HomeMy WebLinkAboutPermit Building 1991-4-8
12/07/90
12: 11
'6'503 726 3782
CITY OF SPRNGFLD
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nWM~'Pav Less DruQ Stores N,orthwest,
A.ldres~275 S.W. Peyton Lane
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nn OF" I;;;)DH.tt:"l'].[l
ClllSWAilO!I APPlICATION/PERMIT
l.~"ql .lJURCE'S:
Heat Natural Gas
l/ater Heater
Ranga N/ A
tJ~alUL of liorl:, ~".
Inc. . U)~~I ldo , "
Phone 682_41,)r!lU1 (dIM P~l"lllit Info: Describe Work( I ,e..
\.fi!l:l'Jy Ros'danca With ~,ttachad Gorac.)
.
i m~~mf1N I TIll'
Job Addross _ '1. \ 3() m\\ L\(\ n\.QYffi71
Legal lJescrlpt;on Map #17-03-25-1
Tax Lot 900 Journal #90-11-172
LNFO""^T10N L~~L
726--3753
.:.q.. t"'t9. Ma III..... ,. 4/zeIi'
~q. Ftg. Access././74,1
..,Sq.. Ftg. Other
~4sw___Add___Alter~~ep.
Fence Demo Change/Use
_Other
8o11d S;ngle
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Wilsonville,
Constructfon Lender,
OR 97070
N/A
c::- """';:'eLicT
N..svv 'PfS't'..,L--_BcJ.Il.-b('Io.1c,
Address
U"~IGN TEAll
In.....l
Phone
( addres't I
ni~.: niL)
C~xcir"e$'
(n~'
(d.~lln;~'Jr"{
~... ~'s: l-v. /Y:lt:J"~~V~
~.3>7'7-A?_>.l:~ ~77d/.
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(l "I"-=:; , ntI."
644;i~~no.=,
~d ,_223-0555 :
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PriClilry
EhIDann-Klas Associates
6775 S.W, Illth Aven, Beav.
Structura1 Walkl>r /Oi loreto/Younil>, Inc.
tlectrtcal not included at this time
Mechankal
COffTTlAL."TO[''::;
215 S.W. Hooker Street. Prln_
Gene..T I,.V6"~rw<=lo:>O ~~J~'
PTumbfno
b~~~. ~-:4'7'9f :?'<~-<~
Electrical
':~
Mechanical
Pl._tNC
,u:CTntcAL
Ht:C1lA/ftCAL
NO_ FEE I r:l-'.AtU:;;F ,.0
C~Gh ~in9\e Tixtu~~
,"20 R ,; ,,". Ip ':. a:2:>.""
Relocatad building
(n~w fix. additional)
S.F. R..ldente
(1 t..:.""'" \
DuplAN (1 b~~) oach
I ~I-I-
I n-l.ll."~~ Nil
,_ _ _ _ ____ _ _ ____ t"~~ r~Q~~
2. I f.. ''1l';'r./h"rn.~ +ft 7 SO If> "'"
OJ ~ /4!>/"~ Bru's(~ ' "'~ -'t>>
-, ~"'-~ ...-- ~ 2"~'
F10<lr furnaco
.nd vent
Rffii dPnrp 07'
SQ. FT.
New circuits alts.
or extan.s1ons
SERVICES
Roc;....d ""II
~"'........ 1........1.... ...... ....."j
Ivr
I COIfI./IriO. FEEDERS
Instal1/alter/relocata
amps.j
I
I
I. Appl iance vent
s~~~rat:p
Stationary evap.
__ ..c.col.8.
'? Vent fan with
r....~'4 ..!."."".
I Vgn:t; l:yctQID ~p:J.~ +1""00
heatina ot"" A_C_
Mechanical QXhaust
Mtld And duct.
>
9,<>-=>
AtltfHinn~l h.1oth
TGUpO'-"'ry Coru:"tv'ue.'t:.; iltft
1/(,,' Hater service
7G'Sewer
~t;' Stonn SONar
I 7'4,...
