HomeMy WebLinkAboutPermit Building 1980-08-18liatirtrp .,JUl. - t 1980-.--
ECTION LIIIE
37 69 ETTY 0F SPRINGFIELD T,.
COMBI iIAT] ON APPL i CATION/PERMIT
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3
Tax Lot 2000, Map 17 02 32 3
oU rth l+PIace
l-egai Description
Job Address ace
Ran
L
et
eat el ee
l.later Heater a]
reEiJERGY SOURCES:
Heat ea.trl e h
Lot 2, MS 179 A northly portion of T. 2000
owner Pennbrock Construction ooValue of tlork:U,OCO
Sq. Ftg. Access
Sq. Ftq. Other
_['lew_Add_A I Ier_nEp . -
_Fence_Demo_C ha n gel U s e
0ther
q. Ftq. l.lain
Address Phone1355 East r 3th Street e., Build SingleBui ltinq Pernrit Info: Descri bE l.loi[GFamily Residence l.tith AttiSLed-Garaqe)
58r-r:)+rEugene, Oregon 9T\03 Single Family Residenee; att gar
Construction Lender Amfac Mortgage Fireplace
0 Willamette StreetAddres s Phonet6 B
@Oo\fl
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DES I GN TEAI.!name address Iics. no^exoi res phone no.
Primary James & ComPanY 686-zott-Eugene
Structura l
El ectri cal
l4ec ha n i ca l.
CONTRACTORS n ame a ddres s Iics- no- )l exoi res (ohone no.'
20-l-20Feson Creek aq8-6Lor
Electrical Summit Springfield 5-18-Bo 726-028511017
1'1ec ha n i ca I
PLUIIB I IIG ELECTR I CAL I.4ECHAN I CAL
NO FEE CHAR6F NN FFF CHARGF NO FFF CHA RGF
Each single fixture x Res i dence
toTS
of
SQ. FT 25 .0C
furnace/burner to
BTLI' s
Relocated buildino
(new fix. additioial )
New c i rcui ts al ts
or extensions
Floor furnace
and vent
x S.F. Residence(l bath)25.00 SERV I C ES Recessed wal I
Soace heater and vpnt
Duplex (1 bath) each
1 Addi tiona l bath 10. 00 1 Temporary Constructi on 10. 0c Apol iance vent
seDa ra te
l,Ja ter serv i ce ge in existing
dence
Chan
res i
Stati onary evap
cool er
Sewer Indrrstrial
multifamily, comm. or )J
Vent fan with
sinole duct )00 9. 00
Storm Sewer 0f Vent systen apart from
heatinq or A.C.
COI,II.I. / IND. FEEDERS 1
Mechanical exhaust
hood and duct )+. >o
Instal I /a l ter/rel ocate
di ctrih- fcpdprc IJood stove/heater
0f s.
TSSUANCF 0F pFRlllT 10.00
TOTAL CHARGES 35. 00 TOTAL CHARGES 3r. 0c TOTAL CHARGES 23.50
WHERE STATE Llll REQUIRES that the Electrical work be done by an Electrishall not be valil until the label has been signed by an Electrical suoervi
ca'l Contractor, the electrical portion of this permit
sor and returned to the Bui lding Division
I,lAilE(please print)S IGiIATURE ?722 TE
James L. Renken
n9
701
FUL L EXAI!ED t c e ted c a no nteLta d hedo re ec rt th ta a0mpappDermb.v n t no reohe nfy
andatrrec nd fu erth cr rte hat t a nda a l,/O r oe drfo rme haS dobe ne an rdcco anf_v ny ce th heL 0rd nna sce o th e C ty
C 0r fi dfe a tnd Lhe ws Stathe oonget0reof 0n n n thto woe kr de r hbed n danoe rta ere ath rJct CUPAIOC wtlcY mabeg defostutrucw'lne hot tut he fanyr)er'm s on 0 Buthe d D S 0 n fu the rr ertc I th a rat t v/ton theth Bu der svregn,yfrdBoasnurcfoaeendtffecauredORS0atthfeheLbrreqafosex temri on s ednot rehe on nda abyxemotth L
n bc5U tracon ators nd wh ao re comcn tn 7 5ver:lD 0yee th nDc 05 U d 0 n thbe ?
