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HomeMy WebLinkAboutPermit Building 1982-11-3 (2) -~!!!!?" . . / Job Address 1186 GATEWAY LOOP CITY UF SPRIIIGFIELD COIIBlIlATlOfl APPLICATlOfl/PERMIT E!lERGY SOURCES: Heat Heat Pumo !'Jater Hea ter Ranqe INFDRIIATlON LINt 726-3753 ,/ Sq. Ftq. r.lain ~q. Ftg. Access. 50. Ftg. Other Ilew AddX Alter Rep. --Fence Demo Change/Use Other - - co N N o co '" llrlSPECTIOII LIIlE. 726-3769 Legal De5Cription 17-03-22-20 Lot 2411 Blk. 019-00 Gate Post Subd. Address Suite 250 8383 N.E. Sandy Oregon 97220 Valu, Of '.Iork: ,...,. .'Jc:,).....::lr......-"c... .,si'!\! OrH).flO Ph 257 05' 5Bullc;inQ Permit Into: Describe 14ork(Le.. one - . Family nesidence With Attached Garaoe) Build Single Owner ~nrin{1'f;pl(1 Tnut:>c~rn-c Portland, Alteration of Existing Commercial Building Construction Lender First Northwest Investment Co. Address DESIGN fEArI (name) Phone (address) (lics. no.) lexniresl (ohane no. Primary George Mayer 1065 High Street Eugene 345-3711 Structural Electrical Platt Electric Mechanical Beymer CONTRACTORS Inamel Abe Wilson (address) flies. no.l fexoires) 345-5445 6RR-~O(l4 (nhonp nn.' Genera 1 8383 N.E. Sandy Blvd. Portland 257-0595 Plumbina Electrical Platt Elect ~1echanical Beymer 345-5445 hRR_~004 PLUIIBIIIG EXISTING f10.1 -----lEach single fixture jRelocated building (new fix. additional) Is.F. Residence 11 bath) IDuPlex (1 bath) each IAdditional bath I ~Iater service I Sewer IStorm Sewer FEE CHARGE ELECTRICAL Ij(1 Residence of SQ. FT. New circuits alts. 2 or extensions SERVICES MECHANICAL' <.EL J:llARlli. NO. FFF rH'lRG..l ,/ furnace/burner to BTU. s 15.00 Floor furnace and vent Recessed wall ~n~rp hp~tpr ~nrl ~pnt Temporary Construction Change in existing rpc;.idenr:p, Imultifamily, COrml. or Tndllc;.tri~l IOf amps.1 Ico~1./IND. FEEDERS I Ilnstall/alter/relocate I di~trib. fppdprs .11 Of 04'0- I I amps. 10..00 Appliance vent spoar~tp Sta'tionary evap. cooler Vent fan with sinale duct Vent system apart from I heatino or A.C. I Mechanical exhaust hood ~nd rlurt. I Hood stove/heater 8 ISuoolv Air 3 I Return Air I 6.0e TOTAL CHARGES TOTAL CHARGES WHERE STATE L'U REQUIRES that the Electrical work be done by an 'Electrical shall not be valiJ until the label has been signed by an Electrical Supervisor ISSUANCE OF PER/lIT t5.00 TOTAL CHARGES 10.OC l6.0e Contractor, the electrical portion of this permit and returned to the Building Division I HAVE CAREFULLY EXN11NED 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 Oregon pertaining to the work described herein, and that NO OCCUPArKY 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 OP.S 701.055 will be used on this project. 11A/-lE(please print) A j <e. I~ f's ~ 1'1 51r,11ATURE a-l",,-- ~-P~ O~,TE dh/li"-L FO~ OFF I CE USE OIiL Y Zone CC Tvpe/Canst. 5-N Units N.A. Sq. Ftg. riain Fire Zone N.A. Bedrooms N.A. Occy load Sq. Ftg. Access Flood Plain NO Stories 2 Occy Group B-2 Sq. Etg. Other Interior x Value x Value Remodel Va' ue -s.18:-000~'OO TOTAL VALUATION $18-;000-.-00 ",::/,:cP_~'"'"O.a.. -... BU I LO !fIG PERfil T Charges an~ Surcharges r(4~OO:' ~~~~B~~~ ------r3=36-:--PTan Ck. -:: _""_ 30%/Bl do ,,-"w._" Comm/Ind Ppr Fpp Res Per F~p 1$51.20 paid Systems Development -1f\-?1-R? ~QRR? CharQe (1.5~) I 7?:=V/,,-=,>",> ? <... Fc;E I r:e~ .~/O ~/Q~Ir.-;?e~T I 5"~ g- 5",/, -;:;:0 :z.~C PLW1BlflG PERMIT Charges and Surcharges Fence ELECTR I CPoL PERI:IT Charges and Surcharges D~mo !5.00 I'Sidewalk ------'E1~--1 A/e Paving 16.00 I Curb Cut ---n--~64---1 ITotal Comb. rermit / <7. 9~ 13c. S< -$l-30-;-QO J I1ECHAN I CAL PERMIT Charges and Surcharges I I TOTAL . - .. . COMBINATION APPLlCATION/PERfIlT (CAP) PERMIT VALIDATION I. Applicant to furnish A. Job Address B. legal Description I. examDle- Tax Lot 100, Lane County Map Reference i/ 03 43 2. example- Lot I. Block 3, 2nd Addition to ~prlngtield Estates C. Name. etc. of owner and construction lender O. Energy Sources 1. examole- heat/electrical ceilinq/or forced air qas 2. examoJe- waterheater/electrlcal/or solar E. Square footage or valuation, etc. ------ 1. example- 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 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 TEM1 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 full schedules C. BUILDING OIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON 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 perm.it.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. .~ ~ (-\,,:>0 ~~ . " ~: I ; I ~ - . V. FOR OFFICE USE ONLY Permit Clerk C~ I PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: See Job # 800019 for Original Plans and Permit Record Permit applicant-exempt from registration with the Builder's Board because: Additional Project Information: . ~.~~,tnlO~ \ 11 72 A /J '" )' Signat~PJt7#-iIU.- 1/1.gUL/ date 10-25-82 _...::..- ...:..:.=-_..::::::__-:.::::. ..:u.:....::::~... -:::.::.'':':::..: ..~>::~'::':.~ _.:;:. ~::I-':::,.'::'-"::: l(;:::..;.;..:..-..:.:. ":'::' ~".:;::::.-:..:-.-:..:_..:=~..:~.....:::-...:-" :"'~-''''-'''='::_:':;l...''''---_._-.=-:-:S.~. PLANS REVIEWED BY: name Lorne P1eQer