HomeMy WebLinkAboutPermit Building 1989-5-16
,I-' ". ..
I ;~~~~1M"N LINE _. COMBINm~NU~p~m~m~~~ERMIT. ~~~~~;~jION LINE %
d Ad ':;;> EIIERGY SOURCES:, Sq. Ftg. l~ainJq~g.:::> ~
Job Ad ress 2/'22 /y/A/?L::<:?C.A- ?'I/O. Heat ~q:Ftg,Access. \5
Legal Description //-.:::>2.2-<;-:;;("3/ /..::>.t:J,,/L>(, /.::?.:::l~ Hater Heater Sq, Ftg, Other CIjJ
, . Range ~lew__Add__Alter--Yep,
-=J Of? -I ~~ Fence Demo Change/Use ~
ValuE of Hock: Dther-- -- 10
Owner ,IIILL-MAN l?1207"e/f'7/<ES /y')A./. ~r?( "!?'2<:? ~
dd BuildinQ Perlllit Info: Oeser be Work(Le.. Build Single
A ress 9"'"" N. 7L;N'?A~Wff /"" ~, Phone Familv Residence Hith Attached Garaoe)
~#~~V'cr #d:'"W7?~)f?r-~<!""1
/Eh'A'/Y'7")2;,p /Y/&#.4'-U' ~E/'"~
. .
?~E,
{address} (lies. no.\
b/7:J ':;,VY. I/f '~YG
Pr;mary j;"'''''''N-<J-k' u:J.-'; #-56"''''', '?<t:., :P08~hZ> .pR. ~.?~
~f/r&1 $', ""'. ~~,h'B6'rT4VE,/ :;v/~z<>(
StructuralR.4.: W~ C~7-i'. 7:h"''r''-'p''-'?? /->?? 97?~/
. -:2607 5.~:~. -:57.
Electr;cal MF/A'. 0/':::- . ;Do7i'~.n'Z:>.~;z?, 7"?::z/4'
Mechanical :::i9~E Ai!:-, fi;1l_v~. I
CONTRACTORS Inamel
General L~n:> }&.wRL -I" ~.-cc,
972/7
2Biff-,/lff
';:?,"Pr/..4.HTJ /':p}f'.
Construction-lender
Address
DES lor; I EAr"
Phone
lname I
(exoires)
(ohone no.
6"'7''(- '12'22
'7::?7-0SS~ l
2."3Y-~~&
(address' (lies_ no. \ (exnir~s) (ohon~ no.' 1
7:3? ffAoP-5/%F/?7;_ k'/7?U'//M'L>,~. /;<~\~2&- q'~V9'
, , ,
PLUrlBING
ELECTRICAL
FEE CH^RGE ~O
Residence of
7.SV 6t7..- SQ. FT.
/" New circuits alts.
or extensions
~ "'~, h9~1?~
SERVICES
Temporary Construction
Change in existing
resj4f!nce
multifamily, COITm. or
Industrial
-:7&>,- I Of t,f~ amps,
COMM,/IND, FEEDERS
Install/alter/relocate
distrib. feeders
",:n -s""o,--k
MECHANICAL
Plumbina
Electrical
~1echanical
Each single fixture
B
furnace/burner to
5' L' /.-..~ BTU's
F F "---- .QlARtiE
6.- -<> ~...l
NO.
FFF ~ NO.
Relocated building
(new fix. additional)
S.F. Residence
(1 bath!
Ouplex (1 balh) each
Additional balh
~-S<'
Floor furnace
and vent
'2
Recessed wall
S['Jil.(:P hpat.Pr ann vpnt b."" /;:"p.
Sewer
-:z
s::<'s . I
Appliance vent
separatp
Stationary evap.
cooler
Vent fan with
sin9le duct
Vent system apart from
heating or A.C.
Mechanical exhaust
hoar! and duct.
Wood stove/heater
'? b' 6.. dZ>
~!ater service
,~I Storm Sewer
i-S'::>
.,/~/
'5 Of /LJ.;t::> amps. 6"". YS-'"7 0;2#> ;;",,/~
7&> ; ~ r ....."....--/hGZ> L3' - Mk=-
~ ~V~"., 7" 6"C<f'; =:-, L;.?";V
t./A 'e> h//4. ?? e ~""~ ~ . I SSUANCF OF PFR!HT
TOTAL CHARGES g&>,'-' ~ TOTAL CH^RGES /::?~ ~ " TOTAL CHARGES <)6. ~
WHERE STATE L.\\~ REQUIRES that the Electrical work be done by an' Electrical Contractor. the electrical portion of this permit
shall not be vali1 until the label has been signed by an Electrical Supervisor and returned to the Building Division
,S-'" ;;3.S?:
I HAVE CAREFULLY EXAMINED the completed aprlication for permit. and do hereby certify that all information hereon is true
and correct. and I further certify that any and all work performed 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 UO OCCUPAI~CY will be made
of any structure without the permission of the Building Division. I further certify that my registration with the Builder1s
Board is in full force and effect as required by ons 701.055. that if exempt the basis for exemption is noted hereon. and that
only subcontractors and employees who are in compliance with OP.S 701.055 will be used on 'this project.
