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HomeMy WebLinkAboutPermit Building 1987-3-19 CITY Uf SPRINGFIELD. INFOR/1ATION LWE ,I cormlllATION APPLICATION/PERMIT 726-37531 ElIERGY SOURCES: I' Sq. Ftg. 1,Iain /7S0 C':f J7i'4: 7305 Main Strept. Snrinp'field Heat E'LeT ffEA-7" ,<1'....1 J ~q.. Ftg. oAccess. Legal Description 7305 Main" Street llater Heater Sq. F~9 ber'" .3.::t:;l... M <;:"- -~ J-'p ., PI ---:~~-d.-~'. New ddLAlter Rep. vu ~r:" .:.'.-.o...:.::...:.w......::. - ,i;,'IYtor-~Q.::' ............. -....... RanQe -Fence erno Change/Use Upper Mausoleum /7-02.35- TL ::?7t?2 "j :J7",Q \ ValUE of H~~?~~O'~ C' Other- - I ~ij Owner Springfield Memorial Garden, Cem & Mausol, . '-', '",_ ~/-, BUlloinq Pernnt Info: Descnbe l~ork(1.e.. Build Single Address 7305 Main St. Sorin~field. Phone 746-531Jamilv nesidence Ilith Pttached Garaoel ~ Ph.746-5311 011//,I~/I.y/. !J7'f'B? M;/V1M Fl/"7 Ii- e!rffJ"r) ''\J t3A'vJ( 771ir' ~"'I-r~IkC".:J"'" W.J'f S'7;,t?/ZiD /..,/ /77:1 Blzl-.?oJ Phone 7:>'{.:q;n v./,ic>z L--jv€:, (OJ",,'); /'dI..v//lJ '3 fJ :7V;l..Y-. "'d."'"".'~"~"'~o" .,we"", "",. M' '~,rel.. ." ':~.;:'" 1.r; t'n M';1....tr Mnn-rp or _ with Mack Moore and Robert R. Smifh. elect. Enp'ineer. i- '." J' INSPECTlOU LIUE 726-3769 Job Address . Construction Lender C Ed- ~h; k/ Primary .Tame.c; Keefe. cl'p.seaserl Structural Same Electrical S::lmp Mechanical c:.,rno CONTRACTORS (name) Address Ut~I(jN ftN1 ev. I /0h trv'L lnampl "'tl- ..~, u(addrpss"-" Moore (1 ic<;._ nn. (pxoirl?<;') (ohnnp nn_) General M~H"k- Mn('l"T'1=> P"T'pc::; rlpn't_nwnpT" nper:\tn.... Plumbina M::l("k Mnnrp_ Prps; nFmt-nwnpr operator Electrical Mack Moore, President-owner operator 'Iechanical Mack Moore, President-owner operator PLUI,IBING NO.1 6 Each single fixture Relocated building (new fix. additional) S.F. Residence (1 bathl Duplex (1 bath) each Additional bath ~)2/ ~Ia ter servi ce !pC; Sewer ~ Storm Sewer TOTAL CHARGES HHEnE STATE LAW REQUIRES shall not be vali1 until the I HAVE CAREFULLY EXA~1INED 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 Spri ngfi e 1 d and the Laws of the Sta te of Oregon perta i ni n9 to the work descri bed herei n. and that NO OCCUPArKY 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 and employees who are in compliance with OP.S 7~1.055 will'be,~sed on this project. , Mack Moore, president/owner 11/.1 ~c?'~ ~/Yi~~ IWIE(please pnnt)._2f~~,nlZf; ,,1 r1 M"mnr;"1 r,"rrlpn~ SIGNATURE! f/{.= It-I //~ OATH,,}, <; FOr. OFFICE USE OULY Tyoe/Const.X_.! AIR. Units Sq. Ftg. rlain Bedrooms Occy Load Sq. Ftg. Stories / Occ,Y Group-4.:3~ Ftg. , Zone--L.PZ? Fire Zone Flood Plain BUILDING PERIIIT Charges and Surcharges PLUI1BING PERMIT Charges and Surcharges ELECTRICAL PERfHT Cha rges and Surcharges rlECHANICAL PERMIT Charges and Surcharges 7.46..:5..'" , ~ril , ELECTRICAL MECHANICAL I FEF I r.HARr,F f.Jn I Residence of . ~~~ I n-l4IU~~ NO I I ~n. I n-l4Qr.~ furnace/burner to SQ. FT. BTU's . 7$0 rso", New circuits alts. or extensions Floor furnace and vent SERVICES Recessed wa 11 ~n~rp hp~tpr ~nrl vpnt /;0) ?