HomeMy WebLinkAboutPermit Building 1987-2-5
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CITY Uf SPRINGFIELD INFORfIATION UNt
COMBINATION APPLICATION/PERMIT 726-3753
E!lERGY SOURCES: /, Sq. Ftg. 1.lain /7$0 . CJ7. J<1;'tl
Job Address 7305 Main Street. Snringfield Heat 8.ELT N'EA-~/:1 ~q. Ftg. Access.
Legal Description 7305 Main Street l,later Heater Sq.' Ft~Qer '" 3;;;J..';J.., M
31"~"'5L~.:j llem~~~;:.-: :::li~,L'.~ Range ~::~~1niC1t~~anPg:juse ~
Unner Mausoleum /7-02.35, 7'L :?7.r1Z:1 Y70q V"h'} - - - I ~
ValUE of Hor~X/7{';O"{J~ ~ Other
Owner, Springfie1d Memorial Garden, Cern & Mausol. N'w": vvU " I
Buildino Permit Info: Describe Work(Le. t Build Single I
Address 7305 Main St.. So'dn~fi<:,I(::L Phone 74f;-,53lfamilv ~es;dence I~ith Attach~d Garao~\
Ph.746-5311 r I
r/NI.ly,1'I.' wf'm Nt"lVfM ~ II- e,Jr/rf't:2 '
Construction lender C PJli'T9Y,y/AI.. fJl/'vk;. 7lIiIJ tSit!-rllJ..cr~.:>o/ W4:f S'7:1tt'Z/2:iD /'7/ /.9"l
Address 0. 1/0), tlvl B1'b-..,( Phone 7)'t. ).77 ? Vat) t=YI. 4'-'E' (<JJ'oV';Y ;:7t:11.-<?/ZJ f3 to ?V;u;-
DESIGN TEAr.., (name) (address) (lies. no.) (exnires) A (ohane no.'l
Primary ,James Ker-fe. deseased "od Kenneth H. Wollenweher ?It '\4?-27~.
Structural Sam~ / ,.ri rh M~('1r Mnnrp
Electrical ~~mp wi th Mack Moore and Rohert R. Smi th. el ct. Enpineer,
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TOTAL CHARGES zSS: <:rC' TOTAL CHARGES ;:)"2~SC> TOTAL CHARGES /8. .,.,.
WHERE STATE lAl~ REQUIRES that the Electrical work be done by an, Electrical Contractor, the electrical' portion of this permit
shall not be ~al;~ ~ntil the la~el has been signed:by an Electri~al Supervisor and returned to-the Building Division
I HAVE CAREFUllY EXAm NED the completed aprlication for permit, and do hereby certify.that all information hereon is true
and correct, and I fu~th~r certify that any and all work oerforrned-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 UO OCCUPAIlCY 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 compliance with ORS 701.055 will'be~sed on this project.
, Mack Moore, president/owner f1d' / ~--~
I~AI,IE(please pnnt).s.r-' nL".i.el~ M~~=L"' r.o~o1"n~ SIGNATURE Ij/~I rJt).. DATEEeb' C; 1 Q'!7
FOr. OFFICE USE mil Y
Type/Const.~J'~~. Units Sq. Ftg,
Bedrooms Occy load Sq. Ft~.
Stories / Occy GrouP-4-:3~ Ftg.
Ilain x Value /7:'!\,-...
Access x Value
Otherl2lY/N!~X Value,' f..'7_~..c,
TOTAL VAlUATlON/B'l C~ "c'
Pt>.,.. ~-....., R'P'" ,,? '
C/?7. 70 ' . . ~h~;~~'!~~mopment 2>5 05'. <S'=
Y'II.I'-l'
. I INSPECTION llNE
726-3769
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Mechanical <::'':lmA(\
CONTRACTORS fnamel
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--radah~sn ---
Moore
Genera 1 Ma.c.k.-Mf'\f'\T',:o.
DT',:o<::.; Ar.>n+ _f'\l.fn,:oT"
t;lp"''''''''' +A.".
Plumbino M~("k MnnT'P Dy.p~; ,:!pnt"_nt.lTnP1'" operator
Electrical Mack Moore, President-owner operator
flechanical Mack Moore, President-owner operator
PlUI1BING
ELECTRICAL
NO,
FFF rHARr;F
NO I
Residence of
6
Each single fixture
SQ. FT.
