HomeMy WebLinkAboutPermit Miscellaneous 1980-9-23
"11l5PECT lOll LItlE
726-3709
Job Address 5744 Main Street
Legal Description 17 02 33 41
TY UF SPRliIGf I ElD
CmmHIATIDN APPLICATION/PERMIT
E!IERGY SOURCES:
Heat Ga s
~'later Heater Fl ect
Range NA
ValUE of Hark:
769,089.10
Buildinq Permit Info: Describe l-lork(Le..
Family n.esidence I'lith Jl..ttached Garaoe)
~
ItlfDR/1ATION UNE
726-37S3
Sq. Ftg. Hain .)U ,0'+1
~q. Ftg. Access.
Sq. Ftg. Other
Vle"_ Add ~ Iter -,qep.
Fence Demo Change/Use
.1 --Other- --
I
100
o.
o
00
'"
'"
1902
Dwner B i -Ma rt
Address 145 North Cleveland
Euqene, Oreqon 97402
Phone
Build Single
689-0681
New Bi-Mart Retail Store
Construction lender
Address
DE5IGtl TEArl (name)
Primary Schaudt, Stemm, & Wa Her
Phone
(address)
(1 ics. no.)
(exnires)
I
(ohone no.l
388 High Street, Eugene
t.. 485-8383
-L~
~
~/- ~
Structura 1
Electrical
i1echanical
C01nR~.CTDR5
(name l
(address)
(1 irs. no.l
(pxoirps)
(ohonp M.
Plumbino
Ordell Construction 2300 Oakmont. Wav, Euqene
Laneco ,Plumbing 2300 Oakmont Way
485-4711
485-4714
Genera 1
Electrical
'.lechanical
PlUllBlllG
ELECTRICAL
MECHANICAL
110.
FEf
[HARf;E
fin
><c
rl-lA Rf, I=" i,m.
Relocated building
(new fix. additional)
5.00 65.00
I
I
SQ. FT.
6
furnace/burner to
175,000 BTU's
!1=n: I nU.Rr;~
7.50 45.0C
Each single fixture
13
Residence of
S.F. Residence
(I bath)
Duplex (1 bath)
!NeW circu~ts alts.
or extenslons
I SERVICES
Floor furnace
and vent
each, I
KdU~XX.)6XJ( I
Sn_cp hp_tpr ~Xx,~~ 6.00 12.0C
amps,
Appliance vent
seoa ra tp
Stationarv evao.
cooler ~ .
Vent fan with
sino1e duct
Vent system apart
heatinq or A.C-
I Mechanical exhaust
hood ilnd dud
3.00
6.0C
Additional bath
~!ater service
Temporary Construction
Change in existing
rp<; ; dpnf':p
I multifamily , COTml. or
lndll<;trial
Sewer
Storm Sewer
1
Of --1.Qilll
from
Wood stove/heater
ISSUANC, Of PfR!11T
I
10.0C
73.0C
TOTAL CHARGES
WHERE STATE l~W REQUIRES
shall not be vali~ until the
perlil; t
I HAVE CAREFULLY EXNl1NED 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 Ore!]on pertaining to the. work described herein, and that 1m OCCUPAIKY 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 DRS 701.055, that if exempt the basis for exemption ;s noted hereon, and that
only subcontractors and e,mr1oyees \...ho are in compliance with OP.S ]t11.055 \'Jill be used on this project.
/JAr-1E(please print)
RnT 77 _ 1 Ii
Zone RA to r.? Tyoe/Const.~
Fire Zone Bedrooms
Flood Plain Stories
2
<;PR Un; ts
Occy load
Occy Group
SIGIIATURE
fOn OFfICE USE D'<lY
50. Ftg. 11ain 30.641
Sq. FtQ. Access
Sq. ftg. Other
DA.TE
x 25.10
Value 769.0R9.1U.
Val ue
Value
x
B-2
x
BUILDING PERI.UT
Charges anc
Surcharges
I Plan Ck.
