HomeMy WebLinkAboutPermit Building 1982-09-30LINE coMBI ilATI ot't ApPL I CATI0N/ PLKr,1 I I -3753
Job Address th Street
EIIERGY SOURCES
Heat
Ftg. t'la n
Sq. Ftg. Access._
Sq. Ftg. Other-_
ller.r Add Al ter P.eP '
-Te
n c e-oemo C ha-n g e / U s e
-other-_-..---.-
llater Heater_
Ran
Value of llork:
$s00.00
$
Lega1 Description l-g_o 3- 0 10000 100
Owner 96rr.1 Harral /Springfi eld Auto RecYclers
PhoneAddress I 50 South 28th Street Bui I
Fami
ciily nq Pernlit Info: Describe Work('
Residence l'lith Attached Garage-
.e., Bui ld Single
Spri-ngf ie 1d,0R 97477 7 47 -9601 Install small office area (10t x 12!)
Constructi on Lender
Addre s s Phone
name a
Pri ma
Structura I
EI ectr i ca l
l"'1ec han i ca I
CONI TCT0RS name address'(l'ics. no.l exDl res 'ohone no.
Owner
Pl
i cal
PLUI1B I NG ELECTR I CAL MECHAN I CAL
FEE CHARGE NN FFF I HARGF NO FFF CHARGE
Each single fixture Residence of
SQ FT
furnace/burner to
BTU' S
Relocated bui lding
(new fix. additional )
New ci rcu i ts al ts
or extensions
Floor furnace
and vent
S . F. P.es i dence
( I bath)SERV i CES
Recessed wal I
Soace heater and vent
Duplex (l bath) each
Additional bath Temporary Constructi on Apol iance vent
seDa rate
l,later service Chan
resi
ge 'in exi sti ng
dence
Stationary evap
cool er
Sewer multifamily, cornm. or
Indrrstria l
Vent fan with
sinole duct
Storm Sewer L of 1oo -amps.1"5 .0 Vent systern apart from
heatino or A.C.
COMI.1./IND. FEEDERS
Mechan i cal exhaust
hood and duct
Instal l /al ter/rel ocate
distrih- feeders l'lood stove/heater
0f .amps.
ISSUANCE OF PFRIlIT
TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES
WHERE STATE LlIi REQUIRES
sha I I not be val i 'l unt i I the
that the Electrical work be done by an
Iabel has been signed by an Electrical
Electrical Contractor, the electrical portion of this penilit
Supervisor and returned to the Building Division
I HAVE CAREFULLY EXAIIINED thc ,
and correct, and I further certify
of Springfield and the Laws of the
of any structure without the permi
Board is in fulI force and effect
only subcontractors and ernployees ,
completed ap!'rlication for oermit, and do he
that any and alI trork performed shall be d
State of 0regon pertaining to the work des
ssion of the Building Division. i further
as required by ORS 701.055, that if exempt
who are in comcliance with ORS 7n1.055 will
reby certify that all information hereon is true
one in accordance with the 0rdinances of the City
cribed herein, and that NC 0CCUPANCY wi]l be made
certify that m,y registration vrith the Builder's
the basis for exemption is noted hereon, and that
be used on this proiect.
t,lAt'lE ( pl ease pri nt )S I GNATURE oorr Tjo.+2
Zone Nls /const. VN units 1 sq.Ftu . l'lai n Val ue
F'ire Zone Bedroom Load 5q. Ftg Access
0ther
x Val u
Flood Plain Stori e5 Group 82 Sq. Fts lue
TOTAL VALUATION $5OO. OO
BUILDING PERMIT
Charges and
Surcharges
_ _5-:00
.20
Plan Ck. Comm/Ind
65%/Bldq Per Fee
Svsterns Develooment
Charqe ('1.5%)
Plan Ck. Res
30%/81dq Per Fee
PLUI,,IBING PERMIT
Charges and
Surcha rges
Fence
Derno
ELECTRICAL PERIIIT _15-00
.60
Charges and
Surcharges
Sidewal k
A/C Pavi ng Total Cornb. Permit
I,IECHANICAL PERMIT
Charges and
Surcha rge s
Curb Cut
TOTAL
l
I
20. 80
oYnt rtrqtas- no-I LAtl
Gpnpra l
COMBINATION APPL ICATION/PERMIT ( CAP)
I. Applicant to furnishA. Job AddressB. Legal Description1. gt_ggglg: Tax Lot 100, Lane County Map Reference17 03 432. gxample- Lot l. Block 3, Znd Addition toSpringfield Estatesq. Name, etc. of owner and construction IenderD. Energy Sources
PERMIT VALIDATION
l. examol e-^+t. examp I e-E. squaiET66Ea
heat/electrical I in or forced air gas
wa ea e ca r sol arge or valuat on, etc
2
examp_le- 14!. sq. foot house, 500 sq. foot garageexample-.if new project, check-new - if additio;,check add, etc.
