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Home My WebLink AboutPermit Building 1980-8-19 . . un OF SPRliiGFIELD COIIBIilATlON APPLICATlO~I/PERMrT E!lERGY SOURCES: Heat Hater Heater I [,'ISPECTIOII LIIIE 726-3769 Job Address 5770 Main Street legal Description GAS r,AS GAS SE 1/4, Sect 33, T 175, R2W, County, Oregon Ra"nqe Willamette Meridian, Lane Owner Albertson's Inc. ValUE of Hark: 1,964,363,00 , BU11Una Permit Info: Describe I-lorkti-.e., Build Single F dmil v nes ; dence 1.lith P.ttached lla raqe) Address P. O. Box 20 Boise, Idaho 83726 Constructio~ lender Address Ut:.Sllitl H.m.' (208) 344-744fhone Construct New Albertson's Market (name I Phone (address) flics.no.) Primary R.C. Ehmann & Assoc 4505 S.W. Corbett Ave, Port Structural Dick Ebel inq Office 9370 5,14, GreenburqRd 740 10320 8939 3952 (lir:!;. nn.) 97402 Electrical James Dc Graham & Assoc 1902 S.L Morrison liechanical McAn Engineering 6552 S,E, Lake Rd t-lilw. Port, CmnR.A.CTORS (name) (addr~ss} Meili Builders Inc. 10 Van buren Street Eugene Genera 1 Plumbina Electrical 1.1echanical NO.1 PLUllBillG ELECTRICAL I FEE I r.H^Rr,F Nn I ~~~ I nl.ll~r.~ NO. Residence of Each single fixture SQ. FT. 78 5,00390,00 I Relocated buiJding (new fix:- additional) S.F. Residence (l bath) Duplex .(1" bath) each I I I I 11 I Temporary Construction I' I I '.Changein ,existing I . f"P'}idE'nrp " 1 I multifamily. ,com. or I 5 In~lJstrii'll I 'I 1 Of 2,000 amps: 65.0(65, oq 2 I I C01'JL/lNO. FEEDERS 2 2 0" 2 00 Install/alter/relocate 5 . 1...1 . rlic;trih. fpP(ll:>rc; ,5Q 1. 00 5 Of 200 amps. 15, 0~75. oq 1 /l i r Handl er 80R9RO I 1 . 600 40.0~40,Ocj 1 ~EF Camp 40 HP . 2i.~R ~2,50 IssJanceof Gas Per~it 13,00 1 400 40,O~40.0cj 2 2100-160 Unit Htrs ~.50 ~3.50 I I 2 I 100 lO,O~20.0q, ..ISSUANCE OF PFRtHT 10,00 TOTAl.CHARGES 396.00 TOTAL CHARGES 225,00 I TOTAL CHARGIS l()~,OO '."WHERE STATE L'W.REQUIRES that the Electrical \'Iork'be done by an Electrical Contractor. the electrical portion of-this pemit shall not ,be vali:{ until the label has be€n signed by an Electrical Surervisor and returned to the Building Division Additional .bath \2ter:servic~ Sewer .'. I Sto~m Sewe~ I GAS FIXTURES 1-4 " 2 Over 4 New circuits al15. or extensions SERVICES lUFORlIATION 111lt. 726-37S3 Sq. Ftg. I.;ain Z~, lIb ~q. ~t~. Access. Sq. Ftg. Other ~ew Add Alter ~ep. --Fence Demo Change/Use -Other - - II lex> o o o N '" (exnires) (ohone no.) 6-30-80 12-31-81 '12-31-81 12~31-81 ' (pxnirps) 222-4221 " 245-0785 232":5378 653-0101 (nhnnp nn \ A .~ ...' \~ 485-1417 MECHANICAL I J:"J:"J:" 'r\.J.nor.