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Home My WebLink AboutPermit Building 1986-10-15@ aao6 C()MB I AP I CATION RMIT 726- L a-o ? o 0wner Legal Description Job Address Hea EIIERGY SOURCES llater Heater Range Sq. Ftg. Access._ Sq. Ftg. 0ther_ l,lew Add/Alter-TeE. -f e n c e_DEto_C hin g e / U s e 0ther q n Vaiue of l,lork2t4r.* Bui lcinq Pernrit Info: Describe Work('Fanilv Residence Ilith Attached Garaoe 'e., Bui ld SingleAddres s Phone Constructi on 1c- Z i ,Y;t r- 1;v2- /,, G)'a 5'-Addre s s Phone N D \ W D0 name address I ics . no.exni res phone no Primar Struc tura I Electrical l''lechani ca I RS name a ddres s I i cs. no.exn i rps )ohone no. IPl Genera I 'I nical PLUHB I NG ELECTR I CAL MECHAN I CAL FEE C HARGF NN FFF r.HAAAF NO FFF CHARGF I Each single fixture 752 Residence of FTSQ furnace/burner to BTLI' S Relocated building (new fix. additional)/New circuits alts. or extensions2on.za.8E Fl oor furnace and vent S. F. Residence(l bath)SERV I CES Recessed wal l Soace heater and vpnt Duplex (1 bath) each K /Lrufr D,.rm *3 Additional bath Temporary Constructi on Apol iance vdnt separate [.Jater servi ce e in existing ence C hang resid Stationary evap cool er Sewer multifamily, corm. or I ndustri a I Vent fan with sinole duct Storm Sewer 0f amps.Vent systern apart from heatinq or A.C, coMt't./IND. FEEDERS Mechanical exhaust hood and ductInstal I /al ter/re1 ocatedistrib. feeders l'Jood stove/heater amps0f ISSUANCF OF PFRIlIT ToTAL CHARGES /Y7l*t -/ s.*TOTAL CHARGES 2?-5-a TOTAL CHARGES /9*WHERE STATE Llt'J I{EQshal] not be valiJ unti UIRES that the Electrical work be doneI the Iabel has been s.igned by an Elei by an Electrical Contractor, thetrical Supervisor and returned to electrical portion of th.is pernit the Building Division VF CAPFFI AI'TNtrNI l,lAtlE(please print) IGNATU TOTAL VALUATION F'Const, Uni r: So oms 0ccy Load Sqes occye"oupB-2 sq ue Fire Zo Bed ro Flood Plain Stori I fy of any Board re perm effect HA ELL he et onlIcaap!')rcomp perm a dond here ec 'Irt f tha ab.y t n'I rmafo ontindaocv eh Ireon tSdnIatrrec ruefutherrcert'I t t aha na d IIny oe rfowork rmea!S ah II dobe Ine an ordacc nc e th t he 0rdi n ncesa toforI Lhe IndaSoefiId tythwsLaofn9thetasteoon0reortoe'Ia 'In to wothe kr ed 1rngs herebed nj a thnd ta Cilt 'Al,lOCCUP wlCY I'Isrucretuwl madebethouthtss1'I ofn th n ,l I 'IS no f rt rheIg ticer tha t re S'I ,atr '|t nfym.y g U ty/'l thh Be 'Iu dIs'I n'I re suIIaforcendIuasred7thareqby105AEt.I f ex ba Is foretht 'I n0 'In0IsexemD t s tedno nhereotrubcontorac nd th tavandsIwhoempoyeesIarecor-n t/lce th 0t?s 0701 55 ed 0n emp wi ectroj al ueFtq . t,la i Ftg. Access x val,tn.otn""Wru, Plan C[.-ConrnTTnT- 65%/8ldo Per Fee 2s.6v 1. 57 opmensterns rqe BUILDING PERI{IT Charges and Surcha rges 1-57 S;D Plan Ck. nEs- ]O%JBldg Per Fee FencePLUt4BING PERMIT Charges any' Surcha rgesr . 1o Dgmo Sldewal k ELECTRICP.L] PERIIIT Charges and Surcharges i 7 *_.?d A,/C Pavi ng Total Cornb. Permit "/Curb Cut I,IECHANICAL]PERHIT Charges and Surcharges:TOTAL //7. e 7 +C, S H.,4 __/{.