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Home My WebLink AboutPermit Building 1980-6-30 (2) '':'" - Se..cf Z -z ~ nose... ~ U) Wf1NC.-.'ED' ..JUI't-18, 1mI_ I IrISPECTIOII LIIIE ZA /~6 . CITY OF SPRINGFIELD INFORlIATIDN LINt 726-3769 ~rL/ COMBIiIATION APPLICATION/PERMIT 726-3753 Sq. Ftg. 1.lain_?q,nqL- ~q. Ftg. Access. Sq. Ftg. Other Ilew Add Alter Pep. --Fence Demo Change/Use -Other- - ......, Park 1144 Gateway Loop Part of Tax Lot 2400 In Gateway Subdivision 1/0322 Z All ied Cornnercial Realty '240t> , E!IERG~~rCPtinp El ectri ' Heat ' Hater Heater t I eCtrl C tleCtrlC Range 00 o o .'" ~ N Job Address legal Description Owner te~a~~6~o~?cAOO.OO Address 25260 Parkway Phone Wilsonville, Oregon 97070 682-2030 Construction lender ,;z,4'2 "Zlo\ l..... Sui ttiinq Permit Info: Oeser be l~ork( Le.. Build Single Family Residence With Attached GaraQe) Foundation for two story office plaza. Address UESIGII IEAlI (name) Primary 1 ~ar~A~r\;R~pl\raxoerger Structural Otto Van Hal stijn Builders Electric ! Electrical Phone {address 1 (lies. no.) fexoiresl (ohane no. 11echanical CONTRACTORS CHase Company (name) Jim Johnson 4455 S.W. Scholls Ferry 610 Broadway S.W. 293 Monroe, Eugene P.O. Box 5549, Eugene (addrf'ss) P.O. Box 3196 , Salem 1135 6/30/80 292-8895 222-3452 485-0922 726-1Cl81 (l ic~. no.) (pxoirpd rohnnp M..) 585-7406 , Genera 1 Plumbino Electrical ~lechanical ;, PlUIIBIrIG ELECTRICAL MECHANICAL i NO. FEF CHARr;F NO ~~~ r~ARr.~ NO. ~~~ I r~llQr.!:' Each single fixture - Residence of SQ. FT. furnace/burner to BTU's Relocated building (new fix. additional) S.F. Residence {j bath I Duplex (1 bath) each New circuits alts. or extensions Floor furnace and vent SERVICES Recessed wall ; Snn~P hPntpr nnrl vpnt Storm Sewer Of amps. Appliance vent spoaratfl Stationary evap. cooler Vent fan wi th sinnlp duct Vent system apart from heating or A.C. Mechanical exhaust hood and duct Wood stove/heater Additional bath Temporary Construction Change in existing re<;. j dJ'Jlce multifamily, comm. or Tndll<;.triill Hater service Sewer COffi1./INO. FEEDERS Install/alter/relocate di<;.trih. fpprlpr<;. Of amps. ISSUANCE OF PFRIIIT TOTAL CHARGES . TOTAL CHARGES , TOTAL CHARGES WHERE STATE L'H REQUIRES that tile Electrical work be done by an "Electrical Contractor, the electrical rortion of this permit shall not be valiJ until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFUllY EXAr1INED 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 City of Springfield and the laws of the State of Oregon pertaining to the work described herein, and that 1m OCCUPAIKY will be made of any structure without the permission of the Building Division. I further certify that my registration with the Builder1s 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 \'Iill be used on this project. IIAI-IE(please print) A ,IA/. #/_/~h.?-A--r1 SIGiIATUR~'77~~O~ Q OAT~....?'3-? Zone C-4 Fire Zone 11 Flood Plain FOUNDATION Tyoe/Const. V-ll I hr Units Bedrooms Occy load ~ Stories Occy Group ONL Y! !! ! ! ! ! ! ! ! ! ! ! ! ! ! FOP. OFFICE USE DIllY Sq. Ftg. Sq. Ft9. Sq. Ftg. n-~ 11ain29,092 x Value 865,OOO.OfJ Access I viU rLUIJKj Value_ Oth tL~, :JLJ.O l.L tH V 1 " I U, UULJ. ~}l) er x a ue TOTAL VALUATION 935.000.00 BUilDING PERt.IIT Charges an~ Surcharges I Plan Ck. 227.00 65%/Bldo ----g.liB-----Pian Ck. 30%/BldQ Fence Conrn/l nd Ppr Fpe Res" Per Fee I 147.55 PO 0618S)Systems Development ' ltharQe (J.5~) I I PlU'1BING PERMIT Charges and Surcha rges Demo ELECTRICAL PERt:IT Charges and ----- Surcharges Sidewalk A/e Paving. Total Comb. rermit IIECHAN I CAl PERMIT Charges and Sur"c~arges Curb Cut I -- TOTAL I 236.08 I ........:~ - .J - ...J , . " ~ '......- ~~ .' 03_')/11 -,..~. .. . COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATION ,., I. Applicant to furnish A. Job Address B. legal Description 1. example- Tax Lot 100. Lane County Map Reference 17 U3 43 2. examole- Lot I. Block 3. 