HomeMy WebLinkAboutPermit Building 1981-06-12INSPECIION tINE
7263769
i. / OF SPRINGFIETD
COMEINATICN APPUCAIION / PETMII
INFORA{AIION IINE
726-3753
47 SZ
Z
Job Addra:
De rcri
Sq. Ft9. Othcr
-New*Add -Alter-RaP'---Fence-Demo-Chonge/ U reVolue of Work:
-Otheroo\
ENERGY SOURCES
lleot
Wol.r Hcqter
Ron
Sq. Ftg. Accerr.
Sq. Ftg. moin
Owner
Re
Peq barcribe Work (i.e.' Build Single
th AttochedFomil
Euil
PhoneZ.Addrerr
ctrt
/4
d
\-/
t/()
-0
Addrs rr Phonc
(lics. no.)(phonc no.)(o ddres:)DESIGN TEA^{(nome)
Primo //?
dress)(nomc)NTT
k "sz //
Cl
Elccrriol
EI.ECTRICATPTUMsING
Ale<honicol
CHARGEI FEECHARGENOEE
frrnoce/ bu.ner io
-8TU'r
Re:idence oi
-rq.
ft.Ecch ringlc fixrurc
Applionce venl
sepqro te
New <ircuits. olterotionc
or extension!Relocotcd bvilding
(naw {ix. oddirionol)
Stolionory evop
coolerSERVICES
S.f. Reridento
(l both)
Vent fon with
sinqle ductTemporory ConstruclionDuolcx (l bolh) coch
Vent syllem oport from
heoting or A.C.Ampr.Aciditionol borh
Meehonicql exhou:l
hood ond duaWoter iGrYic!
Wood rtove/ heoterSewcr
Heqt PumoFEEDERSSlor.m Sewrr
Air hondler to
I0,000 cFrY{Ampr.
Air hondler over
10,000 cFM
tsstlANcE oFfPERMtr
TOTAT CHARGESTOTAT CHARGES
FOR OFFICE UsE ONI.Y
BUITDING PERMIT
Chorger ond
Surchorgc r
Syrtems DeveloPmont
Fee
ck.
Btd
RerPlon
301',"1
Totol Comb. Permit
PI.UMBING PERMIT
Demo
Chorger ond
Surchorgar
ETECTRICAT PERMII
SidewolkChorger ond
Surchorger
./
TOTAL
MECHANICAT PERTAIT
Chorqar ond
Surchorgcr
Curb Cvt
MECHANICAL
NO.E
TOTAI CHARGES
wHEtE SIAIE lAW REOUIRES thot fhc Etcctricol work br donc by tha Elertrirol contrqcro?, the clechicol portiorr of thir pcrmit :hcll not br volid until o
lqbol hor bon ;ignod bY on Elactriccl Controctor cnd ottochcd to tho clcdricol ponel'
t HAVE CAREf ULLy EXAMINED thc complered opplicotion for permit, ond do hereby certify thot. oll infomolion hereon ir lruc ond correct, ond I further
<ertify ihct ony ond oll work pcrfor-.j sholl be dona in qcrcrdonce with the ordinonces of the Ciry of springfield ond the Lows of the Store of oregon
p.rroinlng to tirc wort dcrcriixd hcrin, ond thot NO oCCUPANCY will be mode of qny tfructute without the pcrmir:ion of lhc Building Division. I furthcr
tatfy rhot my ,egirrorion wit6 the grildcrs Boord i: in full fore ond effect or rcquired by ORS 701,055, thot if exempl thc bosis {or exemption ir notcd
h"ro., ond thor o;ly rub6ntrocto6 ond cmployeer who orc in complioncc wirh ORS 701.055 will be usd on lhis proiect.
Borir for Euilde/r Boord exempiion;
NA,$E (plcorc print)SIGNATURE DAIE
Zone
-fype/Conrr.
nilr
-Sq.
Ftg. Moin x ----Volua
;, VolucFire Zonr-Ecdroomr ccy Lood Sq. Ftg. Accer
ftood Ploin---5tori.r-occy Group-sq. Ftg' Othcr-x
-volue
TOTAT VATUATION
3e)
'r43
.HAPGF
/t 5i,")
Plon Ck, Comm/lnd
65aLl Bl<1d Per Fee3tu
Fenta
A/C Povino
COMBINATION APPLICATION, PERMIT (CAP)
l. Applicoru. ro furnish
A. Job Address
B. Legol Descriptionl. exomole-tox lot I00, Lone County Mop Reference I7 03 43
2. ex"-pG-Lor I. Block 3, 2nd Addiiion to Springfield Esrores
C. Nome, etc. of owner ond construction lender
D. Energy Sources
PERMIT VALIDATTON
E.