IiAHE(please printlh E-Y--T vJ A-; L..E:.. <-. SIGNATURE ~ l,L
FOr. OFF I CE USE OfIL Y
Sq, Ftg, !ia;n /</&>$R
Sq. Ftg. Access
Sq, Ftg, Other
DATE~/~3.pf(
Zone ,..::::. /..
Fi re Zone
Flood Plain
Tyoe/Const. ~."y. ..;.n-Un;ts
, /
~edrooms Occy Load 5<;11:;;
Stories / Occ.y Group /9 - 2.
,'31. 5'.::> Value //Y',?L;'"2t:? d
,
Value
BUlLDING PER~lIT
Charges and "'"
Surcharges d'-
de> 'PI an Ck. Conm/lnd
"~~;>, 65%/Rldo Ppr Fee
------------ Plan Ck. lies
~. ~~ 30%/Bldo Per Fee
nl
'........
~'I. '5'~
Value
TOT^L VALUATION
'.1,).-
'Systems, Development ' /' __ .C'
Charqe (1.5% " , Ioh OJ 2.80
?.p~...-:r~ h~/7"/c"'~ ~
'~ ~/Y ~~~ l?rrv-' B'
/':'e#~&o2?7 - ~ '1"1: 97
,
PLU!1BING PERMIT
Charges and C
Surcharges /
&6>. oe>
------------
~."'P
Fence
D~mo.
ELECTRICAL PERIHT
Cha rges and
Surcharges
MECHANICAL PERMIT
Charges and I
Surcharges \p
'S1~ewa 1 k
A/C Paving
Total Comb. Permit /'1'/0./5"
. :h~7JF#9~'1 '
TOTAL l)o~ ifl!"!7. 53
I
PH:t:t 14 ~1r'
""'6' eo- Curb Cut
_____<..d..!_~____
-;< .80
r
l-!
,
.
.
f"
'.
COMBINATION APPLICATION/PERMIT (CAP)
PERMIT VALIDATION
I, Applicant to furnish
A, Job Address
B. Legal Description
1. example- Tax Lot 100, Lane County Map Reference
1/ U3 43
2. example- Lot I, Block 3, 2nd Addition to
~prlngtield Estates
C. Name. etc. of owner and construction lender
D, "Energy Sources .'
1. example- heat/electrical ceiling/or forced air Qas
2. exa~le- waterheater/electricalJor solar
E. Square footage or valuation, etc. -----
1. exam~le- 1250 sq, foot house.. 500 s.q." foot garage
2. example- if new project, check n~w -, if addition, "
check add, etc. .
F. Building pennit information:
1. example - construct single family house with an
attached garage ,
2. examele - remodel existing garage into family room
3. example - convert single family residence into
restaurant (change of use)
G. Value of work as defined in Section 303 (aJ 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 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 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 0"
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, ---
Ill. Applicant to sign and date ,
Whenever 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 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.
'.
V, FOR OFFICE USE ONLY
Pennit Cl erk
II
j
,
J
J
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
J
Pennit appl icant exempt from registration with the Builder"s Board because:
Additional Project Information:
, ,
, .
PLANS REVIEWED' BY:
name
L:,;;a;;sE "R~~
Signature~ ' '~~
,/ ~ ,p/
date
~ - -=?& -!~:;9
<l? "')q.4Ai
". ,. .. , '.
" I INSPECTioN LINE . CITY OF SPRINGFJE~O .
726-3769 CmmIllATION APPLlCATION/PERMIT
Job Address :.nop tll aq. tl. MOnaWK MarKetpl1 ace E!lERGY SOURCES:
~/~ ~ar-c,:l? D1j&-l.9t~ St. Heat an~
Legal Description Man 17-02-2~-21 !~ater Ilealer_e.ler
Range N IA
Tax Lots 00100. 00101.00102. 00300. 00400 Valu, of liork:
Owner Hi 11man Prooerti es
I Address
qOO N~rth Tnm~h~w~ T.l.nrl nr
INFORltATION liNt
726-3753
Sq. Ftg. I'lain 9440
~q, Ftg. Access.
