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HomeMy WebLinkAboutPermit Building 1981-2-13 // /,,/" '~!;".~.~l1;._Yn:I!'i!~\4l'l"1~~~ .. ~"'C"ON UN' f' ~~6-3769 k.:-:' zA - (C~' 2~- 1-1 ',,'l~r 163 165 South 63rd s~t Lot ~, Cliffside Manor 7 i j I .Ml~I~~~,mwlt!gili~~ CITY OF SPRINGFIELD COMBINATION APPlICA nON I PERMIT ENERGY SOURCES: Heat Fl prt rH Water Heater !:19~t Range ~l-::~ t Value of Work: Job AddrOIl legal Description Owner Ed I S Investment_s_ 6790 Main Street Springfield. Oreqon 97477 Far West Federal 88.570.80 INFORMATION LINE 726-3753 Sq. FIg. Main C. ~! b Sq. Ftg. Access. !)04 Sq. Ftg. Other ~ew_Add_Alter_Rep. _Fence_Demo_Change/ U.e _Other co o I-' I-' 0"\ .JA'\'~ J Building Permit Info: Describe Work (i.e., Build Single FamiJy Residence With Attached Garage) Zero lot line duplex; 3 bedrooms each unit; Pl an II B II Address Phone 746-2011 Construction Lender Savings Phone 686-1151 Address 96 E. Broadway, Eugene DESIGN TEAM (name) (address) (lies. no.) Primory Eds Investments Q790 Main-5treet, Springfiel~ Structural Electrical Mechanical CONTRACTORS (name) General Gofer Pl umbi ng (address) 6790 Main Street, Springfield (lies. no.) II II II 1233 20-74PB Plumbing Electrical Davekin Electric 3505 Main Street. 5IJrinafield Mechanical Gofer Plumbinq 6790 Main Street. Sprinqfield 1233 PLUMBING ELECTRICAL FEE I CHARGE NO. FEE CHARGE NO. I 2 Re'i'2!m of 25.0(150.00 sq. ft. New circuits, alterations or extensions SERVICES 50.00 1 Temporary Construction 10.00 8 10.0U20.00 Amps. 2 NO. Each single fixture Relocated building (new fix. additional) S.F. Residence (1 bath) X 2 Duplex (1 bath) each Additional bath Water service Sewer Storm Sewer FEEDERS Amps. att gar; fireplace; (expires) (phone no.) R- 1 L1.~.8J ~?0l1 (expire.) (;:>hone no.) 8-14-80 6-30-81 746-2011 II 8-1Ll-81 747-7q:n 746-2011 MECHANICAL FEE CHARGE furnoce/burner to BTU's Appliance vent separate Stationary evap. cooler Vent fan with single duct Vent system apart from heating or A.C. Mechanical exhaust hood and duct 3.00 24.00 4.50 9.00, Wood stove/heater Heat Pump Air handler to 10,000 CFM Air handler over 10,000 CFM TOT AL CHARGES 70. 00 TOTAL CHARGES 60. 00 TOTAL CHARGES ISSUANCE OF PERMIT 10.00 43.00 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 perfarmed 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 eiffect as required by ORS 701.055, that if exempt the basis for exemption is noted heron, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. Basis for Builder's Board exemption:,. -',- , - / fi~~ NAME (please print}Cf!I/<'f~,t L. (;'d j;.J f- -"IGNATUP~ ~ ,t'-(~( /--tt!" ,/, FOR OFFICE USE ONLY ; C;q.Ftg.M:k516 x33.30 Value83.782.80 "q. Ftg. Access ~QIi x q C;() Value Ii 781L.On Sq. Ftg. Other FnN P A Tn x Value R: R..5.1..-Q.8 TOTAL VALUATION 7ft, 7U. 7::? Zon'" Fire Zone Flood Plain R-A 2 V-N h 2 Type/ Const Bedrooms "tori",' Ilnits Occy Load ('key Group--R:3 1\Tn BUILDING PERMIT 247.00 Plan Ck. Comm/lnd Charges and 65%/ Bld~ Per Fee Surcharges 9.88 Plan Ck. Res 30%/ Blda Per Fee PLUMBING PERMIT 70.00 Charges and Fence Surcharges 2.80 Demo ELECTRICAL PERMIT 60.00 Charges and Sidewalk Surcharges 2.40 Alc Pavino MECHANICAL PERMIT Charges and 43.00 Curb Cut Surcharges --------- 1.72 DATE.:?