HomeMy WebLinkAboutPermit Building 1981-05-27\
INSPECTION tINE
72U3769
CIIY OF SPRINGTIEID
coi.rBlNAncN APPtlcArloN/PEPMlr .k
INFORMATION TINE
72&3753
'SfJ #ES:Y
Ro
Wo ter Heoler {iSq. ttq.
-1zl.e"*
Ftg.
Use
ftg. Moin
Owner
4toscoF
.ercr i beDeI nfo,PermitBuilding
Volue of Work:
Fo ce With AttochedvP-Addr".r Z17.TLJ Phone
c,'re oo
!
PhoneAddrerr
(expires)(oddress)(nome)DESIGN TEAM
(phone(lics. no.)
Slru<rurol
hodetes)
/TECHANICALPIUM8IN6
NO-CHC!-IARGEt?t
furnoce/burner io
--3TU'S
Applionce vent
fix. odditionol)
EI.ECTRICAT
IttNO.
te
Mcchonicol
E le ctri co I
Residence of
fr.
Relo<oted building
Eoci fi x turc
New circuirs, olterotion5
or exiensions
Stoiionory evop.
coolerSERVICES
S.F. Reridencc
(l borh)Vent fqn with
sinqie duclTemporory ConslructimDupler {l both) eoch Vent syslem oporl from
heotinq or A-C.Amps.Aciditionol both
B,O:6:eIRr'&.A1ED
t bb-2Do BetLptPaArl#-,Woler rervice
Wood stove/ heoter
hood ond d'rt
Mechonicol exhoust
/0,o9 10,o9Sawcr '160 FEET/l
Heol PumpFEEDERsStcr.m Sewer Air hsndler to
I0,000 CF^,iAmpr
Air hondler over
r0.000 crM
ISSU{NCE OfrPgn,l,ftf O
/5?eTOTAT CHARGES\r OoOIJ. -TOTAT CHAR,GES
TOTAT CHARGES
benol untilYalid othisof:hollclcctricoP.rmitthoportionConlrscroz,lhe E!erlri<olbcdoneEtcctricqlbyrhewIAthotREOUIRES5rWHEREATEthsclcctricollo ponel.chedondottonoConltoctorEloctricolbcrnhsrignodbylobcl
I HAVE CAREfULLY EXAMINED lhe compleied opplicolion for permit' ond do h
ce*ify thor ony ond oll work p.,formej sholl be d-one in ocordonce with lh
p".tolning to tie work dercriixd herin, ond thot NO OCCUPANCY will be mo
Lrrify th-ot my rcaistrotion with the Builder's Boord is in full force ond effect o
h..o., ond thot only lubonlroqtor: ond empioyees who ore in complionce w
ereby cerrify ihot oll informotion hereon is lrue ond correct, ond I further
" Oidinon.", of the City of Springfield ond the Lows of the Siote of Oregon
de of ony slructure without lhe permisrion of rhe Building Division. I further
s reqrireJ by ORS 701.055, thot if exempl fhe bosis for exemplion ir noted
ith ORS 701.055 will be used on lhis proieci.
DA 7 r2Bosir for Builder'r Boord excmplion;
NAME (pleose print)SIGNATU
FOR OTFICE
x
--Volue
x Volue
1-_Volue
TOTAI VATUATION,
e.
D
Typr/conrr. y' AJ unit,
9"6roo-, fllf?E lccY
Zone Ftg. ,rloin
u6Flood Ploin
Ou€ sq.
bod ta Sq.
c.o,p P3'M 1 5".
fire Zone
-
F?g- A-cces5
Ftg. Other-
4s
I
Syrtems DeveloPment
Chorqe (1.596)ffiffii4so mffi
e,29I ub,d.:h
w 491 't)Totol co-b. Permit-
PIon Ck. Comm/lndBUILDING PERMIT tE oo
Demo
Per Fee
Plon Ck. Rer
Per Fee
Chorger ond
Surchorges
PLUMBING PERMIT
Chorges ond
Surchorger oT--6,o9
a4bELECTRICA!. PERMIT
Chorger ond
Surchorges
/ 5:3 51'Sidewolk
C Psvi
6::I I
TOTAL
MECHANICAT PERMIT
Chorge: ond
S ur ch o rge;
tb'Curb Cuto
I
.,Aos
ir
/5.o!t5P3I
wark
c.b9
)['Fenre
A 16',)' ">
L
CoMBINATION APPUCATION //PERMIT (CAP)