,
Iw.-
111s.".':'
IOJa.nge in existing
residence
I"",Hifamily. =. or
r"',.j..e........,.,
._ .sl~."J ....... ....-r,..F"'O-
WnnA ~nv~Jhp~~pr
Of _ -"""So
GL..kz7.'?5'/cdc &:'""""",7-'\~ ?~4<.c
~~...<" .4 ~~A'7ZiI. ~.th?'/7"
, I I I ISSUANCE OF PFRfl!T /,tP. ,,.
?~, AD I "I. ,,-=>
IUil'U.. ~ 7/"", 1'''<11 ,..Ul.f........ I tVIOL. I joI.1&"'~I;'). ~
HHerte- ~AT~ L-\K ~QuIRC UIa.L Ulft ~ec-.rt~l wnrlC llP acnp. ny .m.P1Pf':'7:l""1r~1 1./\1ITT'__"='1:"0"". tne (t1ec-tr1c:ai pOMi10n O't t:n'1S p.Qml.lt.
.::.lla.ll IIUI.. l..rr;: v~ll:J Ulli..tt Ult:l: la.Dt:!l hcci. been $tSQed rq a~ clec:o-lca\ :>UpQl'Vlsor an~ rewrnec1 to t..l'le l;iU11(1.'Ing U1V1Sl0n
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. I HAVE CARE'FTTrT Y FTAH'T'NFTl t"'- NUJlf\lj1!of'M _I"'nli,.,.,Hnn f'n.. ;oeormit. Jlnrl r1n 1oio1"'O"",y e.a...t+~. -eha-t 0.11 inflQFW,,:tion h8Y'$Qn i..: -t:......o
and correct.. and I 'further certify ~f1,I.t. any and all work. oer1'ormed shall be done in accordance with the Ordinances of the City'
.'.f' -.~., ~"ul""r_',l ....,J :..Ir... 1....-' ...r ........ "''''''-.0 eT U'raSDn pQ.1"'1:n1n1"V co 1:1'10. ,.arM .(;<00'-\110-:0 nCT"c",n. a.na WlG~ flU UL:l,.:l:I'AUl;Y ""' II t..c
mc:..:lc.
OT any Sl;rUC.tl..II"c ..iUlu~l. iJnt penalp'fun Of' the BullOlng D1VTs1on.. I fUrther c;ertiry U'lat my reglS-;rBtlon Wltft tne Mullder's
OO:&rd 1:; in 'Full 4="oroc. Gnd e.Tf'oC't: G.;l 1"Oo1-..f,o.I 1;.1 OS3 701aO::i~J Uoel,.. ir lO:AQo'lo'l,.. Un: Ja.:.1~ iu.. aAtrbl;Jl"_'!I-l:lo uulMtJ ,.n...II1. II;!.n!1 th4't
only subcontractors 'and l!lII(Jloyees """ are ;n compli/ltlC4 with OIlS 701.055 will be usad on this projact:;, /.d
IlAl-lE(please print) Rnh.>rr R KJ as SIR~~i\.!RE ~ ~ DATE 1/./7 /qO
FORut~l.::E:iSe.omY I
s<;. ftg. M.,;nl},m-..o/#..;; ,x'oCYY~value.2.7">./~-Z_
Sq, Ftg_ Access._ x Value
Sq. F19. Ot/ler~V/~ x ValuebS. ~2 /
1:J-{(-qO:U J g9J},'<"\ TOTAl. VAl.UATlOII.~~JZ~
I' Id./I~ ~~\'SUo:lS Developmot !/?"-'')'/ ~~
. '-.J::!.). cloar<ic t"1..S9r) 7~:p::;,...,t'i!:lM!!!:::>.J
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i t?~R.lYf!!...h.#A7 J,2eVg-;.v- r..='&-
I W.oePAY~h'?'1 - -=3~. "IS"
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i 51'iZS I::~ - ._, 1:;:'-;: 1
C0
Tvpe/Conrt.:;;.-y. .o;;'~A'lJnits
BadrnOOlS Occy load '
Stories I Dccy Group 8-2
Zone
Fi.r-e Zona
flood Plain
BU[LDlNG PERMIT
_.LZ't.z,._~~___
157. '?5"
___L9S: .....__
19.7S"
PTon Ck. Cor.rn/lnd
~~<<J01~~ ~~~ re~
Plan CIt.. Res ,
Jre/Blda Per Fea '
Fen~
Cilo.l~~ I;lU..!.