-/~B { - I , Systems Development Charoe (1.5%1 1,328.56 Total Comb. Permit 436.80 I I TOTAL 1,765.36 '.-/ I i ":c,,y' - "/ " '.'! :.~~~,t>,J~)'A~~~~JiJ.l~~.~-~~\rt.~~~'~~;IfIJ~"{~i~r~;~!_:1J!.!,l1f..~~J.i~a~~r~J;i;,:j;~,.~",jJ,. ,- . , "."..~,..... .'" " \ ' -, --- .", - -~~'i:\:'?f:, ,iot' ~."!";';, t.. ;. . COMBINA TION APPLICATION/PERMIT (CAP) : PERMIT VALIDATION \ I. Applicant to furnish ~ P\ ",)S' 'Co) - +-S ~d 7~ C. D. A. Job Address B. Legal Description 1. example-tax lot 100, Lane County' Map Reference 17 03 43 2. example-Lot 1. Block 3, 2nd Addition to Springfield Estates Name, etc. of owner and construction lender Energy Sources 1. example-heat/electrical ceiling/or forced air gas 2. example-water heater/electrical/or ~In~ C \,. 'i E. Square footage ()r valuation, etc. .. "r' ( 1. example-1250 sq. foot house, 500 sq. f. .0, 2. example-if new project, check new-if at add, etc. F. Building permit information: 1. example-construct single family house w garage 2. example-remodel existing garage into fal 'i r 3. example-convert single family residence i. restaurant (change of use) G. Value of work as defined in Section 303 (0) 0', e, Structural Specialty Code H. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Buildin\ Staff must be able to contact appropriate perso design information or job site corrections, etc. ' ,j' Dote \' Of SPR\NGf\ElO City "'a\\ \d oregon springfie . b\ic Works , of pu 1 oepar,rnen A l RECE\P r- 50 f)O " Off\C\f" No. B ,J 0 l- ( o ,,",, .' ,9 ; ( ; () - ' .', i...-tr C , ') \" { l (". L flJO CJ ,\ \., \. ,i,' , C (; '--rrrl CL..-'- .----- ( ( A. Except where blank spaces occur in the descripti( \..,. of the Mechanical and Electrical Schedules, the al need fill-in only the No. Boxes adjacent to the apl item(s) to be installed ( B. Full Plumbing, Mechanical, and Electrical SchedulE are available at the Building Division 1. To conserve space on the permit form the schedl have been abbreviated 2. If the item(s) to be installed are not covered on ti 'ated schedules you should consult the full schedu C. BUILDING DIVISION STAFF WILL FILL 'OUT ALL FEES ~ CHARGES ON THE SCHEDULES \ , ,..- \ (~ ( II. Abbreviated Plumbing, Mech"G1nical & ElectricalSchE ( \ \ ( \ - \ \ ( ( ( '. III. App!ieant to sign and date ( , Whenever possible, the initial application will be used as worksheet only. Where possible, Building Division Staff w prepare a typewritten copy and return it to the applicant \ f" 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 app and no plans will be processed until these fees are paid. All other fees and charges are due and payable when the perm is issued. ( /fl," '" ~',', . "TORE. / ORI'ZEO S\GN OR 9740\ ...UTH EUGEf'lE. pRINTERS' TURf'l,SU\,1.. Sl'IEL.TON- ( V. FOR OFFICE USE ONLY f \- ._..._1 " PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: SfREET TREES REQUIRED AT "3D FT ON CENTER Additionol Project Information: ZERO LOT -LINE DUPLEX NO INSPECTIONS BEYOND FOUNDATION UN"TIL SURVEY APPROVED BY CITY ENGINEER CO~10N WALL TO BE INSPECTED AT TI~ffi OF CONSTRUCTION ~;\1"i SHITI! A (6A//~ '-:late -1..,1_1 ?-SO PLANS REVIEWED BY: name signaturf'