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Home My WebLink AboutPermit Building 1981-6-29 (2) .e !)6RnfJCh ;:;~... XO~ ~ INSPECTION LINE 776>-3769 Job "'ddt~n 243~ Le901 Description ~ ~ Owner i< on J+ I ,.J (r;f'e../ An ci ~J .~.c:; . D""e.n()ck. Add,e" Con1truClion Lltnder Add,e.. DESIGN TEAM (no",e, Primary :'X::'-F Structural Electrical Mechanicol -:rfO;.SPAi;"OFIElD 'I INFORMATION LINE COMBINATION APPLICATION/PERMIT. . 726-3753 I E"ERGY SOURCES, : Sq. ~ ~l~ Heat Sq.. ' I Waler Heolerfft:...~T": Sq, Ft9, O,h., Ronqe _New.)lAdd)'AIt., _Rep. I Value of ~rk: 7!s-2. S'ri~ 1_._Fence_oemO_Chonge/U1. ~~ {~Al' _Olh., -"'4/ A, J>-1 Building Permit Info: oemiblll. Wa,k (i,C1.. Build Sing I. Phorll~~ T __ -L'''1.....J 7 Familv Aelidl!l'IclII With Attoch..d Gorof'O) I/zp ~..v ?\c>>M. -&.7W;q~ .pi .~~ ~~ ~.r4.v"~-=-.,y .~ I f ~ ::...n-;Z:;G. ~. " () ~ N "i) Phon. (address} (lies, no,) (upirel) (phone no.l , (address) (lies. no.) (upirul €M/'lL<>'-'e&- C>Y"". <Oir>OE<.L ~Er.' ~ (phonll no,) CONTII:ACTOII:S (nom.) <:".,,01 \/A<:..V - .t:O~,__R '5" c;:: Co. r 5c-C::p <5<E'C-P . PlumbinQ Electrical Mechanical PLUMalNG NO. l foE: I CHARGE I NO. ~ 157-1 ~_ /:Y Eacn I;nqle fixture R"loca'ed building (nl'w fiJt. odditionoil S.F, Re,idtln!=e (1 both) Dualn (l balh) .ach Additional balh Water ,.ryin "iJtw.t SIor,m Sewer r I TOTAL CHARGES I , :"J~ ELECTRICAL MeCHANICAL I , I CHARGe.\ I :/ i 1 ,..-J I ] j FEE ;CHARCE NO. I FEE Re,idence of furnace/burner to "'TU', sq: ft, New circuill. oltllrotion, or IIxl.n,ions ,s- Appliance Yent 'lIparato Stationary eyop, cooler Vent fan with ,inqle duct Vent system apart from heating or A,C. Mechanical lI.hault hood and d~cI SERVices Temporary Construction I Amps. Wood ,toye/heater FEECERS Heat PumD Air handler to 10000 CFM Air handler oy.r 10,000 CF M Amp'. I IS-:-- i /~ ""J I"$. -I 1 " , I ISSUANCE ()F~PERMIT It::>. -I TOTAl CHARGES TOTAL CHARGES WHERE SlATE LAW REOUIRES that the Elettrital work b. don. by the E!."'rical Contrauor. th. .I,ttritol portiou of Ihis permit ,holl nOI b. valid until 0 label has bMn sign.d by an Electrical Controclor and attached to the el.ttritol panel. I HAVE CAREFULLY EXAMINED the completed applitation for permit, and do her.by urtify that all information hereon is true and torrect, and I furth.r certify that any and all work performod ,hall be done in occordance with the Ordinances of the City of Springfield and the Law, of the .Stat. of Oregan pertaining to the work de,cribed herin, and that NO OCCUPANCY will b. made of any structure without the permluian of th. Building Oiyl,ion, t further certify that my regi,rration with the 8uilder's Board is in full force and effecI os required by ORS 701.055.. that if u.~mpt the basis for ..emption i, noted,' hllron, and that enly ,ubton1toctors and employees who ore in compliantll with ORS 701.0.55 will be uled on lhis project, Ba,is for Build.r's Board e....mption' Units f"ltty Load (1tty Group SIGNATURE ~~~ ~~~ fOR OFFICE USE ONLY Sq.Ftg.Mo;n4P,P .":l47 .~€~Volu. ~1/'2.."!> -c",; Ftg.~C""~ 32-' x ,/C>a Volu.--3:lYG..-O Sq. Ftg, Other x Value Co~ \ \'TV\ rl , DATE ~~'l-5? \ NAME (pl.os. printl.l"Vl l~ H ~"'I 'fZ:- N Type/Consl. Sedrooms "itorie- Zone Fir. Zone Flood Plain / .' '7l:f. <S~ -------- 1.7~ /t:)~ - .~C /5: .- ,~e> .___6~:O ,1)7. BUILDING PERMIT Chorgll' ond Surcharges PLUMBING PERMIT Chorg., and Surc:harge. ElECTRICAL PERMIT Charge, and Surthorge, MECHANICAL PERMIT Chorg.,. and S",rchorg.. I K...,:S '7~~")-:5 J I 1 1 t , TOTAL VALUATION Plan CII. Comm/lnd 65~../ BId" Per Fu Plan Ck. Rlu 30%/Alda Per Ff'r . .. /3. =ld ~~"'71> Systltms Cev.ropmenl Ch"ra. {1.5~..