HomeMy WebLinkAboutPermit Building 1989-5-16
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726-37<>9
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Job Address 'N'n: 'Milrcolil Rrl. ? 19th
Legal De<cription Map 17-02-25-23
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INFDRIIATIDN LINt
726-3753
Sq. Ft~~ Jl'~'3Y:Y
~q. Ftg. C~S.I/~&
Sq. Ftg. t r 7/::<,"<0
.x!lew~Add_A1ter-,~ep. -
Fence Demo Change/Use
Other - -
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C IlY Uf SPR I NGF J EtO
CO/1BIiIATION APPLICATION/PERMIT
E!lERGY SOURCES:
Heat Gas
t~a ter Hea ter
(;il<;
Street
Albertson's. Inc.
(2011) ~lm'!!6200
Ran!le h.:l <::
Valu' of Hork:
$1.3H'/b?.00
BuihiinQ Pennit Info: Describe Work(Le..
Family nesidence Nith Attached GaraQe'
Build Single
Owner
TilX Lots OOlOO._OOJOI, 00102. 00300. 00400
Address
P. O. Box
Boise. ID
Construction lender
Address
DES I GN TEAll
20
83726
unknown
Construct new market buildinas
{name)
Phone
(address 1
(exnires1
"
(ohone no.)
W~'l' no.l
Beaverton. OR
6/30/89
(503) 644-4222
(~0:1 1_2.2:1-0555
~503) <34-n~48
Primary
Ehmann-Klas Associates 6775 S.W. lllth A~e..
Structural R ~"lb'r F~{1;nppr;na 4440..s.Jol, r.nrhptt Ptlrl, OR Q12.01
a JUA
Electrical ~~ Hie. 2007 S. E_h~h, D~nD
11echanical MFIA. lne.
CONTRACTORS I name L ' Jaddress \
K-A.~~~Sf'#':!>~./ "~,,.., ~~~
General IlriKnO\~n - to Kp hi c1 cr ~-:- .E"'.. -~~.
Plumbino (i:vlll/ ,l?tv€.~$ ,
Electrical t<JP€tAN~
! f.IM--IJPt/ Sf:-~(/CO
/llechanical
NO.
77
Each single fixture
(lies.. no, \
(expires)
(ohone no.)
4!
i\'
~7-9Yv:.,.
PlUIlBlIIG
ELECTRICAL MECHANICAL
FEF CHARGF .H(l FFF CIJARG.E .JjO, CCC fll~
Residence of furnace/burner to
7.:SP 727. ~ SQ. [T, 3 ,~ 70s&> '2:2.$2
11't'!""'!~VJ"-' A-
New circuits alts. Floor furnace
or extensions and vent
Relocated building
(new fix. additional)
S. F. Res i dence
(I bath)
Duplex (1 bath) each
Additional bath
Water service
Sewer
Storm Sewer
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SERVICES I~ Recessed wal1~~':r'tr G Ig~
Snac~ heater an vP~t
;s:J ~ ~-~2,3 ~~ 6 ~'7'> ...
/ Temporary Construction Appliance vent 3' G..-
seoarate
Chan~e in existing -Z ~' '~c-/ 1/ :('~.-'
--~ .-,)!.. - -.....
rpC; i rl~nre ...,..:-:_....::_ :.~ <...2
multifamily, canl!1. or ~ Vent fan wi th ? 27--
Industrial sinole duct
/ Of -:z S'.c:>O amflS. ~.~ 'Z Vent system apart fr~ ~~ .7-',><6
heatinq or A.C.:T#../ :l.
COf111./lND, FEEDERS -:< Mechanical exhaust 1y-.5Z> 7:-
hood and duct~~1':z .
Install/alter/relocate Wood stove/heater I
rli~trih. f ppdp r<;,
? Of I'PC> amps./!> 75=- =< :sF-/ -r2 17' 8--
/1 72S"p. J7.:5>" 1/.29 '/2 ~a.Tc03 1.5"" G.-
/ 6~-1 f5'.- I
ISSUANCF OF PFRllIT
777..S0 lOTAL CHARGES
6" /'T. """'" TOTAL CHARGE S
/$'/-S'&>
TOTAL CHft,RGFS
WHEP.E SlAlE l \1-1 REQUIRES
shall not be valH until the
that the Electrical work be done by an Electrical Contractor, the electrical portion of this perlilit
label has been signed by an Electrical Supervisor and returned to the Building ~ivision
I HAV[ CAREFUllY EXArllflEO t!le completed application for [lermit. and do hereby certify that all infonnation hereon is true
and correct. and I further certi fy that any and all work nerfonned shall be done in accordance with the Ordinances of the City
of Soringfield and the laws of the State of Orel)on f}ertaining to the work described herein, and that flO OCCUPAllCY will be made
of any structure without the permission of the [luilding Division. 1 further certify that my re~istration \'Iith the [luilder's
Board is in full force and effect as required by On$ 701.055. that if exempt the basis for exemption is noted hereon. and that
only subcontractors and employees \-Jho are in comnliance \'Iith Or.S 7f"!1.055 \.1ill e ~ on this project.
