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HomeMy WebLinkAboutPermit Building 1985-1-15 CITY UF SPRINGFIELD COMBIIIATION APPLICATION/PERMIT E!IERGY SOURCES: Heat t~ater Heater Range ValuE of Hark: I It:J'2. ,600 . """" .. Phone...! wr,/,,,, Buildin" Pennit Info: Describe Ilork( Le., !:T.:Z.I7ZI~ Familv Residence \~ith Attached Garaoe) I INSPECTION LINE 726-3769 . Job Address/~4''' .I/~R.t.-"W legal Description /7- 0 3 -:t:1 I (;);Z 3 t7.r' Ownerk' ,LEIA/ Sc..Jlhllb~ ])ev Address/, d_~~ ~'2.4-y -e~.,.,,^,~ CA Construction lender J!dlVE;. Address DES I GN TlAI.' (name) Phone (address) Primary Structural Electrical Mechanical CONTRACTORS (nameI General 5C/blJ <)J;.'2lJfC-E.. CAret> . INFORftATION LINt 726-3753 Sq. Ftg. I.lain;l ~ '7(,0 ~q. Ftg. Access. Sq. Ftg. Other --1lew__Add~Alter--,~ep. Fence Demo Change/Use -Other - - Build Single 'J?6.inlrr\6-L Ell I <:''7"'IN6=J3..U/~ ~/Il/&- Ft:JTZ ~E4I /)1;.]>~lM/r<:'rtJ~ ( t(//A/STdQ~) flies. no.l (exoires) (ohane no. I (addrec:o;) (lies. no.) (pxoires) ~ 1'1'itJ CHueIJCp.EIf 'fA>b/AJI:.-. CA. (~s9li 3':U / / ' (ohnnp no. ) V)~ '22I-DIS-fJ r--INew circu~ts alts. or exten1.lOns ~ 2 bU .hu!>R<::: I SERVICES I Iremporary Construction I'change in existing ,rp<;.iQ(,J1C':~ Imultifamily, comm. or TnrlIJ<:.tri;al IOf amps. I COMI.1. /IND. FEEDERS IInstal1/alter/relocate dic;trib. fppdprc; IOf amps. I ~~~7\EA'.c. I I Plumbina Electrical ~lechanical PLUI.IBING -1i!h I FEF rt-"Mr.~ ~n I Residence of Each single fixture 7).r: Relocated building (new fix. additional) ~,- S.F. Residence (j bath) Duplex (1 bath) each [Additional bath I ~Iater service I Sewer lstorm Sewer "b:.~~ .. . ELECTRICAL MECHANICAL ~ 'B 'J V) 'TI-J:IlARG.E. I I I /~- TOTAL CHARGES ~I? I&! oil> TOTAL CHARGES IS; - TOTAL CHARGES ;tn/AI. Ie:>. ev:> WHERE STATE L'll REQUIRES that the Electrical work be done by an. Electrical Contractor, the electrical portion of this permit shall not be vali1 until the label has been signed by an Electrical Supervisor and returned to the Building Division ~~~ r...l::lARG.E. Nn SQ, FT. furnace/burner to BTU's 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 Orel.:lOn pertaining to the work described herein, and that rw OCCUPAI{CY 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 is noted hereon. and that only subcontractors and ~loyees who are in compliance with ~~g?5 \~b~Sed on this project. /- :13-fi5' n~ vl"!~J.... . '7";./__. o/~ /"n-../ IlAI-IE(please printJeRR't tu.J~,E4J SIGIIATURE ~..vv"~~ FO~ OFFICE USE 011 , Zone.r:.G Type/Const.~.N ~Units Sq. Ftg. Fire Zone Bedrooms Occy load Sq. Ftn. Flood Plain Stories / Occ.Y Group B - "Z Sq. Ftg. BUILOING PERMIT Charges and Surcharges Plan Ck. Comm/Ind 65%/Bldo ~pr ~~~ Plan Ck. Res 30%lBl do Per Fee ELECTRICAL PERIHT Cha rges and Sur~harges ---:g~~..~~- II . ~C> ____/~:...~~_ Fence r~6 ____LS. - I Sidewalk . ~O I AIC Paving _____,~:..~J Curb Cut 1 'It!> I PLU'1BING PERMIT Charges and Surcharges 0_ 11ECHANICAL PERMIT Charges and Surcharges Is:ocr Floor furnace and vent Recessed wall ~n;arp h~;at~r ;anrl v~nt Appl iance vent <;.pnari'l.tp Stationary evap. cooler Vent fan with c;irlQl", dl"'r.:~ Vent system apart from heatino or A.C. Mechanical\exhaust hood and duC':t Wood stove/heater .~ &~l') 'buc..TS ISSUANCf OF PFR!lIT OATE I-/S~ f1a;n ,x Value Access ~ Value Other&r. KF~~L Value 1~2_6dt>.