~~ Appliance vent seoarat~ Stationary evap. cooler Vent fan with ",;nale duct Vent system apart from heatino or A.C. Mechanical exhaust hnnrl and r1urt ~-"Ib I I A fS'- 7'61. - 125:- ' / Temporary Construction Change in existing rp<;..; denc-p mUltifamily. comm. or Tndllc;tr;al :z.. "j"'?9- , Of ;;2 ere::> amps, COMM./IND. FEEDERS Install/alter/relocate rlic::.trih. fpprlprc; Wood stove/heater / Of <' /= amps. (.!J:- ISSUANCf OF PFRPllT 255 ~ TOTAL CHARGES :5"2-50 TOTAL CHARGES that tile Electrical work be done by an Electrical Contractor. the electrical portion of label has been signed by an E1~ctrical Supervisor and returned to the Building Division /8.-- thi s permit 1 Q.8, Access Other~/""'4. x Value /7:f>,-,. 0 x Value x Value:"'p_~ TOTAL VALUATION /6"'l 0.:>0. .. / 7.'C- Plan Ck. ConmlInd ~<?I../ 65%)Rlrlo Ppr Fpp ------------ Plan Ck. Res 7'1. 07 30%)81 do Ppr Fep ~<"<" <=-eo> Fence ----&.,/~:...._--- /61.2:? _ __2?:f2::.__Sidewalk :::< -/t::J ____!tl;.=__ Curb Cut ,72 1'1>-::>0 '<:'-<;>.., 'I?7. 7.::> JI'~7 ~'? Systems Development Charqe (1.51,) , 2~O~ <So;. Df:j:ffio ~,,?.-r ..L.;,r..... c; i:;:;--'"':":C..~!?r,.y7 k-H/ ~</~04''='"'' -:::v.:;-. ~c:. I -, -- --- ITotal I I TOTAL Comb. Permi t /0':>6'. gr; -:;&25: <'8 92-:S'D AIC Paving ~ o . . . 11- 'H~'~ COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal Oescription I. example- Tax Lot 100, Lane County Map Reference II U3 43 . 2. exa~le- Lot I. Block 3, 2nd Addition to Sprlngfield Estates C. Name. etc. of owner and construction lender O. Energy Sources 1. exam~le- heat/electri~al ceilinq/or forced air cas 2. examyle- waterheaterjelectrlcal/or solar. E. Square footage or valuation, etc. ------ I. examole- 1250 sq. foot house, 500 sq, foot garage 2. example- if new project. check-nfw - if addition, chec"k. add. ete. F. Building permit information: 1. example - construct single family house with an attached garage 2." examl?le - 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 (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. 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. --- 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. PERMIT VALIDATION . ~ l\\t\ 'b\Q(\~f\ Ol~\ V. FOR OFFICE USE ONLY Permit Clerk ()~ ,PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: ~At .4'~,.;-,v?n M,./O'-< 5<.J~ '7-' C ....."?/'?3LG' ~~ ->0 PZ>.c: Y/JVG. T#~ ?i-c:P'-'/7?~ h,?i'E h-,I,.,- hA /'-/7;>".,,- ~&>T'==?>=/1, .s.-r_~ ,1?~ ~6V/ nlZ='?::? , ,- ,.. Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: .c;~.Jr#lA~_M -:<G':};-' /A'__<>>r b'~ ",li'CVL.T //"c.?T/~ #P;P./-?&:>V~.o fie,,:. p/S~::Z:?~?/~~/"{",2?y ~-=:;~ -1 ~/~ ??~v/cge~ ~=-c"-=<::'=-; ,PLANS REVIEWED BY: name I ::'~A/& ~=..---, rc.~-r~ ~ signature a.~~ '? // lr_~~ . date "';:3-/9-&-; - . "" . CITY Uf SPRINGfIElD COMBlIlATlON APPlICATION/PERMIT EIIERGY SOURCES: Heat l~ater Heater Range ValuE of Work: . INfORllATlDN l1"t 726-3753 Sq. Ftg. 1,Iain ~q. Ftg. Access. Sq, Ftg. Other Ilew Add Alter Rep. --Fence Demo Change/Use Other - - I INSPECTION lINE 726-3769 Job Address 1305 !'11. ~ Address Phone BUildina Pennit Info: Describe Work(Le. f Familv nesidence With Attached Garaoel ..0,/1'10") ;;;A~ /0/1 , j). J?A Bui! d Sing I e ~ ....:] ~ ~ <><:;l -----:r l Legal Description Owner Construction lender Address Ut>! uN TEAl1 (name) Phone (address) (lies. no.) (exo;res) (ohane nn. Primary Structura 1 