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Home My WebLink AboutBuilding Building 1989-08-09c0r,rB I L a>+ L Hea t l,later Heater Val ue of l,lork Ranq 726-3 .l'lai Sq.- Ftg. Access._ Legal Description Job Address EIIERGY SOURCES: I Ga ra n9 e Fami n ./*z=:rafr Addres s Phone 2-.=Z-2.=-Construction Lender N N m il Address Phone exD l resDESIoN TEAM name Pri ma r St ruc tura I El ectri cal Hechani ca I ral A EI MECHAN I CALELECTR I CALPLUIlBI NG Itlecha FFFFFFCHARGFNONNFEECHARGEfurnace/burner to BTLI' s Residence of FTsQ7.5 7.4/ Each single fixture 72.9 FIoor furnace and vent -l,lew ci rcui ts al ts."ry'\'H'ruz*Relocated building (new fix. additional ) Recessed wa l I Soace heater and ventSERV I CESs I Duplex (l bath) each Appl iance vent seDa ra teTemporary Constructi onAdditional bath Stationary evap, cool er Change in existing rps i dencel,later servi ce Vent fan with sinole duct multifamily, comm Tndrrqtria l orSewer apart from .c. Vent systern heatinq or A0f_amps,Sto Mechanical exhaust hood and ductc0Mr.1./IND. FEEDERS tJood stove/heaterI ns ta I I /a l ter/ rel ocate distrib. feeders t/0f ISSUANCF OF PFRI{IT TorAL CHARGEs ./?hX. /s-eTOTAL CHARGES 2?-:;OTOTAL CHARGES v2 I'lAl.lE( p l ease print)IEg -9 ^81 ',[,q.4 a,, \F <2,//AE SIGNATURE fypermi t rfo rmed n9 70 exemp t55 wi 'I on isreon truetdanhedocertItthaanoCreb.yatIe tedI athe ppcomp na'I s theof cisIhaIaccordancethI0rdncethen'|donbeI'I wor k tynacodrrec t a nd I fu hert cerr '|t tha at a andfyny pe !l,!'II madebe1 ,ln to het deswork bedcrl nhere i and ttha 0cNO CUPAHCY'If IeS d and the ofLaws het tas of rtateofngpriDC0reqon n9 'IBu '|r so1BuidI,l '|s'I 1 n hefurt certr 1 hat t s tra 'It vJlon the dethIrurectutwluhothetssofnthestaofmyregiperminyfy ha tandtIur0RS055hat'|f t ba Is fors 'I I0n noted5 reonhethe'IBoard 'Is fun II afo rce effend asct 'ed exemptreqby 'I be'I edus h s ecton0Jdroj7011n'II wlance ht 0t?Ion s bconu torstrac an I e whos rea pcompvempoye be done by an Electri WHERE STATE L1t,l REQUIRES that the Electrical work shall not be vali'l until the label has been signed by ' an Electrical Contractor, the electrical portion of this permit ca1 Supervisor and returned to the Building Division Flood Plain Stories 0cc.y Group_lq. Ftfl. Access x Va rtq. ottrer@uu - ToTAL VALUATI0N_ Ftg l'la i n 0c cy Load SqFire Zo np x lue Const. Uni ts. D-<--*= a lue Bedrooms Zone lue-y'i2@-- Plan Ck. Conrn/lnd 651"/B1do Ppr Fee fz.z=Svstems Deve Charqe (1.57 opment A/-4BUILDING PERT1IT Charges and Su rc ha rges __*_.P_ ?-a=Plan Ck. Res 30%/BIdq Per Fee Fence D0mo PLUI4BING PERMIT Charges and Surcha rges a _e Sidewalk Tota'l Comb. Permit /2r7/ELECTRICAL PERI,IIT Charges and Surcharges :,:2?__ A/C Pavi ng Curb Cut zaz 77TOTAL 14ECHANICAL PERHIT Charges and Surc ha rge s 4* Ftg .0ther n (address CONTRACTORS n ame (address THAAGF PERMIT VALIDATiON Permi t Cl erk COMEINATION APPLI CATION/PERI,IIT (CAP ) I. Applicant to furnishA. Job AddressB. Legal Descriptionl. example- Tax Lot 100, Lane County Map Reference ]tuTT32. example- Lot l. Block 3, 2nd Addition to S['Fingfield EstatesC. Name, etc, of owner and construction IenderD. Energy Sources I hea 1i forced air gas 2 or solarr E. Square 1 2. example- 1250 s, example- if new check add, etc. e ec or valuat olltq. foot house, 500 sq. foot garage project, check new - if addition, F. 