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Home My WebLink AboutPermit Building 1981-3-14 ,*,~j(!!~r~~t~~>~~~jcrT.lJlre:~.~' >~lit"J:~!ifi!t~~1if>!}~~~.~~J~>l" I I i ~~~4t.~Jll~"~" CONTACT TOM, D~~~ ~~Lg~NE TO EXPLAIN CnNDITIONS OF PERMIT WHFN T~ INSPECTION LINE NOTifiED .' : ,'.. ...1 CITY OF SPRINGFIELD INFORMATION LINE 726-3769 COMBINATION APPLICATION/PERMIT 726-3753 LLO~ Sq. Ftg. Main Sq. Ftg, Access, all Sq, Ftg. Other JlNew _Add_Alter_Rep. _Fence_Demo_Change! Use _Other ENERGY S.oUIH:;'ES: H t Heat LaO Ie ea Water Heater E1 ect I="lt>rt Job Address 6835 & 6837 Aster Street Legal Description Lot 14. Rosebud Owner Gerald Rice Address 507 North 67th Street Sprinqfield. Oreaon Construction Lender Amfac Mortqaqe Address 1670 Willamette Blvd DESIGN TEAM (nome) Primary Owner Structural Electrical Mechanical CONTRACTORS (nome) Range Value of Work: ,4 co ....... o ....... <.J1 ~ Phone 747-8530 Building Permit Info: Describe Work (Le" Build Single Family Residence With Attached Garage) Duplex with attached Garage 97477 (address) (TO BE COMMON HALL DUPLEX IN FlJTIJRF) (lies. no,) (expires) (phone no.) Phone 343-3358 (address) (lies, no.) 17083 General Ownpr Plumbing V-M Plumbing 4015 Main Street Electrical Da ves Electric 4015 Main Street Mechanical PLUMBING ELECTRICAL NO, Each single fixture Relocated building (new fix. additional) S.F. Residence (1 both) Duplex (1 both) each 2 Additional bath Water service 2 Sewer Storm Sewer TOT AL CHARGES FEE CHARGE I 2 I I I I 150.00 :1,0.00120.00 I ~O.OO 120.00 I I I I I I I I I I I I I I I NO. I I Rei.1'Lfj of sq. ft. I New circuits, alterations or extensions I 25.0(150.0( FEE CHARGE NO. SERVICES )KT.!~mporary Construction f '~- 8 I (expires) (phone no.) Amps. FEEDERS I Amps. I I April 82 747-8530 746-50n2 7LLh_5640 MECHANICAL I FEE I CHARGE 2 furnace/ burner to I\TU's I Appliance vent separate Stationary evop. cooler Vent fan with single duct I Vent system aport from heating or A.C. I Mechanical exhaust hood and duct 9.00 ,.00 4.50 24.00 Wood stove! heater Heat Pump I Air handler to 10,000 CFM I Air handler over 10,000 CFM I I I 90.00 TOTAL CHARGES ISSUANCE OF PERMIT nO.OO I TOTAL CHARGES 10.00 43.50 WHERE STATE LAW REQUIRES that the Electrical work be done by the Electrical Contractor, the electrical portion of this permit shall not be valid until a label has been signed by an Electrical Contractor and attached to the electrical panel. I HAVE CAREFULLY EXAMINED the completed application for permit, and da hereby certify that all information hereon is true and correct, and I further certify that any and all work performed sholl 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 OCCUPANCY 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 a s required by ORS 701,055, that if exempt the basis for exemption is noted heron, and that only subcontractors and employees who ore in compliance with ORS 701.055 will be used on this project, I Plan Ck. Comm!lnd ____~45~{L_ 65%!Bldg Per Fe".. 