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HomeMy WebLinkAboutPermit Building 1982-5-18 , .,.. . ".'. 1 '. _'V:-:-"""'"~'~"~~':'(~'<,,,,,~~.'ijl...,'i:~~r"'};W~'''~~ . .~ . '. - . ': ":" '. ..'_ ' ~: i~..i ~fr.~ ~~:?-..:"1!r'l}~~~W.~~~.,~w'~~~;,~~:e~~~'!.~~~~1r~;~~71~~ , ,,--........ '. ", . '1l' ": <--. ,.~'.} 'J" "'....~..t1f. '~'..". t... ~ ""''''<:.\' "" T. f"M:./:"r, :Jo1,P.'>,J.~...~~ t:;1t.t1 ,,--:*"";$t I \. ,. . ",' ," ,,,,,,,._..,:,;-.~ , .:' ,.,7 y..::,~"t,,;;~r~~'i'~~~J:t;4 '~~llWf.~~ii(4~,~~ \__/. .: . ~. ~~ :-' <~ ~.._~~f~~;~-5.'S:_ '':~;?~:''/:;~~~:~~~.~';~A..~~~J',.~!~?i1f~~~:-f:~: 0111 H6 /0 l.-rj ( o-rn,tJ. Nof I fH:~;}~ ,- 13- 'i; { INSPECTION LINE 726-3769 CITY OF SPRINGFIELD COMBINATION APPLICATION/PERMIT INFORMATION LINE 726-3753 ~ :-li ;,1 Address Collins Food International 511 NE 123rd Avenue Phone 7,500.00 Sq. Ftg. Main Sq, Ftg, Access. Sq, Ftg. Other 32 I _New _Add. XAlter _Rep. ._Fence_Demo_Chonge/ Use _Other ex:> ...... C> ~ C> ...... Job Address 514 Q Street Legal Description 17 03 26 24, TL 5503 ENERGY SOURCES: Heat Water Heater Range Value of Work: Owner 252-5556 Building Permit Info: Describe Work (i,e" Build Single Family Residence With Attached Garaqe) Portland. Orp.gnn q7?2~ Construction lender Drive up window addition Address phone DESIGN TEAM (name) (address) (lies. no.) (expires) (phone no.) Primary C.D.C. Reagan, Cramer Structural Electrical Mechanical CONTRACTORS (name) (address) (lies. no.) (expires) (",hone no.) 620-7990 General I PrtgjE'lrl COllstr'lction Co 18085 S!.J. Lower Boone~ ~9rrJ' ~-d, P~rtl:m8 Plumbing Electrical Mechanical Chase Company PLUMBING ElECTRICAL MECHANICAL NO. FEE CHARGE NO. FEE CHARGE NO. FEE CHARGE Each single fixture Relocated building (new fix, additional) S.F. Residence (1 bath) 1 ". ft. New circuits, alterations or extensions 2 0 r mo r ~ 15.00 furnace/ burner to llTU's Appliance vent separate Stationary evap. cooler Vent fan with single duct Vent system apart from heating or A.C. Mechanical exhaust hood and duct Residence of SERVICES Duplex (1 bath) each Temporary Construction Additional bath Amps. Water service Sewer Wood stave/heater Storm Sewer FEEDERS Heat Pump Air handler to 10,000 CFM Air handler over 10.000 CFM Amps. ISSUANCE OF PERMIT TOT Al CHARGES TOTAL CHARGES 15. 00 TOTAL CHARGES WHERE STATE LAW REQUIRES that the Electrical work be done by the Electrical Contractor, the electrical portioil of this permit shall not be valid until a label has been signed by an Electrical Contractor and attached to the electrical panel. / I HA VE 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 performed shall be done in accordance with the Ordinances of the City of Springfield and the laws of the State of Oregan pertaining to the work described herin, and that NO OCCUPANCY will be made of any structure without the permission of the Building ,Division. I further certify that my registration with the Builder's Boord is in full force and effect a s required by ORS 701.055, that if exempt the basis for exemption is noted heron, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. SOONATU" A~L~O/J/ FOR OFFICE USE ONLY c:: t/ / Basis for Builder's Board exemption: NAME (please print) /fA <LHo N f) .I.. <::-I1C'Jl"..c.l....D DATE ..:r-/O-d". Zon'" Fire Zon'" Flood Plain l,-If 1l1-N AOO Type/ Const. Bedrooms <; tori", , 1 Units ('lecy load ()ccy Graup----B.