'Building permit information:1. example - construct single family house with an attached garage2. example - remodel existing garage into family room3. example - convert single family residence intoffiFant (change of use)G. Value of work as defined in Section 303 (a) of the Structural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid des 0ivision Sta ign or construction delays, Buildingff must be able to contact appropriate persons regarding design information or iob site corrections, etc.II. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the description portion of the Mechanical and Electricai Schedules, the applicant need fill-in only the No. Boxes adiacent to the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedules are available at the Building DivisionI, To conserve space on the permit form the schedu'les have been abbreviated2. If the item(s) to be instal]ed are not covered on the abbreviated schedules you should consult thefull schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. 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 l'lhenever possible, the initial application wilI be used as a worksheet only. llhere possible, Building Division Staffwill prepare a type written copy and return it to the applicant at the time the actual permit is issued for his si gnature.IV. Fees and Charges Plan check fees are due and payable at the time of the appiication, and no plans will be processed until these fees are paid. Al l other fees and charges are due and payable when the permit is issued. V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: permjt app'licant exempt from registration w'ith the Builder's Board because Additional Proiect Information: PLANS REVIEWED BY: name dateignature LINI c0t1B I Descr :€.; Add res s 726-53I 7 1 Phone Ran n9 e . 0ther Va I ue of l,lork : Legal Description Jeb Address 3q Sq . Access._nEIIERGY SOURCES: Hea t- l,later lleater . Ftg .'Ftq . Ftg 2-ryzzz-Construction Lender s N m il Addres s Phone PXDI resnameG&re!!DESIGN TEAI4 Prima Struc tura I Electrical Mechanical Plumbi S Electrical ''i ttt,PT Ol/ (:LeL-rRl trlechanical h,rlf- t (r t Pl? tc€- HECHANICALELECTRI CALPLUI1B I NG FFF CHARGFFFFCHARGFNOCHARGFNNFEEN0.furnace/burner to BTU' s7.*7.n Residence of FTSQ/Each single fixture ?4, Floor furnace and vent -l,lew ci rcui ts al ts. or extensions - ---2 :;B ,-ha5e) Relocated bui lding (new fix. additional Recessed wal I Snarc heatpr end vantSERVICESS. F. Fles i dence ( I bath) Duplex (l bath) each Appl iance vent qeDarateTemporary Construct i onAdditional bath Stationary evap cool erChange in existing rpc i dcncptlater service 0rmultifamily, corm I ndrrct ri a I Vent fan with sinqle ductSewer Vent system apart from heatino or A.C.0f s,Storm Sewer Mechanical exhaust hood and ductCOMI.I./IND. FEEDERS I nsta I I ,/a I ter/ rel ocate .li <tri h fppders llood stove/heater t/0f -amps. ISSUANCF OF PFRIIIT roTAL CHARGEs ./??sX . /9- +TOTAL CHARGES 22-S:>TOTAL CHARGES aavo t^,llERE STATE Lltl REQUIRES that tlte Electrical work bc done shall not be vali'l until the label has been signed by an Elec bytri' an Electrical Contractor, the electrical portion of this permit cal Supervisor and returned to the Buildlng Division