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Home My WebLink AboutPermit Building 1980-9-3 .. ;.. lIrlSPECTION LINE 726-3769 . ~ CITY UC SPRINGFIELD COMBIilATION APPLICATION/PERMIT INFORlIATION UN, 726-3753 Sq, Ftg, 1,Iain ~q. Ftg. Access. Sq, Ftg, Other Z..qb --1lew~dd__Alter-"qep, Fence Demo Change/Use Other- - 00 ~ I~ V1 Job Address \b~ '.lJlAsR.K~='--T ~T. Legal Description oW t>LAr10S ltd ~::l. /ohlttJlt/OAT.E Ano. 11-/)!..a~-?":L TL. J/U~ Owner ~~V' G lL<;'L'R Nt> Address\fo~ MM\~,0, E!IERGY SOURCES: C'llt2 Hea t F( r--,r' _,,) " Hater Heater l-:{ t=':L." Range t"-.I e:c...., II Val:!: of HOJk: ~ 3400 Ph ::::vI/'3Z . Builc:inq Permit Info: Deser be Work(Le., Build Single onHIO' l::~ Famil v nes idence I~ith Attached Garaoe) t==A-M. \ U--<'" QAA, (\ \) '\) ~ '\ , Construction Lender Address DES I GN fEAI~ Primary Structura 1 E1 ectr; ca 1 Mechanical CONTRACTORS Genera 1 SEi..F Plumbino '{ARc'({) t-0 Art....- (name) Phone (address) I h. W (1 ics. no.) (name) (address) (lies. no.) u..LX\ \1 JL, I Electrical \ ~1echan;cal NO, Each single fixture PLUIIBIrlG ELECTRICAL Nn Residence of SQ, F1. J.- New circuits alts. or extensions SERVICES /Sfa I I I I FEF CHARGE ~r~ r~ARr.~ NO. Relocated building (new fix, additional) S.F. Residence (1 bath) Duplex (1 bath) each Additional bath TOTAL CHARGES TOTAL CHARGES /S0t'11 TOTAL CHARGES WHERE STATEl:'t~ REQUIRES that the Electrical work be done by an .Electrical Contractor, the electrical portion of this permit s~ll not be vali~ until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFULLY EXM1INED the completed application for permit, and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that 1m OCCUPA1KY will be made of any structure without the permission of the Building Division. I further certify that my registration with the Builder's Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted hereon, and that only subcontractors and employees who are in comoliance with ORS 7n1.055 will be~sed on this project. IlAl1E(plaase PTi GA.C2.~ ~ l LS'l~ SIGiIA;}. ~a~ \ FOr. OFFICE 1/SE ~ILY I V Zone_/;>- Tyoe/Const.:s!- N Units / ,Sn, Ftg, 11ain x Fire Zone - Bedrooms Dccy load Sq. Ft9. Access :Ji./~ Occy Groun R- 2, Sq, Ftg, Other Ha ter serv i ce Sewer Storm Sewer /JIf Flood PlainNr) BUILDING PERflIT Charges anc Surcharges PLUI1BING PERMIT Charges and Surcharges ELECTRICAL PERil IT Charges and Surcharges MECHANICAL PERMIT Charges and Surcharges Temporary Construction Change in existing r~$idp,.nc:e Imultifamily, COrruTI. or Tnrluc;t.rii'll Of amps.1 COMM,/IND, FEEDERS I Install/alter/relocate rlic;t.rih. fppdprc; IOf amps. I I I I I I I Stories J , , PI an Ck. COI1U11/! nd ______,;['i{..tJ12. 65%/Rlrlo Ppr >pp Plan Ck. Res /. /,~ 30%lBl do Per Fee ~_I 11 Fence --.~rr------I D~mo ______.J~~I Sidewalk ,(on I A/C Paving 'l,l./o (exoires) {ohone no. (exoires) (chone no. 1 MECHANICAL ~~~ nlARr.:~ furnace/burner to BTlI's Floor furnace and vent Recessed wall SO<lCP hp<lter <lnd vpnt. / Appliance vent separatE' Stationary evap. cooler Vent fan wi th sinale duct Vent system apart from heating or A.C. Mechanical exhaust hood and duct Wood stove/heater 5:(1() ISSUANCE OF PFRIIIT /0. <Xl / b: oc) pIQ-3-Pc) Value \ '3 <.j mOO , x I~ 9<1 Value x Value TOTAL VAlUATIOtI ? ",/OrJ Ef.1 'Systems Development Cha roe (I. 5%) , ,oQo["T>\~tNJ. .p.(J PL. dr, K,</o __ __ _ _ /.