II
F. Building permit information:1. example - construct single family house with anattached garage
?. example - remodel existing garage into family roomr. exampte - convert single famiiy residence into
- restaurant (change of use)G. Value of work ai defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAI4 AND CONTRACTORS
To avoid design or construction delays, BuildingDivision Staff must be able to contalt appropriitepersons.regarding design information or job iitecorrections, etc.
Abbreviated Plumbing, Mechan.ical, & Electrical SchedulesA. Lxcept where blank spaces occur in the descr.iptionportion of the Mechanical and Electrical Schedules,the applicant need fiil-in only the No. Boxes iAjiient
- to the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedulesare available at the Building Div.ision1. To conserve space on the-permit form the scheduleshave been abbrev.iated2. If the 'item(s) to be installed are not covered onthe abbr"eviated schedules you should consult theful1 schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULESD. As noted on the CAp, the label must be de'livered to theelectrical contractor for signature by his electricaTsupervisor. The general coniractor ii not authorizedto sign the electrical labelApplicant to sign and date
Whenever possible, the initial application will be used asa.worksheet oniy. t,Jhere possible, Building Division Staiiwill.prepare a type written copy and returi it to theapplicant at the time the actuai perm.it is issued for hissignature.
Fees and Charges
PIan check fees are due and payable at the time of theapplication, and no plans will be processed until thesetees are paid. All other fees and charges are due andpayable when the permit is issued.
FOR OFFICE USE ONLY
III.
IV
V Permi t Cl erk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY:
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information :
PLANS REVIEWED BY:
name Dan Smith tcteSIgna tu
Iil
72
ONL
IlECHAIIICAL PERMIT
Charges and
Surc ha rge s
COIlBI APPL I CAT I ERMIT 726-37
28th Street
Addre s s
8-
Phone
s
Cha
_ot
nge/ u se-FeniE D6-mo
her
Owner ghuql Harral/Spring field Auto Recyclers
7s0 South 28th Street
S 1 field oR 97477
nflti
becSInri
hech
q
Re ,I
SFam'I
. Ftq. l.la tn
l-ega l Descri ption
Job Address
(-10 t x J.2!)
.e., Bui ngie
Construction Lender
PhoneAddress
7 47 -9607
l'4echanica1
El ectri cal
Structura 1
Prima
Value of
Ranqe
Install small office area
EIIERGY SOURCES
Hea t
l.later Heater
llork:
$soo. oo
Sq. Ftg. Access.-
Sq. Ftc. 0ther--
I'ler,u Add AI ter P.eP.
0wner
Elect
han i
MECHAN I CALPLUIlBI NG
furnace/burner to
BTU, SEach single fixture
Floor furnace
and ventNew circuits alts
or extensions
Relocated building
(new fix. additional )
Recessed wal I
Snacp heater and ventSERV I CESS. F. P,es i dence
( I bath)
Duplex (1 bath) each
Apol iance vent
seoa rateTemporary Constructi onAdditional bath
Stati onar.v evaP.