=__ \ COMBINATION APPLICATION/PERMIT (CAP) I . Appl i cant to furni shA. Job AddressB. Legai Description l. example- Tax Lot 100, Lane County Map Reference- 17 03 432. example- Lot 1. Block 3, Znd Addition toSpringfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources l. examp]e- heat/electrical ceiling/or forced air gas2. exampTe- watertreate'i7EJecTi]cEl7o. !01aI-__E. Square footage or valuation, eTdl l. example- 1250 sq. foot house, 500 sq. foot garage2. example- if new project, check new - if addition, check add, etc.F. Building permit information:l. example - construct single family house with an attached garage 2. example - remodei existing garage into famiiy room3. example - convert single family residence .into restaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAI1 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 Piumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanjcal and Eiectrical Schedules, the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Full PIumbing, Mechanical, and Eiectrical Schedules are available at the Building Division1. To conserve space on the permit form the schedu'les have been abbreviated?. If the item(s) to be installed are not covered on the abbreviated schedules you should consult the fu l'l schedul esC. 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 Hhenever possible, the initiai 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 actuai permit is issued for his s i gna 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. V. FOR OFFICE USE ONLY PERMIT VALIDATION Bat * qr Io- t5 -trL Permi t Cl erk b L PROJECT CONDiTIONS TO BE SATISFIED BEFORE OCCUPAI'ICY: permi t appl i cant exempt f rom r*.'. r strati on wi th the Bui I der' s Board because: Additional Proiect I.nformation: PLANS REVIEWED BY: n ame s't g nature date /O-/,f^EC THE PFIEMIAEA Je^vwA-t*b ?[4 I enut ?an 3'x 1Cl' Cr.H. ElGtGlFl EXHIBIT A A-El rEeHNoLoGlEs INTEFINATIONAL, tNc. SPRINGFIELD BLD'G * 132 a, ParJThLlrr lrrcrrFrrtry CB NOi11'-_T t9'. y :y /2 :t5€6 *-l ZoNe / f2 UNttg OccutrANcY GRoUP Occu PAt{cY LoAD R-2_..v-.-- -- ---- LE,;AL DEScRiPTIoN AODRESS OwNER Tir.- caii-l'lllTs .rlrj;li r,F tsAvr BelN FlvlE"'it:o !"'lTH ALiERrlTrlilq ltJnlc.\r-l:D IN COLCRf o Pr:liilL' (:Hn ll': i:, CR rl-t:,iiA-C..{q \a.!r)E AFT:n i)}r I E:t-f\l/ sHALI- !j!: A;,riro'.,/ED EIY 'i"llE Fluli.'i'lll; C)f i'lciAL' CIT^/'F SFilll''j(iFr !: I'D Oni:{'iCl'l -l !,1 EAFPRovEo i1Y atrE E-o .. r- )quired lnspecf )ns.. IT IS THE RESPONSIBILITY OF THE PER}4IT HOLDER TO SEE THAT ALL INSPECTIONS ARE },IADE AT THE PROPER TI}TE, THAT EACII ADDRESS IS READABLE TRO}I T}IE STREET, AND THAT I}IE PER} II CARD IS LOCATED AT TIIE FRONT OF THE PROPERTY. BUILDING DIVISION APPROVED PI,ANS MUST BE ON JOB SITE AT ALL TI}IES. PROCEDURE FOR REQUESTING INSPECTIONS: Call 726-3769 (recorder) state you CIIY DESIGNATED JOB NtMBER, Job address, type of inspecEion requested and vrhen you wiLl be ready for the inspection. Contractors or owners name and phone number. Requests received before 7:00 am,wil1 be nnade the same day, requests received after 7:00 am will be nade the following work day. Your City Designated Job Nr:mber u,,910778 Job Address € Orsner:Phone: Contractor t He/z-l Phone:7*?t2 SITE INSPECTION: To be nade-ATTIC DRAFT STOPS & CURTAIN WALLS PECIAL INSPECTIONS: <J aftef excavition, but prior to setup of forms. I,'NDERSLAB PLI.JMBING, ELECTRICAL 6 MECHANIg{L: To be nade before any work is covered. C0NCRETE SLAB INSPECTION: To beffiraing service equipment, conduit, piping, accessories and other ancillary equipment itens are in place but before any concrete is poured. F0OTINGS 6 FOUNDATIONS: To be rnadeafter trenches arE excavated