HomeMy WebLinkAboutPermit Plumbing 1984-10-26
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I IrISPECTIOII LINE
726-3769
Job Address '2. 0 "'\ ~
legal De5cription
CITY OF SPRINGFIELD
COMBJlIATION APPLICATION/PERMIT
E!IERGY SOURCES:
Heat
Hater Heater
Range ______
'/A.l,u~ of l'lork~~~ '2.\0-
..-n-\-\\n. '
ButlGinQ Permit Info: Describe Work(i.e..
Familv Residence With At~a~h~d G~r~a~\
() \. '" \-\. V\c...
Owne~,1,,~ ~~t\o.~\.'\ ~~~trR~
Address'20'"\ ~ ()... '-(y.,,";>,c.. Phone
~ ~~'Z'&7
c;:..~ \\)G-'f\E.L..\'\
Construction Lender
Address
Ut:>lGN rtAr~
(name)
Phone
(address)
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INFOR/IATION UNt
. 726-3753
Sq, Ftg. r,lain
~q. Ftl). Access~
Sq. Ftg, Other
~ew Add Alter Rep,
-Fence Demo Change/Use
Other - -
I:-^
;:;
J
...1
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Build Single
. (lies. no.\
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(axoir~s)
(ohone no.-
primary~\:?\\~t= ~~~~~\, "'\.~ '3~~\""'~'E~",",
Mechanical
CONTRACTORS lnamel
General ~\~? lot \FL\'-r
(address)
~\ W"\\')'VC'IE
PLUlIBING
FEE rHARr,E Np
~-
Residence of
Structural
Electrical
Plumbino
Electrical
~lechan;cal
NO.
Each single fixture
\o.~
'2.
Relocated building
(new fix. additional)
\
INew circuits alts.
or extensions
ISERVICES
I
S.F. Residence
(] bath 1
Duplex (1 bath) each
Additional bath
~Ja ter servi ce
Sewer
Storm Sewer
ELECTRICAL
(1il"~.no_'
(pxoi rpc::'
(OhMP nn, ,
~'1-~
MECHANICAL
SQ. FT.
~~~ rJ.lM.G.E. Nn
furnace/burner to
BTlI's
H~ ruliRGE.
jTemporary Construction
IChange in existing
rp5 j qenrp
Imultifamily, comm. or
Tnnuc::tri.'Jl
10f amps,l
ICOMI'I./IND, FEEDERS I
IInstall/alter/relocate I
rlic::trih. fppdprc::
10f amp~1
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Floor furnace
and vent
Recessed wall
~n.'Jrp hp~tp~ ~nrl vpnt
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~ -:-- leo.l:!Ol
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ICe:.":" k<b.~
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1"\ I Appl iance vent
C s~oaratp
I Stationary evap.
cooler
I Vent fan with
sinole duct
I Vent system apart from I
heatina or A.C.
I Mechanical exhaust
hood and rlurt.
I \.Iood stove/heater
\\\)~
ISSUANCF OF PFRIIlT
TOYAL CHARGES
WHERE STATE L~W REQUIRES
shall not be vali1 until the
\() ~ TOTAL CHARGES \~. cc::> TDTAL CHARGES :=-. <4?=>
that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit
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 rw 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 use,d on~s\proj~c~..
IlAIlE(please print),J1b)-I-~'~Y! k'i f> 1 C- Y <'"SIr,rI^TU~S? ~ DATE ID-:J(,-J>4-
, FOr. OFFICE USE OrlLY II
Sq. Ftg. rlain,? \Q." <;(, Value
Sq. Ft9_ Access x Value
Sq, Ftg. Other 'Value
TOT^L VALUATlON:\ \
zone...Lr 0
Fire Zone
Flood Plain
BUILDING PERfllT
Charges and
Surcharges
PLUt1BING PERMIT
Charges and
Surcharges
ELECTRICAL PERI~IT
Charges and
Su.rcharges
11ECHAN I CAL PERMIT
Charges and
Surcharges
Tyoe/Const:TI" - \ 'a.n.. Uni ts
Bedrooms ----- Occy load
Stories ~ Occy Group ~ 'L
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\~1k, 00 Plan Ck. Conm/lnd
----~\J!.----- 65%/Blda Pj'r Fee
~'2. Plan Ck, Res
~ . . 30%/Bl do Per Fee
~ci ex;) Fence
~n_ .''40--' 0_
____\~. CO
.~
'54.~
____n?_,\~--
I Sidewalk
l A/C Paving
I Curb Cut
I
",/ 01-.... '^-II Isystems Development
~7~ rpi<'" CharQe tJ.5~)
"8"3"96
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\\0
~<ow<.::::>
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~~H. c..,~ \l.t',SO
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Total Comb. rermit
I TOTAL
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COMBINATION APPLICATION/PERMIT (CAP)
PERMIT VALIDATION
I. Applicant to furnish
A. Job Address
B. Legal Description
I. example- Tax Lot 100, Lane County Map Reference
1I 03 43
2. examplee Lot 1. Block 3, 2nd Addition to
sprlngtield Estates
C. Name. etc. of owner and construction lender
D. Energy Sources
1. example. heat/electrical ce;linq/or forced air Qa5
2. examyle- waterheaterjelectrical/or ~
E. Square footage or valuation. etc.
1. exam~le~ 1250 sq. foot house, 500 sq, foot garage
2. example- if new project, check new - if addition,
check add, etc.
F. Building pennit information:
1. example - construct single family house with an
attached gartl:ge
2. example - remodel existing garage into family room
3. exam~le - convert ?ingle 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
fu 11 schedu 1 es
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 th~:permit is issued.
V, FOR OFFICE USE ONLY
..
