The URL can be used to link to this page

Home My WebLink AboutPermit Building 1989-12-12 IINSPECTIaIN LINE . ;26-3769 Job Address G3/;L m(J...i/-n f{f~ Legal Description )'lD2.. ~g-3'::? I TJ..... D&!3DD . CITY OF SPRINGFIELD COMBINATION APPLICATION/PERMIT EIIERGY SOURCES: Heat Hater Heater Range ValuE of Nork: . INFORt1ATlON LINE 726-3753 Sq. Ftq. I~ain ~q. Ftg. Access, Sq. Ftg. Other , New Add Alter Rep. '-Fence Demo Change/Use , Other- -- Owner ',//-! /.fA1 l.nAJiS Address ;)-I:j r;L~ ffrC[JA'YIIA.lJ conslru;t~~ ~~er OrJf'!J (!fi ,,5:' Phone / jl:~r '.l 150 ~ U >l~V Builrlino Permit Info: Oeser be Work(i.e.. Familv nesidence With Attached Garaoe' It - Jum1;;,,,,o. i,Y1/qXt,~ Build Single ~ ........ & ~ ~ iMJh /tW/~(' PSi. ~ q w/lYlL Address DES I GN TEAll (name) Phone {address' (lics.no.) (exnires) (phone no. 1 Primary Structura 1 Mechanical CONTRACTORS (namel (lOUL(l n ';il (address' (1 ics. no. \ . (exn;re5\ "~ooe 00, (~ 11- 21~qO Ulyq;::;;::;?) Electrical Plumbina trJ75:J,i I7tJJ ..o.J IJfNJ();X, Genera 1 ~ Electrical ~lechanical PLUIIBING ELECTRICAL MECHANICAL NO. FFF r.H~Rr,F ~ ~r~ r~~ Nn 1=1='1=' r~ SQ. FT. furnace/burner to BTU's Each single fixture Residence of Relocated building (new fix. additional) New circuits alts. or extensions Floor furnace and vent S.F. Residence 11 bath\ Oup\ex (I bath) each Additional bath SERVICES Recessed wall SOnC:P hp~tpr ~nn vpnt amps. Appliance vent seoa ra te Stationary evap. cooler Vent fan with sino 1 e duc t Vent system apart from heatino or A.C. Mechanical exhaust hood and duct Wood stove/heater Sewer Temporary Construction Change in existing res_; denrf'_ multifamily, comm. or Industrial Water service Storm Sewer Of COMM./IND. FEEDERS Install/alter/relocate dic:.trib. fpeders Of amps. TOTAL CHARGES TOTAL CHARGES WHERE STATE LW REQUIRES that the Electr;cal work be done by an,'Electrical shall not be valid, until the label has been signed by an Electrical Supervisor ISSUANCf OF PFRIHT TOTAL CHARGES Contractor, the electrical portion of this permit 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 ons 701.055, that if exempt the basis for exemption is noted hereon, and that only subcontractors and emPIOyee~ who are in compliance with ORS 701.055 ~e use~ this pr~. I NAI-IE(please prin(jJ If 'S lL 0 C/[;/1-NfV .s1r,tl^TUREZ:;-U~ ~ '/;; ij0//M~OATE..?/;;)?-J~ FOr. 0rFICE USE DilLY Sll. Ftg. tiain Sq. Ft~. Access Sq. Ftg. Other Flood Plain Type/Const. Units Bedrooms Occy Load Stories Occy Group W. *" jr;Lt./1 BUILDING PERMIT & "l 5D Plan Ck, CI . D'. t:r I 65%/Bldo larges an, tjYli'--- --------- Surchargeoi}&,8; /3 ~~~~B~~~ PLUIIBING PERMIT Fence Charges and ------------ Surcharges x Value Value Value TOT^L VALUATlOtl Zone Fire Zone x x ConmlI nd Ppr Fpp Res Per Fee Systems Oevelqp~ent Char~e O.5~), ' D~l!1o. ELECTRiCAL PERI~IT 'Sidewalk Charges and ------------ Surcharges A/C Paving Total Comb. Permit MECHANICAL PERMIT Charges and Surcharges Curb Cut TOTAL t.eG,f..R3 . . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal Description 1. example- Tax lot 100, Lane County Map Reference 11 uj 43 2, examole- Lot 1. Block 3, 2nd Addition to Spr,ngtield Estates C. Name. etc. of owner and construction lender O. Energy Sources "I. example- heat/electrical ceiling/or forced air Qas 2. examyle- waterheater/electrlcal/or solar E. Square footage or valuation, etc. - I. example- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project. check new - if addition, cneck add. etc. F. Building pennit information: 1. exam~le - construct single family house with an attached garllge 2. exam~le - remodel existing garage into family room 3. exa~le - 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 0.' 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 b~ 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 V. FOR OFFICE USE ONLY Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: PERMIT VALIDATION nAJL Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: name signature . ':: I'~ . :.' ,,:', 'date V' "-~- J I ,I ~-~ ------=7;~-'-j::-I~.~_=_;_:;-! . .- ' . ...... CENTENN.! ROOFING & GlJ 11.r.RING 688-9550 . ESTIMATE & AGREEMENT DATE, r "I BID: We hereby propose to furnish material and labor to complete the work outlined herein for the sum of, To Allen Le,;is 213 El Cami.no Scotts Valley California 95066 ($ , dollars I Payment to be made as follows, L .J We hereby submit specifications and bid lor: Date December 17, 1989 Fax Number 4084381250 Phone ~08 438-4963 Job Address 5312 Mai.n Street Springfield, Oregon Roofing on Two End 8ui1ding;s. 1. Remove roofing to sheating and haul off. 2. Install Ply of Glastar Fibreglas~ Base Sheet 3. Install F1intlastic PR Modified Bitumen Premium granulated, Cap Sheet. 4. Installed to manufacture's re'comendation's. 5. Specfication to be used is, NO GTS-2-2 With FR Sheet. 6. Five Year Workmanship Guarantee. 7. Price $6,986.00 8. If Rio1et metal is needed to be installed on lower po~ches add $250.00 to Price of Job. .', 9. Thank You Uasil n. Cromer State Bond #00908 CONTRACTOR'S GUARANTEE ACCEPTANCE OF BID DATE w. guarant.. all mat.rial us.d in this contract to b. as specifi.d above and ,h. entire job 10 b. done in a neat, workmanlike menner. Any veria. tions from plan or eh.rations requiring exlre labor or mal. rial will b. performed only upon written ord.r and billed in eddition to the sum covered DAti by this conlred. Agreftments.:m~d. with our workmen are "ot/ ';.ec~gnized.' ~.,..- ,., .... '" i I I SIGNEO" // / f /. (/ /1 51GNI0 N r) . .!:.'/ ! /. ;:'1 il -1 { /t. ~\____. The above specificetions, terms and contract ere satisfactory, and (l) (wel hereby eulhorize the performance of this work. WI COMPLY WITH ALL WORKMAN'S COMPINSA liON & PROPERTY OAMAGE LIABILITY INSURANCI LAWS,