Sq. Ftg, Other
J(llew_Add_Al ter _Pep,
Fence Demo Change/Use
Olher- -
~
~
N
N
'\J
!11if~:'d 111
$??fi - 'ifill- 00,
BU11{i;nQ Penllit Info: Describe Work{ Le. I Build Single
Familv nesidence HUh Attached Garaa~)
Portland, OR
97217
Construct structural
for Lease buildings.
to be under separate
{lies. no.)
Conslruction I.endeunknown
Primary Ehmann-Kl as Associ ates:'PC
,Struclur<R. A. Walker Ena.
Electrical MFlA. Inc.
11echanical same as elect.
CONTRACTORS I nallle )
Address
DES I GrI TEAll
Genera 1 Lloyd
Plumbinn to
Electrical
(nallle)
Ph011<'
(address)
6775 S.YI.
Ptld, OR
lllth Ave.
97005
1294
(address)
(l ks, no")
Powe 11
be bid
& Assoc.
737 Market St. Kirkland, Wa
tn hA hili
to be bid
ELECTRICAL
~lechanical
NO.
PI.UIIBIrIG
FFf
SO /F . '", c"'JlG.E. )"0 .
Residence of )' ~
c,../ New clrcuits al~. \ I
0; ';.;.q~R..,!'" 7:Z-Y
1 SERVICES \ 1\ /
: ~ ~TempOrarY co~truction : //
F Il\hange in exist>ing I v'"
. r~Slrlenrp \
_1\_ lInt 1tifa~lily, conm.\,or I
sq. I, rtustnal
'\. / I aI, r:..t!7C> ps
Cpl111. /I NO, FEEDERS
Install/alter/relocate
~;~tr;h_ feeders
;J Of /~ amps.1
,.-/ 1 I
CH^RGf
NO
Each single fixture
Relocated building
(new fix. addition~l)
S.F. Residence
(1 bath)
louPlex (I bath)
IAdditional bath
/98 ~Jater service
{/6' Sewer
Storm Sewer
~
/57--'" TOTAL CHARGES
that the Electrical work be done by an Electrical Contractor. the electrical [lortion of this pemit
label has been signed by an Electrical Supervisor and returned to the Building Division
each
75:1f.>
""I
"'-,
"k
I
I
\
I
V:5.'-
I
I
I
//2. SO
TOTAL CHARGES
WHEr,E STATE L.\II REQUIRES
shall not be val i'J unti 1 the
shell and enclosure
Tenant improvements
permits
(exn; res) (ohone no. I
Ii no /Rq
1i44-4???
??1-n~~~
?14-n~4R
(exo; res)
(ohane no. l
(206) 828-4444
MECHANICAL
ff , I J:JJARGI.
furnace/burner to
Blll's
Floor furnace.
and vent
Recessed wa 11
SDace heater and vent
Appliance vent
seoarate
Stationaryevap.
cooler
I Vent fan wi th
sinole duct
I'Vent system apart from I
heat;nq or A.C.
I Mechanical exhaust
hood and duct
I \'jood stove/heater
I
I
I
ISSUANCF OF PrRr11T
TOTAL CIlARGES
I Il^V[ C^,~[rULLY [XM1IN(1) the completed ap[1lication for [lermit. and do hereby certify that all infonnation hereon is true
and correct. and I further certify that any and all 'work nerfonned shall be done in accordance with the Ordinances of the City
of Springfield and the laws of the State of Oreqon rertaining to the work described herein, and that He OCCUPArlCY will be. made
of any structure without the permission of the Buildin!l Division. I further certify that my registration ~/ith the Builder's
Board is in full force and effect as required by ons 701.055. that.if exempt the basis for exemption is noted hereon, and that
only subcontractors and emrloyees ",ho are in com~liance with Or.S 701.055 \.1i11 be used on this project.
