt'ion E. Name, etc. of building ownerF. Name, etc. of moving firmG. A description of intended useH. A description of proposed routeI. A description of the building Applicant to contact property owners if trees'involved, and secure authorizations from other jurisdictions as necessary. A site or plot p1an, and foundation plan must be subm'itted for the new s'ite (2 sets) Plans must also be subrnitted for any other work rel at'i ng to the rel oca ted bu i 1 d i ng . Fees & Charges:A. Appl'ication fee due and payable at t'imeof appl i cati onB. Moving penm'it fees due and payable upon permi t i ssuanceC. FEES & CHARGES TO BE CALCULATED BY BUiLDING DIVISION STAFF FOR OFFICE USE ONLYA. Plan check data collectedB. Cop'ies of application to appropriate divisions, departments and agencies BUILDING . DIViSION REPORT: - - -RMIT VALIDATION PERMIT CLERK II. III. IV. V. VI D fraJ Date 5'27al TRAFFIC DIVISiON REPORT:56 *rrtrctaA ataurd. Dgte f-Z?fl ENGINEERING DIVISION REPORT: or@ H>5-r?-Bt By Date ADDITIONAL PROJECT INFORMATION : By Da te