9.80 I Plan Ck. Res 30%! Bldg Per Fee I Fence I Demo I 164' Sidewalk I AI C Pavina I Curb Cut I Basis for Builder's Board exemption: NAME (please print) Zone Fire Zone R':l ~ Flood Plain BUILDING PERMIT Charges and Surcharges PLUMBING PERMIT Charges and Surcharges ELECTRICAL PERMIT Charges and Surcharges MECHANICAL PERMIT Charges and Surcharges Type! Canst Bedrooms ~toria. V-N ~ 90.00 3.60 'ff')c? GO.Ofr r9c:JQ 2.40- _____4.3.J)0 1.72 <;IGNATURE FOR OFFICE USE ONLY ? 2206 577 Ilnils (key Loa d ('key Group R-3 ~,. Fig. Main ~1. Fig. Access Sq. Ftg. Other 171_~n pn 1_h_Q,1 IREC 55988 I I '"I 16.40 181 11.80 DATE "( 33.30 9.50 Value Value Value 73.4fig.RO S:4Rl.fiO /I::l, 941. 30 x "( TOTAL VALUATION Systems Development CharQe (1.5%l 1.184.12 I Total Comb. Permit I Temp Elect I Mn 7? ~ I TOTAL \ lo~/).l\U -l-, oe~ '~1l~L:;~I,~~~~,t!-!&IJ!!!!:~,~I,~~'!,~'~l~I!~lJ;!,~~:~,~YI<~~'~~~;~;!!!~i!ll,~,".,~"-,,,,~:;;:.:.:~~~~:t~~t~~t:::~~~~~'t;(,:~~~~~ _'~" fl"J"t??T 11:J:..Ii"lIMQ-IlJ'-!n ~~t'tlpTTn!1n1 ,iT./.\lqn /;~~.l' ~O-J::1A"MI'r ;':;('1\11(.1 ':..".....~,-,.\ I ( r COMBINA TjQl::t APPLICATION/PERMIT (CAP) I. Applicant to furnish ( CITY . . ~,'" - -, ..... n~Da.'" ..,.. -- - -' OF SPRINGfiELD City Hall Springfield, Oregon Department of Public Works OFFICIAL RECEIPT (, A. Job Address B. legal Description 1. example-tax lot 100, Lane County Map Referenct 2. example-Lot 1. Block 3, 2nd Addit~91l.!~fiel C. Name, etc. of owner and constructio~ D. Energy Sources 1. example-heat/electrical ceiling/or forced air gas 2. example-water heater/electrical/or solar E. Square footage or valuation, etc. 1. example-1250 sq. foot house, 500 sq. foot garage 2. example-if new project, check new~if addition,che add, etc. F. Building permit information: 1. example-construct single family house with an atta 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 Divisio Staff must be able to contact appropriate persons regal design information or job site corrections, etc. II. Abbreviated Plumbing, Mechanical & Electrical Schedules A. Except where blank spaces occur in the description porti of the Mechanical and Electrical Schedules, the applical1 need fill.in only the No. Boxes adjacent to the appropri( 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 arenot covered on the a~ .ated schedules you should cons~t~e/full schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES ,r ~,qt, <. . No. B 5 6 3 9 3 Date ~ .bfb 19~ \ Rec'd Fmm 61&5\CP:.~c1. ~~J Address OD\ {\ \0 , , -- lY\ c::... OJ (\ 'r\\ ('r~ ,C)Ii~( J. ' Received For: ~. (j o/Ir) Cf'6'60 (I O(t\\X) . (~~ ) aD, \ 40b ~,3 ,loV (I " ' ! .c '0 OlO t Q \LQD\ ,~~/ - ~, ~G-)f m\)~fi\ 'Tso~)' \ \\- bP)() l .~kt I ~\J;tc- r%! -\)(1_(',/ ! ( ~4 \2> ( Amount Received \to~:)~1-~ (~J( _:J ( / ( \, ( ( ,.J ( ( 19' ( ~~ AUTHORIZED SIGNATURE SHELTON-TURNBULL PAINTERS' EUGENE, 0" 97.01 ( lIl. 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 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. ( ..."'. ( " \, BY ( V. FOR OFFICE USE ONLY Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: FntlliilATT0N ! n~ATTnN SHAI I RF ~A~FO-BV I TrEllSfD FNr,TM~FR, ENGINEERED FOUNDATION REQUIRED. U.B.C. 2905(a) AdditionClI Project Information: BUILT FOR ZERO LOT lINE DUPLEX PLANS REVIEWED BY: ~~._rCaJ_!~AN SMITH Cb /i -, .V~ ~(Q ~ o;ignaturf" rlcte 3-1 ~-81