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Home My WebLink AboutPermit Building 1980-08-06tltL CITY -OF-P Cr)MBI|IATION A?PL ICAT]ON RI"I I T N RIIAII 726-37 53 Job Address 1129 North 7 h EIIERGY SOURCES: Hear Baseboard El ect l.later Heater El gCt Ranqe El ect So. Ftq l.la i n !q. Ftg. Access._ to*"l,tflio 0the r dAt ter--Eo. - Fence Demo Cha nge/Us e @aoO|N@Lesal Desription TAX LOT 800, 17 03 35 L2 Va lue of llork:23,000.00OwnerEarl Rea y'i s Address 1129 North 7th Street Phone Builein Farni 1 y g Pernrit Info: Describe liork(i,e., Build Single l'les i dence lli th Attached Garaqe ) Springfield,!gpsg., 747 -4843 Redoing 2nd Story, Adding 3 bdrms Construct'i on Lender ano I Datn. Addre s s Phone DES i GN TEAI.I name address I ics. no exDt res phone no Primary Dietz Designs Struc tura I E l ectri cal l,lec ha n i ca l n ame address (lirs- nn')( exni res )(ohonp no- ) Genera.t Ken Stickl er 14665 9-24-80 343-6577 Pl umbing I,la11ys Pl umbing Etectricat Rose El ectric r,!echanicat Ken Sti ckl er PLUIlBI NG ELECTRICAL MECHAN I CAL NO FEE CHARGF NO FFF CHARG F N(l FFF (. HAPGF Each single fixture furnace/burner to BTLI' s Rel ocated bui 1 ding (new fix. additional )x New circuits altsqr extensjonsz or more 15-00 Fl oor furnace and vent S.F. P,esidence(l bath)SERVICES Recessed wal I Soace heater and vent Duplex (1 bath) each 1 Additional bath 10.00 Temporary Construction Apol iance vent s eDa ra te l,later servi ce C han resi ge in existing dence Stationary eva,o cool er Sewer multifamily, comrn or Indrrctrial 1 Vent fan with sinoie duct 3. 00 Storm Sewer 0f amp s.Vent system apart from heatinq or A.C. c0r4r1./IND. FEEDERS Mechani cal exhaust hood and duct Instal I /al ter/rel ocate d istri h- feeders 'rJood stove/heater 0f amp s. ISSUAI]CF OF PFRI,iIT 10. OO TOTAL CHARGTS 10.00 TOTAL CHARGES 15.00 TOTAL CHARGES 13. 00 sha l i^JHERE STATE LAN REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit I not be valil until the label has been signed by an Electrical Supervisor and returned to the Building Division EXAMINED the completed apn cat on oermit, and do hereb.y certify that a I in rrnation hereon is true 0rdinances of the Cityand correct, and I further certif-v that any and all r"tork performed shall be done in accordance with the of Springfield and the Laws of the State of Oreqon oertaining to the work described herein, and that ll0 0CCUPAI'ICY will be made of any siructure without the permission of the Building Division. i further certify that m,y reqistration urith 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 only subcontractors and ernployees who are in comcliance with ORS 7ni.055 r,rill be used on this Droiect' I'lAl.1E(pl ease print)KEN STICKLER I GiIATURE T -6- F0n Zone R- 1 oe/Const. V-N Units 1 So Ftg Ftg Ftg l4ain x lue FireZone III Bedrooms 3 Load Sq Sq Access. 0the r x Val ue Flood PluinT-sao.i es cc.y Group R-3 x Val ue TOTAL VALUATIO BUILDING PERI'lIT Charges and Su rc ha rges __l .00 4.16 Plan Ck. Cornm/Ind 659{/Bldo Per Fee Svsteris oevelocment Charqe ( 1.5q.) Plan Ck. Res 3091/Bldq Per Fee 31 ^?O PD 7-8-80 PLUI4EING PERMIT Charges and Surc ha rges Fence REC# 53941 Dgmo ELET.TRICP,L PERtlIT f,h6rjqs and Sur rarges 15. 00 60- --- I,IEC;-AN ICAL PERI,IIT Charges and Surc ha rge s Si dewa 1 k A/C Pavi ng Curb Cut Total Cornb. lermit 147 .68 TOTAL 747.68 ACTORS Residence of SO. FT. ( J'i COMBINATION APPLICATION/PERMIT (CAP) I. Appl icant to furnishA. Job AddressB. Legal Descriptionl. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Elock 3, Znd Addition toSpringfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources PERMIT VALIDATION l. examo l e-2. Exar6lEE. SquareEoTag hea t/Lr gas r^ra te r eor II l. example- 1250 sq. foot house, 500 sq. foot garage2. @JT-new project, cheik-new - if additio;, check add, etc.F. Building permit information:1. example - construct single family house w.ith anattached garage ?. examp]e - remodel existing garage into family room3. exampie - convert sing'le family residence intorestaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAI{ AND CONTRACTORS To avoid design or construction delays, Bui'ldingDivision Staff must be able to contact appropriitepersons regarding design informatjon or job s.itecorrections, etc. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Lxcept vlhere blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes adjaient - to the appropriate item(s) to be installedB. Fuil Plumbing, Mechan.ical, and Electr.ical Schedulesare avaiiab1e 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 onthe abbreviated schedules you should consult theful I schedul esC. BUILDING DIVISION STAFF HILL 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 electrical - supervisor. The general contractor ii not authorizedto sign the electrical labejApplicant to sign and date Hhenever possible, the .in.i tial application will be used asa.worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit is issued toi his s i gna ture. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans wiil be processed until thesefees are paid. All other fees and charges are due andpayable vrhen the permit .is issued. FOR OFFICE USE ONLY III IV. V Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: Permit appf icant exempt from registration with the Bu'ilder's Board because: Additional Project Information: PLANS REVIEWED BY te B-1-Bo _NAMC DAN SMITH Si gna tu re da IIISPECiIOit LIIiE 725-37 69 LiIr rlF SiRil GFiiLD C.llBI :iATI 0N APtL I C;,i I 0i't/ PERl.l IT ON -3753 Job Address 1129 North 7th Stre EIIER "#g'38['i.d Er eHea l.later Heater E Ranqe El ect tg. i.1ain_ 5q. Ftg. Access.-- 5q. Ft.q. 0ther -rr.i, Xnai-iit*-n.p. _Fe nce_Demo_Cha n ge,/ Use 0ther r-eqal Description TAX LOT 800, 17 03 35 12 Val ue of liork: 23,000. 000wner Earl ReaVi S Address 1129 North 7th Street Phon e Builtinq Pernrit Info: Descri be llorr( Farnilv Residence Uith Attached Garaoe i ) .e., Bui ld Single Springfi€1d,!grsg., 747-4843 Redo i 2nd Story, Adding 3 bdrms Constructi on Lender Addre s s Phone DESiGN TEAI1 name address lics. no exoi res phone no. Primary Djetz Designs Struc tura I E l ectri cal l''lec ha n i ca I TRA name (address)( l ics. no. ) (expires)(phone no. Genera I Ken Stickler 14665 9-?4-80 343-6577 P l umbi nq l{a11ys Pl umbing Etectrica.l Rose El ectri c ,echanicat Ken Stickler PLUIlB I iJG ELECTR I CAL MECHAN I CAL FEE CHARGE N0_FFF CHARGF il0 FFF IHA PCF Each si ngl e fi xture Residence of SQ FT furnace/burner to BTU' S Relocated building (new fix. additional )x New c.i rcui ts al ts g,r extens i onsr or more 15- 0n Floor furnace and vent s . Residence bath)(r SERVICES Recessed wal I Snacp hpatpr and vpnt Duplex (l bath) each 1 Additional bath t0.00 Temporary Construction Apol iance vent seDarate flater service Chang resid e i n exi sti nq encP Stationary evao coo I er Sewer multifanily, comrn 0r Tndrrstrial 1 Vent fan urith sino'l e duct 3. 00 Storm Sevrer 0f lmp s, Vent systenr apart from heatino or A.C c0t.11.1./tND. FEEDERS i'lechanical exhaust hood and duct Instal I /a l ter/rel ocate d i st ri h fepders l,lood stove/heater 0f amp s. ISSUAIICF OF PFRI1IT 10. OO TOTAL CHARGES 10.00 TOTAL CHARGES 15. 00 TOTAL CHARGES 13. 