l. Appliconr lo furnish
D. Energy Sources
l. exomole-heot/electricol ceiling,/or forced oir go
2. ;xo;;G-,,o ter EIE?]EIEIIIi?o I u'or solor
E. Squore foologe or voluotion, etc.
A. Job Address
B. Legol Description
l. exomple-tox lot I00, Lone County Mop Referen-^ r7 rl1 'd3
2. e-f"ffiiE-Lot l. Block 3, 2nd Addition to Springfi - - CC. NoIEE. of owner ond construction lender t
--PERMIT VALIDATION
ITY OF SPRINGFIELD
Clty Holl
Springfleld, Oregon
Deporlment of Publlc Works
OFFICIAT RECEIPT
('
l.
2.
F. Bu
l.
exom
new proiect,
sq. foot house,500 sq.
new-if oddition, t ,ck
foot gororr 250
exom check
etc.-IIo. B 56583,,8 Jilding permil informotion:
exomole-construcl single fomily house with on t
goroge
2. exomole-remodel existing goroge into fomily r<
3. ex#Ei-e-convert single fomily residence into
Eiioi?Ent (chonge of use)
G. Volue of work os defined in Seciion 303 (o) of the
Structurol Speciolty Code
H. DESIGN TEAM AND CONTRACTORS
To ovoid design or construclion cJeloys, Building Di
Stoff must be qble to contoct oppropriote persons
design informction or iob site correclions, etc.
ll. Ab6ievioted Plumbing, Mechonicol & Electricol Sched,
A. Except where blcnk spoces occur in the descriptior
of the Mechonicol ond Electricol Scheciules, the op
need fill-in only the No. Boxes odiocent to the opp
item(s) to be instolled
B. Full Plumbing, Mechonicol, ond Electricol Scheduk
ore ovoiloble ot the Building Division
I. To conserve spoce on the permii form the sche<
hove been obbrevioted
2. lf rhe item(s) to be instolled ore not covered on
. oted schecjules you should consull the full sche
C. gUITOINO DIVISION STAFF WILL FILL OUT ALT FEE
CHARGES ON THE SCHEDULES
lll. Applicont to sign ond dote
Whenever possible, the initiol opplicotion will be use
(
e/u,
Rra-
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a4
Cc,
fo
(
t'
(
d,?g
(
(
(*fuA.na<-'
6o
Amounl (
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(
,worksheet only. Where possible, Building Division Str f
prepore o typewritten copy ond return it to the oppli \ a
ihe'time rhe octuol pu.rnii is issued for his signotuie. (
lV. Feer ond Chorget (
Plon check fees ore due ond poyoble ot the time of t
ond no plons will be processed Lntil these fees ore ph-. ^..other fees ond chorges ore due ond poyoble when the permit
is i:sued.
V. FOR OFFICE USE ONLY
AUYHORIZEO SIGNATURE
SHELTOi.TURNBULL PiINTENS . EU6ENE OR 97'Ot
Permit Clerk
!a!il-a
A
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
!(
7 U
Additionol Proiect lnformotion:
R-q
signolu dote I5nome
PLANS REVIEWED BY:
o yl^
(
I
t
E mAmrDumfl CITY OF SPRINGFIELD
1
t{ay 22, I9Bl
MEMO TO:
FROM:
SUBJECT:
q,4(
Tom Shei rbon, Perm'i ts Coordi nator
Gary McKenney, Traffic Technician
Building Moving Permits #Bl034l and #810342
The fol'lowing cornments apply to permit #8.l0341 :
l. Th'is move will be permitted only between the hours of 0500 and
0900 on Sunday, May 3i, lg$l to avojd congestion along Mohawk
Bl vd.
2. At "Q" Street and Mohawk Blvd. The pedestrian signal pole in the
"Q" Street island must be unbolted at the base and "laid down"
to clear the structure. This work will be performed by a City
Traffic Technician and the permit holder will be billed according'ly.
