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Home My WebLink AboutPermit Building 1990-05-23CTTY OF SPRINGFIELD COHBI IIATION APPLICATION/PERMIT 7?6 Owner BORDEN CHEMICAL Jcb Addres< Legal Descrrption Ran llater Heater EIIERGY SOURCES Hea t Val ue of l,Jork $ 20 ,000 Sq. Ftg. Access._ Sq. Ftg 0ther Ftg. l'lai Aidress 470 SOUTH 2ND STREET PhONC 746-34 Attac Ga ra t n c .e., Build Singie SPRINGFTELD, OREGoN 97477 PROTECT RIVER FROI.I POTENTIAL PLANT RUNOFF Construction Lender BY CONSTRUCTING CURB & SECTIONS OF WAIL. Addres s Phone \ N $\ \ \ DL5TGN IEAI.I name addres s exD l res Primary BORDEN CHEIIICAL 470 SOUTH 2ND STREET 7 46-8461 Structural GARY SPENCE CONCRETE CONSTRUCTION 85391 CIIEZBI ROAD EUGENE, ORE 484-7s60 El ectri cal Mechanical ACTORS name address I ics, no.exn l rpq nhonp nn GARY SPENCE CONCRETE CONSTRUCTIONGenera I 484-7 s60 Pl umbi nq E I ectri ca I Itlechan i ca I PLUHBI NG ELECTRI CAL I',IECHAN ICAL FEE CHARGE NO FFF I'HA PN F Nn FFF CHARGF Each single fixture Residence of FTSQ furnace/burner to BTU' s Relocated building (new fix. additional ) New circuits alts or extensions Fl oor furnace and vent S.F. Residence(1 bath)SERV I CES Recessed wal I Snacp hpafpr and vcnf Duplex (l bath) each Additionai bath Temporary Constructi on Apol iance vent seDarate Change in existing rp< i dcncp[,later servi ce Stati onar.v evap cool er Sewer multifamily, comm. or I ndustri a l Vent fan with sinole duct Storm Sewer 0f amps.Vent system apart from heatinq or A.C. COI,,II.I. /IND. FEEDERS Mechanical exhaust hood and duct I nsta I I /a I ter/ rel ocatedistrib. feeders [,lood stove/heater 0f amps ISSUANCF OF PFRI1IT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES WHERE STATE Lll,l REQUIRES that the Electrical work be done by an Electrical Contractor, the electnical portion of this permitshall not be valid until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFULLY EXAMINED the completed application for oermit, and do hereb.y certify that all information hereon and correct, and I further certify that any and al'l work performed shall be done in accoidance with the Ordinances ofof Soringfield and the Laws of the State of 0regon Dertaining to the work described herein, and that l{0 0CCUPAI,ICY willof any structure without the permission of the Building Diviiion. I further certify that my reqistration vrith the Bui Board is in full force and effect as required by ORS 701.055, that if exempt the basis for Lxemption is noted hereon,only subcontractors and enployees who are in comoliance with ORS 701.055 will be used on this Droject. tlAt'lE(please print)BORDEN CHEMICAL 5-23-90S IGiIATURE 'i s true the City be made I der' s and that .othe@aheg.eo 'I ue Val ue Ftg Ftg Ftg TOTAL VALUATION- xFire Zone Bedrooms 0ccy Load l'la i Group SCon Access Zo Flood Plain Stories t. Uni ts So. Plan Ck. Comn/Ind 65%/81dq Per Fee ?/. ?3 Systerns Develooment Charqe (1.52)'BUILDING PERI.IIT Charges and Su rc ha rges _//4e___ 7.a2 Plan Ck. Res 30%/Bldq Per Fee FencePLUI4BING PERMIT Charges and Surcha rges D6mo Sidewal kELECTRICAL PERIlIT Charges and Surcharges A/C Paving Total Comb. Permit Curb CutT,IECHANICAL PERNIT Charges and Surc harges z78,aGTOTAL Bur lci lrr I Farni I v (r tonF no PERMIT VALIDATION Permit Clerk COMBINATION APPLICATION/PERMIT (CAP) Appl icant to furnish A. Job Address B. Leg 1. al Description example- Tax Lot 100, Lane County Map Reference 17 03 43 example- Lot l. Block 3, Znd Addition to SEIJi-d'fi ei a Estates C. Name, etc. of owner and construction lender 2 D. Energy Sources 1. example- heat/electricgl cejli!g/or fgrced air gas 2. exampTE waterheater/elsgtr5s]-/or solar E. Square footage or valuation' etc. l.' example--1250 sq. foot house,.500 sq. foot garage 2. example-: Tf new proiect, check new - if addition' Eli-eck add, etc. II III. F. Building permit information: 1. exampie - construct single family house with an attached garage 2. example - remodel existing garage into family room 3. examFle - convert single family residence into iETTFant (change of use) G. Value of work as defined in Section 303 (a) of the Structural SpecialtY Code H. