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Home My WebLink AboutPermit Building 1980-6-24 .JUlY 2 4 198a lINSPECTlON LINE 726-3769 NOTIFIED .. CITY Of SPR'~GFIELD COMBIIIATlW APPLI';TlON/PERMlT EIIERGY SOURCES: Heat Baseboard Elect Hater Heater Elect. Range Elect .. Job Address 688:'.~F~rn Way ,.r-,' ~ legal Description Minor Partition 607, Lot B Map Reference 18 02 05 1 2 INFDRllATlON LINE 726-3753 Sq. Ftg, 1'1ain l.UUU ~q. Ftg. Access. Sq, Ftg. Other Ilew Add Alter Rep, --Fence Demo Change/Use Other- - l CX> o o W \0 V1 Owner Joseph P. Tabor ValUE of \./ork: 11,805.30 BuiltiinQ Pennit Info: Deser be ~'lork(Le.. Build Single Family l1esidence Hith ,Q,ttached Garaoe) Address 1445 West 11th Street Eu~ene, Oregon 97401 Construction lender Phone Foundation & renovation of moved house 683-4889 Address UtS 1 oN TlAf1 Phone {addressl (l;es. no.) {name) Primary R.C:. RrF'RRF"V Structural Electrical 11echanical CONTRACTORS (name) Genera 1 Owner Plumbinq Owner Electrical Owner ~lechani ea 1 Owner PLUIIBIIIG 110. FEE Each single fixture 1441:) WPRt. 11 t.n Rt.'Y'Ppt. _ "fi:ll,O'pnp (addrp.ss) (lies. no.l ELECTRICAL CHARGF Nn ~~~ I r~ARr,F NO. Residence of SQ. FT. Relocated building X (new fix. additional) S. F. Res i dence 11 bath \ IOuPlex (I bath) each IAdditional bath I ~Ia ter servi ce I Sewer I Storm Sewer 15.00 New circuits alts. or extensions CHANGE 15.0C SERVICES Temporary Construction Change in existing rf?s.iQl'!f1ce multifamily, comm. or Tnou<;trirll Of amps, com." II NO. FEEDERS I Install/alter/relocate oic;trih. fppdprc; IOf I I I amps. TOTAL CHARGES WHERE STATE L1W REQUIRES shall not be valiJ until the 1 '1. Oc. TOTAL CHARGES that the Electrical work be done by an label has been signed by an Electrical 1 ~. or, TOTAL CHARGES Electrical Contractor, the electrical portion of this permit Supervisor and returned to the Building Division I HAVE CAREFULLY EXM11NED 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 performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Ore~on pertaining to the work described herein, and that IW OCCUPAr~CY 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 used on this project. IW.IE(please print) JOSEPH P. TABOR SJG;IATURE W.!Jfr12 FOr. OFFICE USE rfLj 'II ,/,.~. Zone R_l Tyoe/Const. V N Units 1 Sq. ~. 11a' 893 Fire Zone III Bedrooms Occy load Sq. Ftg. Access FDN Flood Plain NO Stories 1 Occy Group R-3 Sq. Ftg. Other BUILDING PERHIT Charges and Surcharges I FDN 10.00 'Plan Ck. CorrcnlInd 65%/Blda Ppr Fpp --------40-- Plan Ck. Res 30%/Bldo Per Fee 3.00 PD IREC# 6-11-80 I I I (exnires) rphone no. , 683-4889 (pxoi red f ohone nn l MECHANICAL FFF rl-IARhF furnace/burner to BTlI.s Floor furnace and vent Recessed wall ~o~rp hp~tpr ~nrl vpnt Appliance vent seoarate Stationary evan. cooler ~ . Vent fan wi th sinole duct Vent system apart from I heatina or A.C. Mechanical exhaust hood and duct Wood stove/heater ISSUANCE OF PFRI1IT DATE,jJV# x 12. 10 10.805.30 1.000.00 x Value Value Value x TOTAL VALUATION 11,805.30 Systems Development-I-- Charqe (1.5~) .. __J..7}.08 ] PLU/1BING PERMIT Charges and Surcharges Fence _ ~ n nl'i...QQ h 60 15.00 ------------ 60 D~IIIQ ELECTRICAL PERI~lT Cha rges and Surcharges Sidewalk A/C Paving Curb Cut Irotal Comb. Permit 41. 60 /lECHANICAL PERMIT . Charges and Surcharges I I TOTAL 218.68 -- . ,. .' a', ~I-~:/ . ___ 1....', .