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OATEL~II/lf37 .
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IW1E(please print)_ R t;:;.._TEAJ^-.X='S()"-. ) SIGilATURE
FOP. OFFICE USE Ofllt,: . ',_ ,
Zone C-c... lyoe/Const. ~Aj~.units S~, Ftff:)!!!n3-f1JSt5'
Fire Zone Bedrooms Occy load /tJL> I Sq. Ft~. ~ /,~g
Flood Plain Stories .::z Occy Group 75-7 Sq. Ftg~ 7.~':;!6
BUILDING PERI,IIT
Charges an':
Surcharges
PlU'~BING PERMIT
Charges and
Surcha rges
ElECTRICft,l rERI~IT
Charges and
Surcharges
11ECIIANICAl PERMIT
Charges and
Surcharges
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X:n~lul;t.AlQ:!:R"'~' '
x y-<. ye. V 1u'- ~r7.g7"
x =.:;;t::> Value I'I~ ~5~
TOTAL VAlUATIQrI/;';'7S"/t'Z
~ Plan Ck, Comm/lnd
2'~r;? 65UB1do Ppr Fpp
------------""""'Pidn Ck. Res
,,~,~~ 3D%/Bldo Per Fee
. __ Z":??'._€ <?__ Fence
?~. '38 D~"o
___t:..(,i,-~__ Sidewalk
'30.7.t> A/C Paving
__ _{ fZ L..?:~ _ Curb Cut
7-:>'8
Systems Development
Charge (I.5~)
-:2~,6::?b. ~"?
./77&>.55
Tot~l Comb. Permit
Y'/~ r7. C> /"
I. I
.:?~ C?~. <7 "7
TOTAL
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COMBINATION APPLICATION/PERMIT (CAP)
(' , ...--)
PERMIT VALIDATION
I. Applicant to furnish
A. Job Address
B. Legal Description
1. example~ Tax lot 100, lane County Map Reference
II OJ 43
2. exam~le- Lot I. Block 3, 2nd Addition to
~prlngtield Estates
C. Name. etc. of owner and construction lender
D. Energy Sources
1. examQle- heat/electrical ceilinq/or forced air Qas
2..;. example- waterheater/electncal/or solar
E. Square footage or valuation, etc.
I. example. 125D sq. foot house, 5DO sq, foot garage
2. example- if new project, check new - if addition,
check add, etc.
'F. Building pennit information:
1. example - construct single family house with an
attached 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 3D3 (a) of the
Structural Specialty Code
H. DESIGN TEAM 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
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
wi 11 ,prepare a type written copy and return it to the
applicant at the time the actual permit is issued for his
signa 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.
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V. FOR OF~ICE USE ONLY
Pennit Clerk
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PROJECT CONDITIONS TO BE SATIS~IED BEFORE OCCUPANCY:
:
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Permit applicant exempt' from registr,ation with the Builder's, Board because:
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Additional Project Infonnation:
f ...':......,
PLANS REVIEWED BY:
,r
p~/Y/>'7V'e$nc --P'
name LC::>8~H~g-?F
signature
/~~
..., ..,..
~
date
~~ -99
,-
~~ .. Required Inspections..
IT IS 'THE RESPONSIBILITY OF T!lli ~~IT HOLDER TO SEE THAT ALL INSPEC~S ARE MADE AT
THAT EACH ADDRESS IS READABLE FROM THE STREET, AND THAT THE PERl'UT CAn]) IS LOCATED AT
PROPERTY, BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIMES.
PROCEDURE FOR REQUESTING INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUMBER,
job address, type of inspection requested and when you will be ready for the inspecticn. Contractors
or owners name and phone number. Requests received before 7:00 am/will be made the same day, requests
received after 7:00'am will be made the following work day,
Your City Designated Job Number Is: ~~~~/'
Job Address: -::?d'~ J?/)~c~"f'...,?:)
Owner: ,~L,'f'J~~~ /Xc::. Phone:
_con..:.:actor:.~ ~_'R;!f:'~51J' .45'~,.....:.hone:
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SITE INSPECTION: To be ~lde
after excavation, but prior
to setup of forms.