and forns are erected, all steel inplace, but prior to pouring concrete TNDERGROUND: Plumbing, Electrical, Gas, Sanitary Sewer, Storn Sewer, Water and Drainage lines. To be nade prior to covering or filling trenches. UNDERFLOOR:, Plunbing, Electrical, Mechanical. To be rnade prior toinstallation of floor insulation, decking or floor sheathing. t o In accordance with ilding Code a special B FIREPLACE: Prior to placing facing materials and before framing inspect ion . INSUI-ATION 6 VAPOR BARRIER: To be rnade after all insulation and required vapor barriers are in place but before any lath or gypsurn board interior wall covering is applied. FR MING: To be nade after the roof, El1-Eiring, fire blocking and bracing are in place and all pipes, chimneys and vents are complete andthe rough electrical, plumbing and heating wires, pipes and ducts are approved. FIRE 6 SEPARATIoN WALL: Located inspector shall be enployed by the Owner/ ractor during construction of the following work. A copy of the special esting reports shall be furnished to the Building Divisi.on STRUCTURAL CONCRETE: fn excess of 3000 P.S.I. (306 a.1) STRUCTURqL hIELDS Preforned on thejob. (2722 f) HIGH STRENGTH BoLTING: During allEott-EstaTfit6n anA tigt tin! operations (306 a.5) SPRAYED ON FIREPROOFING (u. B. c.& LATH AND/OR GYPSIJM BOARD INSPECTION:l/\l rcnit-uEiea.-Ecora i ng-t o p 1 ans g)?sum board, interior and exterior, 151np lace but before any plastis applied or before gypsum boardjoints and fasteners are taped andfinished. WOoDSTO\tES: After installation is compl eted. SIDEWALK G DRIVEWAY: Required foraIl concrete paving within streetright-of-way, to be rnade after allexcavating complete g form wotk &sub-base material in place. CURB AND APPROACH APRON: After fornsare erected but prior to pouring concrete. PARKING LoT: After gravel is inplace but prior to placing asphaltor concrete, BOARD stanaaias +i-sJ-- SPECIAL GRADING, EXCAVATION .qND @6a.116 Chapter 29) GLU-LAM BEAl,lS: Inspection Certificate,by an approved agency, furnished tothe Cityrs Building Division before beans are ptaced. (2501-U.B.C. STDS. 25-10,11) . FLOOR INSULATION G VAPOR BARRIERS:to De made prlor to installationof decking or floor sheating. MASONRY: Steel location, bond beamsgrouting or verticals in accordancet+ith U.B.C. Section 2415. ROOF SHEATITING ArtD NAILING: prior to instaltingany rooFfi& POST & BEAM E'stallatlon decking or fl FINAL PLT'MB ING FINAL ELECTRICAL FINAL I,{ECHANICAL FINAL FIRE DEPARTMEI.IT To be made prior toof flocr insulation, oor sheating.. E a tr w n * In addition to the inspections specified hereon, the BuildingOfficial may nake or require otherinspections of any construction work to ascertain conpliance withthe Building, City or Zoning Codes IS SITE P sh inspect proj ect s such asbe completed befcre requesting this inspection. FINAL BUILDING: nepartment-iiTp a Certificate o Must be requested 2 days in advance of the date youlandscaping, parking 1ot striping etc nustt N Must be requestec after the final plunbing, Electrical, Mechanical and Fireections are made and approved, No occufan"i-"r tr,u lr"rirur-"."-u" made untilf 0ccupancv has been iiiued by the iliiei;;'Divisicn and posted on the prenises SIGNA DA' *ALL MelHoLEs AND cLEANours MU'T BE AccEssIBLE, ADJU'TMENT To BE MADE AT No cosr ro rHE cITy. tr nade and approved. to coveredinspections have been