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be ab'le to contact appropriate persons regarding design informat'ion or iob site corrections, etc. Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except where blink spaces occulin the description portion of the Mechanica'l and Electrical Schedules' the applicant need filt-in only the No. Boxes adiacent to the appropriate item(s) to be installed 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. lf the item(s) to be installed are not covered on the abbreviated schedules you should consult the fulI 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. Applicant to sign and date !'lhenever possible, the initial application will be used as a worksheet only. Where possible, Building Division Staff will prepare a type written copy and return it to the applicant at the time the actuai permit is issued for his signature. 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. FOR OFFICE USE ONLY IV v PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI'ICY: permjt applicant exempt from reg'istration with the Builder's Board because: Additional Proiect Information: PLANS REVIEWED BY: dates1gnatu,2 7o^7aname / I INSPLCfICN L I 10- )l oa CITY OF SPRINGFIELD C()MBI I1ATION APPL ICATION/PERMIT 726-3753 Job Addresc Legal 0escription EIIERGY SOURCES: Hea tlater Heater e . Ftq n Sq. Ftg. Access._ Sq. Ftg. 0ther_ _l,lewJdd_Al ter_Rep. _Fence_Demo Change/Use 0ther \ $ s\ \) \ Value of l,lork $ 20 ,000OwnerBORDEN CHEMICAL ACdress 470 SOUTH 2ND STREET PhONU 746-84,n Descr tlork lFam i l Attac Ga e :e., Build Single I SPRINGFTELD, oREGoN 97 477 PROTECT RIVER FROM POTENTIAL PLANT RUNOFF Construction Lender BY CONSTRUCTING CURB & SECTIONS OF WALL. Address Phone name address cs. no.exDt res ohone no. Pri BORDEN CHM{ICAL 470 SOUTH 2ND STREET 7 46-846r Structural GARY SPENCE CONCRETE CONSTRUCTION B 3 1 CIIEZE}T ROAD EUGENE ORE 484-7 s60 E l ectri ca l Mechan i ca 1 CONTRACTORS name addres s 'Iics- no.exot rPs ohone no- I EI ectri PLUI{BI NG ELECTRICAL II,IECHANICAL FEE CHARGE NO FFF CHARGF NO FFF CI{ARGF Each single fixture Residence of SQ FT furnace/burner to BTLI, S Relocated huilding (new fix. additional) New circuits alts. or extensions Floor furnace and vent S . F. Res i dence ( I bath)SERV I CES Recessed wal I Snacp hpater and vent Duplex (1 bath) each Additional bath Temporary Construct i on Apol i ance. vent sena rat-e llater service Change in existing res i dence Stati onar.v evap cool er Sewer multifamily, comm. or I ndustri a 1 Vent fan with sinole duct Storm Sewer 0f .amps. Vent system , heatinq or A apart from .c. COMI.I./IND. FEEDERS Mechanical exhaust hnod and duct- Instal I /al ter/re1 ocatedistrib- feeders l.Jood stove/heater 0f ISSUANCF OF PFRI1IT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES WHERE STATE shall not be va LAN REQUIRES that the Electrical work be done by'Iii untiI the labe'l has been signed by an Electri, an Electrical Contractor, the electrical portion of this permit ca1 Supervisor and returned to the Building Division the comp e app ca t on fo r t a nd do here b.y ce rt 'I