completed application for permit, and do hereb.y certify that all information hereon is true and correct, and I further certify that any and all work rrerformed shall be done in accordance with the 0rdinances of the Cityof Springfield and the Laws of the State of 0regon nertaining to the work described herein, and that N0 0CCUPAI{CY will be made ssion of the Building Division. I further certify that m.y registration vrith the Builder's only subcontractors and employees who are in compliance with 0l1S 701. ICNATURE rE< 'y ^ 81 I HAVE CAREFULLY EXAI1INED the exemp 055 wi of any structure without the permi Board is in full force and effect as required by ORS 701.055, that if t the basis for exemption is noted hereon, and thatll be used on this ect. r,rAr,1E(please print) rJAa:zp \F K crlAE - s ( ts Sq.Ftg.tlain____________x Va'lue_ Ftq. Access x Value,ri.otn*@uar"@-Bedrooms ccy Load Sq. 0c c.y Group _ SqFlood Plain S tori es Cons Fire Zone ToTAL VALUATIoil_b-<+*= Zone Plan Ck. Conm/Ind 65%/8ldo Per Fee 5z=z opmentBUILDING PERI'IIT Charges and Surcha rges __*_.=_/-a=PIan Ck. Res 30%/Bldq Per Fee Fence 2 PLUI,IBING PERMIT Charges and Surc ha rges D6mo S'l dewa I k Total Comb. lermit ELECTRICAL PERIIIT Charges and Surcha rges =€?__/2r.//A/C Paving Curb Cut zez 77I,IECHANICAL PERMIT Charges and Surc ha rqes * TOTAL lui'lciinq Pennit Info::ami'l v Residence l'lith I //vr=77/aE 7*A --3-a-- C'TY OF SPR'NGFIELO Ctry HCt Sprlngllcld, Orcgon Ollice ol Communily and Economic Developmenl OFFICIAL RECEIPT COI'IBINATION APPLI CATION/PERMIT ( CAP) I. Applicant to furnishA. Job AddressB. Legal Descriptionl. example- Tax Lot 100, Lane County Map ReferenceIfF-{32. example- Lot l. Block 3, Znd Addition to SpTin-lTield EstatesC. Name, etc. of owner and construction lenderD. Energy Sourcesl. examole- heat/electrical ceilinq/or forced air qas 2. Ex,a-mi'l-e- wa terEEEGEETec-[FitTITor soTI'F-E. Square footage or valuation, etc.l. 2. examp]e- 1250 sq. foot house, 500 sq. foot garage exanple- if new project, check new - if addition, dh'ec[-I-dd, etc. t !l'l{i97 I Rec'd ) 6 ) Address Received For ?E>.S? //-o F. 'Building permit information:l. example - construct single family house with an attached garage2. example - remodel existing garage into family room3. example - convert single family residence intoIffiffant (change of use)G. Value of work as defined in Section 303 (a) of the Structural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avold design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adiacent to the appropriate item(s) to be insta'lledB. Full Plumbing, Mechanical, and Electrical Schedules are available at the Building DivisionI, To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult the ful l schedulesC. BUILDING DIVISION STAFF l,lILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to ttre electrical contractor for signature by his electrical supervlsor. The general contractor is E! authorized to sign the electrical label. Applicant to sign and date Whenever possible, the initial application will be used as a worksheet only. Where possible, Building 0ivision Staffrill prepare a type written copy and return it to the applicant at the time the actua'l permit is issued for his si gnature. 