=2 C;q. Ftg. Main <;q. Ftg. Access Sq. Ftg. Other x x Value Value Value 1,0UU.UU ,\?' x TOTAL VALUATION BUilDING PERMIT Charges and Surcharges 44.00 1. /6 Plan Ck. Comm/lnd 65%/ Bldq Per Fee Plan Ck. Res 30%/ Bld~ Per Fee 28. 60 PO 6-17- (> ':;ystems Development ( ) tharCle (1,5%) f!>Sl7t./.4 112.50 PLUMBING PERMIT Charges and Surcha rge s Fence Demo I Total Comb. Permit I I 61. 36 ElECTRICAL PERMIT Charges and Surcharges 15.00 .60 Sidewalk j>./ C PavinCl MECHANICAL PERMIT Chorges and Surcharges Curb Cut I I TOTAL J.J....... .... , , ......"'".' ': ~- ,', '. \' . ,,( \ . .'.... J . -. _ -.-~) _::. -.... .. 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 03 43 2. example-Lot 1. Block 3, 2nd Addition to Springfield Estates C. Name, etc. of owner and construction lender D. Energy Sources 1. example-heat/electrical ceiling/or forced air ga! ( 2. example-water heater / electrical/or solar E. Square footage or valuation, etc. 1. example-1250 sq. foot house, 500 sq. foot garag ( 2. example-if new project, check new-if addition, cl add, etc. F. Building permit information: 1. example-construct single family house with an a (nf garage 2. example-remodel existing garage into family rOl 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 TEAM AND CONTRACTORS To avoid design or construction delays, Building Div Staff must be able to contact appropriate persons rE design information or job site corrections, etc. I CITY OF SPRINGFIELD ~/ City Hall Springfield, Oregon Department of Public Works (' OFFICIAL RECEIPT No. B 59061( Date .....5 -I A 19 R ~ ( Rec'd Fr~m ~a q,ie~d (' 1)Y'h~. ()n. C Address /808 ~ ~ (J). in.perS (Y)rP S r::. P r rei j/ n{] rJ /W}2.. ,LA II ) () ( I I ' ( Received For: ( ( 41(; LJ4C6 l. 7 f.o 15.{j() .&;() / / Q , 50 ( "1 II. Abbreviated Plumbing, Mechanical & Electrical Schedul A. Except where blank spaces occur in the description I of the Mechanical and Electrical Schedules, the appl need fill-in only the No. Boxes adjacent to the appn 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 schedu have been abbreviated 2. If the item(s) to be installed are not covered on tl ated schedules you should consult the full sched~ C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES, CHARGES ON THE SCHEDULES '190 ( ( ( III. Applicant to sign and date Whenever possible, the initial application will be used I worksheet only. Where possible, Building Division Staff prepare a typewritten copy and return it to the applica 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 ~n, and no plans will be processed until these fees are paic other fees and charges ore due and payable when the (mi is issued. c J 7 ,~. 8-l~Jll r JC 0~(~W ( AUTHORIZED SIGNATURE \" ( BRIGGS PRINTERS/LITHOGRAPHERS. EUGENE. OREGON . -l- V. FOR OFFICE USE ONLY Permit Clerlr PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: \ I Additional Project Information: PLANS REVIEWED BY: , .-.n'\',- i..---. '.. L:":' 7-10-81 namp '\ignaturp rlatp