HomeMy WebLinkAboutPermit Building 1989-04-26LINE
ERMITCOMB I TI 53
EIIERGY SI)URCES:
Ra
Hea t
['later l]ea ter
Owner 6c - * tuAfi
AA0l So.
C;
Job Address
l-egal Descri ption
,TD,'bUb.@
Sq. Ftg. Access..-.-__.-
_l,lew--Ad d_A I te r_ne p .
_Fence_Demo_C ha nge/ U se
0ther
. I'lai
Sq. Ftq. Other
Address Descrnl t,lork
dFarni l
Bu .e., Build Single
r..!Cn t/)A)tL 2ffir. &c,^ od, I
Constructi on er
Addres s
\-./
I'hone
@
6
DESIGN TEAII nante addrrss I lics. no.exD res ohone no.
Pri ma n Il o0 -<
-rl)
Structura I
El ectri ca I
i"|ec ha n i ca I
name addres s I Iics- no.(exni rpc,I ohone no.
Genera I
I umbi
I - ft. Brahr{a^El ectr i ca I
w Can / ay 11r,-,*-al,techanical
PLUIlBl NG EL ECTR I CAL MECHANICAL
FEE CHARGE N0.FFF f HAEG F NO FFF CHARGF
Each single fjxture Residence of
FTSQ
furnace/burner to
BTLI' s
*-P
Rel oca ted bu.i 1 d i ng
(new fix. additional )t-"
'New c'i rcuits alts.
or extensions12n ,L4D,4€
Floor furnace
and vent
S. F. Res i dence(l bath)SERV I CES Recessed wal I
Soace heater and vpnt
Duplex (1 bath) each
Additional bath Temporary Construction Apol iance vent
sepa rate
l,later servi ce rps i dpncp
Change in existing Stationary evap.
cool er
Sewer Industria'l
multifanr.i 1y, conm. or Vent fan with
sinole drrct
Storm Sewer
Vent system apart from
heatino or A.C.
c0t4t1./IND. FEEDERS Mechanical exhaust
hood and durt
Instal I /a I ter/rel ocate
d i ct ri h fppdprs lrlood stove/heater
0f /W<kyzs.-75 /5:
ISSUANCF OF PFRI,IIT
TOTAL CHARGES -^:r>TOTAL CHARGES ^a//./9,*TOTAL CHARGF,S
THERE STATE L1l.l REQUIRES that the Electrical work be done by an Electrical Con
shall not be valij until the label has been signed by an Electrical Supervisor and
tractor,
returned
the electrical portion of this permit
to the Bu'ilding Division
I HAVE CAREFULLY IXAMINED the completed application for permit, and do hereby certify that all information hereon is true
and correct, and I further certif_v that any and all r^rork oerformed shall be done in accordance with the 0rdinances of the Cityof Springfield and the Laws of the State of Oregon Dertaininq to the work described herein, and that l,l0 0CCt,PAt,lCY will be madeof any structure without the permission of the Buildinq Division. I further certify that m.y registration vrith the Builder's
Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted hereon, and that
onl-y subcontractors and emrrloyees who are in comcliance with 0l?S 701.055 vrill be used on this rrroject.
l,lAl'tE (p1 ease pri nt)S IGIIATURE DA.TEJ-o\-n--Er,.t i {/-f ?
Zone_-_=__-_lyoe/Const. __._______Uni ts _-___ So. Ftg. l,lai lue
lue
lue
Access x Va
ornu"lxiB{,*raPE , va
-
TOTAL VALUATI oll /O-eza ---
Occv Group,__ _ Sq. FtS.