I. exomole-heotu'electricol ceiling/or forced oir gosz. exomore-woler heoler electncol/ or solor
Sguore footoge or vol961is6, .1a.I. exomoie-1250 sq. foot house, 500 sq.2. eEEiE-,ilE- proiecr, cnecr new-ri
odd, etc.
foot goroge
oddition, check
F. Building permit informotion:
I. exomole-construct single fomily house with on ottoched
goro9e
2. exemole-remodel existing goroge into fomily room
3. ex#Fl-e.converl single fomiiy residence into
restouront (chonge of use)
G. Volue of work os defined in Section 303 (o) of the
Structurol Speciolrv Code
H. DESIGN TEAM AND CONIRACTORS
To ovoid design or construclion deloys, Building Division
Stoff must be oble to contoct oppropriofe persons regording
design informction or iob site corrections, etc,
ll. AbLievioted Plumbing, Mechonicol & Elecrricol Schedules
A. Except where blcnk spoces occur in the description portion
of the Mechonicol onci Electricol Scheciules, the oppiicont
need fill-in only rhe No. Boxes odiocent to the oppropriote. ilem(s) to be instolled
B. Full Plumbing, Mechonicol, ond Electricol Schedules
ore ovoiloble ot the Building Division
I. To conserve spoce on the permii form the schedules .:
hove been obbrevioted
2. lf the item(s) lo be instolled ore not covered on the obbrevi-. oted schedules you should consult the full schedules
C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULES
lll. Applicont to sign ond dote
Whenever possible, the iniriol opplicotion will be used os o
worksheet only. Where possible, Building Division Sroff will
prepore o typewritten copy ond return it to the oppliconl ot
the time the octuol permit is issued for his signoture.
lV. Fees ond Chorges
Plon check fees ore due ond poyoble ot lhe time of the opplicotion,
ond no plons will be processed until these fees ore poid. All
other fees ond chorges ore cjue ond poyoble when the permif
ir issued.
V. FOR OFFICE USE ONLY Permit Clerk
PROJECT CONDIIIONS TO BE SATISF|ED BEFORE OCCUPANCYT
(
Additionol Proiect lnformotion:
nctme signo lure dole
PLANS REVIEWED BY:
5. 37^ sz':13
tegol Dcrcriotion
Sq. trg, Orhcr
-Ncw-Add.-Altcr -ReP.- - -Fe ncc-Demo-Chongc/' U rr
-Other
Fo mr Reridencc
Dcrcriba Work (i.o.,8 uild 5in9la
Ro e-
ENERCY SOURCES:
H€ot
Volue of Workr
Euildinq Permit Infoi
co
Sq. FtE. Moin
Sq. Ftg. Accerr.
Wolcr Heoler
Er,v lorc<en
44 Phone
d
Ee
I e nder
Phonc
gT_
furnscc/ burner io
--BTU'I
Reriienco of
-rq.
fr.Eqch rinqla {ixrurc
Applionce vcnt
repo.o te
New <ircuilr, olterolionr
or exlensignt
Ralocorrd bvilding
(ncw Iir. oddirionol)
Slolionory evop.
coolerSERVICES
S.f. Reridenco
(l both)
VEnt fon wilh
sinqle ductTemporory ConrtruslionOuolcx (l bothl coch
Vent syttem oport from
heoting or A.C.Ampr.Additionol both
Hcchonicol exhourl
hood ond ductWoter rrvica
Wood rtove/ heoterScwcr
Heoi PumoTEE D ER5
Air hondler io
Ampr.
$swrr
Air hondler ovar
CFMI
IOTAI CHARGESIOTAT CHARGES
FOR OfFICE USE ONTY
Sy!rem5 Devclopmant
Chorqe (1.596)
Plon Ck. Comm/lndBUII.DING P:RMIT oc,DI ?er Fee
309',"/ Bt Per fec
Plon Ck. Rc:
Chorgcr ond
S urcho r gc r
Totol Comb. Permit
Pl.UrrABlNG PERMIT
Chorgcr ond
SurchorEer
Fcnce
Dcmo
ETECTRICAI PER^,UT
SidewolkChorgcr ond
Surchorgcr
TOTAT
MECHANICAI. PERMIT
Chor-orr ond
Surchorgar
Curb Cut
IN5PECIION IINE
7263769
tNfOI^{ATION [INE
72t3t53
(oddrerr)(li<:.(cxpirer)
hone
e no.)
