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HomeMy WebLinkAboutPermit Building 1986-3-24 ~ \3)' ......'/ ,-....;1 ~ ~ ~ ,tt /6~ 20 I IrISPECTION L1f1E 726-3769 -#5/00 ~~t!if-J '~~,. d;;o' . CllY Dr SPRINGFIELD ~ t- INFOR/IATIDN LINE CDMBIflATION APPLICATION/PERMIT 726-3753 E!lERGY SOURCES: Sq. Ftq. "Iain~/n-,,", . Hea t ~q. Ftg. Access. Water Heater Sq. Ftg. Other , flew)(Add Alter Rep. Ranqe -Fence Demo Change/Use l ValuE of Hork: Other- - 1........L7.ao.oo Bu;lGlnQ Permit Info: Describe Work(i.e., Build Single Familv nesidence With Attached Garaoel Ce:w~r;u<:',r /a.8 t;6 ,"'8crrL~ l':;;;rn~~t:E" -4DZJ/r/c:::w J.; 7-// Phone <7"~# -" ~bD L_T?"pP-~/N~. \ (address) -(l1c5. no.l (exoiresl (chane no.. 26/J.(IfJ /fJ.;;il/1;;t PI/nd 97?a9 ~ ~Q'-I-/)JI() -', ., ~l" I ~ Job Address .~fl"8 MA//V Legal De5Cription 17.~Z.33-C/1 . j )> ,S ~, Owner 01'1+1daJld Address Construction lender Address DES I Gtll EAI1 <7 <'2'11:>1 ~ ~ f\l UJ (~iJim.- Phone Primary YdJJ ) (name) () A ./'JiLCr)! j/.) Structural Electrical Mechanical CONTRACTORS (name) General Plumbina Electrical ~1echanical PLUllBIIlG -llih Each Single fixture IRelocated building (new fix. additional) IS.F. Residence (] bath) IDuPlex (1 bath) each IAdditional bath I ~Ia ter servi ce I Sewer 'sa'l Storm Sewer I I I I I I Zone LC: Fire Zone (address) flies. no.) (~xoirps\ (ohonp nn I I I I I I I I I I I I I I Iza- I ELECTRICAL EEL IJ:IiARIiE.! "0 MECHANICAL I I ~J:~ 'rl-lJ1RG..E. Tyoe/Cons t.:ZZZ - N Bedrooms Stories Flood Plain BUILDING PERmT Charges and Surcharges PLUI1BING PERMIT Charges and Surcha rges ELECTRICAL PERI~IT Cha rges and Surcharges MECHANICAL PERMIT Charges and Surcharges I FEE r.Hi\Rr.E Nn I / /'/<. Residence of furnace/burner to STU's I I I TOTAL CHARGES ZOo - TOTAL CHARGES IS". 00 I TOTAL CHARGES . WHERE STATE L'l~ REQUIRES that the Electrical work be done by an."Electrical Contractor, the electrical portion of this pemit shall not be vali1 until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFULLY EXM11NED 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 oerformed 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 IW OCCUPAIKY 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 compliance with ORS ]Q1.0~5 will be ed on this project. llAl-lE(please printl--LJs. /~, /V). ,I\I/-I-s jt'5IGlIATURE t!. (?t7!/!<' /1t'H,/{ DATE.s..;)l.I-"8?. FOr: OFF I CE USE ilL '. . Units So. Ftg, 11ain /CR" x Value ,?~._ Occy load Sq. Ft9. Access x Value Occy Group ~-"< 5q, Ftg. Other x Value ~.J,.. _ /~ IMlc.r TOTAL VALUATION -,.:) 0.,. Plan Ck. COIl1l1/ind I'O-"U - 1,'>0..... Systems Development _ ~ ___'5~..._____ 65U~lo~ P~- 000 rlvrl:.Sh $ID'lO.W Charoe (1.5%) " 2.... .....;0 Plan Ck. Res 3DUBldo Per Fee ",<0 00. Fence _n_--~S;--I Demo ___~..s: ot> I Sidewalk . 6a I A/C Paving SQ. FT. ,. I New circuits alts. or extensions IS:- I I I I I I Appliance vent seoarate Stationary evap. cooler I Vent fan with sinole duct. I Vent system apart from I heatinq or A.C. , IMechanical exhaust hood and dur:t I Uood stove/heater I I I Floor furnace and vent SERVICES Recessed wall So~rp hp~t~r ~nrl vpnt Temporary Construction IChange in existing rp~ j ri!:nrf'l I multifamily , COlllTl. or Inrll/"tri...l 10f ICOMf,./IND. FEEDERS l'Install/alter/relocate I rHc:.tY'ih fpprlpr<:. 10f amp~1 I I I amps.1 ISSUANCe OF PFRIIIT I I I I 6S".S"< Curb Cut ITotal I I TOTAL ?