coolerin existing
ce
Change
res i denllater service
Vent fan with
sinole ductTndustrial
multifamily, comm. or
Sewer
L5 .0 Vent systern apart from
heatinq or A.C,1 0f -10L _amps.Storm ivlechanical exhaust
hood and ductCOI4I.l./IND. FEEDERS
llood stove/heaterI nsta I i /a I ter/ re l ocatedistrib. feeders
0f i
ISSUANCF 0F pFRltIT
TOTAL CHARGESTOTAL CHARGESTOTAL CHARGES
I'IHERE STATE tlN REQUIRES that the Electrical work be bytri an Electrical Contractor, the electrical portion of this permit
cal Supervisor and returned to the Building Divisionshall not be vaii:J until the label has been signed by an Elec
done
Fire Zone Bedrooms Occy Load Sq. Ftg. Access
,r f-3o42l,lAt'lE(please print)
Value
E
XUni ts 1 so. Ftg. l'tain
Grou
al
I
B2 Sq
Const. VNZone I\13
ToTAL vALUATIoT $SOO. O0
ny
of Oreqon
the Bui ng
70
'In trueherecertitthaIaInf,'I rmao 0nLc'Iat no for t'I aN by fy.DermULFLE XAIl I ED the ap l')comp
I an nceorda thwl het 'I0rd ancesn 0 f het ciandIaw0Ikrrformeshad1Idobenecc tyr'I atdanrrecc0tIandufhertcerthat pefy
'|'I th ta OCCUPANCYNO wl IIand mad ebe1rtanlthtow0rdescrbederehkfd1IeathndLawstheofta5rlteofoengngSp
I s'I rat onti thv,l het 'IBu deI r sDiIIsonftheurtCCrrttthanofI'Id fy regm.yoatsureructthouwlthttssenypermi
S 'It 'Ion noteds hereon thaand tI1fdd0Rs0515ttha'I f t ba Is for xemDethen'|Ird fu o erc an teffec as re exempsBoarequ i by t'II 0th 7ott?s 550 'Iwl beI onused ecsthi.Ind w'lance projnreaowhIonSUtracbconrstoaIscomcvempoyee
IGIIATU
Val ue
Flood Plain Stories Ftg. 0ther
Pl an Ck. Cornm/ Ind
55"1/B1do Ppr Fep rqe (1.51
Svs
C[a
tems Deve opmentBU ILDING PERI'IIT
Charges and
Su rcha rges
5 .00
.20
Plan Ck. Res
30%/BIdq Per Fee
FencePLUI,{B ING PERMI T
Charges and
Surc ha rges Dgmo
Sidewal k_15.00
.60
ELECTRICAL PERIlIT
Charges and
Surcharges A/C Paving Total Cornb. Permit
Curb Cut
20. 80TOTAL
( addrIJ-ETTtrN TEAI1 ( name
ELECTR I CAL
ar.rADnFFFFIA OAF ilnFFF I
Residence of
sQ. FT.
s
I
\
COMBINAIION APPLICATION/PERMII (CAP)
I. App I icant to furnish
A.Job Address
B Legal Descri pt ion CITY O F SPRIN GFIELD
Ci$ Hall
-1'(
t
ii#; Tax Lor 100, Lane countl
:trhl$n2nd Addi
C. Name etc. of owner and construction I0.Energy Sources
I
S4q]-q. Lot l. Brock 3,5pringfield Estates
2
(.B sel75
E. Squa ge or valuation
heat,/el ectri I in ol
wa ter ec or2
examol e-
examo I e-
re-foo ta
examol e-
examp I e-
check add
example -
a t tached
examo l e
examo I e
reS ta ura
t.
<n
19
JN{-' *,*
n!
tdr
ge int
resid dm
r e ilI
2
I
foot ho use,500 srroject, check new
I I i)rr
i-l- u
1250 so.r'f n--ew
'p
F
etc
- remode'l existin
convert sin gle
a I ty Code
CONTRACTORS
it is issued
.-'77\Bui ldi ng permit information
construct single family horgarage
2 ,t;*q.