fy tha t a 'I n forma t 1 0n he re0n 1 s true and correct, and I further certify that any and all work performed s halI be done in accordance wi th the Ordinances f the c 1 ty f Sp rt ng fi el d and th e La ws of the S ta te of 0regon De rta 'I n I ng to th e work des crl bed he rel n and tha NC OCCUPANCY wl I 't be made of any s Board is wl thout, the permi nd effect ernpl oyees '|of the Bui 'I d '|D '|1 I I furthert i f exempt 701.055 vri l cert I fy tha t my reg '|s tra t I 0n v,1 th the B u I I de r I StructureS0nngsn 'I n fu I 1 force a a s requ 1 red by 0Rs 7 0 05 5 tha t he bas I s f o r exemp ri 0n 'I s noted hereon a nd tha t on 1 v subcontrac tors and who re 'I n comp I '|a nce wl th ORS be u sed n th 'I s Dro.j ec t I'lAl'lE ( pl ease pri nt)BORDEN CHEMICAL SI ,TE 5-23-90 T'ypelConst ts Sq Ftg Ftg Ftg t'la i n Acce Val ue_-_____._- Fire Zone rooms Load Sq.x Val ue Flood Plain S tori es Group Sq othe@a1ue TOTAL VALUATION EO BUILDING PERI'IIT Clrarges and Surcha rges -//",e---7.a2 Plan Ck. Conrn/lnd 65%/81dq Per Fee 9/. ?3 Svstems Deve charqe (1.51 opment Plan Ck. Res 30%/Bldq Per Fee PLUI4BING PERMIT Charges and Surcha rges Fence DEmo ELECTRICAL PERI|IT Charges and Surcha rges Sidewal k A/C Paving Tota'l Comb. Permit I,IECHANICAL PERMIT Charges and Surcharges Curb Cut TOTAL zvg,g6 ttgL-7\60EONSTRTIETTON COMBINATION APPLICATION/PERMIT (CAP) I. App)icant to furnishA. Job AddressB. Legal DescriPtion1. example- Tax Lot 100, Lane County Map Reference 17 03 43?. example- Lot 1. Block 3,Znd Addition to SFFTnsf,ield EstatesC. Name, etc. of owner and construction lender 1. examp l e-2, example- Square footag l. example-. 2. example- check add 1719I D. Energy Sources heat/cal ceiIi forced air t wa ea er ors oTa r E F. Bui lding permit information: 1. example - construct single family house with an attached garage r,2. example - remodel existing garage into family rt 3. exampie - convert single family residence into restaurant (change of use) G. Value of work as defined in Section 303 (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 job site corrections, etc.II. Abbreviated Plumbing, Mechanical, & Electrical SchedulelA. Except where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjac, to the appropriate item(s) to be installedB. Ful'l P'lumbing, Mechanical, and Electrical Schedules are available at the Building Division1. To conserve space on the permit form the schedu .. have been abbreviated2. If the item(s) to be instal'led are not covered , the abbreviated schedules you should consult th, ful I schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be de'livered to electrical contractor for signature by his electric III. supervisor. The general contractor is not authoriz to sign the electrical label. Applicant to sign and date Whenever possible, the initial application will be used as a worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to the applicant at the time the actual permit is issued for hissignature. ! Fees and Charges Plan check fees are due and payable at the time of theapplication' and no plans will be pr.ocessed unti'l these fees are paid. All other fees and charges are due and payable when the permit is issued. FOR OFFICE USE ONLY PLANS REVIEWED BY: 1250 sq. foot house, 500 sq. foot ga'if new project, check new - if addit, etc. d From Address =? Amount Received Z 78- e or valuation, BY-1)c ORIZED SIGNA IV v Permit CIerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information : name /-eZ*A Z €€/< si gnatur date f,^Jo-?a cL/ oF SPRINGFIELD Clty Hall Sprlngicld, Orogon Development Services OFFICIAL RECEIPT 4d *2"-' A><o