/.02 Comb. Permit .. COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. legal Description 1. example- Tax Lot 100. lane County Map Reference 17 03 43 2. example- Lot I, Block 3. 2nd Addition to Springfield Estates C. Name. etc. of owner and construction lender O. Energy Sources 1. exam~le- heat/electrical ceiling/or forced air Qas 2. examole- waterheater/electrical/or solar E. Square footage or valuation, etc. - 1. examole- 1250 sq. foot house. 500 sq. foot garage 2. exa~le- if new project. check-new - if addition, cneck. 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 ANO CONTRACTDRS 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 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. --- 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: PERMIT VALIDATION / ~fdo) 5~ -:y :>L\ -- ~0 Permit Clerk C? v Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: , \ name...L.. OC"NF ~~~ Signatur~~ . ~ ~-.. -~ , - ' 1 . date 5'- 3-.8b Gi,.":-f-"1 /6,!) 20 ...... " "1 , ~ Pi 'I' IIISPECTIOII LlIIE 726-3769 flis:/o'o ~~e~~ Job Address .~~C;~ MAI/V <r C2;:1al cln Uf SPRlrlGFIELD CDMBHIATIDN APPLICATION/PERMIT E!IERGY SOURCES: Heat Nater Heater Ranqe ValuE of Har\{: L 71!/k:) . 00 Builciina Pennit Info: Oeser be Work.(i..e.~ Build Single Farnil v Residence III th Attached Garaae) Cc::w"5~po.:::r I".R f6 2?~ r7"'L~ '~n::)'RAt::;tS' '.#D:D/;'/~ 7.; 7-(/ Phone ,<7"~~ ., A~D 1-9~_'D...pt9--.P/N~ . (address), (l1cs. no.l lexniresl (anane n~. 21"5 (J,pU !1u.t.JA})f. /Jlfnd 97'?C<9 -!J:;l/- n .- - ~ , ' v ""~FORl1ATlON LINe 726-3753 Sq. Ftg. 1,lain /n$!;l ~q. Ftg; Acce~s. Sq. Ftg. Other --1iew)(Add_Al ter -,~ep. Fence Oemo Change/Use Other - - f ~ I~ IN .\ij Legal Description /7-02- 33 -<1/ Owner 5-"tl+AJ QJ'lcl Address (I hrpOYtLh{~ Phone ~ ... ~ ,S ~, Construction Lender Address Ul:.::::dliN Il:.An Primary JjrJj. ) (name) Ij J/ j1J?jUA' )/.J Structural Electrical Mechanical CONTRACTORS (name) (address \ (1 ir:<:. "0. \ "pyr!irp.; , (I'}h(lrll:' !'In \ General Plumbina Electrical ~1echanical PLUIIB I NG ELECTRICAL MECHANICAL tlO. I . FFF I r.HARhF NO Each single fixture Residence of '~~~ r~~-liP ~~L...c.I:lARG..E. SQ. FT. furnace/burner to BTU's Relocated building (~ew fix, additional) S.F. Residence 11 bathl Duplex (1 bath) each Additional bath I Water service j Sewer I ,~<,' Storm S~wer I I I I I I I I I I I I New circuits alts. or extensions ISO. Floor furnace and vent SERVICES Recessed wall c:;..."",..... h...;ot-.... ;on'" .....nt- za- Temporary Construction Change in existing rp<:. i npn('p Imuitffamily, corrm. or Innu<:.trit11 IOf ICor~'I.IIND. FEEDERS I Install/alter/relocate rfidrih fpprfpr<:. IOf amps.1 I I I amps. Appliance vent ~PI1~r~t:.~ Stationary evap. cooler Vent fan with sinole duct Vent system apart heatino or A.C. I Mechanical exhaust hood t1nd durt I \'Jood stove/heater from TOTAL CHARGES WHEnE STATE L1W REQUlnES shall not be vali1 until the zo....... TOTAL CHARGES that the Electrical work be done by an. label has been signed by an Electrical I I I I 15". 00 ISSUANCE OF PFRlllT TOTAL CHARGES Electrical Contractor, the electrical portion of this pe~it Supervisor and returned to the Building Division I HAVE CAREFULLY EXN1INED 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 oerformed 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 OCCUPAr~CY 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 compliance with ORS 701.055 will be ed on this project. Zone LL Fire Zone Flood Pia i n Tyee/Cons t..2'Z% - N Bedrooms L IE. J::.. iV/.' 