HomeMy WebLinkAboutPermit Building 1989-5-16
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I INSPECTION LINE . CITY OF SPRINGFIElU
726-37{,9 COImlllMION APPLICATION/PERMIT
Job Address ;)nOp Bl(rq:---S~-MoffaWKMarKetpd ace EIIERGY SOURCES:
7./:'''1'' ~ar.co-l-a-Ra1&--1-9th ~~. lieat a~~
I.egal De,cription MaD 17-02-2S-?~ !Iater lIeater_ele~
Ran~e N / A
Tax Lots 00100J..00I01.00102. 00300. 00400
Owner Hi 11 man Properti es
AdJ res S l'.lwnc
anD-NQrth Tnmahawk T~l~~Dr ?~<-dll1
Portland, OR 97217
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Valuf of Hark:
INFORIIAHON LINE
726-3753
Sq. Ftg. 1,Iain 9440
~Q. Ft!J. Access.
Sq. Ftg, Other
-X]lew__Add__Alter__Rep.
Fence Demo Change/Use
Dther -- --
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N
N
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$??fi.'ifin.{ln,
(Juil<;;nQ Penult Info: Descr,be Work{i~e"
Family Residence IHth.Attached Garaoe)
Buil d S; ng 1 e
Construct.structural shell and enclosure
for Lease buildings. Tenant improvements
to be under separate. permits I
!lies. no.l . (exnir~s) rohone no.
Cons truct i on LendeUnknown
Primary Ehmann-Kl as Associ ates :'PC
Structur;fl. A. Walker Ena.
Electrica! MFIA. Inc.
l1echanica! same as elect.
CONTRACTORS (name)
General Lloyd PO~le11 & Assoc.
AJJrc$s
DO I GI~ HAil
(nal1le)
Phol\('
(address)
6775 S.W.
Ptld, OR
I11th Ave.
97005
1294
(address)
€lies. no.
Plumbino
to be bid
737 Market St. Kirkland. Wa
Electrical
+" no. hili
to be bid
ELECTRICAL
"lechani ell 1
riD.
PLUIIB IIIG
FJ;.f 1 CHARGF NO
I:F F fHI\RG.E ..lfl!.
Residence of
Each single fixture
SQ. FT,
Relocated building
(new fix. addilio~~l)
V' New circuits alts.
or extensions _
"2 p/-j ~~&'
SERVICES
74-:9' . .
S.F. P.esidence
(j bath)
Duplex (I hath) each
Additional bath
198 \Jate.':.~vice
1/6' Sewer
Storm Sewer
?5:-<>
f
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1/$."4
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1./ ISSUANCF OF PFRlllT
.7").""" TOTAL CIIARGES /12 S2:> I TOTAL CHARGES
that the Electrical \'lOrk be done by an Electrical Contractor, the electrical portion of this pemit
label has been signed by an Electrical Supervisor and returned to the Building Division
"/.>.--
Temporary Construction
Change 1n existing
_~nrp
multifamily, conm. or
lnduc;trial
I [Of ~&>O
/C0I11'I./IND. FEEDERS
IInstall/alter/relocate I
rli~trih. fpprlpr~
/ IOf /~ amps.1
~.~
amps.1
TOTAL Cllft.RGFS
WIIEP.E STATE L.\II REQUIRES
shall not be valiJ until the
Ii/~O/Ra
1i44-4???
??<-n~~~
?<4-n~dA
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Cexniresl
Cohonp no_ 1
. .'
(701i) R2R-4444
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MECHANICAL
I Hr rlll\RGL
furnace/burner to
BTlI's
Floor furnace.
and vent
Recessed wa 11
~n~rp hp~tpr ~nrl vpnt
Appl lance vent
sroa ra te
Stationary evap.
r:noler
Vent fan wi th
sinole duct
Vent system apart from
heatinq or A.C.
Mechanical exhaust,
hood and rlurt
I \Iood stove/heater
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I It^V[ C^HErUll.Y EXN11lj[D t~1f~ completed appliciltion for t1ermit, and do hereby certify that all infonnation hereon is true
and correct. ilnd I further certify that any and all wor~. nerformed shall be done in accordance with the Ordinances of the City
of Springfield and the Laws of the State of Ore~lOn pertaining to the work described herein. and that He OCCUPArlCY will be. made
of any structure without the permission of the Buildin~ Oivision. I further certify that my registration with the Builder's
Board is in full force and effect as re~uired by ons 70I.O~5. that"if exempt the basis for exemption is noted hereon. and that
only subcontractors and emnloyecs \.,ho are in comnliance with Or.S ]()1.055 \"1111 be used on this project.