-- ......-.": ...... t . COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATION I. Applicant to furnish A, Job Address B. Legal Description 1. example- Tax Lot IOO, Lane County Map Reference II 03 43 2. example- Lot 1. Block 3. 2nd Addition to Spflngtield Estates C. Name. etc. of owner and construction lender O. Energy Sources 1. examole- heat/electrical ceilinq/or forced air OdS 2. examDle- waterheater/electrical/or solar E. Square footage or valuation, etc. ------ I, example- 1250 sq. foot house, 500 sq. foot garage 2. examole- if new project. check-n€w - if addition, check add, etc. F. Building permit information: 1. example - 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. DES I GN TENt ArlO 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. 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 ANa 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 s i goa tUre. 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. FOR OFFICE USE ONLY Permit Clerk . PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: DRIVEWAY CULVERTS REQUIRED Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: SEPARATE PERMIT REQUIRED FOR ANY ADDITIONAL WORK IMPROVEMENT AGREEMENT REQUIRED THIS PERMIT IS TO BE ISSUED AFTER HOSUE MOVING PERMIT IS APPROVED AND SIGNED PLANS REVIEWED BY: name DAN SMITH Signature~ ~Jm/j;h,.J -" date~-18-W ~ " , t '^ '''. '~." . J.UN 2 A,,:c/Seo,, .,. ." .." .FlEO~IT; OF'SP;:':il:Fi~~':~' ':,". ..' CDrlBIilATI OiI-APPLItATlON/PERMIT - EIIERGY SOURCES: H.at Baseboard Elect Hater Heater Elect. Ranqe Elect lIrlSPECTlOrl LIIIE 726.3769 Job Address 688 Fern Way Minor Partition 607, Lot B Legal Description Map Reference 18 02 05 1 2 Owner Joseph P. Tabor Address 1445 West lith Street Eugene, Oregon 97401 Construction Lender Address DESIGII lEAIl (name) 144c; WPc::.+. '11+.n Rt.rppt. 'RllO',,:lonp (1;es. no.' Primary R.r... Rrpc::.c::pv Structural El ectrica 1 r1echanical CDNTRACTDRS (name) Genera 1 Owner Plumbina Owner Electrical Owner ~.1echanical Owner PLUlm JIIG rlQ. FFF Each single fixture r.HARr,F JJn Relocated building X (new fix, additional) 15.00 S.F. Residence (J bath) Ouplex (1 bath) each Additional bath ~!a ter serv; ce Sewer Storm Sewer . .~, Phone 683-4889 Phone (address) (addressl Residence of New circuits alts. or extensions SERVICES INFORlIATlON Lillt 726-3753 Sq. Ftg. 1,Iain .lUUU '. ~q. Ftg. Access. Sq, Ftg. Oth.r Ii." Add A It.r ~.p. --Fence Demo Change/Use -Other- -- I OJ o o W \0 Vl Value of Hark: 11,805.30 BUlltina Permit Info: Describe l'Jork(i~e.. Family nesidence With Attached Garaqe) Build Single Foundation & renovation of moved house ELECTRICAL SQ. FT. CHANGE Temporary Construction Change in existing resJ q~n('~ multifamily, camm. or Industrial (lil":"_ no.l :~~ rI-'ARG.E. ..JlQ...... amps. I 115.0C I I I I I I I I I I I (exnires) (phone no. J Of COMM./IND. FEEDERS Install/alter/relocate di,trih. fppdpr, Of amps. 683-4889 (pxnirp,,) fohone no.) MECHANICAL ..E~I=" rl-lARG.E furnace/burner to BTU's Floor furnace and vent Recessed wall ~oar:p hp~tpr and vpnt Appliance vent seoarate Stationary evao. cooler ~ , Vent fan with sinole duct Vent system apart from heat;nQ or A.C. Mechanical exhaust hood and duct . Wood stove/heater ISSUANCF nF PFRIHT TOTAL CHARGES 15. OC TOTAL CHARGES 15. OC TOTAL CHARGES WHERE STATE