Surcharges
I"lU!1tHNli t't..KM.l1
Clat.'J~ 4nd
:iur1,;f1c:1~~
0e010
~1l=rTOTi!1 OS=-UpotTT
Cha rg.. an6
Surc;harge5
.t,~~..,..
AlC Paving
MEOWII CAL PERH1T
Ch. rges and
Surcharges
, ~/- ."'&> I,C<r.i>:Cl;'t-
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COMBINATION APPLICATION/PERMIT (CAP)
I. Applicant to furnish
A. Job Address
B. Legal Description
1. example- Tax Lot 100, lane Cou~ty Map Reference
II 03 43
2. example- Lot I. Block 3, 2nd Addition to
~prlngtield Estates
C. Name, etc. of owner and construction lender
D. Energy Sources
'I. exam~le- heat/electrical ceilinq/or forced air Qas
2. example- waterheater/electrlcal/or solar
E. Square footage or valuation, etc., ------
I. exam~le- 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
attached garage
2. examele - remodel existing garage into family room
3. exam~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 '
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 Schedul.es
are available at'the Building Oivision
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 OIVISION 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. ---
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
PROJECT ~ONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
'';' ,.'~ ~.
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t .~;"""'..l
PERMIT VALIDATION
Permit
'Clerk~ {['f;LJ
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Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information:
,":1
PLANS REVIEWED BY:
.
signature
4.et~?~ C>
date
1~-=<~.9/
name, L.~R/YE R.. ~ ~
,,,
"
~
" Required
.
IT IS THE RESPONSIBILITY OF TIlE PERMIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TUIE.
TIIAT EACH ADDRESS IS READABLE FROIi TIlE STREET. AND TlIAT TIlE PERMIT CARD IS LOCATED AT TilE FRONT OF THE
PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TnlES. '
Inspection:: ..
.
PROCEDURE FOR REQUESTING IllSPECTIONS: Call 726-3769 '(recorder) state you CITY DESIGtlATED JOB NUMBER..
job address, type of inspection requested and when you will be rea~y for the inspection. Contractors
or owners name and ohone number. Requests received before 7:00 am,will be made the same day, requests
received after 7:00' am will be made the followinh work day,
Your, City Designated Job Number Is: 90/ S/ t::: /
J~b Address: 2/ ~O, M.Al:l?.c'C;LA .RP,
Owner:,)j}~.(8)5 ~~ ~AE;S" tJ(JIY-.h<: .Phone: h.B.:>.q/~
. ,
Contractor:..w~~D LL>RP. Phone: ..c;..,.-<-<~"""
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ATrrCORwr STOPS & CURTAIN WALLS.
SITE INSPECTION: To be ..de
after excav~tion. but prior
to setup of forms.
UNDEIlSI.,\B PLUMBING, EI.ECTRICAL
& .'IEI~liAN[C\L: To be :aaJe be rare
any wrirk is covered.
SPf:CIAI. INSPECTIONS: In accordance with
Section 306 of the Building Code a special
inspector shall be employed by the Owner/
Contractor during construction of the
fo~lo~ing ~ork. A copy of the special
testing reports shall be furnished to the
Building Division.
FTREPL^C~: Prior to placing facing
materials and before framing
inspect ion.
~
INSUIATtON F, VAPOR BARRIEB: To be
made after all insulation and
required vapor barriers are in place
but before any lath or gypsum board
interior w~ll covering is applied.
FRAMI~G: To be made after the roof,
all fr~ming, fire blocking and
bracing are in place and all pipes.
chimneys and vents are complete and
the rough electric~l. plumbing and
heating ~ires, pipes and ducts are
appro'/elL
CONCRETE S~\B INSPECTION: To be
made aiter all ins lab building
service oquipment. conduit. piping,
accessories and other ancillary
equipment items are in place but
befora any concrete is poured.
