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Home My WebLink AboutPermit Building 1980-9-29 N07lFIEl> . CITY Of SPRlrlGFIElO COIIBJilATlON APPLICATION/PERMIT JUL 1 0 J~U 1st Add I I I I . E!IERGY cWu~11 t Heat C !'Iater Heater t I eCl: tleCl: I IrISPECTIOII UflE 726-3769 Jo<b Addre;s ~hadY Loop Legal Description 1i, Shady Lane Ranqe INFORIIATlDN UNt 726-3753 Sq. Ftg. 1.lain 1057 ~q. Ftg. Access. 4 g4 Sq. Ftg. Other Ilel< Add Alter rep. --Fence Demo Change/Use Other - - CXl C) C) '" C) '" Ol<ner Vahala Construction Address 988 North 63rd Street SDfld, OR 97477 Valu, of Hork: 29,161.00 Sui 11:1M Permit Info: Oeser be t'Jork{ Le., Far:1i1v nesidence l'lith A.ttached Garaqe1 Bui Id Single Phone 746-7719 SinQle Familv Residence; att Gar Fireplace Construction lender ,\ddress , OESIGII IlAII (name) Phone (address) Primary Madsen Design Structura 1 Electrical f1echan;cal COflTRACTORS (name I Vahala Construction (address) 988 N 63rd 27990 4-5-81 Genera 1 Plumbina Beeson 3-Way Plumbing Electric Electrical t1echanical PlUllBIrIG ElECTRICAl 110.1 -----lEach single fixture IRelocated building (new fix. additional) X Is.F. P.esidence (I bathl IDuplex (1 bath) each 1 IAdditional bath ~!a ter serv; ce FEE CHARGE _Nn Residence of X 1057 SQ. FT. Sewer INew circu~ts alts. or extenSlons ISERVICES I 10. DO, ---1-j-remporary Construction Change in existing rpS.i d_ence multifamily. comm. or Indllstri;1l 25.00 Storm Sewer Of amps. C0I1fl./IND. FEEDERS IInstall/alter/relocate dic:tritL fppdprc: 10f I I I amps. TOT Al CH~.RGES WHEP.E STATE L\I~ REQUIRES shall not be vali1 until the (lies. no.1 (exoiresl, (ohone no. (lies. no.' (exoiresl (ohone no.) 746-7719 MECHANICAl FFF rH'JlG.E.. furnace/burner to BTU's Floor furnace and vent Recessed wa 11 ~n~rp hp~tpr ~nd vpnt \ Appliance vent seoaratp I Stationary evap. cooler I Vent 'fan with sinole duct I Vent syster!l apart heatino or A.C. I Nechanical exhaust hond ilnd duct I Hood stove/heater I I. 00 9. 00 from 4_ ~n :.EL -Cl:iAB.G..E.. NO_ ~5. 00 I I I I ittJ.OOt I I I I 3 I 11 I I I I 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 Soringfield and the laws of the State of Ore~on pertaining to the work described herein. and that rlC OCCUPArlCY wil 1 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 Or-S 701.055. that if exemp the basis for exemption is noted hereon. and that only subcontractors and employees I<ho are in comoliance I<ith OP.S 7nl. 5 will ,us~n~is ~oject. liAilE(please print) VAHALA CONSTRUCTION INC. ~ \\ ~ DATE~q"~ FOP. OfFICE USE O'jL Y (\. - - - Zone R-l Tyoe/Const. V-N Units 1 Sq. Ftg. l~nl'Q57 x 24.20 Value 25.579.40 Fire Zone I I I Bedrooms 3 Occy load Sq. Ftg. Access 484 x 7.40 Value 3,581. 60 Flood Plain NO Stories 1 Occy Group R-3 Sq. Ftg. Other x Value TOTAl VAlUATION ~~ ,lbI. UU BUIlDlIlG PERHlT 127.00 ' Plan Ck. COlTVll/lnd Is~stems Development I Cha rges anc , 65%1Bldo p.pr Fpp C aroe (1.5~) ------------ Surcharges Plan Ck. Res 5.08 30%/Bldo Per Fee 38_10 PO 6-30-81 ) PLUi1B IIIG PERMIT _____.35.00 I Fence I Charges and Surcharges 1.4n I Demo I ElECTR ICAL PERI~ I T 35.00 I Sidewalk 56. 63' I 5.65 I Cha rges and ------l:-fo--- I Surcha rges - A/e Paving Total COr.'lb. >rermi t ~iilIICAl PERMIT 23.50 Curb Cut 18' 111.80 c ~rges and ------------ I I TO:rAL ~fl urcharges .94 437.40 247.12 684Y61 .. ....--...__...-~--.__. ml1n(~\'\ 02.