?g gara
fami ly
For:
-tl(U
;N'
n
\\
nt (cha usenge offined iG. Value of work as de n Section 303 (aStructura l SoeciH. DESIGN TEAI{ AND
To avoid desiqn
Division Stafi
To conserve space
have been abbrevi
or construct.ion dei aYs, Bulmust be able to con tact apprpersons regardi ng design.informati on or job {e\corrections.II. Abbreviated plumb etc
A. Except urhere
ing, Mechanical. & Eblank spaces ociur i
lectrical !
portion of the Mechanical and El
n the descr
the app I ica nt need f.i ll-in on ly the No. Boxe:
ectrical Sch (?:to the a ppropr iate item(s to be installedB. Fu]1 pi umbing,Mechanical , and Electrical Schare available at the Bui i ding Division
on the permi t form ther t
\
I
(
U
t
a tedIf the item(
the abbrevia
s) to be installed areted schedules you shoul d cons u ,rL
not cov
ful 1 schedul esC. BUI LDING DIVIS ION STAFF I.JiLL FILL OUT ALL FEES
S CHEDULES
ntractor for siqna
The general conlra
)
2
CHARGES ON THED. As noted on t he CAP, the ]abel must be delivererelectrical co ture by his elect (isupervi sor.ctor is.not authoto sign the e lectricai labelIII. Appl icant to sign and date
l,Ihen ever possible, the initial app)ication wiil be us (.a worksheet onl y. l,lhere possib 1e, Building Divisionwill prepare a
the time the ac
type written c0py
tua I
and return it to thepermit is issued forappl icant at
signature.
IV
%{
E8r6o3 ?RINTEBS/Lff
HOGRAPHEBS'
r
EUGENE' OREGOI{
('---)'
due and le at the time of thepaya b'I 1 beapplication, and no plans wi processed until thesefees are paid. Ali other fees and charges are due and
Fees and Charqes
PIan check fe6s are
payable when the perm
FOR OFFICE USE ONLYv
Perm'it Cl erk
PLANS REVIEWED BY:
).
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
cant exempt from registration with the Builder,s Board because:Permit appl i
Additional Project Information :
name Dan Smith si gna tu
iIIi-- :i- j, r ;.L :Ei--,Sjl-1:r-l=I1r': ajj{-r':l:t---;::;GF:-^=
I
(
(
(
(
t" t-q'\ &4,82-
INSPSCTIO){ LIiIE
. R.EOU IRED I iI S PTCI I O'Ii S -
I}ISPECI:Oii PROCEDURE FOR THE CITY OF SPRIIIGFIELD
346 TAIII STREET
IIiFORXAIIOX LIIIE
726-37 53125.3769 BUILDIIiG DIVISIOII -
YGiR ciTY DEsiGiATU JoB riuBER IS: f,^L, (OS5
The following indicated inspections are required for your construction atIt is the responsibility of the permjc holder to see that al1 inspections
84
are made aL [he proper t me, that edcn a ress I Sreadable fror the street, and that the pennit card is located at the front of the property.
BIJII.DIIIG IIISFECiiGE :
SITE IIISPECTI0I'l: To be made
after excavdclon,bui prior to set-
up of forms
UXOERSLAB PLU}18IIIG, ELECTRICAL &
fr-ll-ll--i6'verea
F00TIllc & FOUIIOATl0ll: Io be
ma;e affiErencnes are excavated "
and foms .are erecteci , but prior to
pouring concrete
U:,IOERFLCOR PLUi!8 Iiic & IIECHAI{ICAL:T6-offioffloor insulati.on or decking
*P0ST & BEA,Y: To be made prior !oInirillariorr- of floor insul ation
or deckin;