~ 1 furnace/burner to 200 MAH BTLI' s 7.50 Floor furnace and vent Recessed wa 11 ~nac~ hpi'ltpr anrl vpnt I 16.00 \C 80,000 BTU I Appl iance vent seoarate I Stationary evap. cooler I Vent fan with sinole duct 3,OOl5,OO I Vent syster.J apart frJlm I r heatino or A.C. EF h 4.50 9.00 11'lechanical exhaust ' 4,50 9.00 . hoor:! nnd durt ~~K~X~~~X~.O. 3,00 4.50 4.; 50 h nn I HAVE CAREFULLY EXN1INED the completed application for permit, and do hereby certify that all information her-eon 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 Soringfield and the laws of the State of Oregon pertainin~ to the work described herein, and that IIC OCCUPAllCY will be made of any structure without the permission of the Ouilding 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 comoliance with ORS ]01.055 \"Iill be used on this project. . . ImlE(please print)'f. ,Dnl141d R~<;VletheVJ d, SIGI1.~TVRE~/t4.R,(/d~~~Dm'l.Rh9/ifL, FO~ orF I CE LISE OIIL Y , ' S~. Ftg. Ilain 29,716 x value1,064,368,OO Sq. Ftg. Access FDN& SITE \~ork Value 446,038,00 Sq. Ftg. Other x Value Zone r-? Fire Zone I I I Flood Plain NO BUILDING PERlm Charges anc Surcharges PLU'iBING PERMIT C~arges and Surcharges ELECTRIC;.L PERi, IT Cha rges and Surcharges IIECHANlCAL PERMIT Charges and Surchar.ges l ,I"') 00 PI) Syste~s Development 871,65 Charoe (1.5%) (Plan check and S.O.C, fiaured on 1,064,368,O~) IOWe.Oh ACu1{JLQcIG J'5rc.(:;C) I~k I 371. 65- Tyoe/Const.3-1HR SPR Units Bedrooms S tori es Occy load Occy Group B-2 Plan Ck. Comm/Ind 1006. 00 65~/RI do Per Fep -----40:-r4--- Plan Ck. Res 30%lBldo Per Fp~ _____~..LQ.O__J Fence 15.84 I Demo -", "225. 00 I Sidewalk . --- -- "9:-00--- . I A/C Pavi ng ,. 108:00 I Curb Cut ------21:2'1---1 1616' 161. 60 Total Comb. Permit 2,294.92 111,3~0 155' I I 303.50 25.50 I TOTAL TOTAL VALUATlOrl 618,330,00 15.965.52 }~,-: 3L.. M /B,4-J7,cQ .,.; . . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal Oescription 1. examole- Tax Lot 100, lane County Map Re, 11 03 43 . ( 2. examole- Lot 1. Block 3, 2nd Addition to Sprlngtield Estates C. Name. etc. of owner' and construction lender D. Energy Sources (' 1. examole- heat/electrical ceilinq/or forcE ",: 2. examcle- waterheater/electrlcal/or s~ E. Square footage or valuation, etc. ------ 1. examole- 1250 sq. foot house. 500 SQ. foe ~ar 2. examole- if new project. 'checknew - if a....... check add, etc.. 'F. Building permit info~tion: "1.' example - construct single family hous-e ~ (a attached garage 2. examole - remodel existing garage into fa- 3. examole - convert single family residence restaurant (change of use) ( G. Value of work as defined in Section 303 (a) 0 ."" Structural Specialty Code H. . DESIGN TEAl.l ArID cmrrRACTORS To avoid design or construction delays. Build (_ Division Staff must be able to contact approp .- persons regarding design infonnation or job 5 corrections.. etc.. . 11. Abbreviated Plurr:bing, Mechanical. & -Electrical SC' ,,"",. A. Except where blank spaces occur in the descri' " portion of the Mechanical and Electrical $che, the applicant need fill-in only the No. Boxes to the appropriate item{s) "to be installed (' B. Full Plumbing, Nechanical, and Electrical 5ch! P' are available at the Building Division 1. To conserve space on the permit fonm the: have been abbreviated .2.. if the item{s) to be installed are not CO\ <d thE abbreviated schedules you shauldconsL ful1 schedules C, BUILDING OIVISION STAFF