HomeMy WebLinkAboutPermit Miscellaneous 1984-7-24
INfORllATION LIN'
726-3753
Sq, Ftg, 1,Iain
Sq. Ftg. Access.
Sq, FtlJ.: Other
-1le.dd2{A' ter ---,~ep,
Fence Demo Change/Use
Va 1 UE of Hork: Other - - I (\I)
OwnerThe Church of Jesus Christ of Latter Day Sa ,nts $98,000. I ~
L Ut -'honf"IVC '<"'I' ',Jlulln,no Pennit Info: Descr,be Hork(i.e" Build Single IJ-
Address 50 East North Temple S C, air,> ,,-~' Vl'amilv Aesidence Hith Attached Gar1<oel
84150 (~) ~....JJ CLtlJMk .J ' I, ~
Construction Lender none va
Address It,f:e 0,'7U ~
DESIGN TEAf1 (name) (address) (l;es. no.) (exoires1 (ohane no.-'\
. "
INSPECTION LINE
726- 37 69
.
Job Address 1533 Market Street
tt
CITY Of SPRINGfIE,D
CDMBlilATIDN APPLICATIDN/PERMIT
EilERGY SOURCES:
Hea t lilu:.
!1ater Heater ~//V.
Range E/eG
,egal Description /7.(J3-ZS-:33 t::>$Y~C:>
~
~
Prima~ Stephen P. Streeter, III Architect 460 SW Madison Av Corvallis 2062 6/85 758-5140
Structural none
Electrical Balzhiser/Hubbard & Assoc
Mechanical Balzhiser Hubbar.d & Assoc
CONTRACTORS Ina~_~
~~V.
General nl"'lf-' VI3, '_~... ~ 1'{3
'';
Plumbina~~ ~~
,Electrical c.rJ-. ~ ~
'Iechanical f:I- ~~n..... (-Jl'J.,f'An
cr
P,UIIBI NG
ND,
fEF I..Q!ARr.F NO
s.~ ~.
o
Each single fixture
Relocated building
(new fix, additional)
S.F. Residence
(l bath1
Duplex (1 bath) each
Additional bath
~Iater servi ce
~ewel'"
Storm Sewer
I
I
VAU41M P'a6:f,f Qf
Uw.N .5~.IiIK ,n
5:-
s:-
BOX 2687 Eugene
(address)
?~ IA..,-.I':>JOO.
;:)<>"i',\ (v ~
~' <J.ll e 0.;:;,,, n
;h (c.- '17'1f<j.-()
ELECTRICAL
(lies. no.)
'~.:l 7/.J...
;1o,Cft-,
)3"1(.-'7
~..... 1.t488
j'
(exoires)
686-8478
686-8478
(ohoM no. )
orr f"ARG[ NO,
Residence of
SQ, fT.
New circuits alts.
."", or extensions _
::z dR JYJ~'"
SERVICES
I~
r...-h -1''>-
l- 3! -6.5-
~ ~ ,J,).-j'..5-
(- to 'O~-
~ fi'7->;J.~>
&:33IU(r,C
j <J'-<? ;) Q]I>
?I/Co )(,,).(
ITemporary Construction
IChange in existing
res.; d_eflce .
Imultifamily, camm. or
tnrluo;;,trial
10f amps,
ICO~~,/IND, fEEDERS
I I nsta 11/a 1 ter/re locate
dio;;,trih. fppdpro;;,
IOf amps.
I
I
I
MECHANICAL
HI=' r~AR.G.E..
z
furnace/burner to
BTU's
'."" I<.Q
Floor fu rnace
and vent
Recessed wall
~o~rp hp~tpr ~nrl vpnt
J-t ~ J;bcTlfVi ~ '.--
Appliance vent
s~oarate
Stationary evap.
cooler
Vent fan with
sinale duct
Vent system apart from
heat;na or A.C.
Mechanical exhaust
hood Clnd dUr't
Wood stove/heater
I:-:-.~,',:...~ .'" 'U\'I!~
TOTAL CHARGES 9'~ ~ TOTA, CHARGES /5:- TOTAL CHARGES /B. -
WHEnE STATE L'H REQUlnES that the Electrical work be done by an, Electrical Contractor, the electrical portion of this permit
shall not be vali~ until the label has been signed by an Electrical Supervisor and returned to the Building Division
I HAVE CAREFU,LY EXAMINED the completed application for permit, and do hereby certify that all information hereon is true
and correct. and I further certify that any and all work oerformed shall be done in accordance with the Ordinances of the City
of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPAf~CY will be made
of any structure without the permission of the Building Division. I further certify that my registration with 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,~nd emP10y~eS who are in comoliance with ORS 7QI,055 will be used on ~s/project,
IlAl,\E(please print) ,/1/\ ,-,- IJ i.i:....J.e ~v SIGIIATURE ~".... 0 JJ.~ Pi DATE r-G..-J7 I./-
I FOP. Off I CE US OlleY V
Sq. Ftg. riain x Value
Sq. Ftg. Access _ x Value
Sq, ftg, Other~~~ Value 78.~
" fl9-.4?1' CD1:u , TOTAL VALUATION -
'vJ<;/ '" ~ jj ~<.I>' Systems Development ~ / ~
~n'-~ I.'Z' Charoe (!.5~)' ~Y-H- .
zoneKJ.. t::/~P Tyoe/Const-9'/,.5?~Y\> Units
Fire Zone Bedrooms Occy Load
Flood Plain Stories Occy Group.J 2./
-:J.-'V' _0 Plan Ck, ConmlInd
__~~~'____....2..2J./Blda PJ.r F'pp
/1 :;:>,..,. Plan Ck, Res
I. . ~.. 30t/Blde Per fee
____~. ""0
/.6&>
/.""" --= 'Sidewalk
-___W_._____
. t;t::> ~/C Paving
___L8.~~_ Curb Cut
.72
BUI,DING PER/lIT
Charges an~
Surcharges
P,ur~BING PERMIT
Cha rges and
Surcharges
~
E,EeTRICA, PERI~IT
Cha rges and
Surc~arges
MECHANICA, PERMIT
Charges and
Surcharges
I
I
I
, ITota,1 Comb, Permit
Fence
Demo
I
I TOTA,
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37tl. ~ y
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COMBINATION APPLICATION/PERMIT (CAP)
PERMIT VALIDATION
Ill.