- <10 q tI .,,,, 9;~()a"'" . . . COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATION g I. Applicant to furnish A. Job Address B. Legal Description 1. example- Tax Lot 100, Lane County Map Reference 17 0'3 43 2. example- Lot I, Block 3, 2nd Addition to Sprlngtield Estates C. Name, etc. of owner and construction lender D. Energy Sources 1. examole- heat/electrical ceilina/or forced air Qas 2. examole~ waterheater/electrlcal/or solar E. Square footage or valuation. etc. - 1. examole- 1250 sq. foot house, 500 sq. foot garage 2. examole- if new project. check-new - if addition, check add, etc. F. Building permit information: 1. examole - 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 TEAI.I AIIO 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. BUILOI;IG DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES Oil 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 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. 'J . ~. V, FOR OFF I CE USE ONLY Permit Clerk ,.. 1 PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPArlCY: STREET TREES REQUIRED AT 30 FEET ON CENTER Permit applicant exempt from registration with the Builder's Board because: I I I I I J Additional Project Information:' ., PLANS REVIEWED BY: name DAN SM ITH signature d~ date 7 -3-80 \ ""'11 '1- IrlSPECT 1011 UIiE 726-3769 Jo1l Addre~s ~ Shady Loop Legal Description 1~, Shady Lane . O,mer Vahala Construction Address 988 North 63rd Street Spfld. OR 97477 Construction lender Address UDllifl TEAil (name) Primary Madsen Design Structural Electrical !1echanical CG:lTRACTORS (name) Vahala Construction General Plumbina Beeson 3-Hay Plumbing Electric Electrical ~'echa n i Cd 1 PlurlBlr:G r~o. I lEach single fixture Relocated buildinQ (new fix. ddditio~al) x S. F. Res i dence (I bathl Duplex (1 bath) each 1 Additional bath ~!ater service Sewer Storm Sewer TOTAL CHARGES WHERE STATE L\\/ REQUIRES shall not be valiJ until the 20ne R-1 Fire Zone I I I Flood Plain NO Tyoe/Canst. Bedrooms Stories BU I LD IIIG PERI.II T Charges an~ Surcharges FFF CHARGE I 25.00 I I V-N 3 1 127 ..00 PLU'.IB IIIG PERljIT Charges and Surcha l"'ges 5.08 __n_]~.OO 1 40 ELECTRICAL PERI:IT Charges and Surcharges IIECIWficAl PERmT Ch.~ges and ~JrcharlJes RanQe ValUE: of I-lor\(: 29,161.00 Bulltinq Permit Info: Describe Hork(Le., Far.lil v nes idence Hith JI.ttdched r.araae) ;\;OTIF!ED \JUL ~ v...,...,..., CITY Uf SPRr;;GFIELD COIIBr;lATlON APPlICATIOII/PERMIT 1st Add . ErIERGY cWUft~tt Heat ~'!ater Heater t lect t I ect Phone 746-7719 ltIFORtlA TI ON L 1111:. 726-3753 So. Ftg. 1.lain ] OS7 :q. !'tg. Access'4114 So. Ftg. Other IleN Add Alter ~ep. --Fence Demo Change/Use Other- - co o o '" IS\' I Build Single Sinale Familv Residence: att Gar Fireplace Phone (address) (1 ics. no.) 10. OO...~emporary Construction I I ICha~ge in existing rps 1 dJ'Jlrp I I multifami 1y, comm. or Inrlll<;tri;d I I I I I I I I I I 35.00 I TOTAL CHf,RGES d5. 00 I TOTAL CHARGES that tile Electrical work be done by an Electrical Contractor, the electrical portion of label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREfULLY EXMlINED the completed apr>lication for germit, 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 Soringfield and the Laws of the State of Ore~lQn pertaining to the work described herein, and that fie OCCUPAllCY will be made of any structure without the permission of the Building Division. 1 further certify that my registration with the Builder's Board is in full force and effect as required by ons 701.055, that if exemp~he basis for .exemDtion is noted hereon, and that only subcontractors and em~loyees who are in compliance with ORS 7nl. 5 will e us~n~is (project. IIAIIE(please print) VAHALA CONSTRUCTION INC. SIGII.~TV~ : '\\\ ~\ Dm~-:-1q..