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Home My WebLink AboutPermit Building 1981-3-18 *~~t~~~~~:~'~t.~~~~~~~!~ ~~},~~,I~i:I,'?,':i;:"-'~~',~l'1'~'!~:"~.1~~~,r.:~~!~I~::'~'~:~P~~~~f~;:I";~#1: NOTlFIEe MAR 1 8 1981 "~ 0 ^'- ' "~-,-'" '- INSPECTION LINE 726-3769 Job Address 6811 & 6813 Aster Street ENERGY SOU~CES: Heat H Water Heater I=" 1 prt Range !:l ect Value of Work: INFORMATION LINE 726-3753 1142 528 OJ ....... Cl ....... (J"1 0"\ CITY OF SPRINGFIELD COMBINA nON APPLlCA nON I PERMIT Owner Gerald H. Rice Address 507 North 67th Place Springfield, Oregon 97477 Construction Lender AMFAC Mortqaqe Address 1670 Wi 11 amette DESIGN TEAM (name) Gerald Rice Primary 76,344.60 Sq. Ftg, Main Sq. Ftg. Access, Sq. Ftg, Other _New_Add_Alter_Rep. _Fence_Demo_Change/ Use _Other Legal Description Lot 6. RQsebud Subd~sinn Phone 747-R510 Building Permit Info: Describe Work (Le" Build Single Family Residence With Attached Garoge) Duplex; att gar (oddress) (lies. no.) tAJ~Q~ D,()hh , , i (expires) (phone no,) 4-82 747-8530 Phone 343-3358 h1() bL {()yflmCYl 507 North 67th Place 17083 Structural Electrical Mechanical CONTRACTORS (name) General Gera 1 d H. Rice Plumbing V & M Pl umbi nq (address) (lics. no.) (ex(Jires) (phone no.) Electrical nilVPC; Fl prtri r 507 North 67th Place 4015 Main Street 4015 M;lin Strppt 17083 4-82 747-8530 746-5062 746-5640 Mechanical PLUMBING ELECTRICAL MECHANICAL No.1 FEE I CHARGE NO, FEE CHARGE NO. FEE CHARGE I , 2 RelUrt of 25.0~' 50.0r furnace/ burner to Each single fixture "1' ft, BTU's I Relocated building New circuits, alterations Appliance vent (new fix. additional) or extensions separate I S.F. Residence Stationary evap. (1 bath) SERVICES ~ cooler I X 8 Vent fan with 3.00 24.00 X Duplex (1 bath) each 50.00 Temporary Construction single duct 2 10.od20.00 Vent system apart from I Additional bath Amps. heating or A.C. 2 Mechanical exhaust 4.50 9.00 Water service hood and duct 2 Sewer 10.0(20.00 Wood stove/heater Storm Sewer I FEEDERS Heat Pump Air handler to Amps. 10,000 CFM Air handler over 10,000 CFM ISSUANCE OF PERMIT 10.00 t.j.J.UU TOT AL CHARGES 90.00 TOTAL CHARGES 60.00 TOTAL CHARGES 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 HA VE CAREFULLY EXAMINED 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 performed 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 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 as required by ORS 701.055, that if exempt the basis for exemption i. noted heron, and that only subcontractors and employee. who are in compliance with ORS 701.055 will be used on this project. Zone Fire ZonD Flood Plain R-1 NA NO Type/ Const Bedrooms "tori... V-N 4 2 'Inits nccy Load nccy Group SIGNATURE ~/AJ ~ FOR OFFICE USE ONLY (/ 2 C;q. Ftg, Main -2l.4.? "q, Ftg. Access-52R Sq. Ftg. Other DATE ~. ;.s,e,: U Basis for Builder's Board exemption: NAME (please print))... "t~ It. Y w 9(i1 1t.J(. T /A..,1 R-1 x 11 10 Value Jl ~?R 60 x q 50 Value 5:016 00 Value TOTAlVALUAnON 76,344.60 '( BUILDING PERMIT 241. 