2nd Addition to Springfield Estates C. Name. etc. of owner and construction lender O. Energy Sources 1. example- heat/electrical ceil inofor forced air oas 2. examole- waterheater/electrlcal/or solar E. Square footage or valuation, etc. ----- 1. examole- 1250 sq. foot house. 500 sq. foot garage 2. example- if new project, check-n€w - if addition, check add. etc. F. Building permit information: . 1. example - construct sing"le family house ,with an attached garage ' 2. example - remodel existing garage into f~mily room 3. examole - convert single family residence into res taurant (change of use) : G. Value of work as defined in Section 303 (al 'of the Structura'l Specialty Code 1'. H. DES I GN TEAH ArID CONTRACTORS ,. To avoid design or construction delays, Bui1~ing Division Staff must be able to contact appropriate persons regarding design information or job'pite corrections. etc. .: II. Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except ~Ihere 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 "i B. Full Plumbing, Mechanical, and Electrical Scpedules "are available at the Building Division ; 1. To conserve space on the permit form the: schedules ha ve been abbrev; a ted :~ 2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult the full schedules .i C. BUILDING OIVISiON STAFF WILL FILL OUT ALL FEES ANO CHARGES ON THE SCHEOULES 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 Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit appl icant exempt from registration with the. Builder's Board because: Additional Project Information: PLANS REVIEWED BY: LORNE W. PLEGER Signature~~__(' 4"'t" dateJ:; ~/15-80 I name '- . , '-- . ~.... Job Address 1144' Ga teway LOOp I.egal Description Part of Tax Lot 2400 Park Subdivision Owner A 11 i ed COlllTIerc i a 1 Rea lty Address 25260 Parkwav Wilsonville, Oregon 97070 r .,. If( I IrISPECTIOIl LIIIE 726-3769 Construction lender . '-fr~' ~......."..,'"fr' ,~~~~~q::,.:t"1~ ~ITY' OF SP:I1IGFI'ELD . . "..~'!0_D Cor1Bl11ATlON APPLICATION/PERMIT INFOR/1ATlON LiNI. 726-3753 So. Ftg. 1.lain 2Q.09;> ~q. Ftg. Access. Sq. Ftg. Other Ilew Add A Iter Rep. --Fence Demo .Change/Use Other- - 00 o o .". .... N ..JUI'l-ll:l, I~OIl - ..--~ In Gateway I I, I ~~;~r.lIe>g~Rqi~inp El ectri : !.Iater Heater t I ect r1 c Electric ,---- Ran!je te'(illBM6~1)6~I'JAOO' 00 I Phone . Bu;~inQ Permit Info: Describe \~ork(i..e.t Build Single Familv nes;dence '-lith .A.ttached Garaoe) 632-2030 Foundation for two story office plaza. Address DESIGH itAl1 (name) '~ar~RgrsR~L~raxoerger Primary IJ Structural Otto Van Hal stijn Electrical Builders Electric 11echanical CHase Company CONTRACTORS (name) Phone (address) 4455 S.W. Scholls Ferry 610 Broadway S.W. 293 Monroe, Eugene P.O. Box 5549, Eugene (address) P.O. Box 3196 , Salem (lies. no.) (exo;res) (ohone 00_ 29i-8895 222~3452 485-0922" 726-1981 1135 6130/80 flies. no.) (exoirpc:;) rohonp nn. ) 585-7406 Genera 1 Jim Johnson Plumbino Electrical ~,lechanical NO. Each single fixture PLUIIB IIIG ELECTRICAL MECHANICAL FFF tIn I I Res i dence of SQ. FT. New circuits alts. or extensions rHARr.f fHARr.;F NO. ""F >>, r!.jARr,!=" furnace/burner to BTU's f Relocated building (new fix. additionJl) S.F. Residence (] bathl Duplex (1 bath) each Additional bath Hater service Sewer Storm Sewer I I I I I -f" r I Floor furnace and vent I Recessed wall . ~n~rp hp~tpr ~nrl vpnt SERVICES '1 I I I I 1 I I ITemporary Construction IChange in existing n's.; rtf'nq~ Imultifamily, comm. or Indust.rial I Appl iance vent seoaratfl Stationarv evan. cooler ~ . Vent fan with sinale duct 1 Vent system apart from I heating or A.C. 1 Mechanical exhaust' hood "nd c1ur:t. . I Hood stove/heater 1 I I IOf amps. Cor11.1. /IND. FEEDERS I 1 1 TOTAL CHARGES WHERE STATE L~W REQUIRES shall not be valiJ until the perrilit I HAVE CAREFUllY EXAtHNED the completed apfllication 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 Orel]on pertaining to the work described herein, and that 1m OCCUPArlCY 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 7n1.055 will be used on this project. IIAr-IE(please print) ;"'" I/V. .