HomeMy WebLinkAboutPermit Building 1983-8-18
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I INSPECTlOtI LINE
726-3769
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C I TV Of SPRI NGF I ElD I NFORlIATlON liNt
COtlBINATION APPLlCATION/PERMIT 726-3753
EIIERGY SOURCES: Sq, Ftg. 1,Ia i n
Heat ~q. Ftg, Access.
lIater Heater Sq, Ftg, Other
lIew Add A'ter Rep,
Range -Fence Demo Ch~/,Use
ValuE of 1I0rk: ~~~* __ ~
~S;~. Co _~....w
BuiTciina Pennit Info: Describe Work(Le.. Build Single
Familv nesidence With Attached Garaae)
ApPJ7'/dN e~ 9 M~B/LE ~c.I:
<~~F.'r /u hdi'V/E~ ft1H;&:>.
Job Address { 11-. D T A I i? 1/ lIE W .1)R
legal Description 1?'''3.;z7'3~ To' ..30<:>. 94/. y~
S"~6<<:>#;a.=o. 74J. ~< .y 8co
Owner "Pc. +e ra.. "<f: "fA IJ L 14 0 ~ \I A T H-
Address 1010'- -FAIR-vIEw! Phone7.1'U~
71,,,,,. 7'2~.~a::"3
Construction lender
Address
DESIGN TEAll
Primary
Structural
Electrical
Mechanical
CONTRACTORS
Genera 1
Plumbino
Electrical
t.lechani ca 1
NO,I
(name)
Phone
(address 1
fl its. no. l
'\2,~AN(,~
I ,
SPF-LI\
q~fL
i:.N~.
::IlL 'f
..-
..-
/
lname)
(address)
(lies. no.1
D U'A/'/FP
" _414 A?
AA'~ G~Nc7.
#J,/ -"'A//v C ~I-IA{"L ,;:.,(7n'~
PlUIIBlIlG
ElECTRICAl
100
~
.......
...0
'\I
'\II
(exoi res)
(ahOM no.'
7<1-1. 0 '$ P "1
(pxoirp,,")
(ohnnp nn. \
c4'L -311_\/
MECHANICAl
Each single fixture
I HE I CHARGF Nn , I ~I=~ I r~>1RG.E NO I
Residence of furnace/burner to
SQ, FT, BTU's
,
,/
Relocated building
(new fix. additional)
S.F. Residence
(J bath\
Duplex (1 bath) each
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amps.1 I
~.-I,e>,'" .
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TOTAl CHARGES /~ TOTAl CHARGES ~- TOTAl CHARGES
WHERE STATE l,\lj REQUIRES that the Electrical work be done by an, Electrical Contractor, the electrical portion 'of this permit
shall not be valiJ until the label has been signed by an Electrical Supervisor and returned to the Building Division
2~' Storm Sewer
L 1J4<K~e>W .P.i",,,,;c
r
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Additional bath
~l ~Ia ter servi ce
~ Sewer
New circuits alts.
or extensions
SERVICES
14tJ. -
,,>-
35.-
.<;.-
Temporary Construction
Change in existing
rpc;.;dpnrp
l'multifamilY, camm. or
Tnrlu<;.tri.:l.l
IOf
ICOMfl_/INO, FEEDERS
IInstall/alter/relocate I
rHc:.tl"ih fpprlpro::
10f
, W#. S"" <$-"7 YI<'.so
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I 'O.EL I JJJARliE.
Floor furnace
and vent
Recessed wall
~O~("P hp~tpr ~nrl ~pnt
Appliance vent
s.~oariltp
Stationary evap.
cooler
Vent fan with
sinole duct
Vent system apart from I
heatino or A.C.
Mechanical exhaust I
hnoci .,nd tiurt
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Wood stove/heater
ISSUANCE OF PFRllIT
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I HAVE CAREFULLY EXM1INED 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 oerformed 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 herein. and that rlO OCCUPAUCY 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 ons 701.055. that if exempt the basis for exemption is noted hereon, and that
only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project.
llAl,IE(p1ease print)
zoneM./I.:P.
Fi re Zone
Flood Plain
BUIlDING PERfllT
Charges an~
Surcharges
PlUllBING PERMIT
Charges and
SurCharges
ElECTRICAl PERI:lT
Cha rges and
Surcharges
MECHANICAl PERMIT
Charges and
Surcharges
1-10 RvA, 14 SIGIIATURE ~~-.c. !/,(,~
FOr. OfFICE USE Oii~--,/ -
Sq, Ftg. r1ain )C Value
c,_ ~~_, :._____fj'''?- WH.5;?1"~(~Value d~~CX>
Sq. Ft9-' Other_ -;qy/~ x.o/_ Value....l7,t:!IC:it?,-
TOTAl VAlUATION ~~-
,,, _ "",,.,f#oIIt!;vste, ms Development 11>6G,MII~ <vY
....-!J-',_-,~rharQe O.5~) , ~.
