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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.. ...".. '- .' \ ( ( ( V~ ( cc_p qc'Jn 142.-?) I' I\~ 'J Y--'l/ \4k-~ . L-l))/ ) 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