lIll.l TIll OUT All m~ 1-'. CHARGES ON THE SCHEDULES . \ "' D. As noted on the CAP. the label must be deliv . .electrical contractor for -siqnature by his e supervisor_ The general contractor is not a; ~ sign 'tne electrical label. - :'lD. ',Applicant to sign and dati! . Whenever l'Dssible~' the ini--tial application will I t--..... a worksheet only. Where possible, Building Div;~ will prepare a .type written copy and return it tl 'applicant at the time the actual permit is issuec IT" signature. "- IV. Fees and Charges Plan check fees are due and payable at.the ~;me'c application. and no plans will be processed until ~~ fees are paid. All other fees and charges are du i.q~ payable when the permit is issued. - . CITY OF SPRINGFIELD City Hall Springfield, Oregon ,Department of Public Works OFFICIAL RECEIPT ~ (' S4353( " ( pp ~O'1f-i C; J) 4,{.;lt ~\P C;o) (; Sln/ (f,' soc__ C' ..J ...".. i.. c ( (' 1 (, (,1 ( OFFICIAL RECEIPT No. B 5 4 3 5 4 ('. DateR - (q 19B:J . ' Rec'd ~rom UPJ J j ) ftJ( Idov<:.. I()(, ( Address ~ i () ()('I.UPJ. U-ftt5\T- .' ( V. FOR OFFICE USE ONLY ( A,UTMOftlU:O SIGNA,TUftE 5HH10...TU....UU ..."Hn.... IUGI"I. 0.. 'uo. Received For: . f-')(Lr n n CO ~ n L/~l{l O-l rhO (~ bee._) J-) CO'n U l,-C-.vbl'JLC j L I v-" 0. (n~ ... ...,.." . ...... . "II. .. ........ ...........,.. ............._ .....:.........,,'.. ,,_..._, PROJECT .CDNDIT1DNS..TDBE...5ATl.SHED.JlEf.D, Permit applicant exempt from registrati( I I D ~ Additional Project Information: C- Amount. Received I r::=) {n . (d CS C0 _, \",.' l- S ignature~aL....:/./-" PLANS REVIEWED BY: name DAtI SMI TH (0 \.. ( t- (' ( - , "' C (J,p ~. --- i A,UTHOIUII:O SIGNA,TU'U: .H(L10..trU.....u~~ ...,..Tl"5 . luGlHI. 0" '7.0' ...".. date 7-21-80 ,...." ........'-'........, ...., ,.. '.. .. ( ) ,- 1..-' \. 1 u , , - i i - ! .. j ~ ---\--,~,\ '~".:.'-~ ,'''' ~I I"SPECiIO~ LI"E 726-3709 Job Address 5770 Main' Street SE 1/4, Sect 33, T 175,' R2W, Willamette Meridian, Lane County, Oregon Owner Albertson's Inc, Address P.O. Box 20 83726 . . Lel)al Des.criotion CI IV OF SPRI;;GFIELO CorlBI ;IATI Oil APPLI CAT 10NI PERM IT E!IERGY SOURCES: Heat \'Ia ter Hea ter GAS IIlFORllATIO;j L"', "', 726-3753 So. Ftq. I.Iain "~./ib ~CJ. r:tg. Access. Sq. Ftq. Other r~e\~ Add Alter ~ep. Fence_Demo _Change/Use _Other I ICXJ o o o N >.0 Ranne GAS GAS (208) 344-744rhone ValUe of Hork: 1 ,~64 ,363. 00 BuilLinQ Perolit Info: Familv P.esidence With I Descrlbe Work(l.e.. fl..ttached Garaae) I Build Single I I Boise, Idaho Construct ~Iew Albertson's Market Construction lender Address OESfGii TEM! (name) Phone (address ) (1 ics. no.) (exoires) (ohone no,. 