1157. 00 65~/Bldo
-----h48~2-8--1 ~6~~B~~~
_ _ __ _ _ _6~~Q..0_ J fence
2. 60 I D~mo
_ _____1_6~:.. ~_J Sidewalk
6.40 AIC .Paving
73.00 Curb Cut
------------
2.92
Comm/! nd
Ppr Fp€
Res
Per Fee
TOTAL VALUATION 769,089.10
1625 30 P 9_9_81.>ystems Development
. 0 ~haroe (1.51,)
IRECEIPT 54520 ?lan ck fee
~Ian ck paid
11.536.34
752.75
625.30
PlUl~BWG PERMIT
Charges and
Surcharges
Total flan ck due
126.75
ELECTRICAL PERI~IT
Cha rges and
Surcharges
Total Comb. ,rermi t
1.51l).?0
11ECHANICAl PERMIT
Cha rge sand
Surcharges
I TOTAL
13,178.29
~~
.-
".
t
COMBINATION APPLICATION/PERMIT (CAP)
PERMIT VALIDATION
I. Applicant to furnish
A. Job Address
B. legal Description
1. example- Tax Lot 100. lane County Ma'
.11 03 43 (
2. examole- Lot I. Block 3, 2nd AdditiDl '
Springfield Estates
C. Name, etc. of owner and construction len{
D. Energy Sources r
1. examole. heat/electrical ceilinqjor 1 \0....
2. examp I e- wa terhea ter / e 1 ec tr; car/or sc
E. Square footage or valuation, etc. -
I. examole. 1250 sq. foot house, 500 sq. ,0'
2. exam~le- IT"ilew project, checknew - -'"..-1
check add. ete.
F. Building permit information:
1. example - construct single family hou -NI
attached garage t
2. examole - remodel existing garage int
3. examole - convert single family resid
restaurant (change of use) .
G. Value of work as defined in Section 303 (. ~f
Structural Specialty Code
H. DES I G:: TEAt.1 ArID CONTRACTORS
To.avoid design or construction delays. Bl ,01.
Division Staff must be able to contact apl ~r: - {lV-j
persons regarding design information or j( ~ ~
corrections. etc.
II. Abbreviated Plumbing, r-techanical, & Electrical (o'''t
A. Except where blank spaces occur in the de~
portion of the Mechanical and Electrical ~
the applicant need fill-in only the No. Bc
to the appropriate item{s) to be installed /'
B. Full Plumbing. Mechanical. and Electrical ted'
are available at the Building Division
1. To conserve space on the permit form t
have been abbreviated t';'
2. If the item{s) to be installed are not 'vel
the abbreviated schedules you should c
full schedules
C. BUILDIUG DIVISION STAFF WILL FILL DUT ALL i (.
CHARGES 011 THE SCHEDULES
D. As noted on the CAP, the label must be del.
electrical contractor for signature by his
supervisor, The general contractor is .not
to sign the electrical label. - (
Applicant to sign and date Amount
Whenever possible. .the initial application will
'a \'lOrksheet only. Where possible, Building Dh
will prepare a type written copy and return it
applicant at the time the actual permit is issu
signature,
IV, Fees and Charges
Plan check fees are due and payable at the time (ti
application, and no plans will be processed unt
fees are paid, All other fees and charges are t-_ '_"~-
payable when the permit is issued.
CITY
OF
SPRINGfiELD
City Hall
Springfield, Oregon
Department of Public Works
OFFICIAL RECEIPT
No. B
S4683(
Da'eCl-I'..~ 19F n
Rec'd Framnrr-/CO,Q (/J;n&1J/(Jj('J;())1(
Address 2300 CLVzmOVLi- It )('1,[.
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(11 LrD
t--t p 7~ 00
L\Co'i1tJ '? q?,
9 C ~' CoW) rn 12(:,. ~ 2
~nt It S~/-,.~ \
Received Far: 6P
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1-
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qp
qO'Jn
Received \ ~; \:l9-, \ Q... 9 CL-
I II.
C-{:'"O","D "ON""",
l..,nTO".~V""BU~L ~"'''H:''5. E:VGU<f. 010 ."0'
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V. FOR OFFICE USE ON,Y
Permi t C1 erk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
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1. All cand it i on's of ROI 77-16
2. All conditions of site review 79-60 \
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information:
PLANS REVIEWED BY:
name
Lorne P1 eger
date
9-23-80
signature
....... ._. . .... .."" I"l ,.
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