HomeMy WebLinkAboutPermit Building 1983-07-20rurq Aa6to{6
INSPE
726-3
ON E m
COI1B] NATI ON APPLI CATION/PERMIT 7
Job Address I *Zxt EIIERGY SOURCES:
Hea
llater Heater
Ranqe
Sq. Fto. l'lain_
5q. Ftg. Access.--
Sq. Ftg. Other_
_l{ew_Ad d-41 te r_Re p .
_Fe n c e_Demo_C ha n gel U s e_other-
\
UO
\
q^
Lega I Descri pti on 33 oo
Value of l,lork:t 5a.3saOwner
Address 1,.a /. a4 248ry 6,4a r n tI Descr be Work .e., Build Single
I
c*i-f 315- l-?.{ b
Cons ion Lender
Art Fo
\2U
Addres s Phone Eur<<R 5,2<<< B*.Dnys ,
DESIGN TEAI.{name address 1CS- nO-exn rPs no
Pri ma eb/5 6{C
Structura I
El ectri ca l Itr
Mechanical hlO lr.f{C
CONTRACTORS name addres s 'I ics^ no.exot res (ohone no- )
Generar Z LL[l alr\aftrLe- Cl*u. P,lax SSbq L ?,7 $44-5-
PI umbi n,J Nour
Electrical
Itlechan ica l
)r
PLUIIBING -"7 MECHAIUCAT^
N0-FFF CI.IARGE NO FFF CHARG F NO FFF CHARGF
Each single fixture Residence of
SQ FT
furnace/burner to
BTU' S
Relocated building
(new fix. additional)
New circuits alts
or extensions
Floor furnace
and vent
S. F. Residence(1 bath)SERV I CES
Recessed wal l
Soace heater and vent
Duplex (1 bath) each
Additional bath Temporary Constructi on Apol iance vent
scoa ratP
hlater service Change in existing
rpsi dpncp
Stati onar.v evap.
cool er
Sewer multifamily, comm. or
I ndu stri a I
Vent fan with
sinole duct
Storm Sewer 0f s.Vent system apart from
heatino or A.C.
coMr.r./IND. FEEDERS
Mechanical exhaust
hood and duct
Instal I /al ter/rel ocate
di stri b. feeders [,lood stove/heater
0f amps.
ISSUANCE OF PFRI1IT
TOTAL CHARGES TOTAL CHARGES IOTAL CHARGES
WHERE STATE Lll,l REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit
shall not be vaii,l until the labei has been signed by an Electrical Supervisor and returned to the Bui'lding Division
I HAVE CAREFULLY EXAIIINED the completed apnlication for nermit, and do hereb.y certify that all information hereon is true
and correct, and I further certif_v that any and all work performed shall be done in accordance with the 0rdinances of the Cityof Springfield and the Laws of the State of Oregon oertaining to the work described herein, and that I'lC 0CCUPAI,ICY lvill be made
the Building Division. I further certify that my registration vrith the Builder'sof any structure without the permission of
Board is in full force and effect as requi
only subcontractors and ernployees who are
red by ORS 701.055, that if exempt
055 wiII
the basis for exemption is noted hereon, and that
i n comc l i ance wi th 0l?S 701 be 0n s Droject.
I'lAtlE(please print)fru rerZfr IGiIA T za b
zone )UjtV) tyoe/Const. g4l Units Ftg l'!a i n x Val ue
Fire Zone Bedrooms 0ccy Load Sq
Flood Plain S tories / }ccy eroup-fi- !--sq
Ftg. Access.ne 52.
Ftg . 0ther x Value
TOTAL VALUATION-_
BUILDING PERI.IIT
Charges and
Surcha rges
__/?_7,_-__
?.?z
PIan Ck. Conrn/Ind
65%/B1do Per Fee s/es.4d A Svs
Cha
tems Deve'
rqe (i.5, l
opment /y.4.