&lJLl. d!1l Curb Cut Total Comb, rermi t w". _~:;} I TOTAL ~,It;;l - . " .. COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATION I. Applicant to furnish A, Job Address B, Legal Oescription 1, example- Tax Lot 100, Lane County Map Reference 17 03 43 2, example- Lot 1, Block 3, 2nd Addition to Sprlngtield Estates C. Name, etc. of owner and construction lender ~ D. Energy Sources 1. example- heat/electrical ceilinq/or forced air Qas 2. example- waterheater/electrlcal/or solar E. Square footage or valuation, etc. ------ 1, examole- 1250 sq, foot house, SOD sq, foot garage 2. example- if new project, check-new - if addition, cneck add, etc. F. Building permit information: 1. example - construct single family house with an att.ached garage 2. example - remodel existing garage into family room 3. examole - convert single family residence into restaurant (change of use) G, Value of work as defined in Section 303 (a) of the Structural Specialty Code 'H, DESIGN TEAf! 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 Plumbing, Mechanical, & Electrical Schedules A. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be installed B. Full Plumbing, Mechanical, and Electrical Schedules are available' at the Building Division 1. To conserve space on the permit form the schedules have been abbreviated 2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult the full schedules C, BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES 0, 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. - Ill, Applicant to sign and date Whenever possible, the initial 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 actual permit is issued for his signature. 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 Clerk I, 'i PROJECT CONDITIDNS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: 'i9""",.;f~~ d,t, 9-~-}(r) name , ... 1 HISPECTlON LIIIE 726-3769 . . I 00 ~ 0() ()J V) INFORIIATlON lwe 726-3753 5q, Ftq, 1,Iain ~q. F'tg. Access. Sq, Ftq, Other LL\6 -1le\oJ..&Add_Al ter _Rep. Fence Demo Change/Use Other - - CITY UF SPRIiIGFIELD COIIBIilATlON APPLICATION/PERMIT l I Job Address IbM 'UAR~I c;T, Legal De,cription oW ""pLAI0S LI'fT' t:I :I" IoInJl1'Jlt:.AU .400. 17-{)3.f1.~--a":J... TL. J/U~ Owner C;A-R'-(" G lL<;,-rR I\f? Address \~:kJ M,(),pjn:;T<::''I E!IERroY SOURCES, c U' '12 Hea t ('" ( r-,('",} " \:I,ater Heater <='"( r-:L ,',' Range t-=- I E:L, II Val~ of l-/oJk: ~ 3400 :=:vf/'3 .- . Builr:inq pennit (of 0: Deser be \.Jork(i-.e.. Build Single Phon'f-to' Z<,l., Familv Residence \'Iith Attached r.araoel t==A-M \ U,..,"" QM (\ 'b \) k '\, Construction lender Address , uESIGl1 IEAI'I Primary Structural Electrical r~echan; ca 1 CONTRACTORS Genera 1 SELF Plumbina CfKl:?(.D f0 Ar\... Inamel Phone (address) (phone no.! (lies. no.) (exn;res) (name) (addrpss) (l ics. no.) (nhone no.) (Hoireo;.) u~\ il 'SL..- Electrical \ ~'echan;cal 110, Each single fixture PLUllBlIlG ELECTRICAL MECHAIIICAL FFF f.HARr,F Nn ~~~ rHARr,~ NO ~~~ nH\Rr.~ Residence of furnace/burner to BTU's sq, FT. New circuits alts. ~l or extensions :/'- Floor furnace and vent Relocated building (new fix. additional) S.F. Residence (1 bath) Duplex (1 bath) each Additional bath ~!a ter serv i ce Sewer Storm Sewer l, / ;:. /v ,(; 1:5....0 SERVICES Reces sed wa 11 SOACP hp~tpr And vent Temporary Construction Change in existing rec;irlencp mult(family. comm. or Inrluc;tri~l Appliance vent seDa r~ te Stationary evao. cooler" . Vent fan with sinole duct Vent system apart from I heatino or A.C. Mechanical exhaust hood ~nd dur:t Of CO~1,/IIID, FEEDERS amps, I I I 1 I ,,:-~) ...;, Install/alter/relocate distrih. fpeders Of /' Hood stove/heater I I I I I S5UANCF OF PFRliIT /5: (J(;I TOTAL CHARGES Electrical Contractor. the electrical rortion of Sunervisor and returned to the Building Division 10<<) /S-,C() thi s permit amps. TOTAL CHARGES TOTAL CHARGES WHERE STATE L,\\'J REQUIRES that ti,e Electrical work be done by an shall not be vali~ until the label has been signed by an Electrical " I HAVE CAREFULLY EXAtllNED the completed ap['llication for permit, and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that rw OCCUPArlCY will be made of any structure without the permission of the Building Division. I further certify that my registration with the Builder's Board is in full force and effect as required by ons 701.055, that if exempt the basis for exemption is noted hereon, and that only subcontractors and employees who are in comoliance with ORS 701.055 will be'used on this project. IlAIIE(please p~ G/I..r2..