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. FOR OFFICE USE ONLY )7"?.7o-*t+>/- -Te) F-?.'22 lro 9" II. III IV. BY AUTHORIZEO SIGNATURE htsr gusrness FoaMs. rNc.(503)342-tra9 I r$74 V Permi t Cl erk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI'ICY: permit applicant exempt from registration with the Builder's Board because: Additional Proiect Information: PLANS REVIEWED BY: name dateignature AmounrRecerved 2 .->> 7 I ) .. Required ln spec tion s .. Phone , q97 27 Jcb Addrcss/FzZ.rZ.{JfJf|ei- ROUGI.I PLUMBING, ELECTRICAL 8Llffi IT IS THE RESPoNSIBILITY o]'T]lIi PIIR]4IT }IOLDIIR TO SEI THAT ALL INSPEUTIONS ARE MADE,TT THE PROPER TI}.I8, THAT EACII ADDRESS IS READATILE rROI'l Tlili STREET, AND TITAT TIIB PBRI'{IT CABD IS L0CATED,'T TllE FRONT 0f THE PROPNRTY. BIJILDING DIVISI()N APPP.OVED PLANS MUST BE ON JOB SITB AT ALL TI}IES. PR0CEDLTRE fOR RIIQUnSTING IISPECTIONS: Ca11 726-3769 (recorder) state_you CITY DESI()NATED JOB NIMBER, job address, type of inspe,:tion requesced an<l vrhen rrorr-wilI be ready.for the insp-ec'-ion. Contractors 6r ol,mers name'ind phone'n'rmber. Iiequests received'before 7:00 am1wi1I be rnade the same day, requests roceived after 7:00 am '^rilL be nade the fo]-lowing wotk day' Your City DesignaEed Job N'rmber Is: Contractor SITII INSPECTION: To be made after excavation, but prior to setup cf forms. UNDERSLAB PLUI,TBING, E_LECTRIC.^.r, q I|{IICHANICAL: To be nade befr.re any rr'ork is covered. CONCRETE SLAB INSPECTION: To beffitaing service equipment, conduit, p ping, accessories and other ancilla,'y equipment items are in place l,ut before any concrete is poured. FOOTINGS_G FOUNDATICNS: To b,: made after trenches are excavated rrnd forms are erected, all steel Ln place, but prior to pouring c,)ncrete UNDERGROUND: Plumbing, Illect'ica1, Gas, Sanitary Sewer, Storm Se,rer, $later an.J Drlinage lincs. To be made prior to covering or fil l"ing trenches, UNDERFLoC!:, Plumbing, Electr -cal, Mechanical. To be nade prior ':o installaticn of floor insulat'-on, decking or floor sheathing. lr0s1' ( BEAI',|: To bc made pri,) r to instrllation of flocr insul{rt -on, decking or floor sheating, FLOCR INSULATI0N 6 VAP0R BARR,.ERS: @onof decking or floor sheating. I"I SONRY: Steel location, bon I beams grffiIi-g or verticals in acco'dancc wi.th U.R.C. Secticn 2415. R00f SIIEATHIIIG Al.ll-l NAILING: 'riorto installing any roofing ATTIC DRAFT STOPS & CURTAI}I WALLS FIREPLACE: Prior to materlalT and before inspect ion . placing facing framing i INSUIATIoN EyAPoR BARRIER: To be made aftcr all insulation and required vapor barriers are in place but before any lath or gypsun board interior wall covering is applied, I:RAMING: To be made after the roof, iffTfrming, fire blocking and bracing are in place and all pipes, chimneys and vents are complete and the rough electrical, plurnbing and heating wires, pipes and ducts are approved, ITIRE & SEPARATION IVALL: Located fr ccnstructed according to plans. L^lrr AN.p/O.R_GYPSI'M BOARD INSPECIION: To be nade after all lathing and g)?sum board, interior and exterior, is in place but before any plasteri is applied or before gypsum boardjcints and fasteners are taped and finishecl. WOODSToVIIS: After installation is ;onpGtea: SIDE$IALK G DRIVEI{IAY Required for aIl concrete paving within street right-of-way, to be made after all excavating conplete [i form work & sub-base naterial in place. CURB AND APPROACI.I APRoN: After forms are crected but prior to pouring concrete. INSPECTIoNS: In accordance rr'ith ect nuilding Code a special inspector shall bc employed by the Owner/ Contractor during construction of the following work. I copy of the special testing reports sl.ell be furnished to the lding Division STRUCTURAL CCNCRETE:FS].