Plan Ck. Res
30%/B1ds Per Fee
PLUI4BING PERMIT
Charges and
Surcha rges
Fence
Dgmo
ELECTRICAL PERI1IT
Charges and
Surcha rges
Sidewal k
A/C Pavi ng
Curb Cut
Tota'l Comb. Permi t 2e,72
I,IECHANICAL PERMIT
Charges and
Surcharges TOTAL zaa.72
COMEINATION APPLICATION/PERMIT (CAP)
I. Applicant to furnishA. Job AddressB. Legal Description
l. example- Tax Lot 100, Lane County Map Reference
17 03 432. e4ample- Lot l. Block 3, 2nd Addition to
Springfie)d EstatesC. Name, etc. of owner and construction lenderD, Energy Sources
1
2
E. gr
. example- heat/electrical ceilino/. Example- watern6aTeF/q-ieETiIcET/b
quare footage or valuation;EEc.-
or forced air gasr solaF
II.
l. example- 1250 sq. foot house, 500 sq. foot garage2. efimple- J-f new project, ctreik-i6w - if additio;,
check add, etc.F. Building permit information:1. example - construct single family house with an
attached garage
?. example - remodel existing garage into family room3. example - convert single family residence intorestaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, BuildingDivision Staff must be able to contact appropriitepersons regarding design information or job sitecorrections, etc.
Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be .installed
B. Fu'll PIumbing, Mechanical, and Electrical Schedulesare available at the Building Division1. To conserve space on the permit form the schedules
have been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult the
fu l I schedulesC. BUILDING DIVISION STAFF I.IILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to theelectrical contractor for signature by his e'lectr.icalsupervisor. The general contractor is not author.izedto sign the electrical label.Applicant to sign and date
Whenever possibie, the initial app)icat.ion will be used asa-worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit is issued for hissignature.
Fees and Charges
Plan check fees are due and payable at the time of theapplication, and no plans will be processed unt.il thesefees are paid. All other fees and charges are due andpayable when the permit is issued.
FOR OFFICE USE ONLY
III.
IV
V
PERMIT VALIDATION
'+ b4zcJ
Permi t Cl er
q gC-E3
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI'ICY:
(
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information :
*
a
nane bR\E Z&.R sisnatu
PLANS REVIEWED BY:
dat e 6-ZE-3Z
U^!{L
SPRINGFTELD
CIIY OF SPRINGFIELD
Department ol Public Works 1 885- I 985 Springlield Centennial year
Febntaty 22, 1985
Lee Everett
c/o R.A. Chambers and Associates
1.819 Garden Avenue
Eugene, Oregon 97405
RE: Structural Welding and High-Strength Bolting For Borden Chemical Company,
City Job Number 831751
Dear Lee,
gur records reveal that the above referenced project, the erection of a But1er Steel
Building canopy over the reSin tanks for Borden Chenical Company at 610 South 2nd
Street, Springfield, Oregon has never received a final inspection or Certificate of
Occupancy fron the Springfield Building Safety Division for the following reasons:
1. Section 306 (a-4) of the Springfield Building Safety Codes requires that a special
inspector be employed to inspect and approve all structural welding performed on
the job site.
2. Section 306 (a-5) imposes similar requirements for inspection of high-strength
bolting.
3. The City Building Inspector cannot perfor:n a final inspection and issue the re-
quired Certificate of 0ccupancy for the structure until the above inspections
are performed and the inspection reports are received by the City Building Safety
Division.
For your reference, I have enclosed copies of the above mentioned Sections from the
Springfield Building Safety Codes.
Please research your records to verify if perhaps the inspections were performed, but
the inspection reports were not mailed to us.
If you find that the special inspections were not performed, please nake arrangements
for them at this tine.
Questions regarding this project may be directed to me at 726-3669.
Sincerely,
fuu-H-f,^
Lorne W. Pleger
Plans Examiner
LWP/lh
225 North sth Street o Sprinqrfield, Oreqor. 97472 o so3/726-32s3