740 6-30-80 222-4221 10320 12-31-81 245-0785 8939 12-31-81 1'32-5378 3952 12-31-81 653-0101 (1 ir<:.. nn.) (pxnin",) tnhnnp nn , Primary R.C. Ehmann & Assoc 4505 S,W, Corbett Ave, Port Structural Dick Ebel ino Office 9370 S,W, Greenburo Rd Electrical James D. Graham & Assoc 1902 S, E, Morrison l1echanical McAn Engineering 6552 S,E, Lake Rd t.1ilw, Port. cornR~CTORS (name) laddress \ Genera 1 PLUIIBIIIG ELECTRICAL -~ ~,--, '~r ., MECHANICAL Plumbino Electrical r.lechanical ~a. FEF CHflRhr: NO ~~~ rHARr,~ NO. ~~~ n.jARr.:~ Each single fixture Residence of SO. FT. furnace/burner to BTU's Relocated building (new fix. additional) New circuits alts. or extensions Floor furnace and vent S.F. Residence 11 bath) Duplex (1 bath) each Additional bath ISERVICES I Recessed wall SOnrp hpAt~r ~nrl ~pnt I Storm Sel'/er Of amps. Appliance vent seoaratp Stationarvevao. cooler" . Ven t fan with sinole duct I Vent systef!1 apart heatino or A.C. I Mechanical exhaust hood nnd durt from ~!a ter servi ce Temporary Construction Change 1n existing rp~ i dJ'JH.~ multifamily, COIrrn. or Tnrlu<:trial Sewer call1\. II NO. FEEDERS Install/alter/relocate rli<:trih. fponpr<: Wood stove/heater 10f amps. ISSUANCE OF PFR!1IT TOTAL CHARGES WHERE STATE L~H REQUIRES shall not be valiJ until the I TOTAL CIMRGES that the Electrical work be done by an label has been signed by an Electrical TOTAL CHARGES Electrical Contractor. the electrical portion of this permit Supervisor and returned to the Building Division I HAVE CAREFULLY EXNlINED 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 oerformed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Orel']on pertaining to the work described herein, and. that UO OCCUPAUCY will be made of any structure without the permission of the Guilding Division. I further certify that my registration with the Builder's Board is in full force and effect as required by ons 701.055. that if exempt the basis for exemntion is noted hereon, and that only subcontractors and employees who are in compliance with O~S 701.055 will be used on this project. UNIE(please print) S I r;;u\ TURf -FO~ OrFICE USE OiJL Y OATE Zone C-- L Tyoe/Const. ::rIt Units Fi re Zone H-r:" Bedrooms Occy load Flood Plain Stories I Occy Group (~-""'L FOUNDATION AND SITE WORK ONLY 11ain FDN Of~L Y x Value106,436.80 Sq. Ftg. Sq. Ft9. Sq. Ftg. Access Other m E WORK x Value x Value:JJ9,602.00 TOTAL VALUATION'!'!O' Uj1j .1jU BUILDIIIG PERI-IlT Charges anc Surcharges Plan Ck. 807. 50 65~/Blda UUU-ji-:30-PTan Ck. 30~/Bldo I Fence I Demo COlTlll/Ind P~r Fpp Res Per Fee Syste~s Development Cha roe (1. 5',) PLW'lBING PERi1lT Charges and Surcharges ELECTRIC~.L PERI~lT Sidewa I k Charaes and ------------ Surcharges A/C Paving Total Comb. Permit IIECHArII CAL PERI11 T Charges and Surcharges Curb Cut u__~u_____1 I TOTAL 839,80 " I. Applicant to furnish A. Job Address B. legal Description 1. exar.101e- Tax lot 100. lane County f.:ap Reference 17 03 43 2. exam~le- lot 1. Block 3, 2nd Addition to Springtield.Estates C. Name. etc. of owner and construction lender D. Energy Sources 1. examo1e- heat/electrical ceiliria/or forced ai ~s 2. exa~~le- waterheater/electr;cal/or solar E. Square footage or valuation, etc. - 1. examole. 1250 sq. foot house, 500 sq. foot 9a .... 