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HomeMy WebLinkAboutPermit Building 1983-7-7 (2) I INSPECTION LINE 726-3769 I Job Address 1198 Gateway Loop 17032220, nart of TL 2400 Legal Description Owner 3M Business Equipment Center Address 1198 Gateway Loop Sprin~field. Ore~on Construction lender Address Ut~lliN ItA!-1 {name! Primary Richard G. Williams (WEGROUP Architects) 863 E. 13th, Eugene 344-3249 Structural Electrical Warner EnRineerinR Rogers Engineering' (name) Mechanical CONTRACTORS Genera 1 f.':"'~..ccit'_'~.U _ _~u~ _~ .....~_~.... Plumb;no Electrical ~1echan; ca 1 PLUl1BlIIG NO.1 I FEF I r.HJ\Rr.F. Each single fixture Relocated building (new fix. additional) S.F. Residence (1 bathl Duplex (1 bath) each Additional bath \Olater servi ce Sewer Storm Sewer TOTAL CHARGES WHERE STATE L~W REQUIRES shall not be vali1 until the . CITY Of SPRINGFIELD COMBIiIATION APPLICATION/PERMIT EilERGY SOURCES: Heat Hater Heater Range Valu, of Hork: 38,440.00 BuilciinQ Pennit Info: Familv nesidence With INFORllATION liNt I 726-3753 Sq. Ftg. /.Iain ~q. Ftg. Access. Sq. Ftg. Other New Add Alter Rep. ~."" -Fence Demo Change/Use -Other - - ... Describe Work(;,e.. Build Single Attached Garaae) Phone 97477 Remodel of existing office buildin~ 726- 7888 Phone (addressl (exniresl (ohone no .-\ !lies. no.) 895 Country Club Road, Eugene 78A Centennial Lp, Eugene ___ (address1 (lies.. no.1","-- (pxnirpc;.1 ""Da....n \eJ ~. t.....lC. I n-h1 r(" "' ~.s-SD 484-0620 484-0227 (ohonp nn 1 (",K7.Zf<t-J ELECTRICAL MECHANICAL' NLI I ~~~ I r':lARliE. Nn , I!:,!:,!:, ' r.l!ARliE. I Res i denee of furnace/burner to SQ. FT. BTU's INew circuits alts. Floor furnace X or extenslons and vent ? nr mnrp 1'; or ISERVICES Recessed wall 6.00 1( ~onrp hPntpr nnd vpnt I ITemporary Construction Appliance vent c;.POilriltp IChange in existing Stationary evap. rpc;. j de.ncp cooler Imultifamily. comm. or I Vent fan with Indll<;tri;il sinale duct 10f I Vent system apart from amps. heating or A.C. ICOMl-I./IND. FEEDERS 1 Mechanical exhaust hood and durt jInstall/a1ter/re1ocate I Wood stove/heater di~trih_ fpprlpr~ X 10f 700 amps. 115.or X Ir40dify Existing I I IDuct Work 6.00 I I I I I ISSUANCE OF PFR'1lT 10.00 -(1- TOTAL CHARGES that the Electrical work be done by an label has been signed by an Electrical 22.00 permit 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 Ore~on gertaining to the work described herein, and that UO OCCUPAHCY will be made of any structure without the permission of the Building Division. I further certify that my registration with the Builderls 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. HAI-IE(please printlUA..v' llJ t. I,,;7y~~ SIGlIATURF~7JlJ ~~ FOP. OFF I CE USE OiIL Y Sq. Ftg. f1ain x Sq. Ft9. Access x Sq. Ftg. Other RH10DEL x BUILOING PERi.1IT Plan Ck. COlllll/lnd Charges anc _ __1~4.:.Q!L _ __ 65%1Bl do PE'r Fp~ Surcharges Plan Ck. Res 6.16 30%lBl do Per Fee PLUl1B ING PERMIT Fence Charges and ------------ I Demo Surcharges ELECTRICAL PERI~IT 30.00 I Sidewalk Cha rges and ------------ SurCharges 1. 20 A/C Pavi n9 flECHANICAL PERMIT 22.00 Curb Cut Charges and ------------ SurCharges .88 Zone CC Tyoe/Const. Bedrooms Stories 1 5-N Fi re Zone Flood Plain 30.0( TOTAL CHARGES 'Electrical Contractor. the electrical portion of this Supervisor and returned to the Building Division DATE~?':- 7-13 / , Units Occy Load Occy Group Value Value Value B-2 38,440.00 TOT^L VALUATION 100.10 PAID May 31. 1983 Systems Development Charoe (1.5~l ' Overpayment of 'Ian Check fee- CREDIT OF I I 34.45 Total Comb. rermit L I TOTAL $179.79 - . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. legal Description 1. example- Tax Lot 100. lane County Map Reference II 03 43 2. example- Lot I. Block 3, 2nd Addition to spr,ngtield Estates C. Name. etc. of owner and construction lender D. Energy Sources 1. examole- heat/electrical ceilinQ/or forced air Qas 2. examole- waterneater/electrlcal/or solar E. Square footage or valuation, etc. ------ I. example- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project. check-new - if addition, eneck add, etc. F. Building pennit information: 1. example - construct single family house with an attached garage 2. example. remodel existing garage into family room 3. exam~le - 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 TEN1 AND CONTRACTORS To avoid design or construction delays. Building ~ivision 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 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. --- Ill. Applicant to sign and date Whenever possible. the initial application will be used as a worksheet only. Where possible. Building ~ivision 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 CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: I PERMIT VALIDATION '7-1"83 1',5 ~ LP 'dJ ( Permit Clerk rbL . Permit appl icant .exempt from registration with the Bui.lder's Board because: Additional Project Information: PLANS REVIEWED BY: name Lorne W. P1eger signature4~~_~da~e June 9,1983