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SIr.IIATURE ~A:f ~ ~
DATEYI?)AG)
Zone.--?C
Fire Zone
Flood Plain
BUILDIIIG PERI,IIT
Charges an~
Surcharges
PLUI1BING PERMIT
Charges and
Surcha rges
ELECTRICft.L PERJ:IT
Charges and
Surcharges
MECHANICAL PERI1IT
Charges and
Surcharges
Tyoe/Const.~~-?~~.Units
. ;
Bedrooms Occy Load
Stories I ':Occy Group
FO~ OFFICE USE 0I1LY
Sn, Ftg. llain
Sq. Fla. Access
R-2.. S~, Et9. Other
9vSlo
Plan Ck, Comm/lnd
_ _ 2t.6.. _~ _ ~!lo P.pr Fpp
Plan Ck. Res
55': <7'1 30t/Bldn Per Fee
____2~~_ Fence
:;.75:' Demo
.__j_!..?:.?2.~ Sidewalk
5'.63
1~L"7./9
I
A/C Paving
I Curb Cut
1-
x "2<,(....... Value'Z:zit;, $2:l!::>-""
X Value
x Va 1 ue
TOTAL VALUATION .",.
System, ,s Development
Char~e C1.5~)
7; "{9&A'6'
Total Comb. Permit
95'1,57
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TOTAL
%817. 16
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COMBINATION APPLICATIDN/PERMIT (CAP)
I. Applicant to furnish
A. Job Address
B. Legal Description
I." example- Tax Lot 100; Lane County Map Reference
II 03 43
2: examp1e- Lot I. Block 3, 2nd Addition to
. ~prlngtield Estates .
C.. Name. etc. of owner and construction lender
'D. Energy Sources
I. exam21e- heat/electrical ceilinq/or forced air Qas
2: exam~le- waterheater/electrlcalJor solar
E. .iSquare footage or valuation, etc. -
I. examp1e- 1250 sq. foot house, 500 sq. foot garage
. -2. example- Tfilew project, checknew - if addition,
. check add, etc.
F. Bullding pennit information:
I. example - construct single family house with an
, attached garage
2. exam~le - remodel.existing garage into family room
3. exa~le - convert single family residence into
restaurant (change of use)
G, Value of work as defined in Section 303 (a) of the
Structural Specialty Code '
Ii. OESIGN 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 abbrev1ated
r 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 SCIiEDULES
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. -
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 duecand 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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PERMIT VALIDATION
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V, FOR OFFICE USE ONLY
Permit Clerk
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PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
/-7#/.'5 P~/;;7/r~P.' ~a:Z?'~ 5#~.?L 6);?~7. &~/5/-? ?~~
.. ...
j);...""" LrA"$G 5~&3" $<l P~/~ hp/z;-"",_....?i'C h?f"n~ ~ _
aCZ7ff/~c> ~~?M:?/~. /,~~?U ~M.r..-fC~ _/~~ ~
_,,~(?rC'P~ ~~ _~_~~. /~h?/7>S r ~<::5-?5:
" '.; Permit applicant exemp't from registration with the Builder's Board because:'
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Additional Project Information:~?~/,??,/.?""S M :3='c hc..r<S2S0/'il77L
.~/~ P~L/?'f'/?>~;r ~~~r-,~9YC:-2> .~~Y_.J c::;:jp.?Y/?7
~;(:H's-f1?~r~ ~r-;';~ '27' c.:Jrr- c:7?.:;.;;~ 'CC~-?'7)!'~
7ly/?/~ &~ y9-~7.
PLANS REVIEWEO BY:
<: ~a~~..L~....'7'/c .h:R::~
Signatur4~..4~
, // Vr /'
date
71~ "2/-ZfF7
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.. Re~llired
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Inspectior...
'IIT IS THE RESPONSIBILITY OF TilE PERlilT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TIt.lE,
'THAT EACH ADDRESS IS READABLE FROM THE STREET, AND TIlAT THE PERMIT CARD IS LOCATED AT THE FRONT OF THE
PROPERTY. llUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TUlES,
PROCEDURE FOR REQUF.5TINC INSPECTIONS: Call 726-3769 (recorder) otate you CITY DESIGNATED JOB NUMBER,
job nddrcsn, type of inspection requested and when you will be reedy for the innpection. Contractors
0= owner5 name and phone number. Requests received before 7:00 am,will be w4de the same day, requests
received after 7:00 am will be made the followinh work day,
r
fS90:27C "F ~q6>'22:>
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Your City Desip,nated Job Number Is:
Job Address: /Q/641 -:2/~ ~~~'-'-.#-
Owner: ~t:.L/"??".(}-./<>/ ~~~//~ Phone:
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Contractor:"~"Y;D ~......~(~ ::I ~.,~.
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SITE INSPECTION: To be made
aftcr cxcnvation, hut prior
to setup cf forms.
lJNOEllSI.AR PI,lJHRING, EI.ECTRIC,\l.
f, ~mCIIANJCAI.: To he ;nade before
any ,,'ork is covered.