-Iffi' a]l-In excess of 300C w STRUCTURAL IIII LDS: job. (2722 f) HIGH STRENGTI Preformed on the bolt install. operations (3 i BOLTING;6;-;a 06 a.s) During al1 tighting SPRAYED ON F]REPROOFING: (U.B.C.ffi;a;a;4L8)- until these inspections have'reen made and approved. SPECIAL GRAD]NG, EXCAVATIoN .{Np ing earthwork. (306 a.11FILLING: Du: FFLp-ter ZS) GLU.LAM BEA}.,!S Inspection Certificate agency, furnished toby an approvr d the City's Brilding Division before beams are plrrced. (2501-U.B.C. STDS 25-10, t1) . * In addition 1 o the inspections specified he: eon, the Building Official nay :nake or require other inspections rf any construction work to asce: tain compliance with the Building. City or Zoning Codes FINAL PI,UMBING FINAI. II,ECTRICAL FINAL I\IIICIIANICAL FIl.lAL FIRE DEPARTI'|il'IT CITYTS SITI nLAN REvIE$l BoARD INSPECTION: Must be requested 2 days !n advance of the date yc wish inspection. A1l project conditions such as landscaping, parkir g lot s triplng etc. must be conpleted trefcie requesting this inspection l\/1 FINAL BIIILDING: Must be requested after the final Plurnbing, Electr cal, Irlechanical and Fire L I Dcpartmcnt inspections are nade and approved. No Occupancy of the ;,remises can be mede until a Certi of Occupancy has b issued by the Building Division and posted on the premise SIGN D^TE * -+2 7 PARKINC LOT:After gravel is in covered place but prior to placing asphalt or concrete. -" ALt. t\1.\Nilot.tis .\Nt),ltANOllts \rtIsl' ril] .\ccltsslllt.lt. An.IUsTrunN't't'o BII MAtr[ AT N0 c0s1''0 1'l!li (; I1'Y \ a tr tr a a R o-> d frt,q I B, Jh GI B 'rt 1 n 7 :e ittt -'Df .3 F$ trt ht -{sn(\ntIil!ogii rE,{3rr +B ( ? J n aos N N N\I \ \ \ U {as> +D.\ P 6\ Todt rt t' l.-{r.{ nI kr (,\{ 3'! o7g z 6\ t ,I ,ZsIp dai r a .st o to ''l!tI 'n0F T Pe{n s IiI,.-t.I 'lt 1odi$ :}R Llh -FOrF<. 3F*Ps" ?1 s ,n VNhrt ',Fal 1tnnl ,rl $ It t\ ! $ E 1!flt, ndt.{ al fl3 1fiil7td a' etx a-{ 6\ I Zq( {} ;E iri{:iHF *litiI* ,ili$11 {'x BEi;n: lt\lTct N cft( t F t/.'-t c-sr, > Uvt, ooa>rrV!er0 "t $3- *o\,-t$\, n(h$ h r lI; !rSq \fiiI is ;i $il's$ h l3 t. 'ri -a' $$-t rl/t[ $E] q rrH$ il; $ itfrt i $ I * ipi ti' .C rr *rst { r ^! -{$ H B ;T l-rh!t tx-=_+r 3 o rn d .l J :L 6 + Tr r^ E3 l- - - -i kE E b ,- ( r.,it5 ufr HF Hhtrl r |:*t+ frsb! n U\q F b lnr\ F a(l Et\ -t fll qI >8rI\ F* * TI 3nts-l ,D 7l I )t h=s5\t'l.r L -i-; -l-t I F i >,q .DIV \- {h ${i * n 3 ,r i{ a f\ 3 .a rt t' :t riS't 7 ! I I <---1' q)-ln ,!*--l 7r E htrp d I F vg h ,\, o -.'---- -,-.- i I *t --{ $ (A>sfq!olt hy q I r! $ v I !- \ ltJrL!gl ,4 .i3 Es-o tdlrr cL>"99 OEgt .'iAJz s aLl:l') J' *:.!: id i! z:,,a t;<t'-,! a4x. |-, vzlL=,. -+0 t- "Fsi E E3r: *+; 7 '22" tr-2"?d cii;t 9:'FY! F ;EIE O .LJil,A.F<O< -t i.. ,a/ t at!i; oF(r: c oJ UZ 0-f,() t) Fttz N t\ i-) I I I II I I il ililit il \.ifl; i $;( C: , 4, . ' 0,,,rl!i .il(\, ,,: q{i ii \Ir; "lqj