- TOTAL VALUATlOtI 1/88. SD I I I I I I I Systems, Development Charqe (!.5~) . }1.# I I I jrotal Comb. Permit I I TOTAL ~"38 . -=-. 5'2.~:..S'O . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal Description I. example- Tax Lot 100, Lane County Map Reference II 03 43 2. example- Lot I. Block 3, 2nd Addition to ," ~prlngtieldEstates. .. C. Name, etc. of owner and construction lender D. Energy Sources . 1. example- heat/electrical ceilinq/or forced air Qas 2. example- waterheater/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. check add. etc. F. Building permit information: 1. examele - construct single family house with an attached garoge r-- 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 TEAM ANO CONTRACTORS To avoid design or construction delays. Building Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc. /1. 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 form the schedules have been abbreviated 2. I f the item( s) to be ins ta 11 ed are not covered on the abbreviated schedules you should consult the fu 11 schedu I es C. BUILDING OIVIS/ON STAFF WILL FILL OOT ALL FEES ANO CHARGES ON THE SCHEOULES D. 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 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 penmit is issued. V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: ". ....... ", ~, ..... ..~.... ~'~ Permit appl icant exempt from registrati on wi th the Buil der I s. Board because:. -.!- S~"".R~T~ .:R'#;t'~/~ ~E&>~@Eb ~ 5/~~ #-.NJ? ~C:S:S-~ hz>///4'.w#/ ,~~ ~,__.A"'"/~ C o.::r~r;y~~ W/ C/T'r ~(...I/c..P/HC., /J;::}y/ S./4';l9 PLANS REVIEWED BY: L<:)r?N€ ~~&i?signature~ _.J...,:, Additional ~roject.Informafion: I .name . PERMIT VALIDATION ~ (j_(,4/6A / . r~ J) Jy '1 i . lid" , / Permi t Clerk ~~ / t7 .\...........~;':..J'", (" "1'-, . ".... . . -:. \ ....e _ ,~ " . .&;, date /-21'-~S'" j IIISPECTION LINE -CITY OF SPRINGFIELD , 726-3769 COMBINATION APPLICATION/PERMIT JJ. ~. ~ EilERGY SOURCES: Job Address J~O CLLf-;:;>~W r~ Heat legal Description ,,-67.'2'2." t:::J"21JCS ilater Heater Ranqe_;;;:._=..__ _ (. . Owner Jl'l....S.lN'5<:.NN//Dr z:E:y. Add =-r~~J ress Pod. go)/, 32'~~ ReDD"...... ~ ..r~'< .)1:Jf 'PM. 7'17."17'::; ValUE of Hork: ~~,~,- BuiltiinQ Permit Info: Describe Work(i.e" Familv nesidence With Attached r.araoe) I NFORltATION II Nt I 726-3753 Sq. Ftq. 1.lain ~q. ftg. Access. Sq. Ftq. Other --1lew__Add~lter-"~ep. __Fence__Demo__Change/Use _Other Bui ld Single Ql) ~ I~ Construction Lender .6; R~ ~4LS'@~/~rE~_ ~.-~~.,j ~~-~, ~/~. .-"V_ _ Address UI:.S 1 uN TEAr., {namel Phone (address 1 flies. no.) (exoiresl (ahoM no.) Primary NJSS"ING./ J>.t?.1fD}t 'S"::><l{4 ~~""".' c:::Aa. Structural (9/.Q~"1. ns'5' Electrical riechanical CONTRACTORS I name I (addressl General ~Mt.uS&>V....:.!! .,c'_~ ~ ~~ c::".v~ Plumbino (lies. no.) (pxnirpc;.) (ohnnp nn. ) n.-..uc" ~.... -V.