00 Plan Ck. Comm/lnd Systems Development Charges and 65%/ Bldg Per Fee Charae (1.5%) Surcharges 9.64 I Plan Ck, Res 73.50 PD 3-4-81 I 30%/ Bldg Per Fee PLUMBING PERMIT Kt\., ::>~~~l Temp Elect La be~ Chorges and _____-9n...nn Fence Surcharges 3.60 I Demo Total Comb. Permit ELEaRICAL PERMIT fflCO -iig. ~O 164.27 16.43 Charges and Sidewalk Surcharges c<) .cU ~ A/C Paving MECHANICAL PERMIT 43.00 181 11. 80 Charge. and Curb Cut Surcharges ------r: Ie. TOT Al 1,145.17 ~ 479.59 ..1-,624.96 \ 1o\L\ .~Lo III. Applicant to sign and date Whenever possible, the initial application will be used a worksheet only. Where possible, Building Division Staff' ,i prepare a typewritten copy and return it to the applican ' 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. '~~U.l~-M:;::,~(~'61I~~~~, -- . . . --.--7-~~-""''7'-:-'- ~:;~- .. Tb.': j. r ",.,,,," , , . ,- ':'.'~ .' COMBINATION APPLICATION/PERMIT (CAP) C'l\tC' I. Applicant to furnish A. Job Address B. legal Description 1. example-tax lot 100, lane County Map Referenc 2. example-lot 1. Block 3, 2nd Addition to Springfie C. Name, etc. of owner and construction lender ' 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 ~q.Joot house, 500 sq. foot garage 2._J~j(6-')1~le-\ifJne~ 0:bj~:cvJhe~ l'!.ewlff'PJijliti9~JC~ _ add, etc. F. Building permit information: 1. example-construct single family house with an at1 garage 2. example-remodel existing garage into family roo 3. example-convert single family residence into restaurant (change of use) G. Value of work as defined in Section 303 (0) of the Structural Specialty Code H. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Divi Staff must be able to contact appropriate persons reI design information or job site corrections, etc. II. Abbreviated Plumbing, Mechanical & Electrical Schedule A. Except where blank spaces occur in the description p of the Mechanical and Electrical Schedules, the appli need fill-in only the No. Boxes adjacent to the appro 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 schedul, have been abbreviated 2. If the item(s) to be installed are,not covered on th " . ated schedules you should consu~e full schedul C. BUilDING DIVISION STAFF WILL FI~j..,6, T ALL FEES A CHARGES ON THE SCHEDULES V. FOR OFFICE USE ONLY ~' PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: FOUNDATION TO BE LOCATED BY ENGINEER. ENGINERRED FOUNDATION MAY BE REQUIRED. Additional Project Information: , "~ ' , , ".-",,'::.~.~~~l~'" " ,'~~~~:"e:~J:,'~I'I_~..dIiIL~I:'I.;U,Iii,.lI~fJIl;H~~ PERMIT VALIDATION ( CITY OF SPRINGFIELD ( \ City Hall Springfield. Oregon Department of Public Works OFFICIAL RECEIPT ( , \ ( Address lIe, ( "-' If ,- '" 58 ,bb BY ( c 58!511'8 (' , "" AUTHORIZED SIGNATURE SHELTON-TURNBULL PRINTERS. EUGENE OR 97401 ( Permit Clery r-:------ / ~ IV r.::, ._____ ~ , t.! ;:::. e:-......--- -.!~ ,---. ~ / '< :.J F" ,_______ p,-. OU^, . II'J . C "",,, - . ',,"'" '" , ------- ~~'l.: 2905 -viRf2D '. J IO/V / ____ (a) . , . ------~ CONTACT THE EN~ffi~EERING DIVISIIDDN FOR PLACEMENT OF SIDEWALKS BUILT FOR ZERO LOT LINE DUPLEX ~ PLANS REVIEWED BY: ~~t' 0/'). I i ~-' DAN SMITH o;ignoture datE" 3-12-81 -~~ (::P. (6