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Home My WebLink AboutPermit Building 1979-11-20u6B/sP€. \POST THIS PERMIT ON MAIN BUILDING AT SITE JOB ADDRESS: CONSTRUCTTON pERtVtT + TRS, TL: subdivision: This permit for the referenced property is result in revocation of this permit, citation Applicant/Address: Owner/Address: hereby Setbacks and other conditions of approval must be strictly observed. Violation can under provisions of Lane County's lnfraction Ordinance, and/or other remedies allowed by law. Telephone: Telephone: Telephone: Total Construction Value: Contractor/Address: contractor's os +r Construction approved by this permit: Water Su DeE6tlsh rerldqrcc orrcr lG0C sq ft; Structurcr nG, on prop€rty: redldence to II I c demol lrher pplv PLANNING DIVISION # Bedrooms:+ Plum Fixtures: nd n$ n8 + Employees Zoning: ,i. Partitioning + :.i:\ parcel +r lVlinimum required structural setbacks, from: centerline of road, front: side exterior: na ; Special lnstructions: interior property lines: ;rear property line: For information call 687-4394 Parcel Size: ; centerline of road, WATER POLLUTION CONTROL DIVISION site lnspection # lineal feet of drainfi . lnstallation specifications: eld required; max. depth of trenches: Special lnstructions: gal. min. septic tank capacity; Setbacks lnGn-or property lines Idge of road right-of-way .iuilding foundation Wells, other water sources Septic Tank Drainf ield -T0- 10' 10' 1 00' T0- 10' 5', 50'For information call between 8:00 - 9:00 a.m. CONSTRUCTION PERMITS/INSPECTION DIVISION Type of Construction lnstructions: eft Group: na Fire Zone Use ClassificationEO B.Prctrctlor of pcdcrtrlm* md Bubllc atd prlvatc propGrty rhail srform ti Chep t&hr tbtr lulldlng Codc r*r*rG .ppt lcahle, For plans information cal For inspections (see back I of this permit between 8:00 a.m. and ) call 687-4065 between 9:00 a.m., 8:00 a.m. and 5:00 p.m. Directions to Site: Date lssued: c55-1 3 rra DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE / PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 lane county r l-20-79 By:0!' - S ITE INSPECTION Ap pRov r o Rruanx s D t s appnoveo Dar e I Nsprcton FOUNDATION I NSPECTION Ap pnov e o REMA RK 5 Dr sappnoveo Drr e I HspEcron FRAMi NG A PPRov E o Rrurnx s I NSPECT I ON Drsappnoveo D Drrr I NSPEcTOR LAI'H OR SHEETROCK I NSPECT I CN Dr srppnoveo Drr r I NsPEcroRAppeovto RettnRxs F I I'IAL I NSPECT l0N AP PRov E D REua nx s M Drsappnoveo el ltart t tJou *n lr{sPicrcR fu.) i^&, LOT 16 U cAl.ff CERTIFICATE OT OCCUPANCY REaoY To lssuE RrMaRx s C/ Nor Re aov ro lssur D Drre I NSPEcToR I /-/ 0 INSPECTION LINE 726-37 69 C]TY OF SPRIIIGFIELD COMBI NATI ON APPL ICATION/PERI"1IT IXFoRXTTToNI-XE- 726-3753\n l-egal Description Job Address ])t ergy Sources lue of work q t n accsy ter heater 0wner ( name/address/phone )l \Building permit.i sinqle fam. res. n, ,l Fot.: describe work (i.e. , buildith detached qaraqe) ) Construction Lender (name/address/phone) <-()\AI r. r- (\n (^ n N UJ DESIGN TEAI{name address exD res ohone no. Primary Structura I E I ectri ca I Hechani ca I ACTORS name address ICq- no-ohone no. ) umbi n axt-\r-.( El ectri ca l It'lechani cal PLUt{B I NG MECHAN I CAL ELECTR I CAL ilo.FFF CHARGF il0 FFF NHA RGF NO FFF CHARGF Each single fixture furnace/burner to BTU' S Residence of SO. FT Relocated bui )ding (new fix. addi tional ) Floor furnace and vent New circuits alts or extensions S . F. Res i dence(l bath) Recessed wal I Snacp hp:fcr ind vchf SERV I CES Duplex (t bath) each Additional bath Apol i ance vent seDarate Temporary Constructi on l,later service Stationar.v evap cool er Change in existing res i dence Sewer Vent fan with sinole duct Tndustria l multifamily, comm. or Storm Sewer Vent systern apart from heatinq or A.C.0f s. --\t, t \-{;\Mechanical exhaust hood and duct COMI'I./IND, FEEDERS Onr. r:-r n C l,Jood stove/heater Instal I /ai terlre1 ocatedistrib. feeders\0f or pxtens i ons New circuits, alts ISSUANCE OF PERI{IT iD',DTOTAL CHARGES TOTAL CHARGES TOTAL CHARGES WHERE STATE LAl,l REQUIRES that the Electrical work be done by an Electrical Contractor, the electricashall not be valid untii the label has been siqned by an Electrical