~' c::;, ~ L'S'T~f~ 5Ir.'IA;J. (dJ..oU.-1(J ~ ",/'\ FO~ OFFICE USE a:lLY I v , , \ Zone k?-I Tyoe/Const. V'- ^/ Units / 'Sn, Ftg, Ilain Fire Zone -- Bedrooms Occy Load Sq. Ftg. Access ..:) <;I:':.~ Flood Plain .',/r; Stories / Occ.v Group /('~-:::' Sq, Ftg, Other BUILDlIIG PERI,IIT Charges ancl Surcharges PLUI1BING PERMIT Charges and Surcharges ELECTRICAL PERI:IT Charges and Surcharges IIECHANICAL PERMIT Charges and Surcharges . \iCf'.:) ,-P-.r) /\ x Value' x /-?';9 Value ':J,<.JCt'!CO x Value , TOTAL VALUATIOrl -? -</17/7 <;I.r -, n_n_d.'t.tIf..I_ j, /"f.... --1!A-~----- Plan Ck, Comm/lnd 65%/Bldo Ppr Fpp Plan Ck. Res 30%/Bldo Per Fee Fence Systems Development Charoe (1.5~) '0 ~O (,T,\~tN) . Pc) <0{ '-/ {' D~mo /L , ('(c K,'!o ______-i~S:2{2 Sidewalk ,tvii A/C Paving n__u/5.E.f2.1 Curb Cut , '(;';171 Total Comb. rermit t~/'., .n 1;4:/ / Cl '"' ") I \,o'::>":.^.- I TOTAL . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A, Job Address B, Legal Description 1. example- Tax Lot 100, Lane County Map Reference 11 oj 43 2, examole- Lot 1. Block 3. 2nd Addition to Sprlngrield Estates C. Name, etc. of owner and construction lender O. Energy Sources 1. exam21e- heat/electrical ceilinQ/or forced air qas 2. examyle- waterheater/electrlcal/or solar E. Square footage or valuation, etc. I, examole- 1250 sq, foot house. 500 sq, foot garage 2. example- if new project, check-new . if addition, check add, etc. F. Building permit information: 1. example - construct single family house with an a ttached garage 2. examele - remodel existing garage into family room 3. examole - convert single family residence into restaurant (change of use) G, Value of work as defined in Section 303 (a) of the Structural Specialty Code H, DESIGN TEN! AlIO 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. Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be installed B, Full Plumbing, Mechanical. and Electrical Schedules are available' at the Building Division 1. To conserve space on the permit form the schedules have been abbreviated 2. If the item(s) to be installed are not covered on the abbt"eviated schedules you should consult the full schedules C, BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES D. 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 Whenever possible, the initial 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 actual permit is issued for his signature. 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 PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: I . , " ~ PERMIT VALIDATION I " ITV OF SPRINGfiELD ( City Hall Springfield, Oregon Department af Public Wark. OFFICIAL RECEIPT ( No. ~&,. ,~ 19~ From C;CL,'-.u... c; \.\) ~ \. ~'~ ss \ \o~D...~\f\ , ~aT B 54477( , '( -( 'ed For: , ~\ t'\ ~.~ ~ 4O/rj \ 0 ~ () 0Y ;;r~ '6 4C'1r ., <: /~CJ--\ rJ~ 00 ( . I'd. \SFO .lLQ \~oO .(rlO R ,lie') ( .en c ( ( llPtl t ~.~-\~ \ f\ 'b l.ffi ( nt Received \ nf<) s.--\ ~ C ~ D ~~~--' ( ( ....UTI-iOI'lIU:D 5IGN....TUlU: ...".. (~ SH[LTO...TU.....U~~ ~"'NT[". . [UGIlNI[ 0" ."0' ( Permit Clerk , 'f;; Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: , PLANS REVIEWED BY: -, signature/?' U,,-?,d-z?,r-L \ ' ' name date c::; '? \Y" / - 1'- /1 ( j 1t ., . '.....;. ". I.ECTIOil PROCEDURES FOil THECITIF SPRJ;JGFIWJ BUILDI~G DIVISION ,346 ~ ~ STREET INSPECTIO~S 726-3769 IUFORilATION 726-3753 <;. ,. The following indicated inspections are required for your construction at Jh ~/) ~u~.