." - ~ C.z:?A~ 'r~NP/~~. FC:-rh<O
r}~~.:s,.~~~~-~_
'r~.P'~y~Mt:! ~~
'IS,," -'it:}
amps,l
-P",'-1~ t-
TyeelConst.
Bedrooms
Stories
_Units
Occy load
Occy Group
Plan Ck, Comm/Ind
65%/Bldo Ppr Fp~
------------ Plan Ck_ Res
30%lB1 do Per Fee
I Fence
I Demo
~1dewalk $16' I
I AIC PavingZ~~~ I
___ _ __ _ __ __ -' Curb Cut :8 'I" I
I I
19$:-
------------
7-$0
-----_?~"-""'::--
3.~
6/ .9,z
St?, ......
/6.()8
DATE .v-/~
Irotal Comb. Permit
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l'OTAl
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COMBINATION APPLICATION/PERMIT (CAP)
PERMIT VALIDATION
I. Appl icant to furnish
A. Job Address
B. legal Description
1. example- Tax lot 100, lane County Map Reference
1I oj 43
2. examEle- lot I, Block 3, 2nd Addition to
~prlngtield Estates
C. Name, etc. of owner and construction lender
D. Energy Sources .
1. exam~le- heat/electrical ceiling/or forced air Qas
2. examyle- waterheater/electricalJor solar
E. Square footage or valuation. etc. ------
I, examole- 1250 sq. foot house, 500 sq_ foot garage
2. example- if new project. check new - if addition,
cneck. add, etc.
F. Building permit information:
1. exam~le - construct single family house with an
attached garage
2. exam~le - remodel existing garage into family room
3. examole - 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. OESIGN TEM1 AND CONTRACTORS
To avoid design or construction delays, Building
Division Staff must be able to contact appropriate
persons regarding design infonmation 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 adjacent
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 fonm the sChedules
have been abbreviated
2, If the item(s) to be installed are not covered on
the abbreviated schedules you should consult the
fu 11 schedu 1 es
C_ BUILDING DIVISION STAFF WIll FIll OUT All FEES AND
CHARGES ON THE SCHEDULES
0, As noted on the CAP, the label must be delivered to the
electrical contractor for signature by his electrical
supervisor. The general contractor is .not authorized
to sign the electrical label. ---
III, 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 type written copy and return it to the
applicant at the time the actual permit is issued for his
signa ture.
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.
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V. FOR OFFICE USE ONLY
.'
e to
Permit Clerk ~u1.rJw
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
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Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information: SPc. CH".,t;ft:9 cl;S Ar:rE:-- .J:::L.s- fr~
/'7rM~l!YC~~~&-~ S~,...~~ ~H- ~~
PLANS REVI EWED BY:'
I
~ame~71-~e7?,
Si9~~tur~,02"""~
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date 7..a~ ~
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RAINBOW
WATER
DISTRICT
C!lWW^
,.--"Proudly serving North and West Springfield,"
October 20, 1983
Mr. Ronald B. Clark, Superintendent
nui1ding & Safety Division
Department of Public Works
225 N. 5th St.
Springfield, Oregon 97477
Subject: Fairview Mobile Home Park
Dear Mr. Clark,
Pursuant to our previous telephone conversation, I am
requestin9 notification of any new building permit applications
by the Fairview Mobile Home Park. The owner has executed an
agreement with us that allows a phased payment of a portion of
the water development charges. These payments are due when the
building permit application for each lot is received by your
office. If you would please have someone in your office call
our office manager, Sherrill Shannon, or myself, it will help
us considerably.
Thank you for your assistance in this matter.
Sincerely,
rM
J.~~mothY Hanley
Superintendent
JTH/kab
1550 N. 42nd St. · P.O. Box 8 · Springfield, OR 97477 · 5031746.1676
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PLAN REVIEW,NOTICE '
his is not a building permit)
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Da te Recei ved
September 8, 1983
Date Reviewed
The submitted plans have been revie~led for conformity with Tlre protection statutes
and regulations of Oregon administered by this office. Items No.
checked on the enclosed list are applicable. These items and any specially noted
provisions must be incorporated into the project to meet current fire protection
regulations. Approval of submitted olans is not an approval of omissions or
oversights by this office or of noncompliance \'lith any applicable local reGulations.
RE~1ARKS :
1. Provide Watermains and Hydrants as follows: Minimum 6" main with hydrants placed at
locations where the distance from a hydrant to any trailer space does not exceed 500'.
Hydrants & Installation shall meet Fire Code requirements (see attachment).
Hydrants shall be capable of flowing 1000 gallons per minute with 20# residual while
flowing.
A 20' clear access is required on the north end. The portion that might lie on the
PP&L right-of-way may be graveled as long as an easement from PP&L is secured in
order to assure the access.
Rex H. rkCready
Fire Marshal
, 150 North 4th Street
Springfield, OR 97477
Examined bY~~
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