.0ccy Load _ --------sq . Ftg
Fl ood Pl ai n-.-..----_.Stori es
Fire Zone Bedrooms
Plan Ck. Comm/lnd
65%/81do Per Fee fz^ r>Svsterns Deve
Charse (1.51
opmentBU]LDING PERMIT
Charges anC
Surc ha rges
PLUI4BING PTRMIT
Charges and
Surc ha rges
Plan Ck. Res
_991/oldg Per F_qe-_, _
Fence
Sidewalk
Demo
Total Comb. Fermit
__-_#-57_av
ILTCTR I Cil.L PIRIlI T
Charges and
Surcha rges A/C Pavi ng
Curb Cut ,P,ry€1tzr4s4t4
lorAft44tvz?I,IECHAN I CAL PERMIT
Charges and
Surc ha rges \ ---
fr>
0f amps
COMBINATION APPLICATION/PERMIT (CAP)
i. Applicant to furnish
A. Job Address
B. ..Lega I Descri Pt ion.: 1. example- Tax Lot 100, Lane County Map Reference
17 03 43
2. example- Lot l. Block 3, Znd Addition to
Springfield Estates
C. Name, etc. of owner and construction 'lender
D. Energy Sources
1. example- heat/electrical ceiling/o'
2. examt-] e- wa terhEEteilEf ec trJca7or
E. Square fOotage or vaiuation, etc.
l. example- 1250 sq. foot house' 500 I
2. eiample- if new project, check new
check add, etc.
F. 'Building permit information:
1. example - construct single family I
attached garage
2. example - remodel existing garage
3. examFle - convert single family re:
iEfTalFant (change of use)
G. Value of work as defined in Section 30,
r forced air gas
sol ar
sq, foot garage
- if addition,
house with an
into family room
sidence into
3 (a) of the
Structural Specialty Code
H. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays' Building
Division Staff must be able to contact appropriate
persons regarding design information or iob site
corrections, etc.
II. Abbreviated Plumbing, Mechanical, & Electrical Schedules
A. Except where blank spaces occur in the description
portion of the Mechanical and Electrical Schedules'
the applicant need fill-in only the No. Boxes adiacent
to the appropriate item(s) to be instal led
B. Full Plumbing, Mechanical, and Electrical Schedules
are available at the Building Division
1. To conserve space on the permit form the schedules
have been abbreviated
2. If the item(s) to be installed are not covered on
the abbreviated schedules you should consult the
full schedulesC, BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULES
D. As noted on the CAP, the label must be delivered to the
electrical contractor for signature by his electrical
supervisor. The general contractor is not authorized
to sign the electrical label.
IIL Applicant to sign and date
Whenever possible, the initial application will be used as
a worksheet oniy. Where possible, Building Division Staff
will 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. AII other fees and charges are due and
payable when the permit is issued.
V. FOR OFFICE USE ONLY
PERMIT VALIDATION
Perm'i t Cl erk
PROJECT CONDITiONS TO BE SATISFIED BEFORE OCCUPAI{CY:
Permit applicant exempt from registration wjth the Builder's Board because:
Add'itional Project Information :
PLANS REVIEWED BY:
name sig nature date /*Ze
of ELOP},ENT
SPRINGF IE
L L.L
THIS DEV
srra Ptaff fiEyr'v nF,r/Dr Ahr.-.-
lAa
:If[iij*:{
DE,EL,PHEIIT
AGREE}',ENT
',;,i;i;;..""":;3:i?",".tr&1th,.,i,.,ff i;Tli
RECITALS
d"y
3.080(3
hereina fter rr AppIi c
he rein
ant
