The URL can be used to link to this page

Home My WebLink AboutPermit Building 1983-7-7 (3) '"I INSPECTION LIIIE 726-3769 e Legal Description 17032220. Dart of TL 2400 CiTY Ur SPRINGfIELD COMBINATION APPLICATION/PERMIT E!lERGY SOURCES: Heat Hater Heater , INFOR/IATlON liNt ., 726-3753 Sq. Ftg. '.Ia i n ~q. ~tg. Access. Sq. Ftg. Other Ilew Add A 1ter Pep. -Fence Demo Change/Use ~ Other- - "" '" '" ~ Job Address 1198 Gateway LOOD Address 1198 Gatewav LOOD SDrin~fie1d. Ore~on Construction lender Phone Ranqe ValuE of Hark: 38,440.00 I BuilciinQ Pen11it Info: Describe Work(i'.e., Familv nesidence With Attached Garaae) Build Single Owner 3M Business Equipment Center 97477 726-7888 Remodel of existing office building Address Ut~lliN TtAr.' {namel Phone {address} (lies. no.) (exoi res) (ohone no.) Primary Richard G. Williams (WEGROUP Architects) 863 E. 13th, Eugene 344-3249 Structural Electrical Warner Engineering Mechani ca I Rogers Engineering CONTRACTORS Inamel 895 Country Club Road, Eugene 78A Centennial Lp, Eugene ,__ (address) l1ic~_ no.)Jo..- {plloirp<;.\ "bo.....r.'\-eJ s.. Mr In-h1rr.... ~S5D 484-0620 484-0227 (ohoop nn, \ r",n.~f4-J General rl~"',Cc..~'''~' '!:~...... -... ~...._.:....... Plumbina Electrical ~'echanical PLUllBIrIG ELECTRICAL MECHANICAL' NO. FFF fHARr;F "ll- FFF r"ARliE. ..lJQ.....' I furnace/burner to BTlII s Floor furnace and vent CELl Each single fixture Residence of SQ. FT. Relocated building (new fix. additional) x New circuits alts. or extensions , n.,.. mn.,..p ISERVICES I 1 ~ or S.F. Residence (1 hath' Ouplex (1 bath) each Additional bath Recessed wall -X-. ~n"'rp hp"'tp.. .....ri~_ 6.00 Water service ITemporary Construction IChange in existing rpc;idpnrp Imuftff"amilY, COITITI. or ,Tndllc:tri<'ll - 1 App 1 i ance vent 5:~oaratp I' Stationary evap. cooler I Vent fan with sinol~ duct I Vent system apart from I heatino or A.C. I Mechanical exhaust hood "nd duct I ~'Iood stove/heater IModify Existing IDuct Work I 6.00 I 10f amps. I ICOffi1./IND. FEEDERS I IInstall/alter/relocate I 1 'I rli~trih fpprlpr~ X 10f.2.U1' amps.1 115. O~ X I I I 1 I I 1 I 1 ISSUANCE OF PFR!lIT 10.00 TOTAL CHARGES _0._ TOTAL CHARGES 30. orl TOTAL CHARGES 22.00 WHEnE STATE L\I/ REQUIRES that the Electrical work be done by an 'Electrical Contractor, the electrical portion of this permit shall not be valiJ until the label has been signed by an Electrical Supervisor and returned to the Building Division I Sewer Istorm Sewer I HAVE CAREFUllY EXAMltlED 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 Oregon pertaining to the work described herein, and that NO OCCUPAf~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 ons 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. llAlIE(Pl~ase print)\( 'D'ttv' {)l..::.....TvtV; SIf,tl^TUR~~Wr ~.AJ FO~ OFFfCE USE OtlLY . Sq. Ftg. r1ain Sq. Ftg. Access Sq. Ftg. Other REMODEL DATE...k')-'- 7- 13 Zone CC Fire Zone Flood Plain Tvpe/Const. Bedrooms Stod es 5-N Uni ts Occy Load Occy Group x Value Value Value 38,440.00 x 1 B-2 x TOTAL VALUATION BUILOIllG PERI.IIT Plan Ck. Comm/Ind S~stems Development Charges an~ ___l~4..,.9Q.____ 65%/Blrla Pj'r Fp. 100.10 PAID C arqe (1.5~) , Surcharges Plan Ck. Res 6.16 30%/Blda Per Fee Mav 31. 1983 Overpayment of 'lan Check PLW1B I NG PERMIT I Fence I I fee- CREDIT OF 34.45 Charges and ------------ Surcha rges I Demo I I ELECTRICAL PERI~IT 30.00 I Sidewal k I I Charges and ------------ I A/C Paving Surcharges 1.20 1 ITotal Comb. rermit 11ECHANICAL PERMIT 22.00 I Curb Cut I 1 I Charges and ------------ I I TOTAL $179.79 Surcharges .88 I I e .. ~ - COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATIDN 1. Applicant to furnish A. Job Address B. Legal Description 1. examp.le- Tax Lot 100. Lane County Map Reference II UJ 43 2. examole- lot 1. Block 3. 2nd Addition to ~prlngtield Estates C. Name. etc. of owner and construction lender D. Energy Sources 1. examele- heat/electrical ceilinq/or forced air OdS Z. examole- waterheater/electrlcal/or solar E. Square footage or valuation. etc. ------ 1. examole- 1250 sq. foot house. 500 sq. foot garage 2. examp'le- 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 as defined in Section 303 (a) of the Structural Specialty Code H. DESIGN TEM4 AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design infonmation 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 Electr;cal 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. --- III. Applicant to sign and date Whenever possible. the initial application will be us~d 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. '7-1~83 1'75\ (j 'dJ ( .,i V. FOR OFFICE USE ONLY Permit Clerk ~L "" 1 PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: I PLANS REVIEWED BY: name Lorne W. P1eger signature4~ ~ ___da~e June 9, 1983