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HomeMy WebLinkAboutPermit Building 1981-10-19 ....,'.i.l;~'!.~.~,!I,~;;c;;:i;~~,~~:!~~",~;.~_~::.::'. ;:;_'..~I!:.:~~'-,~l,~_., .....: ~!,~,".~~~~:}i.~i~~a"~;~"t~~;~'~~~~~:i.,,.~<~~.J!.:iiL~. INSPECTION LINE 726-3769 CITY OF SPRINGFIELD COMBINATION APPLICATION/PERMIT INFORMATION LINE 726-3753 Sq. Fig. Main -1WO Sq. Fig. Access. Sq. Fig. Other _New_Add_Altor_Rep. _Fence_Demo_Chonge! Use _Xo'h" . Job Addreu 3520 Olympic Street T.L. ENERGYGSOURCES, Heat as Water Heater E 1 ec Renae I Volue of Work: Legal Description 17 -02-30-00 1924 OJ ..... o .... o '" Own" Conkl in Company Inc Add.... 4209 6th Avenue West Eugene, Oregon Phone 484-4515 $25,000.00 Building Permit Info: Deu:ribe Work (i.... Build Single Family Residence With Attached Garoa.} Complete lease space Construction lander (name) (address) Reference see Job #793129 (expires) Address DESIGN TEAM Phone Primary Lane Construction Co. Structural E].<ld,o] Builder Electric M.,honl,o] Harry & Price CONTRACTORS (nome) (address) General Lane Construction Firman & Sons Builder Electric Harry & Price 815 Dorris Street 1285 Taft Street 293 Monroe Street 2015 Nugget St Co. Plumbing Electriccl Mechanical PLUMBING ElECTRICAL NO. FEE CHARGE NO. 7 Residence of Each single fixture 5.00 35.00 .".ft. Relocated building 2 New circuits, alterations (new fix. additional) or extensions S.F. Residence (1 bath) SERVICES Duplex (1 bath) each Temporary Construction Additional both Amps. 1 Water service 10.00 1 Sewer 10.00 Storm Sewer FEEDERS Amps. TOT Al CHARGES 55.00 TOTAL CHARGES WHERE STATE LAW REQUIRES that the Electrical work be done by the Eledrical Contrador, the electrical portion of this p.rmit .hall not be valid until a lob. I has been .igned by an Electrical Contractor and attaeh.d to the el.drieal panel. I HAVE CAREFULLY EXAMINED the completed application for permit, and do hereby certify that 011 information hereon is true ond correct, and I further c.rtify that ony and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Lows of the State of Or.gon pertoining to the work described herin, and that NO OCCUPANCY will b. made of any structure without the permiuion of the Building Djvision. I further certlfy that my registration with the Builder's Board is in full force and effect os required by ORS 701.055. that if exempt the basis for exemption is noted heron, and that only subcontractors and employees who ore in compliance with ORS 701.055 will be used on this project. IJ., Q Basis for Builder's Board exemptio".. NAME (pleasG print>D ~ 'JIll (!f>Cl.1 SIGNATURE FOR OFFICE USE ONLY Zon' M-3 Type/Const.~R Bedrooms Units ':>ccy Load 1 ~ nccy Group--B..=.? Fire Zone Flood Plain Citod." 1 BUilDING PERMIT Charges and Surcharges I Plan Ck. Comm/lnd 112.00 65%/Bldg P.. F.. 4 481 Plan Ck. Re. o 30%/ Bldo Per Fee 55.00 I F.n,. -------;~~I D.mo 15 _ 001 S;d.wolk _ nn lAIC PayiM 24.00 I Cu,b Cu' --------;,-;1 PLUMBING PERMIT Charges and Surcharges ElEGRICAL PERMIT Charges and Surcharges MECHANICAL PERMIT Charges and Surcharges (lies. no.) (phon. no.> (lies. no.) (expires) (phone no,) 1715 688-5836 Oct loR? F;AO_~A~Q 485-0922 746-1621 MECHANICAL FEE CHARGE NO. FEE CHARGE 15.00 furnace/burner to A,TU's Appliance vent separate Stationary .Yap. cool.r Vent fan with single duct Vent system apart from heating or A.C. Mechanical exhaust hood and duct 1.00 /;.on I 2 Wood stoyelheater Heat Pump Air handler to 10.000 CFM Air handl.r o".r 10,000 CFM X ~as to 4 outlets 1 Heat pump ') 00 6.00 ISSUANCE Of PERMIT 10_00 15 . 