LAW REQUIRES that tile Electrical work be done by an Electrical Contractor. the electrical rortion,of this perrilit shall not be valiJ until the label has been signed by an Electrical Surervisor and returned to the Building Division I HAVE CAREFULLY EXA~fINED 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 Derformed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oret]on pertaining to the work described herein, and that NO 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 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 used on this project. 1~(2 IIAI-IE(pl.as. print) JOSEPH P. TABOR Zone R_ 1 Fi re Zone III Flood Plain NO Tyo./Const. V N Bedrooms Stories 1 BUILOING PERIIIT Charges and Surcharges FDN 10.00 ------------ 40 PLUl1BING PERMIT Charges and Surcha rges __nn12..11L_ 60 SIGilATURE FO~ OrFICE USE OIJL Y ';.1. / 1 50, Ftg': liain 893 " Sq. Ft!J. Access FDN Sq. Ftg. Other Units Occy load Occy Group R- 3 Plan Ck. Comm/lnd 65%/Bldo P~r F~e Plan Ck. Res 30%/Bldo Per F.. Fence Demo ELECTRICP,L PERr~IT Cha rges and Surcharges 15.00 Sid.walk ------------ 60 A/C'Pavi ng IIECHANICAL PERMIT .' Charges and (}. ____________ Surcharges o::""':'l Curb Cut OA TE. \ / v:j"A x 12.10 10,805.30 1.000.00 x Value Value Value x TOT^L VALUATION 11,805.30 Systems Development Charq. (1.5") 3.00 PD6-11-80 REC# 177.08 Irotal Comb. rermit I I TOTAL 41. 60 218.68 ..1 .. .... _ _.~ --. -- Citie Co, -. COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. legal Description 1. examole- Tax lot 100. lane County Nap Reference II 03 43 2. examole- lot 1. Block 3, 2nd Addition to Spnngtield Estates C. Name. etc. of owner and construction lender D. Energy Sources 1. examole- heat/electrical ceiling/or forced air QdS 2. examole- waterheater/electrlca]/or solar E. Square footage or valuation, etc. - 1. examole- 1250 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 a ttached gar~ge 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 Str~ctural Specialty Code H. DES I G~ TEAl.' Arm 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. BUILDHlG DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES 0;1 THE SCHEDULES O. 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 the permit is issued. V. FOR OFFICE USE ONLY PROJECT CONOITIONS TO BE SATISFIEO BEFORE OCCUPANCY: DRIVEWAY CULVERTS REQUIRED PERMIT VALIDATION TV OF SPRINGFIELD n City Hall Springfield. Oregan Department of Public Works OFFICIAL RECEIPT No. B .\ ~ =4 . " . ...--, ., : y, \~tl.... 19( __J i \S)..')<;; --'I' \1'"'r-,-- J:rom w.,:, ,L '_ ' \. ...._':._.l...._ .! l.. \ L\L\5 I...U \.!~\..y"\ . 53993(1 . <I .11 \ (""CO . ...). . LLC~' . . ../.e \ .~ \ ' ,d For:, a,j~ C\ , 1\ ',", L\.c}. .",.. J \~\.'~ n\ 'r'. \ \c::..uu _.) 1 _ . 4 . , ,LQU ~1..~J/" t ~,~JlJLOJ: t- \ ~ t:.u w<t\ ... \. . In04 . If-1 ( ..' j,;!", ,-"1< l' U\ V'1. \ 'yt t:Jo: ( - I) \,k.-" Lob ,t Received {. ( ,!__ t~\.' }j'\,') ,",UTtiOR1ZEO SlGN"TlJRE "..nTO...Tv....nuLL ....,..yl"". [UGENI, Oil '7.0' ( *,~ ( ( Sf",,'f ( '. ( Permit Clerk ~ Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: SEPARATE. PERMIT REQUIRED FOR ANY ADDITIONAL WORK I I IMPROVEMENT AGREEMENT REQUIRED THIS PERMIT IS TO BE ISSUED AFTER HOSUE MOVING PERMIT IS APPROVED AND SIGNED PLANS REVIEWED BY: name DAN SMITH signature 1!J:;,.() vJr/7lTh ~' I ,'fl , -- datet:,-!8-f?.D " )