00 I.JHERE STATE LAl,l REQUIRES that the Electrical vrork shall not be valil until the label has been signed by be done by an Electrical Contractor, the electrical portion of this pernit an Electrical Supervisor and returned to the Bui lding Division Iic D t he comp e te apr)ca t .i n fo r Derm i t an o her e b.y cert I fy th a t a I 1 i n fro rrna i on hereon i s true the City be made lder's and that and correct, a nd I fu rthe r c ert f3r t ha t any a nd a 1 I t/o rk 0e rfo rmed 5 ha I 1 be do ne I n a cc rd an ce v/l t h th 0rd i na nc e s of f Spring field and the Laws of the State of Oreoon oerta I n ,]ng to t he WO r k d e SC r I bed he re 'l n and th t il C OCCU PA r{c I,r'l I I o f a ny s t ruc ture wl th ou t the permissi, and effect as ernoloyees who on of the Building Division. I further certi I v lha i m.y re g 'I 5L r a t 'I on tlI th the Bu I Boa rd I S I n fu 1 I fo rc e req u i red by 0 t.J 1 0 1 05 E tha t 'I f e mpt L he ba s 1 s for exemr)t i 0n i s n oted he reo n o n I v 5 ubco ntr ac to rs a nd a re I n comc I I a NC vii th Oi?S 7 0 05 5 'I I I be used on th S p roj ec t KEN STICKLER DATE 0l,lAl.1E(piease print)S IGi{ATURE F F Zone R- i oelConst. V-N Uni ts 1 Ftq. l4ain x Value Fire Zone III Bedrooms 3 Load 5q. Fts Acce s s 0ther x Val ue Flood PIu-,TE sto.i",cc.y G.orp R-3 sq. Ftg x Val BUILDING PERNIT Charges anC Surcharges _ __1q{ 4,16 Plan Ck. Comm/lnd 65illBldo Per Fee Svster,rs DeveloPnent c6arqe (1.51) Plan Ck. Res 30t1lBldq Per Fee 31.20 PD 7-B-80 PLUI4BING PERI,IIT Charges and Surcha rges Fence REC# 53941 Dgmo ELqCTRICAL PERI:IT Chdrges and Surcha rges 15 .00 .-60 Sidewalk A/C Pavi ng Curb Cut Total Conb. Permit 147 .68 11E:HANICAL PERI,IiT Charges and Surcharges 13. 00 .52 TOTAL 147.68 ano I DaIn. @OOOrN)@ ]TORS ToTAL VALUATI0N-- 5i COMBiNATION APPL ICATION/PEP.I'IIT (CAP ) Applicant to furnish A. Job Address B. Legal DescriPtion 1. example- Tax Lot 100, Lane County Map Reference T7-T-3 432. examole- Lot 1. Block 3' 2nd Addition to SliIigfieta EstatesC. Name, etc. of owner and construction lender r forced air gas sol ar sq. foot garage - if addit.ion, F. Bui lding permit information: 1. exanole - construct single family house with an atta-cirea garage ?. examcle - remodel existing garage into family room 3. ExamoTe - convert single family residence into restaurant (change of use) G. Value of ttork as defined in Section 303 (a) of the Structural SPecialtY Code H. DESIGN TEA!'I AND CONTRACTORS To avoid design or construction delays, Building D'ivision Staff must be able to contact appropriate persons regarding design information or job site corrections, etc. II. Abbreviated Plumbing, l'lechanical, & Electrical Schedules A. Except r'rhere blank spaces occur in the description portion of the Mechanical and Electrical ScheduJes, the applicant need fill-'in only the No. Boxes adjacent to the appropriate item(s) to be instailed B. Full Plumbing, Mechanical, and Electrical Schedules are available at the Building Division l. 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 ful l schedules C. BUILDIiiG DIVISION STAFF WILL FILL OUT ALL FEES AND CHAR,GES ON THE SCHEDULES 0. As noted on the CAP, the label must be delivered to the e'lectricaj contractor for signature by his e'lectrical supervisor. The general contractor is not authorized to sign the electrical label. IIi. Applicant to sign and date Hhenever possible, the initial appl ication wil'l be used as a worksheet only. Where possible, Building Division Staff wi11 preoare a type written copy and return.i-t 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 viill be processed until these fees are paid. All other fees and charges are due and payable v/hen the permit is issued. V. FOR OFFICE USE ONLY D. Energy Sources 1. exanole- heat,/electrical ceiling/or ,. Exa-.r t e- rva terhea ceiTETeciil ca 7or E. SquaiE rootaqe or vaiuation, etc. 1. exanole- 1250 sq. foot house' 500 2. exa;tTe- Jf-new proiect, check new EIE-c r add , etc . ,..clTY OF SPRINGFIELD CirY Holl Sorinqfield, Oregon o"oJ,l."it of Public works'-'orFtclAt REcEIPT No. B r\.r\ PERMIT VALiDATION SHELTOR'TURNBULL PiIiTERS SIGNATURE EUGENE OR 97'O! Permit Clerk 9 q I ( d 54236r O ( {b cc oo ( Q-( rUOt ived For PROJECT CONDIl'IONS TO BE SATISFIED BEFORI OCCUPANCY Permit applicant exempt from registration with the Bujlder's Board because: Additional Project Informat'ion : PLANS REV I EI^IED BY : da tes'l gnatureSMITHNAME DAN :\\(\