00 TOTAL CHARGES ?4 nn J)~ DAJ{r tiFf 1200 x2D-R1 Vo]u. 25 . noo 011..- Value c:,. ftg. Main 1:". Fig. Acceu Sq. Ftg. Other x x Value TOTAL VALUAT]ON \ 25.000.00 Pl Ck fee $74.75 . 10-13-81/B57 4331 ~~~;:" ,~~'~:opm.n' 11.\ \\\\--~ Cl\\\I:1M\ ~" l';:tal Com~. Permit - 375_00 ~C'O .9lc2 TOTAL ',,\\011. 71/ .- 214.24 Lo\q ,20 ~ ~ I . \ ~~ i . : - \ i ' . ~ ., &, . -, I ,. :~~.7~.~:f'f.;~J~~H';IJ!:r.;.":I..~~~,.!.~_~.E.;.l'-~~~;~ ..~.. .^:,j~!p'~~",~J.l~F~~,~k~.~~~~~~(~.:~;~.~~t~..f"~~~:~ ~..: ..~~:.-~,;;;~",,;~'~~'~"~~~...~~.,l~~~~s~~J . ,_, '. . .. ....- ....... ......t." ",..:. - - T COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Jab Address B. Legal Description 1. example-tax lot 100, Lane County Map Reference 17 03 43 2. example-Lot 1. Black 3, 2nd Addition to Springfield Estates C. Name, etc. of owner and construction lender D. Energy Sources 1. example-heat/electrical ceiling/or forced air gas 2. example-water heater/electrical/or solar E. Square footage or valuation, etc. 1. example-l 250 sq. foot house, 500 sq. foot garage 2. example-if new project, check new-if addition, check add, etc. F. Building permit information: 1. example-construct single family house with an attached garage 2. example-remodel existing garage into family room 3. example~convert single family residence into restaurant (change of use) G. Value of work os 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 regordin design information 'or job site corrections, etc. II. Abbreviated Plumbing, Mechonicol & Electrical-Schedules A. Except where blank spaces occur in the description portion of the Mechanicol and Electricol 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 ore not covered on f!1e abbr... oled schedules you should consult the full schedules ., ( C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES nl. 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 typewritten 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 ore due and payable at the time of the applicc (" and 00 plans will be processed until these fees ore paid. All . other fees and charges are due and payable when the permit l- is tssued. V. FOR 'OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: ti:'\\ \~ \ 1\ Q \\ /1 1 " , " ~, I ..-" _->"""vf-J\I ~,{:;'.Jx Additional Project Information: ")8 N\ ", f-~,"'" :......11 I I",.... (""? r:T7 or> --f""'.' II J I ". ,..,,,~ 'J e::,'9f' (L0jji) ~p. PLANS REVIEWED BY: 1<: ./ /' 1" /,1. I '/ ~,::., nam'" Dan Smith "'ignatur'" PERMIT V ALIDA TION CITY OF SPRINGFIELD ( City Han Springfield, Oregon Department of Public Works OFFICIAL RECEIPT ( rf\. \ . No. B S 7 4 70 Dote ~\'t) _ \~ 19r\ \ Rec'd From~flO . \::&1\ Address B \ ~ \.""'n rr- \ ~"\ ~ ' Received FO~ \f}~ 6J+.u;J ~D t' \\~~. . '-\~7n U .L{~ \ \)U\\'u. SS.DU . ~ _, 4VD N,go \ ~Q1LJ."" ~'- l~.OO: 1'0 d ..;I{) . t.d) \ ~ \ ~ U- ;V:-y ~.~ ;-ff:: _), "'" I'L{ ~-lW. .r Y/\'\J. ~,'S.Cl..J Amount Received , WHo ,20(1 0 mrtu ....ul"HO".it:D ilQNATUAI! ( ( ( I ", ........ ( (, ., --C 'HIl~TO"'TU.H.U~~ ~.'''TI.' " IUGIHI, O. .'.01 ..",.. ( Permit Cieri. {.;. ,. \:J 10 'J 1)\ <.oj jt'(jJ (f . ..' r~.~./ 10-16-81 .Jate