~ FOr. OFFiC, USE O"lY ( " 1 So. Ftg. ;\a.;nl'057 Sq. Ft~. Access 484 Sq. Ftg. Other (addr~ss ) 11 ire;, no.1 988 N 63rd 27990 ELECTRICAL Nn I . I Residence of X 1057 SQ. FT. New circuits alts. or extensions !=H' f~ARr.;: NO ~5. 00 SERVICES Of I I jW-:-OOI- I I 3 I 11 I amps, COI~'I. /IND. FEEDERS I Install/alter/relocate di<;trib. fppderc; Of amps.j .1 I Units Oecy Load Occy Group R-3 l Plan Ck. Conm/Ind 65~/Bldq p~r !=p~ Plan Ck. Res 30t/Bldo Per Fee Fence I Demo (axo; res 1 (ohone no. (pxnirp<; ) fohnnp nn \ 4-5-81 746-7719 MECHANICAL '" rlll\.Qr.r furnace/burner to BTU's Floor furnace and vent I I ..:/ Recessed wa 11 Sn~r:p hp~tpr ~nrl \pnt I Appl iance vent c;poarate Stationary evap. cooler Vent 'fan with sinale duct I Vent system apart from r heatina or A.C. I Nechanical exhaust hood and durt I Hood stove/heater l. 00 9. 00 ISSUANC, OF PFR!IIT 4 .~n I I I I 10.00 23.50 . this perr.1it x 24.20 Value 25.579.40 x 7.40 Value 3.581.60 x Value TOT^l VALUATlDrI Z;J, lbl. UU Isystems OevelojJrnent 1 Charae (1.5'.) 38.10 PD 6-30-Rf 35.00 Sidewalk 56. 63' ------1:-40--- A/C Paving I 5.65 ITotal r:Or:lb. "rermit 23.50 I Curb Cut -------:-94--- , .... 18' 11.80 I 437.4fJ TOTAL i fY.1.. '11 \Y k1, 247.12 684~:.__.] .:"';~: ~ -:' ~ ,'" ~ \ . COMBIilATION APPLICATION/PERmT (CAP) I. Applicant to furnish A. Job Address B. legal Description 1. example~ Tax Lot 100. Lane County Map Reference 11 03 43 2. example- lot I. Block 3. 2nd Addition to ~prlngtield Estates C. flame, etc. of owner and construction lender D. Energy Sources 1. examDle. heat/electrical ceil inq/or forced air oas 2. exao.Dle~ waterheater/electrlcalior solar E. Square footage or valuation, etc. ------ 1. examole~ 1250 sq. foot house, 500 sq. foot garage 2. examole- if new project. check-new - if addition, check add. etc. F. Building permit information: 1. examole - construct single family house vdth an at tdcnea garage 2. exa~ole. 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. OESIG:l TEAr.1 ArID 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. Abbreviateo Plumbing, Mechanical. & Electrical Schedules A. Except wnere blank spaces occur in the description por';ion of the t-:echanical and Electrical Schedules. the applicant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be installed 8. Full Plur.1bing. ,~lechanical. 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 t. BUIlDI;;G DIVISION STAFF WIll Fill OUT All FEES AND CHARGES 0" 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 used as a worksheet only. Where possible. Building Division Staff will preoare a type written copy and return it to the applicant at the time the actual permit is issued for his signa ture_ 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: STREET TREES REQUIRED AT 30 FEET ON CENTER I I I I I I 02- t.,! C ?l.i -..". ,; Jl,;-.., , _; ~ / t -. . . ..... .1 d PERMIT VALIDATION :ITY OF SPRINGFIELD City Hall Springfield, Oregon Department of Public Works OFFICIAL RECEIPT J No. B 54 71 : ~ f;~-. .~\9 H'> ~ _ :J From ~ )(~n~ ~. C'l j ~8\\J::J1\\, ress q?-2 \\'''(;UD \ n 6~ti ,Ived Fo", X::\r\~\ \)1) ,DO \ 4Ph ,") O~ '-\,)\ ro~D p)c;jpO '\ - ~7Tl 1 t-\O ( 0 ~\U"1 rX.J , 00 4U)o f pO C .flller' H ~ ,so ~ 49/0 cru ,n u~c...'{' J \'lC/5- ~{N ?" l:'~~ .YU " \\ },J.....----" .\u ~ n\ r3TFT~~Y rftCCL aunt Received T AUT~ORr%I!D SIGNATURE "HnTOH.T"'~"."'H ..~,...~~s _ ~"'G~"~ o~ suo. ...~",. '.. Permit Clerk :1 Permit applicant exempt from registration with the Builder's Board because: I Additional Project Information:' PLANS REVIEWED BY: name DAN SMITH signature Ll.~ date 7-3-80 \, .\, .