Ftg
Ftg
Ftg
l+7 -oa 0
x
-t x
Load Sq
Occ-y Grou p R-3 Sq
1irVN alue 50,r29.
TSTAL VALUATT6N 5l+ ,000 . 0O
Val ue
Tyoe/ Con s t
J vulr.-Jlffi
Zone R-1
Flooa nluinffsto.i",
Acces s
0the r
l AE
l'la'i n Lvl)
Fire Zone fII Bedrooms
Plan Ck. Comm/Ind
65%/8ldo Per Fee
tefls Deve
rqe ( i.5q
Svs
Cha
opment Bro. ooBUILDING PERI'lIT
Charges anC
Su rcha rges
195. oo
(.ou Plan Ck. Res
30%/Bldq Per Fee 58.50
FencePLUI4BING PERMIT
Charges ind
Su rcha rges
35. 00- r.10-- -
D6mo
Sidewal k aoz.75l 10. 28ELECTRICAL PERI:IT
Charges and
Surc ha rges
.00
. )+o-- -1
35
Total Comb. Permit 322.12A/C Pavi ng
Curb Cut 18 t 11. B0 1,132.12IlECHANICAL PERMIT
Charges and
Surc ha rge s
____23J9___.9\TOTAL
Genera| James Renken I ?56 Ea.st 'l ?th Strppt ?-25-Rn 641-i c)rr5BB
s true
PLANS REVIEWED BY:
s't gna tu reNAME DAN SM]TH date 6-zl-80
corlBINATtoii APPLICATI0N/PERMrT (CAp)
crTY gFTPRtNGFIELD r
Ci?Y Holl
Springfield, Oregon
Deportment of Public Works
OFFICIAT RECEIPT
No. B 54335
iirti tlt. i I
^
I. Applicant to furnish
A. Job Address
B. Legal Description
l. -qxajple- Tax Lot 100, Lane County Map
1713-432. examole- Lot l. Block 3, Znd Addition
SEfingfield Estates
C. Name, etc. of owner and construction IendeD. Energy Sources
l. examo]e- heat/eleclr'!gel ceiling,/or fg2. example- waterhEE@EEdtilci7or soTE. SquaFe-T6iTage or va.l uation, etc.l. examoje- 1250 sq. foot house, 500 sq.2. Exa,nple- if new project, check-new - i
check add, etc.F. Building permit information:1. example - construct single family houst
;TtachA garage2. examole - remodel existing garage into3. exarole- - convert single iaiily-res.ider
restaurant (change of use)G. Value of work as defined in Section 303 (a)
Structural Specialty CodeH. DESIGN TEAI4 AND CONTRACTORS
To avoid design or construction delays, BuiDivision Staff must be able to contact apprpersons regarding design informat.ion or job
corrections, etc.. Abbreviated Plumbing, Mechanical, & ElectricalA. Except r.rhere blank spaces occur in the descportion of the I'lechanical and Electrical Sclthe applicant need fill-in only the No. Boxtto the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical S<are available at the Building Divisionl. To conserve space on the permit form thehave been abbreviated2. If the item(s) to be installed are not cthe abbreviated schedules you should conful l schedulesC. BUILDIiic DIVISION STAFF l^llLL FILL OUT ALL
CHARGES ON THE SCHEDULESD. As noted on the CAp, the label must be delelectrical contractor for signature by hissupervisor. The general contractor .is notto sign the electrical label. Applicant to sign and date
Whenever possible, the initial application wil.la.worksneet only. l.there possible, Building Divwil1 prepare a type wr.itten copy and return .it
applicanr at the time the actual permit is issu
s i gna tu re.
Fees and Charges
Plan check fees are due and payable at the timeapplication, and no plans will be processed untrfees are paid. All other fees and charges are cpayable when the permit .is issued.
FOR. OFFICE USE ONLY
O v'>"brrv oF sPRINGFIELD
CilY Holl
SPringfield. Oregon
Deoortmeit of Public Works
OFFtCIAt RECEIPT
No. B
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PROJECT CONDITIONS TO BE SATISFIED BEFC
Permit appl icant exempt from registratic
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Amoun t Received
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AUTBORIZEO S IGNATURE
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Additional Project Information:
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