af
)3. 09 0(3),and
. UHERE,Appri";;i"f ';';;' ..;'f'ln'fi'o;i'i:#i"i;.'lf3'0.'r0""!;,rrTii;;ii*rn"
Final si te r
CTTY JOINNconstruc,ro'ft
^IUI.I.R B9-c
*r*,**r*u:l:^r:"ir"ij,,,,,.ji*",;ur,,,,.'ffi
ti:",i,,'u j*L+?- I/IiEREAS
# ::r r :
1$ggfi;;rygHgg6fiffi'.,;, ;
uevelopnen t
#*+1fi
D-- IJHEREAS . .- -
-"urth'nlch,odifi""tion"-';;'".::;lf;;S
I:""'-;;;";h"1$$*i,tr"iffi
,,,':?i,;i"$:+iip";,i#+.,i"+1{
uevefopment
(specific condj
a. A11
ih,,'lii;J."ifl tlr;,$';#,"Jriti:il'if :,iiliri*i;.,,Fril;r.,,,rr:b. Any modification of the Final Site plan must be appror;F'i'T3%*ix#fi:'Bftr'iril
:r,ri:dii,sflJil.^rT,,fr,:, In,., *, i,,Ijl1 il A pARr
1. FTNAL qTTD AGREEMENT
accordanc"',iin' ,l"rlf""1.floro ]l",nlrgoriffif,"l;;j:i];jjii .loll,", site pran in
iitrifi i",*ii;:i*u,l#tlT*i{**1u,.,,'.*
*;ltf ui:.:f
,ii ji3' c.NDrrr.Ns'"
:i:;::"""'-":;*:";::'":'.::" speeiric c'ndi'iions'r
I
approval required by the City 1isted in RECI:conditions h.y: !:un"d;i;,;;;'.i'l'i:,:: ::::ti:t prior to occupancy, unlessof the sprineri.ia-ou;:i;il::,t:"i"1"t"r date in accord"n.. irth Section 31.04
pr.n Xi,n"X?olllcArr0Ns. rhe. applicanr a.sre,reviewej ;;',;:;:j"x::'jilil-,:::;!j;l; ,5;iiiiid:i:::,:"ii:,.jhe. approved Fin
ti,e spr r n*r i"io'il;:r:il:" ir8:,il5. MAINTAINING THE USE. The applicant
. (a) The buildino
agrees to the folloving:
provisions oi the rorirriilfo 3lo .site shatlDevelopment coJe l: itl"tained in accordanee wirl
*^j-^ (b) rt sharr be rhe :^^:.'- :"ou 'n order to continue ;;;-;;". \
marntain the r
i'L;ii" ;.:' ri
:
s J irif*;r'.1}l * : i,i, " *- ::r *, i' i!" I il',, : L :i: lI, :
ff r l,:ir i, ::standari in""..o.o"n;; -,;;;";::;i";;f.;#t:r+":.iiEoo,lf ;::. the 2 r,z_ioli heig.the springfield oevefopmi;; ;;:.(c) parking lots sIcondition'iree or. ri,,", ir""l,, be maintat":l^ll-the property ovner or renant in aimproved to maintai, "",io.;"":';lin"?fl""3":::il::i:J-r;;#;t condi.i","-"["rr be
lf-,,..".h i:l 'i:::1"'i5i"orrli:'y:tl': the development area sharr be maintained rreeshall not be u""a io, ;;;;il:t In a moved and attractir"-rlrn".. undeveloped rand
rincrfiin,'"',?olll'"l,,li,l], :i:F:iTi::";."xii;i^Ii 3;,ii::iilo,ll,","L;,":o:i,,Ordinances),
^:tll:::i-;;;".',nri"ciiy=i"i."lnror"u ippii;;il,s responsibiriiies uy;::lil#"F".lfii;;;;it;*;im ,:*;;:Xr"]:"ii,,,, .ni'*ili,i'n.,ing any remporary
"o,,"].. ,iiil,l'li: ;:i: Il"in3,5lil"3roiii:";,:::*"ii: ,",0 if construction does not
j:,:'H::: H::il:i"j:",:lflil:"'and the citv have executed this Agreement as or the
lo
te
r
EO OREGON, Count yof
wal/_
1r vo unt ary act. Be
APPLI
BY:C+-+t-
BY:
. Perso v ppeared, vho acknov ed d thore me:
the above namede foregoing instrument to8e
a
I
Site Plan Development Agreement
2
Site plan Development Agreement3
,
lrLtILI.r 1'U* IrLU I$
-t.
r*t't JnB* 8$0*54
farq r IhlrflL
T Ltt,,l{.'li
- A nI!F:HSg -isI 5 i.*TH 5T
.-traI ltF.,-
al
Iril iirl k : r iluN tr fi T .i.ill.l
-OLJI{HR-
I TTY DT SPTLTII0r. g" 18TH
5PE'ttr, 0R 97477
Ei-r/. i1rl,- 1/it-a*a}tDi
*.f NF0*
NE hI
IO},IHEHI IAL
67$0
ItEI]T IAT,**';5
SIiA-RE{:,IU lAEN FER},I IT5*-- _*EEH"SURCHAR
S01*';+1-FLAN f;HE{:ii EEE i5 " 00 0 "
003*004*ELEf,TR IIAL 45.00 '].