2. example- if new project, checknew - if addit '. check add, etc. F. Building permit information: 1. examole - construct single family house l'/ith (," a ttached garl~ge 2. exa~ole - remodel existing garage into famil) 3. examole - convert single family residence int restaurant (change of use) G. Value of work as defined in Section 303 (a) of tt Structural Soecialty Code H. DES I GN TEA,,: AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriat ( persons regarding design information or job site corrections, etc. Abbreviated Plu~bing, Mechanical, & Electrical Schedl A. Exceot \':nere blank spaces occur in the descriptic ( portion of the Mechanical and Electrical Schedulf the applicant need fill-in only the No. Boxes ad~ to the appropriate item(s) to be installed I B. Full Plumbing. ~lechanical, and Electrical Schedu. ( are available at the Building Division 1. To conserve space on the permit form the schl have been abbreviated 2. If the item{s) to be installed are not coven the abbreviated schedules you should consult full schedules C. BUILDJiIG DIVISION STAFF WILL FILL OUT ALL FEES AI CHARGES ON THE SCHEDULES D. As noted on the CAP, the label must electrical contractor for signature supervisor. The general contractor to sign the electrical label. Applicant to sign and date Whenever possible. the initial application will be u' a worksheet only. Where possible, Building Division wi 11 prepa re a type wri tten copy and return it to th. " -~ appl icant at the time the actual permit is issued fa 'r Amount signature. Fees and Cna rges Plan check fees are due and payable at the time of t ( application. and no plans \'Jill be processed until th : fees .are paid. All other fees and charges are due a payable when the permit is issued. . CO~BINATION APPLICATION/PERMIT (CAP) II. be delivered by his elect' is not autho' III. IV. V. FOR OFFICE USE DilLY I- . PERMIT VALIDATION' ... "''j CITY OF SPRI NGfl ElD City Hall Springfield, Oregan Department of Public Works OFFICIAL RECEIPT ( No. B Date 7-~1 19;:?{) Rec'd From 'iY)~O:z.. t:Jd.'J ( Address /() %..AA.- AN",: ,-", 1,=-;:;., i?JAL.t /) 'I1=- v( Received For: J3M7 t:J!/J""AJ J- g eJDO.J.. 9 (' C/YYI/WI2/J Pin'rj - () ;1 tll?' A fLJdY1LJ- - kMr;/a.:Jun;;. ~;;jJ0 V 17 ,- 'J 1""\ ,.... I JI-rUOJ( ( i( on' ~fu!4 ' f.f 67. .$V (/ 4 "'?~ _ ~,..30 " ~ - ( ( ( 1.~ -"-m',---> C)-a cp '" I. _1_ Receiveo n .:'5 - ! I. -- (!,;fJ...)LUY<::- ':;:"Q)1v ....d-i--;-' :L~ ( (~ l AUTHO"lZED SIG"'ATURlt ...UTO....U.....ULL ....'..fl.... lUlU". 0" 'UO, .""., (. ". ( ( I,............. .,w.,,".........:.... ..-...~,-.:~~.._ .h_ .~..,.... ......" ..... ,.. .. ..,'_~_.._.. _-."'.,..'~.. ...."..............~ .... ......--"--'---.~ ,~ PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: I I I I I I I I Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: ... '" ....... . . - . .. I . ...~. ....' ._ .1.. ..,~. .....~ ....... "._ ..... .......... ...... ".._. ,,~, ..~...._ ." _., .. .. ._.. ,....' "',_d... . .... .. .... . .~,. .1.. ..", " .. .,,~.. n.". . ,. "."...,." name DAN SMITH signature LJ~~1, date 7-21-80