Permit Clerk
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PRDJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
~~\.~ \.\..'\~~~""\\C'\\.~ "'b~e CC"w\.vU.~"tE\) ~\.)~
~~~" 'Ol:.~Q.e: r-r-r..-\_~~~
"~WJ= ~~"'~~~ "<<"'I ~ '\.~~,~\ I c=,~ \\.)~\.~~ ~F"')E:~~llo.~\~
":(\Q.E'~\2..tl.."'{en C.D~~\'~Q.... ~~l.c"":-
Permit appllc~nt exempt from registration with the Builder's Board because:
Additional PrpJect Information:
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t
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v1=C::i. )\:OF. ~\...~ ~(",)Q ~\.q~ ~ec..."t\C'l\.\
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E.~\.",(:,.\.)\t;'-o\E'iL l.Oc..~, ~~ "'\. J:;\. ~
~"t~6"'" ~\...\O
'M~~~"
PLANS REVIEWED BY:
.. 'nam~~\~ ~e ~ signatuC)~5~\,,:,~ \
. da~e \() -~-P-.I...l.
/ ARCHITECTU.
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BRUCE A. SAMUELSON
A.IA
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35 N.E. 17th Avenue . Portland, Oregon 97232 · (503) 239-7526
October 10, 1984
Project:
Benj. Franklin Federal Savings
and Loan Association
SPRINGFIELD BUILDING
TENANT SUITES 210 & 315
Mr. Loren Pleger
Springfield Building Department
225 N. 5th
Springfield, Oregon 97477
Dear Mr. Pleger:
It was good to talk with you again this morning. Enclosed are the three sets of
drawings and specifications for the new Tenant work at the building at 2073 Olympic
Street.
Also enclosed is our office check in the amount of $553.10 which is for the Permit
Plan Check Fee and the System Development Charge for the previously unfinished
spaces and based upon a valuation of $31,110.00
Plan Check Fee:
System Development Charge (1-1/2%):
Total
$ 86.45
466.65
$553.10
As with the previous work at this project, the ceiling tile and grid, light fix-
tures and electrical mains, H.V.A.C. equipment and main ductwork and the main
plumbing lines were provided with the initial phase of construction of the build-
ing.
Morris P. Kielty Construction Company will probably be contacting you soon for the
Permit costs which we roughly estimated in our telephone conversation at about $180.00
including the electrical, H.V.A.C. and plumbing charges.
We would appreciate your returning a receipt for the enclosed check to our office
for our records. We thank you for your assistance in this matter.
Sincere~, ~
~Xk~~/
0(/" y~~ -
.Bruce A. Samuelson, A.I.A.
cc: Mr. Del Harpster
Morris P. Kielty Construction Co.
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BRUCE A. SAMUELSON A.lA
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35 N.E, 17th Avenue . Portland, Oregon 97232 . (503) 239-7526
October 24, 19B4
Project:
Benj. Franklin Federal Savings
and Loan Association
SPRINGFIELD BUILDING
TENANT WORK
Morris P. Kielty Construction Co.
JOl Monroe Street
Eugene, Oregon, 97402
Dear Mr. Kielty:
This letter is to confirm our telephone conversation this date regarding the
omission of conduit from the C.R.T. terminal wall stub-outs above the new
ceiling to drops at the Controller which is located in Room No.6 (Mail/Supply).
I
We were informed this morning that the Tenant ..ill be instslling "Teflon" coated
cable which ia approved for exposed uae in Plenum Return ceiling apaces and there-
fore they would have difficulty pulling thia cable through conduit runs above the
ceiling.
We will still require the outlet box and conduit stubbed out above the new ceiling,
but the conduit from that point to Room No.6 is to be deleted at eight (8) C.R.T.
Terminals for approximately JOO l.f. of conduit.
Enclosed are two (2) prints of Drawing No. T210P which have been marked to show
the deleted conduit runs which are indicated in Note UB of the Electrical notea.
Sincerely, ~
~/~L~'
Bruc&-A. Samuelson, A.I.A.
cc: Mr. Del Harpster w/l encl.
Mr. Nathan levin w/l encl.
Springfield Building Dept. ../1 encl.
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BRUCE A. SAMUELSON A.IA
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35 N,E, 17th Avenue . Portland, Oregon 97232 . (503) 239-7526
October 26, 1984
Project:
Benj. Franklin Federal Savings
and Loan Association
SPRINGFIELD BUILDING
TENANT SUITE 313
Mr. Loren Pleger
Springfield Building Dept.
225 N. 5th
Springfield, Oregon 97477
Dear Mr. Pleger:
Enclosed are three (3) prints of Drawing No. T3l3P dated October 20, 1984 which
included the addition of seven (7) duplex power outlets and six (6) telephone
outlets and the gypsum wallboard at the inside faces of the two space demising
and the corridor walls for Suite No. 313 at the third floor of the subject proj-
ect. This work will complete the finishing of the third floor space. The ceil-
ing grid and tile, lighting and ionization and H.V.A.C. work for this space was
included in the permit application for Suite No. 315 and is noted on Drawings
No. T3l5RC and T315M dated October 8, 1984.
The value for this work is $1,100.00 ($410.00 wallboard and $690.00 electrical).
In accordance with our telephone conversation this morning, the additional $1,100
value for this work will be added to the Permit for Suite No's. 210 and 315 and
we will reimburse the Contractor for $19.62 which reflects $3.12 for the Plan
Check fee and $16.50 for the System Development Charge.
Since~e;.~, A1' .~/
A/ / /'Z:W'
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Bruce A. Samuelson, A.I.A.
cc: Mr. Del Harpster
Mr. Morris P. Kielty
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