\ ~. Fence ~s: 28 Demo I Totol Comb. P"m:t Sidewalk A/C Pavin'1 ~67c...c: j ~ TOT Al/4-0 ,,, \ J., D-ls~~lf~r. I~-",Y;~i~'/ ..... - S~,~;:o>g .~~ ~ . . Curb Cui - .I....~ ~ i"'~ \, ., .' . ..., _" ...._;:~..:oil_____....w.:.. ..... ,. ....~ . COMBINATION APPlICATlON/PERI.p) . I. Applica~ to furnish. A. Job Address B. legal Description 1. examole.tox lot 100. lane County Map Reference 17 0343 2. examoie.Lot 1. Block 3. 2nd Addition to Springfield Estates ~ \ C. Name. etc. of owner and construction lender . D., Energy Sources 1. examole.heat/electrical ceilinq/or forced air gas 2. exam ole-water heater.: electrical/or solor E. Square footage or valuation, etc. 1. examole.1250 sq. foot house. 500 sq. foot garage 2. exompie.if new project. check new-if addition, check odd. etc. F. Building permit inFormation: 1. examole-construct single family house with on attached gorage 2. examole.remodel existing gor09& 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 Stoff must be aole to contact appropriate persons regarding . design informcrion or job site corrections, etc. II. Abbreviated Plumbing, Mechanical & Electrical Schedules A. Except where blcnk 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 F.bt:trical Schedules ' .ore available at the Building Div:5ion . 1. To conserve space on the peni'\it form the schedules hove been abbrevioted 2. If the item(s) to be installed are not covered on the abbrevi- ated schedules you should consult the full schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES III. Applicant to sign and dote Whenever possible, the initial application will be used as a worksheet only. Where possible.. Building Division Stoff 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 ore due and payoble at the time of the application. and no plans will be processed until these fees ore paid. All other fees and charges ore due and payable when the permit is issued. V. FOR OFFICE USE ONLY .,.,-- PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: ~ Additional projcci Information: PLANS REVIEWED BY, name~RN<!E'~~~ signotur... ..{ j'. .... e .MIT VALIDATION , -- , \ , .; Permit Clery < -tote C-"3'e:>-B / " .:~~.:....:,.."-t.:...., INSPECTION LINE 726-J769 r- i)6Rlltx}\ Jab Addr~n 2.41"5 7<'"\-, ?,"O~ . le9al Dettriotian J/)-t!:r::iJ~; Owner /(01'1 ft J d (rl'l)e/A ,'I [{ 2LI.~r.:; . !),,2i,M l, Addren Can,truttian lender Addr." DESIGN TEAM (namel Primary :5<:?c:..F Structural Erettric.al Mechanical ClfV OF SPRINGfielD' INFOIlMAflON LINE COM.::T1C-~'~:Pl';CA"ON/PEAMIT~ ' 716-J751 I ~:::GY SOU'CES, i ~:: ~ -;lbir c:;J::). I Water He,ater E'~f$ttC..T: I Sq. Ftg. Other ~. Ranqe _New .)...Add )CAltetr _Rep. \J I Valu. af Work: 7,s:l. ~- _._Fence_Demo_ChangejU,e ~ J .'1? '.(....:.-0 'b W ,..-O.""d' S' I I N '711 'j ^CJ> UI .n9 ermit n a~ e,cr. et or 11.0.. u. .ng. ...1\ Phone -r"'" -L' .") 7 Fomil.. RIHidll!nce With Allnchcrd Goro9.!) ~ 111m ~N l\~M. '&r>>7?ee.M .yI I .5(~tE" ~,;f 3c~~,--=-#v '/bc.JE& li~~ "'::::,,...~G_ Phone . (oddr~nl (phancr no.l (Iin. no.) (upircrt) . .' , j I i j j I (expires) ()hone no.) CONTU.CTOil:S (norne) G,""O' \lAc.iI. - /Or,M.6<1'> 5.:-CF (address) (lies, no.) €MF'I<.'>V€C C>/'= ,o;,pea &""sr'-. ~ ~ I NO. l fE= I CHARGE' NO. , I~ Eoc" ,;nqle fiJlture 15:'-1 ~""'l I I R.loca'ed building I .e1 (new fiJl. additional} I S.F. Re.iden~e I I (l bolhl I Dual"" (1 both) poch I I I Additionol both i I Water lenic. I I Sew.r I I Storm Sewer I I I Plumbinq EllI!Clricol .c. - .' ~ ~ .L-L r- Mpchonicol 'Sci':'LI"">-_ PLUMBING I i t' I TOTAL CHARGES /~.