HomeMy WebLinkAboutPermit Building 1981-3-18
D~~r. 2~B~E TO EXPLAIN CONDITIONS OF .D'It. ..' ~~
... .. CITY OF SPRINGFIELD
. C MBINATlON APPLICATION/PERMIT ..
ENERGY S,OURC,ES: H t
Heat GaD Ie ea
Elect
n p.rt
:;
CONTACT TOM,
INSPECTION LINE NOTifiED
726-3769. .
Job Address 6835 & 6837 Aster Street
legal Description Lot 14. Rosebud
Water Heater
Range
Value of Work:
Owner
Gerald Rice
as
I:
{ff..- -- .:-
T<::.s.l'~n
INFORMATION LINE
726-3753
['LO~
Sq. Ftg. Main
Sq. FIg. Access. '::J / /
Sq. Ftg. Other
JCNew_Add_Alter_Rep.
_Fence_Demo_Change/ Use
_Other
OJ
......
o
......
(J1
1.O
Address
Phone
747-8530
Building Permit Info; Describe. Work (i.e., Build Single
Family R~sidence Wilh' Attached Garage)
Duplex with attached Garage
507 North 67th Street
Sprinqfield. Oreaon
Construclion lender Amfac Mortaaqe
1670 Willamette Blvd
97477
(address)
(lies. no.)
(TO BE COMMON WALL DUPLEX TN FIITIIRn
(expires)
(phone no.)
Phone
343-3358
Address
'--
DESIGN TEAM (name)
q Owner
Primary
Structural
Electrical
Mechanical
CONTRACTORS (name)
General Ownpr
Plumbing V-M Plumbing
Electrical Da ves Electric
Mechanical
PLUMBING
NO.1 FEE
(address)
(lics. no.)
17083
4015 Main Street
4015 Main Street
ELEqRICAl
CHARGE NO.
, FEE I CHARGE NO.'
25.0~ 50.0CI
Each single fixture
Relocated building
(new fix. additional)
S.F. Residence
(1 bath)
2
Resjclepp\ of
11 U:J "q. ft.
New Circuits, alterations
or extensions
SERVICES
~ ~mporary Constructi~n
(
'~-/'8
Duplex (1 bath) each
50 _ no
JO.OO 20.00
Amps.
2
Additional balh
Water service
2
Sewer
]0.00 20.00
Storm Sewer
FEEDERS
Amps.
TOTAL CHARGES
90,00 TOTAL CHARGES
60.00 TOTAL CHARGES
ISSUANCE OF PERMIT
10.00
43.50
(expires)
(phone no.)
April 82
747-8530
74fi.:'50fi/
tll.h-~hLLn
MECHANICAL
, FEE
'CHARGE
2
furnace/ burner to
BTU's
Appliance vent
separate
Stalionary evap.
cooler
Ve~t fan with
single duct
Vent syslem apart from
heating or A.C.
Mechanical exhaust
hood and duct
9.00
::.00
24.00
L.50
Wood stove/heater
"
Heat Pump
Air handler to
10,000 CFM
Air handler over
10,000 CFM
."; , . .
WHERE STATE LAW REQUIRES that the Electrical w~rk be done by the Electrical,Cantractor, the electrical portion of lhis 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 complet~d application for permit, and do hereby cerlify lhat all information hereon is lrue 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 af Oregon
pertaining to the work described. herin; and that NO" O<l:CUPANiCY ..will be m6de''';'( '~iI)Y' structure without lhe permission of the Building ,Division. I further
certify that my registration with the Builder's Board is in full fo.rce and eiffect.a s required by ORS 701.055, that if exempt the bDsis. for exemption is noted
heron, and that only subcontractors and employees who are I in compliance with ORS 701.055 will. be used on this project.
Basis for Builder's Board. exemption:
NAME. (please print).
~ &' .,
C;IGNATURE C
FOR OFFICE USE ONLY
"
.. R~l
~
2206
577
V-N
1I.
~
Units /
Occy Load
"lccy Group
Type/ Const
Bedrooms
"torip.
R-3
C;q. Ftg. Main
c1. Ftg. Access
c;q. Ftg. Olher
lonp
Fire Zone
Flood Plain
BUILDING PERMIT 245.00 Plan Ck. Comm/lnd
Charges and 65%/ Bldg Per Fee
Surcharges 9.80 Plan Ck. Res
30%/ Bldg Per Fee
PLUMBING PERMIT 90.00
Charges. and Fence
Surcharges 3.60
Demo
ElECTRICAL PERMIT 'h[')c? I Sidewalk 1641.
Charges and GO. Oe-
Surcharges r990 2.4e-
Alc PavinQ
MECHANICAL PERMIT 181
Charges and _____ 43 Jl~_ Curb Cut
Surcharges 1.72
71_'10 pn 1-h-B1
REC 55988
DATE
'( 33.30
9.50
Value
Value
Value
73.459.RO
504R'_~
/~, Y41. 3U
x
'(
TOTAL VALUATION
Syslems Developmenl
Charge (1.5%)
1.184.12
Total Comb. Permit 4R1.7?
16.40 Temp Elect ~
11.80 1105'1. ~LI
TOTAL -h65~.. :4,
. ....~h.
'I~t!"! 1Ii~~IJ ~t.! -In :-r7l/l7liilnmJln'1 ,n 11 Ion f... ~'II~ \', \1('\ ,filA.. ,I'll!. r ,'~.L (I11L1
C'OMBINA TION APPlICA TION/P~CAP) , ";"_E~~I;'"V ~i1DATI6N
....~.^~. .'.' . ,~- - - .-
I. Applicantto.furnish
A. Job Address
B. Legal Description
1. example-tax lot 100, Lane County Map Reference 17 03 43
2. example-Lot A. Block 3, 2nd Ad~iJ~?J:tf8'9S.;p'f~?field Estates
C. Name, etc. of owner and construct,o~lel1-dt:r
D. Energy Sources
1. example-heat/electrical c~iling/ or forced air gas
2. example-wate'r heater/electrical/or solar
E. Square footage or valuation, etc.
1. example-1250 sq. foot house, 500 sq. foot garage
2. :exdm'ple-if riew:project, c.heck new:'if addition, theck
add,ek. .
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 SpecialtyC;:ode,
H. -DESIGN TEAM AND CONTRACTORS
'~oavoid 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 adiacent 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 abbrevi-
.'" . ated sohedules you should consult*.he'"full schedules
C. BUILDING DIVISION STAFF WILL FILL OUT All FEES AND
CHARGES ON THE SCHEDULES
4-2~~~3...
. '. . . , .'
-X
.:; ilL Ap'plicdnt to sign and date
Whenever possible, the initial application will be used as a
worksheet only. Where possible, Building Division Staff will
prepare a typewritten 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
Permit Clerk
c P~QJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
FnIlNnAT'i'nI\! ~ nrATYni\l SHAH i Ri=' \ITAl(m RV i 'i'rl='l\lsm !='1\1~YI\lj:'j:DS
ENGINEERED FOUNDATION
REQUIRED.
U.B.C. 2905(a)
Addi.tionClI Proiect .Information:
BUILT FOR ZERO LOT KINE DUPLEX
~
PLANS REVIEWED BY:
I.W. r CaJ I "
.ACinp - ~,J?AN sm TH
c;ignaturf'
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~ "S.W :39' 3
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":late 3- U-81