~-- , r ~'~ &~~~ Electrical ~'echanical PlUlIBING ELECTRICAL MECHANICAL NO. FEE r.HAR~F Nn I ~~~ ~I-Res i dence of SQ. FT. INew circu~ts alts. or extenslons I SERVICES I fliAR.G.E. Nn_ FFr: furnace/burner to BTU's rHAJUiE. Each single fixture Relocated building (new fix. additional) Floor furnace and vent S.F. Residence (] bath\ Ouplex (1 bath) each IAdditional bath I ~Iater service I Sewer IStorm Sewer Recessed wa 11 ~n~rp hp~tpr ~"rl ~P"t lTempOrary Construction IChange in existing relj j qe.r1cP multifamily, camm. or Industrial Appliance vent seoarate I' Stationary evap. cooler I Vent fan wi th sinale duct I Vent system apart from I heat;na or A.C. I Mechanical exhaust hnod and durt I Uoad stove/heater I I I Of amps. ICO~1./IND. FEEDERS I Install/alter/relocate rlic:.trih. fpp{lF.rc:. IOf amp~1 ISSUANCE OF PFRrHT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES WHERE STATE L~H REQUIRES that the Electrical work be done by an Electrical Contractor. the electrical rortion of this permit shall not be vali1 until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFULLY EXN1INED 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 IlO OCCUPAUCY will be made of any structure without the permission of the Building Division. 1 further certify that my registration with the Builder's Boafd 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 e u~. on t~..s. c :ject. ,- 1IA1.IE(please print.).. -rG~ W SAJ.s. f;.4) 5 If,iIATUR ~.. ~ DATE::2 -2./-~ , F9~ OrF ICE USE Q;ll Y 2one~ TYOe/Const~ ~ .units Sq. Ftg. r1ain Fire Zone Bedrooms Occy Load Sq. Ftg. Access Flood Plain 5tories/-!':2 ~~ Occy f,roup-'fl-;C Sq. Ftg. Other , Value Value Value , x TOTAL VALUATION BUILDING PERfIlT Charges anC: Surcharges u -;;> Z Plan Ck. ___:J_.l__....~_ 65%/Rlno .oI'!I Plan Ck. I 7. '171> 30UBldo I Fence I Demo I Sidewalk I A/C Paving I Curb Cut I Conm/lnd P.rr Fpp Res Per Fee -:; 8 ~5 Systems Development Charqe (1.5~) N.A. PlQriB ING PERMIT Charges and Surcharges ELECTRICAL PERI:IT Charges and Surcharges i1ECHANICAl PERMIT Charges and Surcharges Irotal Comb. rermit '1!:'I.Cf8 738';. S 3 I I TOTAL . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. legal Description 1. example- Tax Lot 100, lane County Map Refer~.n~e",.' 11 03 4; , \.. "-... 2. example- lot 1. Block 3, 2nd Addition to ,.. . Spnngtield <Estates .....~, .. - .' .." C. Name. etc. of owner and construction lender D. Ener,gy',SoUrces .. ~ ,_ - - ~'::.', ." ....: .~ -.; \.-~". 1. examele- heat/electrical ceilinq/or forced air Qas 2. example- waterheater{electrlcallor solar E. Square footage or valuation, etc. - I. example- 1250 sq. foot house, 500 sq. foot garage . .\'.... . . 2. . example- if new project. check new - if:addition;.' . check add, etc. . F. Building pennit information: 1. example - construct single family house with an attached garage 2. example - remodel existing garage into family rcom 3. exa~le - convert single family residence into restaurant (change of use) .G. ,Value of work as defined in Section 303 (a) of .the .. .'~.Structural Spec'ialtY'';Code'~. ~.::' 't ':..' ....\ "$.~r",:.,..."'" 't ,', H. DESIGN TEN4 AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information 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 form the schedules have been abbreviated 2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult the full schedules C. BUILDING OIVISION STAFF WIll FIll OUT All FEES AND CHARGES ON THE SCHEOUlES D. 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 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. ."_. .. , ~ " " V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: . , . . PERMIT VALIDATION \. . .......t\. " '. ,.. ....-. ::..... ,'I . 'I., ," ',::' 'r, \,., Penni t C1 erk ;f...~':',. . .....