STRUCTURAL CONCRETE: In excess of 30r.'
P.S.I. (306 a.t)
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FOOTr~c.s 5 FOUNDATIONS: To be made
aiter trenches are excavated and
fo~ are erected, all steel in
placo. but prior to pouring concrete.
~OF.!lC~i10U~IO: Plumoing, Elecaic.:11.
Cas, Sanltary Sewer, Storm Sewer,
W:J.ter :Ind Or:lina~e lines. To ~c
maue prior to covering or filling
trcnc~les .
STRUCTUR\L WELDS: Preformed on the
job. (2722 f)
HIGH STRENCiTH BOLTING: During all .
bolt installation and tighting
opcr3tions (306 3.5)
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LATII ANn/nR r,yPSt~ ~OARn I~SP~CTION: ---,
To be maue aiter all lathing and ~
8)~sua board. interior and exterior,
is in place but before any plastering---,
is applied or before gypsum board -.:J
joints and fasteners are taped and
finhhed.
SP~\YEn ON FrREPROOFr~G:
Stamianis .J3-d)
(U.D,C,
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FIRE ? SEP.\RATIO~ \'lALL: Loc.:1tcd I';
ccns..:uc:eu J.ccoruin~ co jllans.
SPECIAL r.RAOr~G,
PI LLI~G: o-,ning
& Chapter 29)
EXC\V.\TlON ,\NO
earthwork.. (306 3..11
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UNOERFLOCR: . Plumbing, Electrical.
Mechamcal. To be made prior to
installation of floor insulation.
decking or floor ,heathing.
POST r. BEAM: To be made prior to
In3t~llation of floor insulation.
decking or floor sheatin~..
FLOOR INSUI.,\TIO~ ~ VAPOR BARRIERS:
To be ~tle pr:or to lnstall~tlon
of decking or floor sheating.
r.W-L.\M 9EAl.s: Inspection Certificate,
by an approved agency. furnished to
the City's Building Division before
beams are placed. (2501.U.B.C. STDS.
25-10,11) .
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'''^JlJ''''''.rF.S: After installation is
completed.
SIDEWALK P, DR [VEWAY: Required for
all concrete paving within street
right-of-way, to be made after all
excavating complete " form .ork" ..... rHa$$" I;p~~ /Jr?Q Ofl~
sub-base material in place. A 5.41P~~ ~/r
CURB ANO ,'PPROAOI APRON: ,Aft~r fon, J:7:>uez> ,Z3y &i!T4k. ~~K$.
are erected but prIor to pour~ng . .
concrete. * In addition to the inspections
,-' specified hereon, tlle Building
Official 3&1 aake or require other
.inspections of any construction
"work to ascertain compliance with
the Building. City or Zoning Codes.
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~IASl1:-1nY: Steel 10c:1tion, bond beam~
grouting or verticals in accordance 0
with U.B.C. Section 2415.
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ROOF SlIEAlln~IG AND NAILING: Prior,
to installing any rooiing.
ROUGll PUOOlING. ElfC11UCAL &
MHJtANCIAL: No vork is to bo covered
until these inspections have been
made and approved.
IR]
PARKIUC LOT: After gravel
place but.prior to placing
or concTete.
is in
.spha! t
~ FINAL PLUMBING
,
C21 PI~AL ELECTRICAL
[2j FINAL ~lEalANlc.\L
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CITYtS SITE PUN RI:\'tEW BO..\Rn INsPEcrrON: Must be requested 2 days in advance of the date you
wish inspection. All project conditions such as landscaping, parking lot striping etc. ~st
bu com~leted before requesting this inspection.
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PINAL BurLntNr.: Must be reque5ted after the final Plumbing,' Electrical, Mechanical and Fire
Department inspections are made and approved. No Occupancy of the premises can be made until
a Certifi;~e of oc1allCY ~r iSS?i by the Building Division and posted on the premises
SIGNA11JREZ ,-::-#J-!,_.f-1 (J~/rI-' OATE <7-.- P -- 9/
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[ZJ Fl~AL PInE DEPARTI-lE.'/T