UNDERSLAB PLUMBING, ELECTRICAL
& MECHANICAL: To be made befere
any work is covered.
CONCRETE SLAB INSPECTION: To be
made after all ins lab building
service equipment. conduit, piping,
accessories and other ancillary
equipment items are in place but
before any concrete is poured.
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FOOTINGS & FOUNDATIONS: To be m::de
after trenches are excavated and
forms are erected, all steel in
plnce, but prior to pouring conC1'ete.
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UNDERGROUND: Plumbing, Electrical,
Gas, Sanitary Sewer, Storm Sewer.
Wnter and Drainage lines. To be
madc prior to covering or fillin;:
trenches.
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UNDERFLOCR:, Plumbing, Electrical,
Mechanical. To be made prior to
installation of floor insulation,
decking or floor sheathing.
POST 8 BEAM: To be made prior to
installation of floor insulation,
decking or floor sheeting.'_
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FLOOR INSULATION & VAPOR BARRIERS:
~o be made prior to install~tion
of decking or floor sheating.
~~SONRY: Steel location, bond beams
grouting or verticals in accordance
with U.B.C. Section 2415.
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ROOF SHEATHING k~D NAILING: Prior
to installing any roofing.
ROUGH PLUMBING. ELECTRICAL &
~1ECHANCIAL: No work is to be co\'ered
until these inspections have been
made.and approved.
[B FINAL PLUMBING [2]
[ZJ FINAL EI.ECTRICAL
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FINAL MECIlANICAL
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[2]
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ATTIC DRAFT STOPS & CURTAIN WALLS,
FIREPLACE: Prior to placing facing
material s and before framing ..'
inspection.
INSULATION & VAPOR BARRIER: To be
made after all insulation and
required vapor barriers are in place
but before any lath or gypsum board
interior wall covering is applied.
FRAMING: To be made after the roof,
all framing, fire blocking and
bracing are in place and all pipes,
chimneys and vents are complete and
the rough electrical, plumbing and
heating wires, pipes and ducts arc
approved.
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LATIl AND/OR GYPSUM BOARD INSPECTION: :J
To be made after all lathing and
g)~sum board, interior and exterior,
is in place but before any Plastering:J
is applied or before gypsum board
joints and fasteners are taped and
finished.
FIRE & SEPARATION WALL: Located &
ccnstructed according to plans.
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WOODSTOVES: After installation is
completed.
SIDEWALK & DRIVEWAY: Required for
all concrete paving within street
right-of-way, to be made after all
excavating complete & form work &
sub-base material in place.
CURB AND APPROACH APRON: After forms
are erected but prior to pouring
concrete.
mE PROPER TUlE,
TlIE FRONT OF THE
.SPECIAL INSPECTIONS: In accordance with
Section 306 of the Building Code a special
inspector shall be effi?loyed by the Owner/
Contractor during con5truction of the
following work. A copy of the special
testing reports shall be furnished to the
Building Division.
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STRUCTURAL CONCRETE: In excess of 3000
P,S.1. (3060,1)
STRUCTUR~L WELDS: Preformed on the
job. (2722 f) ,
HIGH STRENGTH B0LTING: During .all _
bolt installation and tighting
operations (306 n.5)
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PARKING LOT: After gravel
place but prior to placing
or concrete.
is in
~,~P~~l.t. :' ...,
SPRAYED ON FIREPROOFING: (U.B.C.
Standards 43.,8)
SPECIAL GRADING. EXCAVATION AND
PI LLING: Durinf earthwork. (306 a.11
& Chapter 29)
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GLU-LAM BE~5: Inspection Certificate,
by an approved ~gency, furnished to
the City's Building Division before
beams are placed. (2501-U.B.C. STDS.
25-10.11) ,
* In addition to 1 he inspections
specified hereol... the Building
Official may make or require other
inspections of ~ny construction
work to ascertajn compliance with
the Building, City or Zoning Codes.
CITY'S SITE PLAN REVIEW BOARD INSPECTION: Must be requested 2 days in advance of the date you
wi~;h inspection. All project conditions such as landscaping, parking lot striping etc. must
be completed before requesting this inspection.
~ FINAL FIRE DEPARTMENT
SICNATUI\ /
,',,\ ,
er the final Plumbing, Electrical, Mechanical and Fire
pproved. No Occupancy of the pren:ises can be. made until
ss~ed by the Building Division an~ posted on the premises
DATE~ c;{J
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-I< ALL MANHOLES AND CLEANOUTS ~lUST BE :\CCESS LE, ADJUSTMENT TO BE MADE AT NO COST TO 1 HE CIn'.