7$0 fSw
Relocated building
(new fix. additional)
S.F. Residence
(1 bath\
Duplex (1 bath) each
Additional bath
/9J ~Iater service
!5"t? Sewer
~ Storm Sewer
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New circuits alts.
or extensions
SERVICES
ITe~POrary Construction
IChange in existing
l"P~ j rlpnrp
Imultifamily, comm. or
Tnrtu<;.trial
IOf ;2~
ICO~1./IND. FEEOERS
IInstall/alter/relocate I
rti<;.trih. fpprtprc;.
/ IOf <: /CR:> amp..1
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(25:- (
amps.1
Zone.,L-at?
Fi re Zone
Flood. Plain
BUILDING PER~IIT
Charges and ""'_
Surcharges tI"'"
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Plan Ck. COITllll/lnd'
___~<2f.._Z![___ 65%/Bldo Pyr Fee
Pl an Ck. Res
,~'f.(!)7 30%/Bldo Per Fee
_"~_?~~~_~ .Fenc~,-.. . ..... .'
/&.:;z:> D~o
___.z:f2-~__S1dewalk
::z -je:;
____!ff!:.~__ Curb Cut
.72
PlUI1B ING PERMIT
Charges and r
Surcharges ':>
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ELECTRICAL PERI11T
Charges and I ~
Surcharges ~
MECHANICAL PERMIT
Charges and 1_
Surcharges \.fl
A/C Paving
(1;rs. no. l
(pxnires\
(ohnnp nn. \
7.}.h_c;,7;11
.;.. .,,"'" t:i'4:1Y)
,-,,';""'1
/2. - '/-:.0
MECHANICAL
I ~~~ I rl.l~ NO_ I
furnace/burner to
BTU's
I ~~CI...cHARG.E.
Floor furnace
and vent
Recessed wall
So~rp hp~tp~ ~nrl ~pnt
;::<
r/~ ?~~
Appliance vent
seoaratp
Stationary evap.
cooler
Vent fan with
sinole duct
Vent sys tern apa rt from I
heatino or A.C.
Mechanical exhaust I
hnnrt "nrf ,turt
woo~ st~v~/~eater I
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I SSUANCE OF PFRllIT
.,
C''''~-~C;v~~'~;~~';;;Y7
::'W' }2,,,,,,,~ - =X;-.5c..
92Sc>
.( 056.. 2 <f
:?B25: 28 ~
Total Comb. Permit
TOTAL
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CpMBI~A1ION AEPLICATION/PERMIT (CAP)
I. Applicant to furnish
A. Job Address --:~.......
B. Legal Description
1. examp.le- Tax Lot 100, lane County Map Reference
II 03 43
2. example- Lot 1. Block 3. 2nd Addition to
Sprlngtield Estates ~ .
C. Name. etc. 'of,oVmer and construction 'lender
D. Energy Sources " C
... 1:- exame 1 e- hea tie 1 ectrica 1 ceil i nq/or. forced air qas
2. example- waterheater/electncal/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 pennit information:
1. example - construct single family house with an
attached garllge
2." examyle - remodel existing garage into family room
3. examjple - 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 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
fu 11 schedu 1 es
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 penmit is issued.
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PERMIT VALIDATION
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V, FOR OFFICE USE ONLY
Permit
Clerk OV
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PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
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Permit applicant exemp-t from registration with the Builder's Board because:
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date ~-/9~g')
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.. iJquired
Inspecwns ..
IT IS THE RESPONSIBILITY OF THE PE~~IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER Tll'lE,
THAT EACH ADDRESS IS READABLE FROII TilE STREET, AND THAT THE PER.'11T CARD IS LOCATED AT TilE FRONT OF THE
PROPERTY, BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIllES,
PROCEOURE FOR REQUESTING INSPECTIONS: Call 726-3769 (recvrder) state you CI7Y DESI8NATED JOB NUMBER,
job address, type of inspection requested and "'Jhen you will be ready for the inspection. Contracto:::s
or owners name and phone n~~ber. Requests received before 7:00 am.will be ~ade the same day. requests
received after 7:00 am wi~l be ~de the followinb work day,
Your City Designated Job Number Is: &'7CO::;?")