Supervisor and returned to the Build I portion of this permit ing Division. I HAVE CAREFTILLY EXAMINED the completed application for permit, and do hereby certify that all information hereon is trueand correct, and I further certify that any and all work performed shall be done in accordance with the 0rdinances of the Cityof Sprinofield and the Laws of the State of 0regon pertainino to the work described herein, and that N0 OCCUPANCY will be madi t J DATE q-{^- of any structure without the permissi of the Bui ldinq Division NAI'IE (please print)'S IGNATURE \>/) FOR OFFICE USE ONLYq , Flood Plain _ Bdrns Type Const Ftg Ftg Value Value Zones Occy Load Sq0ccy Group Stories Units Sq Plan Ck. Cornm/Ind 65%/B1do Per Fee Storm Sewer Connec Plan Ck. Res 30%/BIdo Per Fee 0the r tBUILDING PERI'lIT Charges and Surcharges Fence 0ther Sprinkler System 0ther Total Comb. PermitDemo SDCA/C Pavi ng PLUI4BiNG PERMIT Charges and Surcharges TLECTRICAL PERt!IT Charges and Surcharges C} o Curb Cut \\,rtTOTAL Sidewal k NECHANICAL PERMIT Charges and Surcharges _other it ) J( t COMBINATION APPLICATION/PERMII (CAP) I. Applicant to furnish A. Job Address B. Legal Description 1. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot l. Block 3, Znd Addition to Springfield Estates C. Name, etc. of owner and construction lenderD. Energy Sources l. exarnple- heat/electrical ceiling/o2. Exampfe- waterhEaterTETecTrlcalTor E. Square footage or vaiuation, etc.l. exampie- 1250 sq. foot house, 5002. example- if new project, check new EIecf--add, etc. r Iollqq qjj gas .al * sq. fodt garage - if addition, II F. Bui lding permi t information:l. example - construct single family house with an attached garage 2. example - remodel existing garage into family room3. example - convert single family residence into restiuFant (change of-use)G. Value of work as defined in Section 303 (a) of the Structural Specialty CodeH. DESIGN TEAI4 AND CONTRACTORS To avoid design or construction delays, Building Divis'ion Staff must be able to contact appropriate persons regarding design information or job site corrections, etc. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except vrhere blank spaces occurin the descriptionportion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be installed8. Full Plumbing, Mechanical, and Electrical Schedules are available at the Buiiding 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 thefull schedules C. BUiLDING DIVISION STAFF I^JILL 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 electnicalsupervisor. The general contractor is not authorizedto s i gn the el ectri ca l l abel Applicant to sign and date Whenever possible, the initial application will be used as a worksheet only. Where possibie, Building Division Staffwill prepare a type written copy and return it to the III a p i plicant at the time the actual permit is issued for his gnature.sIV. Fees and Charges Plan check fees are due and payable at the time of theappiication, and no plans wi1) 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 Permi t Cl erk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Additional Project Information PLANS REVIEWED BY: name SI gna tu re date il u IISPECTIOiI LiIiE 26-37 69 COMB I P ERI,I I T 26-3753 L tI,tt\Job Address I l-egal Description 0wner ( name/address/phone i )trL' ,) Sources: le fence new a cha t ter relition use _other arn. re ma n n perm esc r be work acc sy er heater alue of work ra aY.r) - -\r\iii-n r', I IConstruction Lender (name/address/phone) <-a\ na rne iics. no.exDl res ohone no- Primary Structural El ectri ca l Hechanical CON n ame ( exn i reqlics. no-)ohone no^ ) Genera l r-(c\(' El ectri ca I Itlec ha n i ca I PLUIIB I NG MECHAN I CAL ELECTR I CAL ir0 FFF CHARGF il0 FFF .HAPGF NN FFF THAANF Each single fixture furnace/burner to BTU' S Residence of SQ. FT Relocated bui lding (new fix. additional ) Floor furnace and vent New ci rcu'i ts al ts or extensions 5. F. Residence(l bath) Recessed wal i Soace heater and vent SERV I CES 0uplex (l bath) each Additional bath Apol i ance vent separate Temporary Construction tlater servi ce Stati onar-v evap cool er ge in existing dence Chan res i Sewer Vent