I. Applicant to furnish
A, Job Address
B. legal Description
1. example- Tax Lot 100, Lane County Map Reference
II 03 43
2, exam~le- Lot I, Block 3, 2nd Addition to
~prlngtield Estates
C. Name, etc. of owner and construction lender
0, Energy Sources
1. examele- heat/electrical ceilinq/or forced air Qas
2. exam~le. waterheater/electrlcal/or ~
E. Square footage or valuation, etc.
I, examole- 1250 sq, foot house, 500 sq, foot garage
2. example- if new project. check-new - if addition,
checl< add, etc.
F. Building pemit information:
1. example - construct single family house with an
attached garage
2. example.. remodel existing gllrage 'ir..~o famiiy room
3. examyle - conve~t single family resjdence into
restaurant (change of use)
G, Value of work as defined in Section 303 (a) of the
Structural Specialty Code
H. DESIGN TEM1 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 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 adjacent
to the appropriate item(s) to be installed
B. Full Plumbing. Mechanical, and Electrical Schedules
are available at the B~ilding 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 schedules
C, 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
Whenever possible. the initial application will b~ used as
a worksheet only, Where possible, Building ~ivision Staff
will prepare a type written copy and return it to the
applicant at the time the actual permit is issued for his
signature.
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. All other fees and charges are due and
payable when the permit is issued.
,
,
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V, FOR OFFICE USE ONLY
Pennit Cl erk
~
.
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
Permit applicant exempt from registration with the Sunder's Board because:
Additional Project,Infonnation:
PLANS REVIEWED BY:
name !-e>RAtCE' i'z~~ Signatur~'"2._ ~-:>-~ date 7-::< Y-8 Y
~
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CITY OF SPRINGFIELD
BUILDING DIVISION
PLAN CORRECTION SHEET,
JOB ADDRESS: 1.5''33 MA-A'R€7 5T;l>EET
L. P 5. 6(..J~~
USE OF BUILDING: ~~R<::'AI 1f' ?:'- T~ ,,)?FN~VAt77~N5'
OIoINER:
Plans submitted for the proposed structure at the above location have been checked and the
following items require correction, clarification, or additional detailing before they can
be approved:
/- 7#.: <:::/7"'" 2t>A///Vc. <:::::"C7.>&! ..:.:)~c:::.r/~/Y /~.t::'8
~RA"hYG 7A)Ij>~ ~ -IlJh(h~~AZ~ ~..:<:./~./~ 7.#~
M,y/~p/'?? JAh7'9/S/':::>H~ ~A? .~.:'1J.,;..y'~ ~~A#5'
,/Is: Atb/c:V ~~ 7#~ Sr-e-- .~_ 5#e:-~r .,#.../.
2- d,h'S/ ~7'/fNJ}.-J-"pb ~//7/-/9801'C/~~R€" ';?~ 5~~
MA//;c,.,p-""7 LAVA~/rr ~~A>A'A7<:~ n,~ 7H-~
~Y~n::A-~(..~ ~......,-P'~~v:'- ...I- ::?9'~M/.N. #.Nf!:~
r./~~.....,;?c:-.&:' _#.0<<.#7'"/6 ~~C/;:r~/) ~ h~~L.>
t:::h. p_/ __/L 7~-.2 .
3'- ,4-;11~/ -5'7:AhPA-K'p R6;C/M'~ 30(<:) h"~c/,~€)
.d ,~2" ,M/A/. E.%7"'€~/o.N' /'"}~ ,!A-S:- ~Z;>€ ~A-;zr,~
,,#-!S ~/r-V ~..ct 2?~/..9/L ~/A-2.
$1- IF .~,C' Z;>deS~~/~ /'5~~~ "B y /YC-W 2bo~
#s;;;y y~ 7rrg ~,J: =<Oh?/N.v7"~/f>*./ t~. T~ ~J.....
,P~:R5 7"'~?~ ~/:5'C:> 19~ ::?~ .M/.A7.t:J7"'E /~, ~-:.
~ /~ ?h-""e- ~ #A"t: h6r'AbI.v ~~~:
,. . r _ .. _ , _ . ,
, /A'.c A/Eiv ~5 ~~ ~.rCA2' ..z::;~?/X/iC.:-
!:- €X/r _~,..,..r ~""'t:-<... 13<:F OPe;v~<:.~ m~ ~~~~
W/~.r ~ ~ ~ ..11- R"e5--' ~ ~y ~~~
- - . - . ~ -
k.N'.::5JvL~~ .~k 5').~7'".
Plans Checked by: .L.t1JRN~ ~E<:;..r~ Date 7- 2L/-t8 </
Rechecked and
Approved by:
Date
I have made appropriate changes to the referenced plans:
Date
Signature of Architect or Engineer