Job Address: 7"3'a-::> /7?/?7N' 57-:-
Owner: :5~_ h/'&i....~,"",......c ~~~hone: 7<76-~//
SITE INSPECTION: To be made
after excav~tion. but prior
to setup of forms. 4 J
UN~aSLAB PLUMBING, ELECTRICAL
a ~1ECHANlCAL: To be :nade befere
any ~rk is covered.
CONCR~TE SLAB INSPECTION: To be
made after all inslab building
service equipment, conduit, piping,
accessories and other ancillary
equipment items are in place but ~
before any concrete is poured. ~
FOOTitcS 8- FO~ATIONS: To be made
after trenches are excavated and
forms are erected, all steel in
place. but prior to ~ouring concrete.
UNDERGROUND: ~~um~ng. Electrical,
Gas, Sanitary Sewer, Storm Sewer, 0
Water and Drainage lines. To be
made prior to covering or filling
trenches. [2S]
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 she&ting...
SIDEWALK 8- 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.
O CURB AND APPROACH APRON: After forms
are erected but prior to pouring
ROOF SHEATHING k~D NAILING: Prior concrete. *In addition to the inspections
to:l~stalling any roofing. r\tl PARKING LOT: After gravel is in specified hereon, the Building
ROU~ PLL~ING. ELEtt~AL & ~ place but prior to placing asphalt ?fficia~ may make or require. other
MECHANCIAL: No work is to be covered or concrete. lnspectlons of ~ny cons~ructlo~
J8J "~~~Ooot.~~-""'~~ ~ - work to, a',certal," cornphan,ce wlth
until these inspections have been ~~;:~~."'~' r~~~~~the BUlldlng, Clty or Zonlng Codes.
made and approved, _ ~" 5mu<r. <"'~;Y~/e-. .."
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Contractol:": OW.N'~
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FLOOR INSULATION & VAPOR BARRIERS:
To be made prior to install~tion .
of decking or floor sheating.
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MASONRY: Steel location, bond beams
grouting or verticals in accordance
with U.B.C. Section 2415.
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FINAL PLUMBING
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CITY'S SITE PUL~ REVIEW BOARD INSPECTION: Must be requested 2 days in advance of the date you
wish inspectio~. All project conditions such as landscaping, parking lot striping etc. must
be ~om~leted before requesting this inspection.
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FINAL ELECTRICAL
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Phone:
ATTIC DRAFT STOPS 6 C1::IRT.\ItJ l':.LLS..
FIREPLACE: Prior to placing facing
materials and before framing
inspection.
INSU~~ION & 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 are
approved.
FIRE 6 SEPARATION WALL: Located & ~
ccnstructed according to plans. ~
~ AND/OR GYPSUM BOARD INSPECTION: ---,
To be made after all lathing and ~
g}~sum board, interior and exterior,
is in place but before any plastering I
is applied or before gypsum board ---3
joints and fasteners are taped and
finished. .
WooDSTOVES:
completed.
After installation is
SPECIAL INSPECTIONS: In accordance with
Section 306 of the Building Code a special
inspector shall be employed by the ~~er/
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:
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STRUCTUR~L WELDS: Preformed on the
job. (2722 f)
HIGH STRENGTH BOLTING: During all _
bolt installation and tighting
operations (306 a.5)
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SPRAYED ON FIREPROOFING: (U,B,C,
Standards 43-8)
SPECIAL GRAOING. EXCAVATION ANO
FILLING: During earthwork. (306
& Chapter 29)
GLU-LAM BEM-5: Inspection Certificate,
by an approved agency, furnished to
the City's Building Division before
beams are placed. (2S01-U.B.C. STDS.
25-ID.1I), '
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FINAL MEO!ANICAL
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FINAL BUILDING: Must be requested after the final Plumbing, Electrical, Mechanical and Fire
Department inspections are made and approved. No Occupancy of the premises can be made until
a Certificate of Occupancy has been issued by the Building Division and posted on the premises
[l] FINAL FIRE DE!'ARTME~rr
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SIGNATURE
DATE
*ALL ~~HOLES ^ND CLEANQUTS ~ruST BE ACCESSIBLE. ADJUS~ffi~T TO BE ~~DE AT NO COST TO THE CITY.