HomeMy WebLinkAboutPermit Building 1980-8-6
llNSPECTION LIrIE
726.3769
Job Address
-.
835 River Hills Drive
CITY U, SPRINGfIELD
COIIBJlIATION APPLICATION/PERMIT
~
INfORlIATION liNt
726-3753
Sq. Ftg. 1.lainUY/
~q. Ftg. Access. '+::>~
Sq. Ftg. Other
)Ulew_Add_Alter _Rep.
Fence Demo Change/Use
Other- -
Legal Description Lot 40, River Hills Subdivision
E!IERGYp5~%Rt Firep1ac'
Heat H .
"Iater Heater E1 ect
Elect
Owner
Address
Breeden Brothers Inc.
366 East 40th Avenue
Euqene, Oreqon 97401
Construction Lender
Address
DESIGN TEAI.I
Structura 1
Primary Breeden Brothers Inc.
(name)
Electrical
f1echanical
CONTRACTORS I name)
General Breeden Brothers Inc
Plumbino Alert P1umbinq
Electrical Lyford E1 ectri c
Ilechanic'al Crown Heati nq
NO.
Each single fixture
PLUIIBING
FEE CHARGE Nn~
Relocated building
(new fix. additional).
x
1
~!a ter serv; ce
Sewer
I Storm Sewer
25.00
10.00
Range
ValuE. of Hark:
57.586.20
BuilGino Permit Info: Describe l~ork{Le.,
Fami1 y Res; dence Hith .A.ttached Garaoe)
Phone
co
o
o
....,
w
....,
Phone
I address)
366 East 40th Avenue Eugene
(lics.no.)
(address)
366 East 40th Avenue Eugene
nics. no.)
ELECTRICAL
Residence of
X -lli7 SQ. FT.
INew circu!ts alts.
or extenslons
I SERVICES
I
1 ITemporary Construction
IChange in existing
res i Qe.nce
Imultifamily. camm. or
Industrial
amps.1
10f
ICor~'I.!lND. FEEDERS
IInstall/alter/relocate
distrib. f~~d~rs
10f
1
I
1
amps.
Build Single
Single Family Residence, Att Gar.
Units 1
Occy Load
Occ,Y Group R-3
Plan Ck. Comm/Ind
203.00 65%/Bldo Ppr Fpp
------"8:-i2--- Plan Ck. lies
30%/Bldo Per Fee
686-9431
" F I J:liARG.E: JlQ...1
25.01
10_00
1
1
I
I
I
Fence
60.94 PO 8-4-80
Dl1R1o
Sidewalk 104'
AIC Paving
Curb Cut 180
14.00
11.80
S.F. Residence
(I bath)
Duplex (1 bath) each
Additional bath
(E!xoires)
(ohonE! no. 1
686-9431
(exoires)
(phnns> 1')0.
686-9431
I
MECHANICAL
~~~_ ...c.t!A.RG.E.
furnace/burner to
BTU's
Floor furnace
and vent
Recessed wall
So~~P hp~tpr ~nrl vent
4
Appliance vent
spoarate
Stationary evap.
cooler
Vent fan with
sinole duct
Vent system apart from I
heatina or A.c. '
Mechanical exhaust I
hood and duct
I
1
I I
~.OO 112.0(1
/1
I 4.5(1
I
Wood stove/heater
Heat Pump
6.0[1
ISSUANCE OF PFRI1IT
I
10.00
32.50
TOTAL CHARGES 35.00 TOTAL CHARGES 1~. 01, TOTAL CHARGES
WHERE STATE L'\\~ REQUIRES that the Electrical work be done by an Electrical Contractor. the electrical portion of this permit
shall not be vali~ until the label has been signed by an Electrical Supervisor and returned to the Building Division
I HAVE CAREFUllY EXAMINED 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 Springfield and the laws of the State of Oregon pertaining to the work described herein, and that UO OCCUPAfKY 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 OP.S 7~1.055 will be used on this project.
SIGiIATURE-f;)YYUt.U (}g.J?~
fO~ OFFICE USE OIILY v
Sa. Ftg. Ila i n--13..9-7
Sq. Ftg. Access 45q
Sq. Ftg. Other
iW.IE(please print)
Zone
R-l
Fire Zone
Flood Plain
NO
BUILOING PERIIIT
Charges anc
Surcharges
PLU11BING PERMIT
Charges and
Surcha rges
ELECTRICAL PERI:IT
Charges and
Surcharges
~IIECHANICAL PERMIT
r:Cha rges and
I Surcharges
BREEDEN BROTHERS
Type/Const.