CONCnr:TI': SIAn INSPr:CTlON: To be
malle after all instab building
sorvice equipment, conduit, piping,
accessories nnd other nncillnry
equipment items aro in place but
before any concrete is poured.
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rOOTINGS fr rOUNOATIONS: To bc made
nfter trenches are excavnted nnd
forms :Ire erected, all steol in
place. but prior to pouring concrete.
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lINOEnGnnUNn: l)lumbing, Electric:J I,
Gns, Sanitary Sewer. Storm Sewer,
\~:lter :md Dr:1inage 1 ines. To he
m:lde prior to covering or fill ing
trenches.
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UNDnRpI.OClt:, Plumhing, Electrical,
Mcch:lIlical. 1'0 be made prior to
installation of floor insulntion,
lleckillg or floor shcatlling.
POST ~ nEAM: To he made prior to
in:a:lll:ltioa of f1oor.ir:sulntion,
decking 01' floor :;hc<:ting.
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FI.OOH INSlIl.^TlON f, VAPOR RARnlHRS:
To be mlll.Jc prior to installation
of deck in!:, or floor sheating.
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~,^SONnY: Steel 10c;ltion, hond beams
gl'outing or verticnls in accordance
,<lith u.n.c. Section 2415,
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[mcw SlIEA'!lIH:r. A~ln Nl'.ll.INro: Prior
to install ing :Jny roofing.
ROUroll PI.\JMIHNr.. EI.Er.1'IUr:AI. li
~mCIIANCI^I.: No \l'ork is to be covered
Imt i I these inspectio:ls hnve been
m:hle nnd approvel.!.
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Phone:
'2:!!> 3-'////
t':< C6) $-:; :!?-'Y</<Y~
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LATII ANn/OR GYPSUM BOARn INSPECTION: :J
To be made after all lathing ::md
g)'psum hoard, interior nnd exterior,
is in place hut hefore nny plnstering I
is npplied or before gypsum bonrd ---1
joints nnd fasteners nre taped ;:md
finished.
ATTIC ORArT STOPS f. CIIRTAHI {jALI.S.
rnmPLACE: Prior to placing facing
mnterials and before framing
inspection.
INSUlATION r. VAPOR RARR!r:R: To be
made after all insulation and
required vapor barriers arc in plnce
but be foro any lath or gypSUQ board
interior wall covering is applied.
FRAMING: To be mndo after the roof,
all fr~ming, fire blocking ~nd
bracing aro in place nnd all pipes,
chimneys and vents arc complete and
the rough electrical, plumbing and
heating wh'es, pipes :lnu ducts nre
approved.
rtRE fi SEPARATION \'iAl1.: Located &
constructed according to plnns.
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woOnSTOVF.S: After installntion is
completed.
SIDEI'IAJ.K r. DRIVEI'IAY: Required for
all concrete pnving within street
rightwofwway, to he made after all
excavating complete C form work &
sub-base material in place.
CURB ANn ..,\PPROACII APRON: After forms
are erected but prior to pouring
concrete.
.SPECIAL INSPF.CTlONS: In accordnnce with
Section 306 of the Building Code n special
inspector shall be employed by the O~nerl
Contractor during construction 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 30(l1l
P.S,1. (306 a.l)
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PARY.ING l.err: After gravel is in
place but prior to placing asphalt
or concrete.
STRUC1'UIV\t. l'IELnS: Preformed on the
job, (2722 f)
HIGH STRENGTIl BOI.TING: During all
bolt instnllntion nnd tighting
operations (306 a.S)
SPRAYEIl ON rIRr:PROOFING: (U.B.C.
Standards 43.8)
SPECIAL GRADING. EXCAVATION AND
FII.LING: During earthwork. (306 a.l1
& Chnpter 29)
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GI.U-I.AM Br:N\S: Inspection Ccrtific.:lte,
by an <1pproved agency, furnished to
the City's Building Division before
beams are placed. (2S0l-U.B.C. STOS.
2S-IO,Il) ,
* In addition to the inspections
spccifie~ hereon, the Building
Official may make or require other
inspections of any construction
work to ascertain compliance with
the Building, City or Zoning Codes.
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CJTY'S SITn PIAN REVIEW BOARD INSPECTION: Must be reGuested 2 days in advance of the date you
wish i~5pection. All project conditions such as landscaping, parkinC lot striping ctc. must
bo coru~leted hefore requesting this inspection.
PINAL "tIIl.DING: Must bo requested after the final Plumbing, Electrie<ll, ~'echnnical OInd rire
Ucpartmcnt inspections arc mOlde OInd OIpproved. No OccupOlncy of the premises cOIn be m:lde until
;1 Certificate of Occup~ncy hns been issued b)' the Building Division and posted on the premises
SIGNATUREbR u~
FIN,~L PI.lJ~mING
I:INAI. nLECTIHCAI.
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PINAl. ~lEr.IIANICAI.
FINAL FIIU! mWAItTMmrr
OATE
5 -1& -59
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