liru ELECTR I CAL &lr
v/O 5io
EItrT-these inspections have been
mads and approved
FIREPLACE: Pi-ior to placing fac-iI'JTIrr7iat s anci bci-ore fiami;rg
inspecti on
FRAI'IIllc I!|SPECTI0ll: Must be re-
FINAL PLUiIB IIIG
l{o occupa ncy of I
INSULATION/VAPOR EARRIER INSPEC.}JO0DSTOVES: After installation is
Eompl eted-
SPECiAL IIISPECTI0IIS: l.Ihen re-quired by Bui lrjing Code" special
inspector to be present when workis in progress. A copy of the
special testing report to be
furnished to the Buiidirrg Divisian
Structu'rai Concrete: In excass of
3000 P.s.I..
Structural l,felds: Performed onthe job
Glu-Lam Beams: Inspection ceriii=ica(by approved agency) supplied,to Buiing Oivision befo: e beanis are placed
Fire Retardant Roofing: Before lirst.lation
*OTH f'tay be requileci
uilding Code, tos or by notice
tor
n accoroance with B
FINAL FIRE DEPARTMENI'
T ioil
116nin place but before any lath,
board or wall covering is appl
lo De maae ;-ter aTI-insu-l a-
and required vapor barriers are
gypsum
and before any insulation is con-
cea i ed
DRYHALL iNSPECTIO|I: To be made
after al i drywai i isprior to any taping
in-place, but
L_l MASONRY: Stee
GihE-grout'in,
cordance with I
ocation, bondr verticals in ac-
.C.5ect'ion 2415
lt
go
tl o
tl
t]
FiRE & SEPARATI0I'{ tIALL: Located
& constrr!ct,ed' according to plans
ATTIC DRAFT STOPS:
R00F SHEATHING Ai{D tiAILING: PriorIo@
51DE'.lALK & DRIVEI'IAY Required fbrall concrete pavrng w ithin street
riEht-of-i.roy, to he nade after all
excavating compiete & form work &
sub-base material in place
CURB AND APPROACH APRON: After
@iorto.pour-ing concrete
SEWER, WATER & DRAIIIAGE LINES:Priorffi
rnrnl Elrcrntcru
be indicated in plan
fron Bui lding Inspec
questeo arcer approval of roughplumbing, electrical & mechanicai.Ail roofing, bracing & chimneys, etc.
must be completed. No work is to be
concealed until this inspection has
been maCe and aooroved _tr FIIIAL MECHANICAL
All project conditions, such as the installation of street trees, compietion of the required landscaping, etc.,nust be satisfied before the BUILDII,iG FINAL can be requested
construction projects-that required approval by the city'1 site PIan Review Board shall be inspected by the Review goard|it:ff.;::';;'lX! :.f:'il,o;;]f,ti;,;l:ii:;1",." R;;,;;;; ioi'iispection bv rhe 5ite pran Review aiara-iuit be made ? days
[X rru^. BUrLorrG The Final Building Inspection.must be requested after the Finar prumbing, Erectricar, and l,rechanicalInspections have been made and approved-'
CE.CTIFICA IE
S i gnatu re :
n be made I the Final
EEN THE BUILDI
Building Inspection has_been made and approved, and aDIVISION AND POSTED ON THE PRETIISES.
e:{z-flda,/7*sa0ate e.
l''0BIlr
9n acure
ffifg-Your Job # is
Blocking/Setui
Plumbing Connections
Sewer and llater
Electrical Connectionirom Service to Mobile Home
Electrical Serviceyeotstal
ff:;:::il"':l,sJ??.;,x:,_ "!l!'[i,,,-lno Insoections Above
Ij:.t - After. porches, Skirtjng, Decks,ecc, are completed
[J]iffi-Your Job # is:
Fence - lJhen Completed
Demolition - lrlhen Completed
f 8ii8J;f , g';l ;,i'i, 6ii'#FRo ;i STdl{:,IHE EUILDIIIG SIIE AT ALL IIMES, A'ID ALL I.JORK I,IUSI BE COilPLETED
REiIA IiI O,!
9na ru re Da te
Iil
N,TE: All manholes and cleanouts are to be adjusted at no cost to the city.
;,.::ii,726-376g(recorder)stateyoUrCitydesi9nat-e1.jobnumber,jobaddress.typeRequests
"c"i'ed-oi':o"e z,od i.,l",,rii';.0;.;:':1.',:;J':!;:tl:t"!:l,i:ii.;:,::"rm":.;:T,ili3nlli",l[,3.#;,Unr;tn^ y':v
Si te,/Location
Footing or Hethod of Attachment
E'l ectri ca l
QRoush . Qrinar
Finai - After Installation is com-pleted
$i$f.$-Your Job # is:
0a re5'I gnd ture
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