1lAJ.1E(please print)JS:>~~, e. rc-, ~,
SIr.IIATURE' ~A5 ~ ~
OATEYI?)~G)
Zone CC
Fire Zone
Flood Plaio
BUILDItlG PERHIT
Charges an~
Surcharges
PLUI~BING PERMIT
Charges and
Surcha rges
EI.ECTR IC~,1. PERr~ IT
Cha rges and
Surcha rges
MECHANICAL PERMIT
Charges and
Surcharges
Far. OFFICE USE DIlLY
Tyne/Const. 5?Y. ~?A".Uni Is 5<1. Ftg, f1ain 9~Slo
,
Bedrooms Occy Load Sq, FtlJ. Access
Stories / - :Occy Group 7? - 2.. Sq, Ftg. Other
-
Plan Ck. Comm/lod
_ _ 2t.e.. _Q.. _ 6S%lBIdo P,er Fee
o Plan [k, Res
557 "7'1 30%lBl dQ Per Fee
____.2~~_ Fence
~,7S' O~mo
n__I.!.'?:..?.2~ Sidewalk
6'.63> A/C Paving
'-IL'7./9
"
x~<;t..pe,Value'Z2i::,~-
x Value
x Value
TOTAL VALUATION /;
Systems Development
Char~e (!.5~)
77'<:?'BJ~O
---5~C' .lYeWc: ';Zj.67i'lf 7' r~3 -.# :f5'96?E7"d:>
/'~T-? ye:::>,/ c::>r:-~. /l?=;r-
?C/T/Y j1E Y/c"",," ~c!. ~
Total Comb, rennit 9-5'/. '57
Curb Cut
TOTAL
%8/7. 16
.
.' (
I,
"
.
..
.'
COMBINATION APPLICATION/PERMIT (CAP)
PERMIT VALIDATION
I, Applicant to furnish
A. Job Address
B, Legal Description
1.' example- Tax lot 100, Lane County Map Reference
1/ uj 43
2~ examele- Lot I, Block 3, 2nd Addition to
.' ~pr1ngtield Estates
C," Name. etc. of owner and construction lender
0, Energy Sources
1. example- heat/electrical ceiling/or forced air Qas
2: examole- waterheater/electrlcal/or solar
E. ,;5quare footage or valuation, etc. -
I. example- 1250 sq, foot house, 500 sq. foot garage
"Z. example- if new project, check new - if addition,
check add, etc.
F, Building permit infonnation:
1. exam~le - construct single family house with an
attached garage
2. examele - remodel existing garage into family room
3. exameJe - 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. OESIGN 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 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 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 schedules
C. BUILOING 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, ---
III, Applicant to sign and date
Whenever 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 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.
~
lQrff
V. FOR OFFICE USE ONLY
Permit C1 erk
~
V
; IIp\~~
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPArlCY:
1~1;/'5 PG7h7// hS.":':? ~&..d_....;-. ~L~ 6i1?~? m-72~::;''/.':S.';~ ?~A"S
j$.."q ~ 5;tJ?C~$<{""'P/~.~P/77~~ .7ta~~_
_ELE27Zi'/~CJ~~~""''''~' .~hA~~ /~. ~
.. .~~7i'~~ ~~~__~VA'-c..../ /~;Hh?/rs.9" ~--;;/~-:.
Permit applicant exempt from registration with the Builder's 80ard because:'
Additional Project Information: M ;?b7/??/,/";' ~ ~e AsVi!Gi50/'ilhL
~~ Z)~;P~6ii?;~:3---~A~J---~~BV~ ~S;>'Z:O'~
. I. , - ,. -
--:::5'..v'~ )?~A'-r~ ~;T&f.:,-'? :4'7" c::JTY ~~"'~~
.. - , ,
7lV/?/P/9 &4' S---9-~7.
PLANS REVIEWED BY:
, name
l..~RA/E ,,Pc-~~
Signatur~~~._ '=' ' date
, ,rr v r /'
r r
'/-2/-g<?
"
.
,
SPRINGFIELD ,. ,
DEVELOPMENT SERVICES
ADMINISTRATION
PLANNING I BUILDING
PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT
August 30, '1989
Robert Klas
-, - '.
Ehmann-Klas Assoc. PC
6775 S.W. Illth Ave.
Beaverton, Or. 97005
RE: Fees due for Newberry pla'n cha'nges to Hohawk Marketplace
Dear Robert:
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726.3753
The following is a summary of the fees dUE! as a result of the plan revisions
for the Mohawk Marketplace project in Springfield, Oregon:
BUILDING "B" REVISED
Building Permit
5% Surcharge
Plumbing Permit
5% Surcharge
Mechanical Permit
5% ~urcharge
Plan Review Fee
'Systems Development Charge
Total
NEWBERRY
Building Permit
5% Surcharge
Plumbing Permit
5% Surcharge
Mechanical Permit
5% Surcharge '
Plan Review Fee
Systems Development Charge
Total
Subto'ta1 of' two 'above
$ 242.50
12.13
35.00
1. 75
15.00
.75
157.63
607.82
$1072.58
$1207.00
60.35
80.00
4.00
56.00
2.80
784.55
6652.80
$8847.50
$9920.08
Credit for all but Plan Review
for Former Building "B" -$4349.97
Total Balance Due
$5570.11
Sincerely, /;;/' .,..'7)
" ~~/)~~~
Lorne W. Pleger, Plans Examiner