Bedrooms
Stories
V-N
3
1
_____31i~QO___
1.40
35.00
------------
1.40
32.50
------------
1.30
1
-I TOTAL
x 111 10
x q 'iO
DmVt7..~7-<7Dl
Value-5.:l??~ 7.11.-
Value 4%0 ~O
Value
x
TOTAL VALUATION 57,586.20
Systems Development
Charqe (!.5~)
Total Comb. Permit
343.52
343.52
\~
~
COMBINATION APPLICATION/PERMIT (CAP)
I. Applicant to furnish
A. Job Address
B. Legal Description
1. example- Tax Lot 100, Lane County Map Reference
17 03 43
2, exam~le' Lot I, Block 3, 2nd Addition to
Sprlngtield Estates
C. Name, etc. of owner and construction lender
O. Energy Sources
1. example- heat/electrical ceilin~/or forced air qas
2. examDle- waterheater/electrical/or solar
E. Square footage or valuation, etc. ------
1. examole- 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. 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 TEAM 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. 1'1echanical, & 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
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 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:
STREET TREES REQUIRED AT 30 feet ON CENTER
"
fit
"
PERMIT VALIDATION
542.53
~-l-go
Permit Clerk
-cp
Per~Jt applicant exempt from registr~tion with the Builder's Board because:
'"
Additional Project Information:
Permit #13292 Was issued 11-13-78 Cancelled
Sewer connection fee was paid then which exempts S.D.C. Charges
See attached receipt.
PLANS REVIEWED BY:
name
DAN SMITH
Signature.r-J~<::. / ~
. I ,
da te 8-6-80
1 INSPECTION LIIIE
726,3769
Job Address
,
835 River Hills Drive
CITY OF SPRIIIGFIELD
CQl1BHIATION APPLICATION/PERMIT
.'
EIIERrHp5~~~t Fireplac'
Heat .
l'later Heater El ect
Elect
Legal De5cription Lot 40, River Hills Subdivision
Owner
Breeden Brothers Inc.
Address 366 East 40th Avenue
Euoene. Oreoon 97401
Construction lender
Address
UI:.~ll.irl 1E:.At-'
Structura 1
Primary Breeden Brothers Inc.
(name)
Electrical
11echtlnical
CONTRACTORS Inamel
General Breeden Brothers Inc
Plumbina Alert Pl umbino
Electrical Lvford Electric
'lechani~al Crown Heati no
1
Additional bath
I Water service
Sewer
Storm Sewer
PLUIIBIIIG
FEE
CHARGE
Ranqe
Valu, of Hork'
57,586.20
Buil1':inQ Permit Info: Descr,be \'lork( Le.,
Familv ~esidence With Attached Garaoe)
Phone
.,
'::;. <.~ "rl;_.~>I,
,
INFORlIATION lIN,
726-3753
Sq. Ftg. "lainlJ(j/
~q. Ftg. Access. 4:>:1
Sq. Ftg. Other
X-Jlew__Add__Alter-"~ep.
. Fence Demo Change/Use
Other -- -
ex>
o
o
.....,
w
.....,
125.00
10.00
Build Single
Single Family Residence, Att Gar.
686-9431
Phone
(address)
fl ics. no.)
(exnires)
(ohane nO.l
686-9431
110.1
lEach single fixture
IRelocated building
(new fix. additional)
I' S. F. Res i dence
X fl bath)
Duplex (1 bath) each
366 East 40th Avenue Eugene
(address)
(1ir:s. no.)
(exnirps)
('ohonp no _ )
686-9431
366 East 40th Avenue Eugene
ELECTRICAL
Nn I
I Res i dence of
X -13.9? SQ. FT.
INew circuits alts.
or extens"ions
ISERVICES
I
FFF
rHARhF NO_
MECHANICAL
FFF
r~AQhF
25.01
I
I I
h 0_ 001
I \
I \4
I
II
I
I
I
I
furnace/burner to
BTU's
Floor furnace
and vent
Recessed wa 11
SOnre hentpr nnrl vpnt
Appliance vent
seoariite
Stationary evao.
cooler ~ .
Vent fan wi th
sinole duct
Vent system apart from 1
heating or A.C. .
Mechanical exhaust 1
hnar! and dur.t
I
I
I
I
3.00 12.00
4.50
Wood stove/heater
Heat Pump
6.0C:
1 ITemporary Construction
Change in existing
re!i i cte]lee
multifamily, comm. or
Tndustrial
Of
amps.
10.001
32.50
CDI~I'I./IND. FEEDERS
I Install/alter/relocate
rli~trib. feeders
Of amps.!
I
I
I
ISSUANCe OF PFRlllT
TOTAL CHARGES 35.00 TOTAL CHARGES 1~. 01, TOTAL CHARGES
WHERE STATE l^W REQUIRES that the Electrical work be done by an Electrical ContrJctor, the electrical portion of this per~it
shall not be valij until the label has been signed by an Electrical Supervisor and returned to the Building Division
I HAVE CAREFULLY EXM1INED 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 un OCCUPAUCY 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 OP.S 7~1.055 will be used on this project. '
SIGIIATURF. 0v>t"'''l1f'(}g~cA
IIAI'IE(please print)
Zone R-l
Fi re Zone
Flood Plain
NO
BUILDING PERfllT
Charges an~
Surcharges
PLU11BIIIG PERI~IT
Charges and
Surcha rges
ELECTRICAL PERI:IT
Charges and
Surcharges
A,HECHAIII CAL PERMIT
~ 'Charges and
. Surcharges
BREEDEN BROTHERS
Tyoe/Cons t.