-- H"'-fr.P/i"/-.n....../l SIGII~TUR~::?J~'P~ 0 ~ FOr. OFFICE USE QiILY So. Ftg. 11ain29,092 x Sq. Ftg. Access I WU rLUIJK~ S,q. Ftg. Other lL}~~L~O x ./U,UUU.~H) ~OAT~.-?e> --:?-" 865,000.00 Zone C-4 Tyoe/Const. V- j II hr Units Fi re Zone I I Bedrooms Occy load ~ Flood Plain Stories Occy Group FOUNDATION ONLY!!!!! I!!! !!!!!!! BUILDING PERf,11T Charges anC Surcharges PLUf1BlrIG PERMIT Charges and Surcha rges ELECTRICAL PERr:1T Charaes and Surcharges f1ECHAIIlCAL PERHIT Charges and Sur.charges .-:-~ '-" Value Value q .(51 Value tl-iC Plan Ck. Comm/lnd 227.00 65%/Rldo Per Fep ----g.1m----- Plan Ck. Res, 30%lBl do Per Fee I Fence ------------ I Demo I Sidewa 1 k I A/e Paving. ~----~------l Curb cut, TOTAL VALUATION 935.000.00 '147 .55 PD 06188'ih~~~~s(~~5$,lopmeot . Total Comb. rermit I TOTAL 236.08 '\- -.. '''j.. ~ .. ~-.. ...... .......... iiJ.'''''''''''' , . COMBINATION APPLICATIONIPEP~IT (CAP) I. Applicant to furnish A. Job Address B. legal Description 1. example4 Tax Lot 100. Lane County ~lap Refer 17 03 43 2. examole- Lot 1. Block 3. 2nd Addition to Sprlngtield Estates C. Name. etc. of owner and construction lender D. Energy Sources 1. examole- heat/electrical ceilingjor forced 2. examole- waterheater/electflcal/or solar E. Square footage or valuation, etc. - I. examole- 1250 sq. foot house, 500 sq. foot 2. example- if new project, check-new - if add ~n check. add. etc. . F. Building perr.lit information: 1. e"xamole - construct single family house wit attached garage ( 2. examole - remodel existing garage into "fam; 3. examole - convert single family residence i: restaurant (change of use) G. Value of work as defined in Section 303 (a) 'of Structura-I Specialty Code H. DES I G;I TENI ArlO CONTRACTORS To avoid design or construction delays. Buil~in! Division Staff must be able to contact appropri; ( persons regarding design information or job ?itl corrections. etc. . Abbreviated Plumbing. Mechanical. & Electrical Sche< A. Except where blank spaces occur in the descript" portion of the Mechanical and Electrical Schedu. the applicant need fill-in only the No. Boxes ae to the appropriate item(s) to be installed B. Full Plumbing. Mechanical. and Electrical Sctledl ( ~re available at the Building Division ) 1. To conserve space on the permit form the" set have been abbreviated ~ 2. If the item(s) to be installed are not cover the abbreviated schedules you should consult full schedules C. BUILDJIIG DIVISION STAFF WILL FILL OUT ALL FEES P CHARGES ON THE SCHEDULES ( D. As noted on the CAP. the label must be deliverec :... BY electrical contractor for signature by his elect supervisor. The general contractor is not authc to sign .the electrical label. /" Applicant to Sign and date '\" Whenever possible. the initial application will be u~ 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. 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. II. I I I. IV. V. FOR OFFICE USE ONLY . ."...~ ( CITY OF SPRINGFIELD If ..... i City Hall Springfield. Oregan Department af Public Warks OFFICIAL RECEIPT (SF No. B Date 1,,- .::(r) 1980 - , Reed 'Fram 8J.k/,J,. ((".l^~' I." f' -.r( If)j />r, W M..:. Fo...-\('-Y\d.,- Address 2."'=:'/(:. f? . A.vk."";l y _ \~c..."l^;.:1 I 1"'_ I.!'._,,, _~ A. - .. ) ---' Received Far: AIOJI B l.r,^~ " ,~ P'(V\L/t.j~- f 53867'8 12120..11 ~\{. . , . C:OV"HM9A/""~1 \ ( /3v j' ( (/, '.1 An ~::J. '7. oCJ { Lf0n qoB ,on 'f-'~ i?B 1..,,_, , Amount Received C>\.-.::9~ _ c.~ <--=.7 ,711^-' ..~7u-u~ ( (I AUTHORIZ[D SIGNATUR[ "..UTO...TU....IIULL .",...[ltS" luGl"l 0" .'.0' Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: , ( € ~ ~ ~ ~ << 'I I LORNE vJ. PLEGER Signature~~-_(~ ~....... date ~~/~-80 /'" ~, r ,I.". name ~_' J ......c". '--