F7
DESIGN TEAM (nomci
col
NTRACTO (nomc)
e
Pl um
Ele<lricol
Mcrhonicol
PI,UMBING
r FEE I CHARGE NO.
wHEtE 'AIE
tAw rEoulREs rhol lhc Elactricol
lobol hor bon rignrd by on Elactricol Conlroctor
TSSUANCE OFnPPR/,AlI
IOTAI CHARGES
work bo dono by tha Elartdcol Contrqcro?, tha cle<rricol portiorr of thir permit rholl nor bo volid unril o
ond ottoched to thc chslricol poncl.
n re!
s
ETECTRICAL
raz CHARGE NO.
MECHANICAL
DAIE
H
I HAVE CAREfutty EXAA.{INED thc complctcd opplicorion for permit, ond do heraby certify lhot. oll informotion hereon ir truc ond corr:cl, ond I further
Gerrify thor ony ond oll work p".for-rj rholl bo donc in qcerdonco with the Ordinonces of rhe City of Springfield ond lha Lows of thc Stqte of Oregoa
pcrroining lo ric work dcrsriixd hcrin, ond rhot No OCCUpANCY will be moda of ony tlruclure without tha pcrmirrion of lhc Building Divirion. I further
clrti{y th;r my,egir;otion with thc guildarr Eoord ir in full forca qnd effccl o: required by ORS 701.055, lhot if excmpl thr boris for cxemption ir notcd
hcror, ond rhot onty rubontrsciorr ond amployeer who ore in omplioncc wilh ORS 70I.055 will be usd on thil proicct.
Eorir for Evildc/r Eoord excmption;a ;/a'NAA1E (pboro prinr)SIGNATURE
Zone
-Iype/
Conrt.
-Unitr
_-Sq.Ftg. A{oin
firc Zonr-Scdroomr occy Lood 5q' Ftg' Acce:r
tlood Ploin
-----Storicr-Occ7
Group-Sq. Ftg. Other-
x
---Voluc
x Yoluc
r
-Voluc
TOTAT VATUATION.
32'
Addrcrr
f
Not
IO OOO CFM
3J-/
( r , OF SPRINGF IELD
COMAINAIICN APPI'ICA'ION / PERT^17
Additionol Proiect lnformotion
signoture dolenctme
PTANS REVIEWED BY:
coMEtNATtON AppLtcATloN, pERMtT (CAp)
l. Applicoru ro furnish
A. Job Addresr
B. Legol Descriprionl. exomole.tox lot 100, Lone County Mop Reference I72. eGpre--Lor l. Block 3, 2nd Addirion to Springfield EstC. Nome, etc. of owner ond construction lender
D. Energy Sources
PROJECT CCNDITTONS TO BE SAIISFIED BEFORE OCCUPANCY:
CITY OF SPRINGFIELD
Ciiy Holl
Springfield, Oregon
Deporlment of public Works
OFTtCtAT RECEIPT
No.
d
l. exomole-heotz electricol ceilinq/or forced oir aasl. exomote-woter heoter electricolz'or soior
E. Squore footoge sr voluotion. etc.l. exomole-l_250 sq. foot house, 500 sq. foot goroge2. elG7iiE-;ri6^/ proieo, checki.-ew-ii oddition, cieck
odd, etc.
F. Building permit informorion:
l. exomole-construct single fomily house with on ottoche
goroge
2. exomole-remodel existing goroge into fomily room3. exo.nd-e-convert single fomiiy residence into
reslouront (chonge of use)
G. Volue of work os defined in Secfion 303 (o) of the
Structurol Speciolw Code
H. DESIGN TEAM AND CONTRACTCRS
To ovoid design or construction cjeloys, Building Division
Stoff must be oble to contoct oppropriote purror,, regordi
design informction or iob site corrections, etc.
ll- Ab6rcviored Plumbing, Mechonicol & Elecrricol Schedules
A. Exceot where blcnk spoces occur in the description portior
of rhe A{echonicol onci Electricol Scheiules, the oppiicont
need fill-in only rhe No. Boxes odiccent to the oppropriofr- .item(s) ro be instolled
B. Full Plumbing, Mechonicol, ond Elecrricol Schedules
ore ovoiloble or the Building Division
l. To conserve spoce on the permit form the schedules
hove been obbrevioled
2. lf rhe irem(s) to be insrolled ore not covered on the obt. oted scheciules you should consult the full schedules
C. BUILDING DIVISION STAFF WILL FILL OUT AtL FEES AND
CHARGES ON THE SCHEDULES
lll. Applicont to sign ond dote
Whenever possible, the iniriol opplicotion will be used os o F
worksheer only. Where possible, Building Division Stoff will
prepsre o typewrirten copy ond relurn it lo the opplicont ot
the time the octuol permit is issued for his signotuie.
lV. Feer ond Chorges
t-
(
(
SS
Received For:
Amounl Received
AUIH srcNAiuRE
EUG'iE OR 9"O!