Bedrooms
Stories
V-N
3
1
FO~ OFFICE USE O'IL Y
So. Ftg. 11ain~7
Sg. Ftg. Access 459
Sq. Ftg. Other
Units 1
Occy Load
Occy Group R-3
Plan Ck. Camm/Ind
203.00 65%/81 do Per Fep
------S:-i2---PTan Ck. Res
30%/BldQ Per Fee
_____]5.00
1. 40 1 Oemo
_____}~:...O"O__J Sidewalk 104'
1.40 I A/C Paving
32.50 Curb Cut
.'
1. 30
1 Systems Development
Charae (1.5<)
160.94 PD 8-4-80
I
I
I l~.. 00
I Total Comb. Permit
I 11.80
I I TOTAL
Fence
18'
"./-
DftTNc1, -7 -~')
j
,
x ~R lIL_Value ~1??~ 7n
x q ~O Value 41fiO 'i0
x
Value
TOTAL VALUATION 57.586.20
j
343.52
343.52
.
.
COMBINATION APPLICATION/PERMIT (CAP)
PERMIT VALIDATION
II J.
J. Appl icant to furnish
A. Job Address
B. Legal Description
1. examole- Tax lot 100, Lane County Map Reference
II 03 43
2. examole- Lot I. Block 3, 2nd Addition to
Sprlngtield Estates
C. Name. etc. of owner and construction lender
D. Energy Sources .
1. examole- heat/electrical ceilinQ/or for ~.aa
2. examole- waterheater/electrlcal/or sOla ~
E. Square footage or valuation. etc. -
I. examole' 1250 sq. foot house. 500 sq. f
2. example- if new project. check-new - if €i
cneck. add. etc.
F. Building permit information:
1. example - construct single family house
attached garage <
2. example - remodel existing garage into 1 :1'
3. examole - convert single family resident
restaurant (change of use)
G. Value of work as defined in Section 303 (a)
Structural Specialty Code
H. DES I GN TEAI.j AND CONTRACTORS
To avoid design or construction delays, Buil
Division Staff must be able to contact appro
persons regarding design information or job:
corrections. etc. . .
II. Abbreviated Plumbing.. ;'lechanical, & Electrical S(
A. Except \'/here blank spaces occur in the descrj .,o~,
portion of the'Mechanical and Electrical SChE ~-
the applicant need fill-in only the No. Boxes
to the appropriate item(s) to be installed
B. Full Plumbing. Mechanical. and Electrical Sch /t
are available at the Building Division ,
1. To conserve space on the permit form the
have been abbreviated
2. If the item(s) to be installed are not co' I'
the abbreviated schedules you should conSl \:~
full schedules
C. BUILOING DIVISION STAFF WILL FILL OUT ALL FEE~
CHARGES ON THE SCHEDULES r; "v/
D. As noted on the CAP. the label must be deliver ~,. 'f ,r
electrical contractor for signature by his ele
supervisor. The general contractor is not aut
to sign the electrical label. -
Applicant to sign and date
Whenever possible. the initial application will be
a worksheet only. Where possible, Building Divisi!
will prepare a type written copy and return it to t
applicant at the time the actual permit is issued 1 ~1
- Amount
signa ture.
IV. Fees and Charges
Plan check fees are due and payable at the time of
application, and no plans will be processed until t '-
fees are paid. All other fees and charges are due
payable when the pennit is issued.
...
CITY
OF
SPRINGFIELD
<:
.
,.
i
City Hall
Springfleld. Oregon (
Department of Public Works
OFFICIAL RECEIPT
No. B 54253(
G_-o 19<6D '.
Dote r) I ~
Rec'd Fro '!;orf.pcfi W & . c:
(cr, ml.;:Ll... '\t.JL, f!~
Address ~.I.ol(' ~. L/{5
(t,. -'::::-D 1'& '2S <to
Received For:...;;n J). c. 3 0"'-"
Cl...n i 'i-O. L./
.I )r u_ . 11...-
bf'fo u
3Cj.CXJ
1,40
?--6. ex::::>
I .O(J
10 et=)
.4()
52-So
~lD ~~
Received '31."3, S-z... ( P ./
_.-'- -. - -
(l,V
--- ,4'Ul"l-\OIlI'U:D 5IGNIIT\JIll[ (
SHILTO".TU"..."tL .","TlflS _IUGI"1 O. ....0.. ...".. '-
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cc_p
qc'Jn
142.-?) I'
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t
(I
o
(
HP
()
~
<I
~I
1,-.
. A .
.
.--,
V. FOR OFFICE USE ONLY
(
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
STREET TREES REQUIRED AT 30 f.eet ON CENTER
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information:
Permit #13292 Was issued 11-13-78 Cancelled
Sewer connection fee was paid then which exempts S.D.C. Charges
See attached receipt.
1
PLANS REVIEWED BY:
name
DAN SMITH
signature
n,,~J Co
date
8-6-80