fan with sinole duct Industriai multifamily, comm. or Storm Sewer Vent systern apart from heatinq or A.C,0f - -- | r r-X.r,Mechan'ical exhaust hood and duct COMI'I./IND. FEEDERS Or-, r >ff-t(,eJ-t [,lood stove/heater I nsta l I /a I ter/ rel ocate distrib. feeders\0f amps. New ci rcui ts, a1 ts nr evtcns i onc ISSUANCE OF PERIIIT(ncllTOTAL CHARGES TOTAL CHARGES TOTAL CHARGES IiHERE STATE LAI.I REQUIRES that the Electrshall not be valid until the label has be'en 'jcal work be done by an Electrical Contractor, the electrical portion of this permit sioned by an Electrjcal Supervisor and returned to the Building Division. I HAVE CAREFLTLLY EXAMINED the and correct, and I further certifyof Sprinqfield and the Laws of theof any structure without the permi shall be done in accordance with the 0rdinances of the City he work described herein, and that N0 0CCUPAIICY will be made NAI'IE (please print)i.U il I'r s permi formed DATE compieted app'lication for t, and do hereby certify that a1l information hereon is truethat any and all work per State of 0regon pertaininq to t ssi of the Buildinq Division Tarc(SIGNATURE FOR OFFICE USE ONLY -- sq Ftg _ Sq Ftg Flood Plain _ Bdrms T)?e Const Value ValueOccy GOccy Load Zones Stories Units Pl an Ck. Conrn/ Ind 55/,/91do Ppr Fcp Storm Sewer Connec{,,BUILDING PERI'IIT Charges and Surcha rges Plan Ck. Res 30%/BIdq Per Fee 0ther Fence 0thert.(7-, t (> PLUI4BING PERMIT Charges . and Surcha rgis Sprinkler System 0the r Demo Total Comb. Permic A/C Paving SDC ELECTRICA.L PERT,!IT Charges and Surcha rges Curb Cut TOTAL \'\,[t I,IECHANICAL PEP,IlIT Charges and Surcharges Si dewa I k I COMBINATION APPL I CATION/PERI'lI T (CAP) I Appl icant to furnish A. Job Address B. Legal Descri ption l. example- Tax Lot 100, Lane County Map Reference T7-03--43 2. example- Lot 1. Block 3, ?nd Addition to S[rTngTield Estates C. Name, etc. of owner and construction IenderD. Energy Sources l. exarnol e-2. exarnp'l e- E. squaF6-T6oIa hea t air gas wa te ge or1. exqmole- 1250 sq. foot house, 500 sq. fo6t garage ?. exa;pElT-new project, check-n6w - if aodition, EIEiF-E-dd , etc.F. Building permit information:1. examole - construct single family house with an ;ttaeled garage 2. example - remodel existing garage into family room3. qamqlA - convert single iamily-resiOence inio rEiti-urant (change of - use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAI.I AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or job sitecorrections, etc.II Abbreviated P lumbing, i{echanA. E.rcept r.rhere blank spaceportion of the Mechanica the applicant need fill- 'i cal, & Electrical Schedules occur in the ciescription and Electrical Schedules, n only the No. Boxes adjacentto the appropriate item() to be instaIIed , and Electrical Schedules8.Full Plumbing, Flechanica are avai lable at the Building Division1. To conserve space on the permit form the schedules.have been abbreviated2. If the item(s) to be instailed are not covered onthe abbreviated schedules you should consult theful l schedulesC. BUiLDIilG DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES Oi{ THE SCHEDULESD. As noted on the CAP, the label must be delivered to theeiectrical contractor for signature by his electricalsupervisor. The general contractor is not authorized III to sign the electrical label. Applicant to sign and date IV lJhenever possible, the initial appl ication w.i I I be used asa |,orksheet oniy. t,Jhere possible, Building D.ivision Staffwill prepare a type written copy and return.it to theapplicant at the time the actual permit is issued for his s ignature. Fees and Charges Plan check fees are due and payable at the time of theappiication, and no plans wi11 be processed unt.iI these .fees are paid. All other fees. and charges are due andpayable vrhen the permit is issued. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY Additional Project Information: PLANS REVIEWED BY: name Si g na tu re da te DtrDMIT \'AI INATT^iI CITY OF SPRINGFIELD CirY Holl Springfield, Oregon Deporiment of Public Works OFFICIAT RECEIPT No. B 52362 .19 c'd ceived For ( (. nount Received ( Permit Clerk ATURE srflrox-rut{!uL! PFIXIEPS 'UCEXE oR 97'Ol '8!!l 'r ( \\ t