- ~". elECTRICAL MECHANICAL p:;: , CHARGE CHARGE FEE NO. I I " I R.tidenco of furnace/ burner !o ~TU's Appliance vent separate .---- Stationary e...ap, cooler Vent fan with sing I. dud V.nt system apart from heatinq 0' A.C. Mechanical It",haud hood and duct -s.- S~: h. New.circuits.ollerationl or eAtenlion. , .'/-' --- - ,s:- SERVICES T.mporary COnttruction I Amp.. Wood stove/heat.r FEEDERS Heat Pum'O Air handler to 10.000 CFM Air handler 0....' 10,000 CFM Amp.. TOTAL CHARGES I / s-:--I TOTAL CHARGES ISSUANCE OF..PERMIT /tt). "": /3,-, WHEil:E STATE LAW REQUIRES tho' the Electrical war. be done by th. E!el'tricol Contractor, th. el"drical portiorl 0' thil permit .holl no. b. valid "nlil 0 label ho. b_n si'Jned by an Electrical Contractor and attached to Ih. electrical panel. I HAVE CAREFULLY EXAMINfD thet completed application for permit, and do hereby certify that all information h.reon i. trult cnd correcl, ond I f",ther certify thar any and 011 ....ork pe~farmed' shall b. don. in accordance with the Ordinances of the City of Springfield and the laws of the Stat. of Oregon pertaining to ,he work ducrio.d herin, and thai NO OCCUPANCY will b. mod" of any tfructure without the permiuion af the Building Oi...i.ion. I further certify that my regittrotion witn the Builder'. Board is in full force and ~ect os retquired by oas 701.055, that if .xempt the ba.is for .xemption i. noted'. heron_ and that only subcontractors and employee. who are in compliance with ORS 701.0.55 will be used on this proj.d. Bo.i. far Builder'. Boord exemptiolT. ~~""~ H r C~\\.;,.V\ NAME (plea Ie print) ;V~I Zone t:::=3 Fir. Zone F10ad Plain '!Z:-N Type/Con.t. Bedroom. "torier I .' '1'7, ~t> .------- 1.7~ /C)....... .1(" Ie;-: ~ .6.:> ____r5'~ - . f)'2. BUILDING PfRMIT Charges ond Surcharge. PLUMBING PERMIT Charge. and Surcharge. ElEORICAL PERMIf Chorgu and Surchorgu MECHANICAL PERMIT Char~.l and Surcharge. , '" " ('9 ~~c,--,-" ~,,~~G.. \ I ., ~1/2."i:~ b"{O. _0 I I 7-:orS2..}:5 1 DATE ~~'l-"??\ SIGNATURE FOR OFFICE USE ONLY ( ::: ;:::,:a~:~_~~:~';~ Sq. FIg. Oth.r Valuo Vallole Value 'Jnih '""lccy load ""ccy Graup_K-:S TOTAL VALUATION Plan Ck. Camm/lnd 6s~:.1 Blda Per Fe" Plan Ck. Re. :30%/ arda PlI!r Fee 1"2 ;?d 7q "-"3e> /' ~'P. Sy.tems Oe....lopment Charqcr 11.5~1 /:U. Fenco ~s: :lB Oerna Talol Comb. Potrmit Side.....olk A/S P':....i,,':' ;p,.c./i7<.C;' --.~~ ~~;.- jC""n/ .' B~;::?~ " 1'~ .~ ..c.- ; , : Curb CloIt I I .. f )-\ ";"1'::::' ...1 -._~....:...._........._--..> COMBINATION APPLlC,A}IONiPERMIT 6Pl L Applica~ to furnish A. Job Address B. legal Oe~cription 1. examole.tax lot 10Q, lane County Map Reference. 2. exomo,e-Lot 1. Block 3, 2nd Addition to Springfiel C. Name, etc. of owner and construction lender D. Energy Sources 1. examole-heat/electrical ceilinq/or forced air gas 2. exam ole-water heater.. electrical/or solar E. Square footage or valuation, etc. 1. examole-1250 sq. foot house, 500 sq. foot goroge 2. examole.if new project. check new-if addition, ChE odd. elc:. F. Building permit information: 1. exomolp..construct single family house with an ottl garage 2. examole-remodel existing garagE: into family roar 3. example.convert single family residence into restaurant (chonge of use) G. Value 01 work os defined in Section 303 (a) of the Structural Specialty Code H. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Divis. Stoff must be oble 10 conloct appropriate persons reg . design informclion or job site corrections, etc. II. Abbrevioted Plumbing. M~chonicol & Electrical Schedule: A. Except where blcnk spaces occur in the description pc of the Mechanical and Electrical Schedules. the applic need fill.in only rhe No. Boxes adio~ent to the approF item{s) to be installed ---B.--Full Plumoi,;g: Me<:horiic~f.-and-F.b~:tric~1 ScheduleS ., 'ore available at the Building Div:'jior. . 1. To conserve space on the penl"!;t form the schedule have been abbreviated 2. If Ihe item(s) 10 be installed are not covered on the oted schedules you should consult the full schedule C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES At CHARGES ON THE SCHEDULES III, Applicant to sign and dote Whenever possible. the initiol applicotion will be used as worksheet only. Where possible. Building Division Stoff Yt prepare a typewritten copy and return it to the applicant the time the actual permit is issued for his signatun. Fees and Charges ..' Plan chec~ fees are due and payable at the time of the 01 tcr: and no plans will be processed until these fees are paid. ,-I- -~ .~. other fees and charges ore due and poyable when the permit is issued. IV. V. FOR OFFICE USE ONLY ..--- i PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: I , Additional Prolect Information: PLANS REVIEWED BY, name~':;i'/Ve ~ &:; ~ ,~g_,:-q!~re . I ,,-"""i' , i -~ ," -.; e .MIT VALIDATION I 'I '! I I 17 03 43 CITY OF SPRINGFIELD ( City Hall Springfield, Oregan Department of Public Works OFFICIAL RECEIPT ( ( No. B 5 6 8 2 9 '7-1- 19ft Rec'd From evnoJ.ct 6;.p~jand Address d. L/.3 'S (.1J y n()('j___.. Date ( (' (' ,( Received For: ( (, ~p L/L/ OD l7& 10. ()() , iji) /S~, ()o ,(gO I :<, , co I,~d- ( LIto C" ( ~e , /I/) I 7 / iC, "-{, 10 ( '" fJn ( L/Cj" (: /f1..A0 (: (' Amount Received ?; ~~d, B (!h.2-cJc (l~ <: " CI ",,,., '. AUTHORIZEO SIGNATURI: 'H~~TO"'TU"".U~~ ~""..t'" . tUo....~_ 0" tlUOI , ().1 '. Permit Clerk .-......_."'"_..-......'""---._..---~-,. r '. ..- ~ --,~- C-;;'e:>-B / dare ,.....,.. "-'-"'-"-'--- . INSPECTION LINE 726-3769 IR ; Q U ',...;"':..... ..'.... t;S'P E C TI 0 liS' INFORMATION LINE 726-3753 YOOR CIlY DESIGNATED JOB NUUlER IS: R/I)'! <~ The following indicated inspections are required for your construction at 2t(~~) ~Je~h It is the responsibility of the permit holder to see that all inspections are made at the proper time. that each address is .readable from the street, and that the permit card is located at the front of the property. ~ SITE INSPECTION: To be made atter excavatlon. but prior to set- up of forms r--l UNDERSLAB PLUMBING. ELECTRICAL & MtCHANICAL: To be made before any worK lS covered ~ FOOTING & FOUNDATION: Tobe made after trenches "are excavated" and forms are erected, but prior to pouring concrete ~ UNDERFLOOR PLUMBING & MECHANICAL: ' To be made prlor to lnstallatlon of floor ins~lat;on or decking ~ .POST & BEAM: To be made prior to . installatlan of floor insulation or decking ~ ROUGH PLUMBING. ELECTRICAL & MECH- ., ANICAL: No worK lS to be covereo ~these inspections have been made and approved r==l FIREPLACE: Prior to placing fac- .