-6.:T-:' . It is the responsibil ity of the permit holder to see that all inspections are made at the proper time, that each address is readable from the street, and that the permit card is located at the front of the property. W13, MASONRY WALLS: Steel location, bond beams, grouting, or verticals in ac- 0 cordance with U,B,C, Section 2415. 14, o 1. SITE INSPECTION: To be made after excavation, but prior to setup of forms o 2. U~lDERSLAB PLUt'18 I NG, ELECTRI CAL & ~lECHAII I C,L\L: ,To be made befo re any ~Iork is covered. 03. FOOTHIGS & FOUNDATION: To be made after trenches are excavated and forms are erected, but prior to pouring concrete. 04. 05, UilDERFLOOR PLU:18 I j,G & ~lECHAN I CAL: To be made prior to installation' of floor insulation or decking, 06, POST & BEAM: installation or decking, To be made prior to of floor insulation CZ1 7. ROUGH PLU118ING, ELECTRICAL & MECHA~ICAL: No work is to be covered until these insoections have been made and approved, o 8. FIREPLACE: Prior to placing facing materials, Og, mo'. FIRE & SEP,J1RATIOtJ :.J,~LL: Located & constructed according to plans, INSULATION / VAPOR BARRIER INSPECTIO'J: To be made after all insulation ano required vapor barriers are in place but before any lath, gypsum board or wall covering is applied, and before any insulation is concealed. o FIliAL PLUi1BING I Xl FINAL ELECTRI CAL Structural Concrete: In excess of 3000 p, S. 1. Structural l-lelds: Performed on the job Glu-Lam Beams: Inspection certificate (by approved agency) supplied to Build- ing Division before beams are placed. Fire Retardant Roofing: Before instal- lation, ~ < ~17, OTHER INSPECTIONS: May be required in accordance with Building Code, to be indicated in plans or by notice from Building Inspector, (i]11. 012. [Zj15. 016, ,.......... --- c FRM'lING INSPECTION: ~1ust be requested after approval of rough plumbing, elec- trical & mechanical. All roofing, bracing & chimneys, etc, must be com- pI eted. rlo \~ork is to be concea 1 ed until this inspection has been made and approved. DRY\'IALL INSPECTION: To be made after all drywall is in place, but prior to any taping. SEWER, WATER & DRAINAGE LINES: Prior to filling in trenches. SIDEHALK & DRIVEHAY: Required for all concrete paving within street right- of-way; to be made after all excavat- ing complete & form \',ork & sub-base material in place. WOODSTOVES: After installation is, completed. SPECIAL INSPECTIONS: I-lhen required by the Building Code, special inspector to be present when work is in proql'ess. A copy of the special testinq report to be furnished to the Building Division. ,.' ~ ,--; (Xl FINAL ~1ECHANICAL 0 FINAL FIRE DEPT. All project conditions, such as the installation of street trees, completion of the required landscaping, etc., must be staisfied before the BUILDI~G FINAL can be requested, ~ FINAL BUILDING The Final 8uilding Inspection must be requested after the Final Plumbing, Electrical and Mechanical Inpsections have been made and approved. No occupancy of the premises can be made until the Final Building Inspection has been made and approved, and a CERTIFI- CATE OF OCCUPANCY HAS BWI ISSUED BY THE BUILDING DIVISION AND POSTED ON THE PRE~lISES. , , ~qer;--(3b7 Name O~frmnOlder 0 -. _ '.Pho, -3Zez::- Signaty ( (tI)/du/f ( ijl1it../'Y. ,t Q-3--9-,2J BUILDIN DI1J~N AtPR~ PLANS ;H~LL REI'IAIN or, THE BUILDING SITE A! ALL TI1'IES, AND ALL WORK MUST BE CO:-iPLETED IN ACCORDArlCE [,ITH THOSE APPROVED PLAUS NOTE: All manholes and cleanouts are to be adjusted at no cost to the City.