Electrical Mechanical CONTRACTORS Genera 1 (namel hlli// (address) flies.nn.) (exoirp<:.) (ohonp nn ) Plumbina Electrical v ~'echani ca 1 PlUIIBI NG ElECTRICAl MECHANICAl NO. FEF I CHARGE NO, ITL J:IJARliE. NO, H'~ r~@.G( Each single fixture Residence of SQ, F1. furnace/burner to BTU's Relocated building (new fix. additional) New circuits alts. or extensions Floor furnace and vent S.F. Residence (1 bath] Duplex (1 bath) each Additional bath SERVICES Recessed wall Sn~~p hp~tpr ~nrl vpnt Storm Sewer Of amps Appliance vent seoaratp Stationary evap. cooler Vent fan wi th sinale duct Vent system apart from I heatinq or A.C. Mechanical exhaust hoorl rind duct ~Iater service Tempor~ry Construction Change in existing rp') i rl.pprp multifamily, camm. or TnrllJc;.tr;i'll Sewer COMI,I./lND, FEEDERS Install/alter/relocate rlhtrih. fPPrlprc;. Wood stove/heater Df amps. ISSUANCE OF PFRIIIT TOTAl CHARGES TOTAl CHARGES TOTAL CHARGES WHERE STATE L\I; REQUIRES that the Electrical work be done by an,'Electrica1 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 I HAVE CAREFUllY 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 UO OCCUPAUCY 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 and employees who are in compliance with ORS 701.055 will be used on this project. Zone Fire Zone Flood Plain Tvpe/Const. Bedrooms Stories Units Occy load Occy Group SIGNATURE ,lJ/1bt'e1 ~ .. Far. OFF I CE USE DillY Sq. Ftg. 'lain Sq. Ftg. Access Sq. Ftg. Other DATF'7/W~. NAI,IE(please print) x Value Value Value x x TOTAl VAlUATION BUIlDING PERMIT Charges an~ ""'\ Surcharges Cf'- ______~f',e~.~r 15- Oll _____L2_~?P.. Fence (., .3 go 00.0 _____.:.~jp,;;l.5" 'S1dewalk /, .3 ( A/C Pavin9 tt, 01L) I Curb Cut --------~95-1 Plan Ck. 65%/Bldo Plan Ck. 30%/B1dQ Conm/Ind Ppr Fpp ROes Per Fee Systems Development CharQe tl.5~1 ' PlUl1B ING PERMIT Charges andc'.'''c; Surcha rges I I I ElECTRICAl PERI~IT Cha rges and I j Surcharges ..., MECHANICAl PERMIT Charges and f_ Surcharges \p fj qb,~ ITotal Comb. Permit I I TOTAL 53? oft, I . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B, Legal Description 1. example- Tax lot 100, Lane County Map Reference 11 oj 43 2. examole- Lot 1. Block 3. 2nd Addition to ~prlngtield Estates C. Name, etc. of owner and construction lender D. Energy Sources 1. example- heat/electrical ceilinq/or forced air Qas 2. examele- waterheater/electrical/or solar E. Square footage or valuation, etc. 1. example- 1250 sq. foot house, 500 sq, foot garage 2. examole- if new project. check new - if addition, enee k. add. etc. F. Building pemit information: 1. exam~le - construct single family house with an a ttached garage 2. examele - remodel existing garage into family room 3. examjple - 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 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. 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. --- 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. V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: I . PERMIT VALIDATION l t q 1 ~~ i 1~}lt- Pennit Clerk (b' . . Permit applicant exempt from registration with the Builder's Board because: Additional Project Infonnation: " , PLANS REVIEWED BY: name signature date "" """'.. .