3. "Q" Street is a county road and a permit to move on it must be
obtained from Lane County prior to i)ssuance of a City permit.
In addition to the above,the fol'lowing comments appiy to permit #810342:
4. Since this bui'lding is 34'6" wide and the "curb to curb" width
on Mohawk Blvd. is 24' in some locations, it will be necessary
for the mover to remove and replace several roadside traffic signs.
In the vicinity of the "Taco Bell" shop, it may be necessary for
the wheels of the moving doily to travel onto the sidewalk. The
permit holder will be billed for any damage to public property
at this or any other point along the route.
5. The curb to curb width of llorth lSth Street is 32'with severa'l
mail boxes at the curb and numerous street trees w'ithin 3'of the
back of curb. The mover should be reminded of this constricted. area and advised to double check it for poss'ib1e prob'lems.
For both of the above permits, the mover will be responsible for p'lacing
and remov'ing "No Parking" signs as needed to provide for a safe move.
GM/bj
TRA IO-4
i
: CITY OF SPRINGFIELD
IiISPECTIONS 726-3769 BUSIIIESS 726-3753
BUILDIi'IG MOVIIIG PERIlIT--BUILDIi,IG DIVISIOiI--346 MAIN ST.
0ld Address New 5S (furnished b y Bldg. Djv)t{79 t
Lega escri pti on
4
OD 'fra-ru
Legal Descr pt 0n
Addne
044 Ntfl
t7 - 03 -3b- 2 ?6'
t1-O3 L6" ZO
i arne P.O ,'i70x
n 3 79 Qtct^] av€
e/r"€ OrA SVle|,,Ecrl.E o,#
r one
Moving Firm
€uGa,€
(hamE)-
'h0 Ure mo rE-t?S
faddresi )(lics.i.loIffi
3979'M',B/N o|tr edradt€ lvo/wilo
Description of intencied use:
o/Y
Ce
(}
ts
Descripti on of Bu'i1di ng:
Square Footag u /1o o Flovi n g Length 43 Mov'in g I,t'idth z s
He'ight on Dol I
l,- l/ /' Number of Sections bein g rnoved fi4e
Type of Constructjon wo?p fu?+n€Val uation
i{otification of Move: The Buildjng Divis'ion will route copies of this appfication to
al I appropriate divisions, departments and agencies. H0!'JEV[R, THE APPLiCANT I4UST CON-
TACT PROPERTY OI,INERS IF TREES ARE INVOLVED IN THE PROPOSED MOVE. IN ADDITION, THE AP-
PLICANT I,IUST SECURE THE APPROVAL OF ALL APPROPRiATE I4UNICIPAL, COUNTY AND STATE AUTHOR-
ITIES SHOULD THE I'IOVE ORIGINATE OR TERMINATE OUTSIDE THE CITY OF SPRINGFIELD.
Plans, Fees, and Charges: Prior to receiving a permit to move a build'ing to property
rv'ithin the City, the applicant or his/her authorized representative must:1. Submit two copies of a site or piot plan for the new s'ite.2. Submit two cop'ies of a foundation pian for the relocated buiiding.3. Obtain a perrnit covering the new foundation, as weil as al'l plumbing, mechanical
and electrical work relating to the relocated building.4. Pay the Systems Development Charge, if applicable.
Sewer Cap: Buildings to be moved from l'lith'in the City limits shall have the seler
capped at the property line a;rd inspectedoneworking day prior to the move. If the
inspection ind'icates that the ser{er has not been properly capoed, the moving perm'it
w'ill be revoked.
i certify that the above information is true and correct, that all requ
ve been made and authorizations obtaineC, that the rnove will begin at
ired con tac ts
cl ocko'
pm on 5-31 compl eteci by __3_ote wi I I be nade wi tho
'cl ock @@pm on
ng s'l on.
t9b[ and be
a nd that no changes'in the rou ut contacti ng t e
I also certify that I have bee n inforned that N0 PERNIT l,llLl BE ISSUED BEFORE 5 W0RK-
ING DAYS HAVE ELASPED. I furth er certify that rly registration with the BuiIder's Boardis'in full force and effect as required by ORS 70.l.055 and 701.070, and that if exemnt
the basis iB.K
llame L,
s noted hereon. Basis for Builder's
. P € e-E^/r(A
rrcuC rn fre 5i gnature
ard ernoti on :
{.lg "8 /,
l---
Date
FOR OFFiCE USE ONLY
Zones 7i Flood Plajn t{o Type/ Con s t.