$EN-i.IIN Ii,IUI.I IN$FEf,T INN$ + RETIU IftEi'iENT$----
BS0 r';': / *91X 1X
NEftIJY -$T*\T$*
AT 1- :- trL'L'E ?il1'{E
LA* ST{JR IH$ FI.OTITIPLA IN
Nr:[:- EHlrEt't CIu[ fiRr'
I]N I:TS
iiTI E HET
NIN$T TYPE
-CNNT RAI] T I]RS _
fiENT,-
I:ONTRATTO& FHINIi-
FLi{E{*
E'i I:f.T,.-.!LLK I
ML.r.Ll-
lltJtrll
ITEScN*
f; -TIATE- REIE lPT _ P ERi'i IT +--**---VALUE***
E; i]rrn 1 ':t
5 89Si?3
--Ei:TP ['ATE*-*ACT IIATTi-
t!
i"l
H
{jt 0
A
0 CI 1-.0+3*f IiJNItAT I0l'l
00?.. 04:l* trilu,3l{ ELEIT It IC
OO:J-04'!.8 IN.{t ELEf, Tft ICAI"
0s4*tr1!l_E INAL FL' ILIr INLi
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BS05I'l N0TUli 35,,:]!li)519 rjl.i 35
E9i:1? fiH 35
sEu-* Itispe f, T IuN$-- -----C0i{i-lENl:5-- Ir ATE *-- - RE:SULT- - INSP * * -
tliit-04'J-ftlllJGH
00?-04.?.-R0LJfilt
003-04T*r Il,lAL
ELETIR IC LABEL 1&06f,
E[,ECTR II
EI,Hf,TH I[AL
\-
il 661
Date
STATE 0F OREGON, CounN,.t/ 6 ,
ty o t
1 98
, vho acknov
re me:
\
CITY
BY:
Pers
otary or 0regon
Hy ission expires
trator
the above named
edged the foregoing instrument to
No or
My ssion expires 3^4-??
Site PIan pment Agreement
-JUILDTNG DIVI
_ADDRESS-
zOL S 1BTH ST
DESCR:REI{ODEL
-O'{NER-
CITY OF SPFLD
225 N. srH
SPFLD, OR 97477
726-3654
_INPO-
REPAIR
COM}{ERCIAL
5700
REPT CAT *825
SEQ-MTNTMUM TNSPECTToNS + REQUTREMENTS---
O 01 _03 } *ROUGH MECHANICAL
OO2- O4?-ROUGH ELECTR IC
O O 3- 049 -TINAL ELECTRICAL
O 04- O 3 9 -TINAL },IECHANICAL
sEQ - - TNSPECTTONS - - - - - - -CoMMEMTS -
O 01- o4I_UNDMGROUND ELEC
O 02- o44-ELECTRIC SERVICE
003- o44-ELECTRTC SmVTCE
O 04- O 39 -FINAL },IECHANICAL
O 05- 04 z-ROUGH ELECTRIC
O05-049-TINAL ELECTRICAL
OO7-O3I-ROUGH MECHANICAL
OO8- 03 9 -FINAL MECHANICAL
O 09- O 39 -FINAL }4ECHANICAL
O 1 O- 049-FINAL ELECTRICAL
O I1-016-PROGRESSIVE
BRABHAM ELECT.
TRAFFIC SHOP ONL
ION JOB# B8O:
LEGAL-
OT BLOCK
FINAL
-VALUE-
50672
880712 / 8904L4
ENERGY_-STATS-
0-
2- BLIE ZONE
STORIES FLOODPLAIN
BEDRI,I OCC GRP
UNITS
sQ rEEr
CONST TYPE
-COMTRACTORS-
GENL-
COMTRACTOR PHONE-
PL},TB-
ELECT-LR BRABHA},I
l,,(ECH-
DESGN-
.--EX(P DATE---ACT DATE-
881007
880927
880927
880927
- -DATE- - - -RESULT- - INSP- - -
880817
8809 1 3
8809r3
880927
880927
880927
88r007
881007
88I0l2
881013
890414
0K 35NR 350K 35oK 280K 35oK 35oK 28oK 28oK 280K 35oK 28