(:,-
(
BY
sH€Llor.ruiNEULL PirXrf i3
Plon check fees ore due ond coyoble ot the time of the opplicotion,
ond no plonr will be processed until these fees ore poid. Xll
other feer ond chorges ore ciue ond poyoble when ihe permitir irsued-
V. FOR OFFICE USE ONLY Permit Clerk
(
\
AB C Pest Contrul
*I9,8'STREEI
srRmEneu, on gz47z
PlroNE 747-1187
A LICENSED PEST CONTNOL OPERATOB IS
AN EXPERT IN HIS FIELD. ANY OUES.
T|0NS RELATTVE T0 THrq REP0RI
.SHOULO 8E REFERRED TO HIM. I
FrRil LTCIRSE t'{UltEtR
South 37th. Str.ee?
STREfi CITY
:,Ortiaon
OAIE OF INSPECTION
12-10-80
I nspecton Ordered b, (N!'rtC and tddrcss)I(enneth Banscaa
Samo as aboro
cr
L)
fl€rort Senl to (l{rmc rnd Address)
GrDer's NarE rnd Addr6s @J
l-17h & rL??
YES t"J0
I
i{d. coruoinoNs FAVoRTNG wooD.
DESTROYING ORGAN ISI,,4S YES NOx
A. WOOD DESIROYING ORGANISfuIS
F. (1) Funsi (Rot)x CD (1) Collulose Dobrls
;X t t.,;2 I Earth-[trood Contact /\DT (2) Dampwood Termites
AxEIJI'c'Excessivo Moisturo
x
ST (3) Subterranean TermitesCA (4) Carpenter Ants x x I
xWB (5) Wood-boring Beetles
x DF Dirt Flll(6) 0ther lC (7) lnadoquatg Clearanco,^ ',TF (7) Ireatable Fungus x
IPF I B) lnadequato Porch'Flashlng :,.'n
(9) 0ther.
x
Are there inaccessible areas?x ls further inspection recommended?
Licnsa No.
lns6ctt{ 8y RobarB & lfel
THIS lS: mORlGlNAL REPORT REPORT
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SUPPLEIdIENTAL. .-..,
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ADORESS OF
PROPSRTY
lltsrzEcTEO
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,'!ir#1. nrmgug dry rot ienago to mrd s111, rlln Jo1st, sub floon, and onds of ,fll,o['I" 'joists as indicated by lettors IE".
Beeomnon-d- Rercotrs extorlor oidirrg as noeogearTr. Ronow end roplecs alX., dqf,:not
damago as necossary ustng prossung tc€atod l-umbsr for tho nud cglL. :''
,
a
#2. Fungus dry mt danego to vont franing. -.,.. ,- EecorslQnd- Rgnove darugod frmlng and rvplaco wlth prossuro treatod'ltrcbsi" 'Install ueu {a wirs neab 6ctton. .'"-.:,.
. i
lf, 2f,b utng raI1 at roar of otope'aoindicated by lottors "Ftt. , {:
nssgtnmgEd-- Rqngvo and replaco daonagod zxh and sot it on ooncroto footlngil tobreak earth-lood-contac t.
#lr. EH.dence of danprood termltes lrr sub 8r.rBB. ..
Recgryn{: €tu" alL othor work has boen completed chsmLcalLy tnoatrsrrbcoatnol of ID.?o. :' :
#5. Fono boards.amrud load post footlnga and arcund ehlnney footing tn sul+
.i.
. r.i
aroa for
atTta.
,
i
#6. Insrrffloient vpnttlatlon to sub drroar
Reesrrrnend- Install trm (a) afr wnts as indleated by |ettars r!1il. ,.r
''i I h ' ir
#7. Sub aroa access is tn faulty grgqe and ls wtth out fraralng or door.
Eeeqmtr--Iouor soll ano rislaLl a well nade of prr-"G"truuteo-irrnbep, f4etbfrfreodag aade of pressurr treatod Lumbor ard-a nerrdoon nfth dn alr nent"in sane;
#8. Faulty grade to air vent at rear of stmcturo.
Boco_$mend- Ioroor sotl and in
#9. Vapor barrler is owr ptors.
s\ill a $811 rnade of prossure treotsd Lumbor.
Roeormnend- Cut vapor barr{.or frcrn anorud plors to Lay f}at on the grou:d.
lbis lnspoctioa does not lnelude tho r.oof, attle, or any othor inaccosslble ansassuch as closod walls, under floor covorlngs, or undor Eny furnlture.
Olr bid for completing itens 1Lsted abova is-------
--;
Total for both 1s----.-- g 8h0.00
$6rt,
oo
00
7l-0.
13t0.
1