-- 109 j.latcrials and before framing inspection ~ FRAMING INSPECTION: Must be re- questea atter approval of rough plumbing, electrical & mechanical. All roofing, bracing & chimneys, etc. must be completed. No work is to be 0 concealed until this inspection has been made and aooroveg _. . lEI FINAL PLUMBING ~ FINAL ELECTRICAL BUILDING INSPECTItrts: IRE D INSPECTlOII PROCEDURE FOR THE CITY OF SPRINGFIELD BUILDING DIVISION 346 MAIN STREET [&:I INSULATION/VAPOR BARRIER INSPEC- TION: To be made after all lnsula- tlon and required vapor barriers are in place but before any lath, gypsum "board or wall covering is applied, and before any' insulation is con- cealed /P ~1If" D WOODSTOVES: After installation is completed [RJ DRYWALL INSPECTION: after all drywall is prior to any taping To be made in place, but SPECIAL INSPECTIONS: When re- qUlred by Bui Id1ng Code, special inspector to be present when work is in progress. A copy of the special testing report to be furnished to the Building Division D ~ D Structural Concr.ete: 3000 P.S.I.. In excess of D MASONRY: Steel location, bond beams. grouting or verticals in ac- cordance with U.B.C, Section 2415 Structural Welds: the jOb Performed on D D D D FIRE & SEPARATION WALL: Located & constructed according to plans ATTIC DRAFT STOPS: ROOF SHEATHING AND NAILING: to installing any roofing Prior Glu-Lam Beams: Inspection certificate (by approved agency) supplied,to Build- ing ~ivision before beams. are placed Fire Retardant Roofing: Before Inst.l- lation SIDEWALK & DRIVEWAY: Required for all concrete paving within street right-of-way, to be ~ade after all excavating complete & fonn work & sub-base material in place D .OTHER INSPECTIONS: May be 'in accordance with Building be indicated in plans or by fro~ Building Inspector requi red Code, to notice f, D CURB AND APPROACH APRON: After torms are erected but prior to pour- . ing concrete D ~ FINAL MECHANICAL SIGt'5-Your Job # is; D D D D Site/Location Footing or Method of Attachment Electrical <:)Rough <:)Final Final - After Installation is com- pleted SEWER. WATER & DRAINAGE LINES: Io'nor t.o tllllnQ 1n trenches FINAL FIRE DEPARTMENT All project conditions, such as the installation af street trees, completion of the required landscaping, etc., must be satisfied before the BUILDING FINAL can be requested. ~ Construction projects that required approval by the City's Site Plan Review Board shall be inspected by the Review Board before requesting a final building inspection, Requests for inspection by the Site Plan Review Board must. be made 2 days . in advance of the date you wish inspection. ~ FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing, Electrical; and Mechanic.l Inspections have been made and approved. No occupancy of the premises can be made until the Final Building Inspection has been made and appraved. and a CERTI~ICATE pt)OCCUPA~CY NAS B~N 'ISSUED BY THE By<\DING DIVISION AND POSTED ON THE PREMISES. Signatur~: K~o..J!...lX. ~~A, Q~ Phone: , Date: 11JBlLE HCI'1:$-Your Job' is: o Blocking/Setup ~ Plumbing CDnn~ctions Sewer and Water ~] Electrical Connection . From Service ~o Mobile Home D'Electrical se~vice Pedistal c==J Accessory Building. May require Inspection as Buildings - See Build- ino. Insoections Above . ~ Final - After Parches, Skirting. Decks. etc, are completed 51gnature Date ~lg':lature Date OTHER-Your Job # is: D D Fence - When Completed Demolition - When Completed Slgnature Date BU1LDING DIVISIOII APPROVED PLANS SHALL REMAIN ON THE BUILDING SITE AT ALL TIMES, AND ALL WORK MUST BE COMPLETED IN ACCORDANCE WITH THOSE APPROVED PLANS. NOTE: 'All manholes and cleanouts are to be adjusted at na cost to the City". PROCEDURE FOR INSPECTION R~OUEST - Call 726-3769 (recorder) state your City designated job number, Job address, type ot lnspectlon requested and when you will be ready for inspection, Contractors or Owners name and phone numbers. Requests received before 7:00 a.m. will be made the same day, requests made after 7:00 a.m. will be made the next worl(ing day. D