Stori es Li vi ng
0c cy Group
Units OPE Square Ftg.*s7+Val ue R5o30o9
es
Apolication Fee _/ 5,o9
Permit Fee 50 o!
ilo. of Blocks over 5 0 .5Cd per block <o
+!rSewer Cap
TOTAL J6,qtc
tl Pol i ce Departnent tr Ui I I amal ane Park & Recreati on Di st.
flFire Departrnent tr Pacif ic Northr.rest Bel I
ESpringfield Utjf ity Board D iiorthr,rest llatural Gas
tr Rainbor.r l'Jater Dist.
E Tel eprompter
E 0ther
Descri pti on of Route:
-37,fi?OHAWlT s,T r&sr ru.oa
BUILDING MOVII{G - ^r'lIT
Appii.cant to furnish (except as indicated)
ERMIT VALIDATION
I A. 0ld address for building
B. Legal DescriptionC. New address for buiiding
(Building Div. will furnish)
D. Legai DescriptionE. Name, etc. of bu'i1di ng owner
F. Name, etc. of moving firm
G. A description of intended useH. A description of proposed route
I . A descri pti on of the bui 1 di ng
II Applicant to contact property owners if trees
involved, and secure authorizations from
other jurisdictions as necessary.
A s'ite or plot p1an, and foundation p'lan must
be submitted for the new site (2 sets)
Plans must also be subtnitted for any other
work relating to the relocated building.
Fees & Charges:A. Application fee due and payable at time
of appf icationB. Moving permit fees due and payable upon
permi t i ssuanceC. FEES & CHARGES TO BE CALCULATED BY
BUILDING DIVISION STAFF
FOR OFFiCE USE ONLYA. Plan check data collectedB. Cop'ies of appi icat'ion to appropriate
divis'ions, departments and agencies
III.
IV.
V.
PERMIT CLERK
BUILDING. DIVISION REPORT:
e L -o-e.^ Brr;-l ar;aJ,q,)o-!a
#/Y& Date,9z76r
TRAFFIC DIVISI0N REP0RT: 3A Afrft€rt*D ,p1g*p,
By Ae1 Date€-'"@
ENGINEERING DIVISION REPORT
0k nr*
By Date
ADDITIONAL PROJECT INFORMATION :
By Da te
VI.
Eea"ru;{
INSPECTION LINE
7?6-3769
. RE OU I RED I IIS PECT I OIIS
INSPECTIOII PROCEDURE FOR THE CITY OF SPRINGFIELD
BUILDING OIVISION 346 MAIN STREET
INFORMATION LINE
726-37 53
YflR CITY DESISIATD JOB NU'tsER IS:aro=41 zC4 N, t{ts**ur _
are made af the proper time, that each address is
of the property.
The following indicated inspections are required for your construction atIt is the responsibility of the permit holder to see that ali inspections
readabie from the street, and that the permit card is located at the front
BIJILDING IISPECI-ISIE :
B
&
E
K
R
tr
tr
UNDERSLAB PLUMBING, ELECTRICAL &
froil-l s-covered
SITE INSPECIION: To be made
after excavation,but prior to set-
up of forms
INSULATION/VAPOR BARRIER INSPEC-.