~ ,1". . , , .. J . " , .....'".0:', ~'~~'..', ... , ~~~ (".,..,~, ," ... . ':i," '1l.tJ J ~ tv Permit applicant exempt from registration with the Builder's Board because: Additional Project Infonnation: , , 'I.,'.. PLANS REVIEWED BY: .. name signature I: '" .' '. date .~... . . 5<>00' 7/- @ Pittsburgh Testing Laboratory PTL_EUGENE 54!5 CONGER STREET EUGENE. OREGON 97402 503/484-9212 1Ri~~~1Ri1 # 1 O"DE" NO. EUG 4041 DATE Apri 1 19, 1985 Powell's Welding and Machine 3570 Marcola Rd. Springfield, OR 97477 REPORT OF: Structural Welding Inspection PROJECT: Winston Clothing Store INSPECTION DATES: March 12, April 4, 10, & 15, 1985 INSPECTORS: Mike MabreylMike Steen SUPPLIER/CONTRACTOR: Powell's Welding March 12, 1985 Inspection was performed on field installation of the two sign frames and supporting members. Welds were made by Barry L. Huffman using 5/64" E7l-Tll electrodes. His certification follows this report. Columns were fillet welded to beams or beam saddles at the base. Diagonal T.S. 4" x 4" braces supporting the upright frame were fillet welded at both ends to columns and beams. Beam saddles were butt welded to the connecting plates. A 11 welds met or exceeded the 3/16" requi rement and conformed to the qua 1 ity criteria of AWS 01.1-85 after minor repairs were completed. April 4, 1985 The canopy wall bracing on the west, south and portions of the east wall was inspected on this date. Welds on angle braces at corner connections and along the base of the east wall were also checked. According to the contractor, all welds were to be 3/16" butt or fillet welds. The diagonal braces were only to be welded to one panel to permit thermal expansion. Inspection revealed several welds with discontinuities and insufficient size. These areas will be reinspected after repair. ~ ALL FlEPORTS ARE BUBMlTTEO AS THE CONFIOENTIAL PROPERTY OF CLIENTB-PUBl.CATIQN OF STATeMeNTS. CONCLUSIONS OR eXTI'lACTS IS l'leSSRveO !'>eNOING OUI'lWFllTTElN APPROVAL. Powell's Welding Page 2 r. and Machi ne . /" '. PITTSBURGH TESTING LABORATORY EUG 4041 April 19, 1985 April 10, 1985 Welds requiring repair were inspected and approved. Field welds on both short walls on the east end were completed and met the requirements of AWS 01.1-85. April 15, 1985 All remaining welding was completed by this date. Welds on the bracing for the north and east walls were inspected and approved. Certification data for all field welders employed on this project follows this report. Respectfully submitted, PITTSBURGH TESTING .LABORATORY ~ ~. . -0/-. /, <.-- /-.,--! --.r: "., . \ -1-' .- 't.~ ;nJ_~'--',-- er~L. 'ohnson, Manag~r Eugene District MGM:ab . . ,k\;~.:':i~:. .. W!LDERS CERTIFICATION ..... ,I' .'",. . :~i':i.' .." .i .NORTHWEST TESTING LABORATORIES PORTlAND. EUGENE. SALEM. OREGON . ""'... J;~'L .~~~~.~~~.::~.:::~.~~~;i~:'~.9:Q~::::::::::::::::::::::::::::::::::::::::::: , bAit' TESTEl; ........;?".;?"./l.~........................P.OCESS ..FCAW ~IMArL TYPE .,..,.N?IM...A"JJ?................FILLE. MET~.;:;;:~~:jf(::r.; 1 J ~. SPECifiC,," TIOti CODE ....:.AHS....!U..,J.,,-./l.2................................................. , I . . . V . 1 J ...,. I!lONS QUALI"EO................~.r..O,!;.iJ....................G.............................. ,,:~ . .., ESSQUALIFIED ~.I.~:.'...m~.~Jm.~.m.. 'PT. NO 5-9052 ... ~4 ~f:~~.;~;~.;~~::~~;~~.~i.~ii1]i~~k ~