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Home My WebLink AboutPermit Building 1980-8-29 ISSUED! ! ! !! !!!! !!!! !!!! !!!!! J!JL . 8 ~ .. -~ BOND REQUI RED BEFORE PER~lIT IS '1IIISPECTIOtl LlIIE' . ' 726-l769 Job Address 3334 Ma i n Street Legal Description Lots 47 & 48, i1alinda,Subdivision ~. ...: . '. . ~t~Ffm . 00 o o W N ....., CITY Uf SPRlIlGfIELD COt1BI:iATION APPLICATION/PERMIT EnERGY SOURCES: Heat El ectri c !'Iater Heater Fl prtr~c Ranqe .. VaTu€. of Hark: 22,642.30 INfOR1IATIDN LINt 726-3753 Sq. Ftg. 1,Iain LlIUU :q. Ftg. Access. Sq. Ftg. Other lie" Add A 1ter Rep. --fence Demo Change/Use Other -- -- Owner Mao Reference 17 02 31 4 2 Caska~e Pool S 3834 Main Street I Builtiino Pennit Info: Describe Horkl;-.e., Familv r!.esidence I'lith Attached Garaqe) Build Single Address Phone Springfield, Oregon 97477 Warehouse addition for Caskade Pools Construction Lender Address Ul, I till nAil Primary Structural Electrical Hechanical CONTRACTORS Genera 1 Plumbinq Electrical /clechanical llU, 747-7245 (namel Phone (address) (ohane no.) !lies. no.) {exniresl Thienes & WOOdy AlA 4015 Main Street, Sprinqfield, Oreqon 9747.7, Il ~ (name) {address} (nhone no.1 (l ics. no.) (exoirp~) Caskade Pools 3834 Main Street, Spfld, OR 21479 11/80 747~7245 C & SElectric PLUIIBIIIG ELECTRICAL MECHANICAL FEE CHMr.E ~JO I ~~r r~ARU[ NO. ~rl=' n.iAR.GL Residence of furnace/burner to BTU's Each single fixture J SQ. FT. Relocated building (new fix. additional) S.F. Residence .(] bath) Duplex (1 bath) each IAdditional bath via ter servi ce Sewer .... Storm Sewer New circuits alts. 20r 'lno~ensions Floor furnace and vent 15.1)0 SERVICES Recessed wall SD~r.e he~tpr ~nrl vpnt ITempOrary Construction IChange in existing resiq~nce Imultifamily, comm. or Tnrlustrial 10f I C0l11'1. /I ND. FEEDERS I Install/alter/relocate distrih. feerlers IOf I I I Appliance vent seDar~tp Stationary evap. cooler Vent fan wi th sinole duct Vent system apart heatina or A.C. Mechanical exhaust hood and duct amps. from I I I I -I Wood stove/heater amps. I I , TOTAL CHMGES 15.00 TOTAL CHARGES that the Electrical work be done by an Electrical Contractor. the electrical portion of this perr.1it label has been signed by an Electrical Supervisor and returned to the Building Division ISSUANCe OF PfR'llT TOTAL CHARGES WHERE STATE L~W REQUIRES shall not be vali1 until the I HAVE CAREFULLY EXNIHlED 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 CHy of Springfield and the laws of the State of Oregon pertaining to the work described herein. and that IlO OCCUPAIlCY 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 employees who are in compliance with OP.S 701.055 will be used on this project. HAHE(please print) f,I J)(..,..Vt..L.. SI,,;]ATURE .8 D~_ , fO~ OFf I CE OSE miL Y Zone C-4 Type/Canst. V N Units 1 Sq. ftg, Ilain 2000 Fire Zone III Bedrooms Occy Load 6.6 Sq. Ftg. Access Flood Plain NO Stories 21'8" Occy Group B-2 Sq. ftg. Other 493~ AC BUILDING PERI,IIT Charges an~ Surcha rges PLU'1BING PERMIT Charges and Surcharges ELECTR I CAL PERI~I T Charges and Surcharges 11ECHAN I CAL PERMIT Charges and Surcharges D~.TE x- <q - Jt) x 11).20 Value 20 .40a. 00 x Va 1 ue x .~.5 Value 2,242.80 TOTAL VALUATION a, 642. SO ~ ' Plan Ck, Conm/lnd I ______.36.00 65~/Rlrlo Ppr ~j:>l? 3.84 Plan Ck, Res _ 30%!BI d~1f[LeU..j[ , Fence I ------------Ioemo I 15.00 I Sidewalk I ------n-~6o-1 A/C Pavi4e84 SQF~ ~___________ Curb Cut Isystems Development I 62.40 Charqe (1.5%) 36.40 PO 4-10-<0 ELiJ 339.64 ADD] TIor~ PLA'I CHECK 26.00 24.00 Total Comb. rermit 139.44 I I TOTAL I ' 505.08 .' .:--"". ~ ~\i~;~r I.~ . -', COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B, Legal Description 1. example. Tax lot lOa, Lane County Nap Reference:. 17 03 43 2. examole- Lot 1. Block l,,2nd Addition to Sprlngfield Estates C. Name, etc. of owner and construction lender O. Energy Sources 1. example. heat/electrical ceil ing/or forced air qas 2. examOle- waterheater/electrical/or solar E. Square footage or valuation, etc. - I, examole- 1250 sq. foot house, 500 sq, foot garage 2. example- if new project, check-new - if addition, check add, etc. F. Building pemit information: . 1. examole'. construct single family house with an attached garage' 2. examole:. remodel existing garage into family room 3. examole.. 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 TEAI,lj,AIID CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons reg~rding design information or job site corrections~ etc. Abbreviated Plumbing, ~lechanical. & Electrical Schedules A. Except vlhere 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. BUILOH:G 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. - 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. -'-..,. 'I I. I I I. V. FOR OfFICE USE ONLY . PERMIT VA~IDATIDN ITV OF SPRINGFIELD. City Hall ' Springfield. Oregan Department of Public Works OFFICIAL RECEIPT No. B 54457 ( (\ \\ C\ .FJ:.\ 19 <11) From ('Nu'C. a.J'LL .V',~S ( ;s ~:2fn~~\ \\\(\ t ,('... \'\J\0 q lo CO 3d For:' \ Lf /0 ?) ~I '( \ Q to 0r \~ c"U , If'l~: ,teO ( l'J,'\C' ~ (\ ~\L c!){ r) 00 " \t\ ~}~ ('C\ ~)l./ oOe M rP) 3l ,(ol( , - - /. ( ( r, , I " , i O)lC)Oo (ffilJ1t ~ -AUTHORIZED -SIGNATURI[ .( C\l) Received ( : ~ 111".1 (.. SH[UO...TU"".U~~ ..",..TI:'"S . I:UCO[.... 0" 'T"O' ( Permit Clerk 1 PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: (1) Slats to be[placed in existing fnece (2) Parking area is to be paved (3) 5 foot i; setback sid~walk required along North 38th Place per Site Plan Review 80-11 (TS-4-16- D' " OR $3,300.00 BO~D! !!!! !!!!! I!! I!! Permit applicant exempt from registration with the Builder's Board because: '.I Additional Project Information: I j PLANS REVIEWED BY: name DAN SMITH signature OC0V1 r(' I .., ~ . 'j , .1 )'mr7JI :date 4 - /5 PD