tTin='and required vapor barriers are'in place but before any iath, gypsum
board or wall covering is applied,
and before any insulation is con-
ceal ed
DRYIIALL INSPECTI0II: To be made
after al1 drywall isprior to any taping
in p1ace, but
MAS0NRY: Steel location, bond
66-rns, grouting or verticals in ac-
cordance with U.B.C. Section 2415
FIRE & SEPARATION WALL: Located
& constructed according to p I ans
ATTIC DRAFT STOPS:
R00F SHEATHING AND NAILING: Prior
@n9
SIDEWALK & ORIVEHAY: Required for
elT coneieTE-pa lng within street
right-of-vray, to be nade after al'l
excavating complete & form work &
sub-base material in place
CURB AND APPR0ACH APR0N: Afterffiiortopour-
ing concrete
WOODST0VES: After instal lation is
compECa'-
SPECIAL INSPECTI0T'IS: When re-
qul r-d-5y -BlTTdlng code, speci a1
inspector to be present when workis in progress. A copy of the
special testing report to be
furnished to the Building Division
Structural Concrete: In excess of
3000 P.s.I..
Structural Welds: Perfonned on
the job
0lu-Lam Beams: Inspect'ion certificate
(by approved agency) supplied to Bui'ld-
ing Division before beams.are placed
Fire Retardant Roofing: Before Instal-
I ati on
*OTHER INSPECTIONS: May be required
in accoraanca rltn auilaing code, to
be indicated in plans or by notice
frorn Building Inspector
FOOTING & F0UNDATI0N: To bed?E-aTT6-TiEnI re excavated
and forms are erected, but prior to
ng concrete
UNDERFLOOR PLUMBING & I4ECHANICAL:
of
floor insulation or decking
*POST & BEI\l'l: To be made prior to
instal lation of floor insulation
or decking
ROUGH PLUMBING, ELECTRICAL & MECH-
ANICAL: No work is to be covered
u-ntiI these inspections have been
made and approved
FIREPLACE: Prior to placing fac-
TI'liEIITials and before frarning
i nspecti on
FRAMING INSPECTI0N: Must be re-
quested after approva
plumbing, electrical &
A1l roofing, bracing &
must be completed. No ,
concealed until this in
been made and aoorove.{
of rough
mechani cal .
chimneys, etc.
work is to be
seect]on has X[ trrt*, ,ATER & DRAINAGE LINES:l-ffi
FINAL MECHANICAL FINAL FIRE DEPARTT'IENT
All project conditions, such as the installation of street trees, completion of the required landscaping, etc.,
must be satisfied before the BUILDING FINAL can be reguested.
Construction projects that required approval by the City's Site Plan Review Board sha'll be inspected by the Review Board
before requesting a finai buiiding inspection. Requests for inspection by the Site Plan Review Board must be made 2 days
in advance of the date you wish inspection.
[fr,*or BUTLDTNG: I[r::li].1,;:l:,fl.:1,fl:::t:lr,:;1":i"lfo,",."o arter the Fina'r prumbine, Erectricar, and Mechanica]
ncy of the premises can be made until the Final Building Inspection has been made and approved, and a
Q4,ro, PLUMBTNG ffi-t,rot ELE.TRI.AL
No occupa
CERTIFICA
Si gnature
TE OF OCCUPANCY HAS B ISSUED BY THE BUILDING DIVISI
5'&(J'. spl
lffillI ffi.$-Your Job # is:
PR0CEDURE FOR INSPECTIAX BE!!!!l - Call 726-3769
@when you will be rea
Requests received before 7:00 a.m. will be made
Ql!1ffi-Your Job # is
Fence - bJhen Completed
Demo'lition - When Completed
n
Bl ocki nglSetup
Plumbing Connections
Sewer and l,later
Electrical Connection
From Service to Mobile Home
Electrical Service
Pedi stal
Accessory Building - May require
Inspection as Buildings - See Build-
inq,Insoections Above
Final - After Porches, Skirting, Decks,
etc, are compieted
9na re Si gnature
BUILDING DIVISION APPROVED PLANS SHALL REMAIN ON THE BUILDING SITE AT ALL TIMES, AND ALL I'IORK MUST BE COMPLETEO IN
ACCORDANCE HITH THOSE APPROVED PLANS.
NOTE: All manholes and cleanouts are to be adiusted at no cost to the City.
te Date
(recorder) state your City designated iob number, job address' type
dy for inspection, Contractors or Owners name and phone numbers.
the same day, requests made after 7:00 a.m. will be made the next
Si te/Locati on
Footing or Method of Attachment
Final - After Installation is com-
pl eted
SIG[.S-Your Job # is
5'ignature Da te
Qrinat
E l ectri ca'l
QRoush
K
working day.
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