11/ /-t-~5 .If::SIr.IIATURE / . ---, - - FO~ OFF I CE USE ilL Units So. Ftg. rlain /CR "', Va1ue-" ?~..... Occy Load Sq. Ft9. Access x Value Occy Group...Ji" - '< Sq. Ftg_ Other x Value ~.J.. _ ,i;<l L<.tl<.r TOTAL VALUATION Plan Ck. Conm/Ind' I'O-'ZU - 1.'>0..... jsyste~s Development ~ 65%/Bldo po. >~o ^lv,LSItn $IO~C PiX' Charqe (!.5~) , ;Z $". c.:>;o Plan Ck. Res 30%/Blda Per Fee -'<0...... I Fence -----_.!._--...;-- . 80 I Demo _~_.t'..s;_,::~_-' Sidewalk . (;a I A/C Paving I Curb Cut ------------ I .'4 r ?[t't4 A ~DATE.5' ..;)1.1- i?t:; NAI,IE(please print) Stories I BUILDING PERI'lIT Charges and Surcharges <~oo ----~-=._--- /. /<. PLU'IBING PERMIT Charges and Surcha rges ELECTRICAL PERI~IT Cha rges and Surcharges 11ECHANICAL PERMIT Charges and Surcharges ITotal Comb. Permit 6~.::;< ~ I I iOTAL '7/.02 COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Adaress B. legal Description 1. example- Tax Lot 100. lane County Map Reference 11 03 43 Z. examole- lot 1. Block 3, 2nd Addition to ~prlngtield Estates C. Name. etc. of owner and construction lender D. Energy Sources 1. example- heat/electrical ceilinqlor forced air Qas 2. examole- waterneater/electrlcal/or solar E. Square footage or valuation, etc. ------ 1. examole. 1250 sq. foot house. 500 sq. foot garage 2. example- if new project, check-new - if addition. eneck add, etc. F. .Building permit information: 1. examole - construct single family house with an attached garage 2. exam~le - 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. OESIGN TEN1 ANO 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, BUILOING OIVISION STAFF WILL FILL OUT ALL FEES ANO CHARGES ON THE SCHEOULES 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: PERMIT VALIDATION ,/' ~(Jo) 5~ yd-L1--- ~0 Pennit Clerk C? J Permit applicant exempt from registration with the Builder's Board because: Additional Project Infonnation: PLANS REVIEWED BY: name L02Nt!= ~~~ Signatur~ . ;, . "..- ~~~ . I date 5'-'3-.8~ , }~~:~4.I .~'equired Inspectons.. >"'.' "j{~IT IS THE RESPONSIBILITY OF THE PER-'lIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TUIE, "','THAT EACH ADDRESS IS READABLE FROIl TIlE STRFET, AND THAT TIlE PFRHIT CARD IS LOCATED AT THE FRONT OF THE :,,';,~ rROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TUlES. )~~'::PROCEDURE FOR REQUFSTING INSPECTIONS: Call"726-3769 (recorder) state you CITY DESIGNATED JOB NUMBER, :':,,:;'-::Job address, type .of inspection requested and \omen you will be ready for the inspection. Contractors :.~_.or owners name and phone number. Requests received before 7:00 am1will be made the same day. requests . :~'_,:;received after 7: 00 am will be made the following work day. f~'Y~~r City Designated Job Number Is:~ / t:?2"3 }i,;:~ob Address: ,').&:::>R .h'/A-/N ~ ;:~iOwner: ~orHL-t$'-Nn C~2P, Phone: "..'~f.. . ":~":'Contractor: Phone: ,'."""""", , ....;."1:--.,.....:...:: ..,,'.. :.~.....;.,..::_.. " ," . :,~-;. ~' SITE INSPECTION: To, be made [2,:...J" after excavation. but prior . "~~.o.;.:~to setup of forms. ,1"'+ UNDERSLAB PLUMBING, ELECTRICAL" ',' III MECHANICAL: To be made before :.:~J~~.~Y work is covered. " ;' "r:1,,:CONCRETE SLAB INSPECTION: To be ~ ::made after all ins lab building -";'l~.:;:~s~ervice equipment. conduit. piping. )~:accessories and other ancillary .;~.~ .~ O:t.;~iquipment items are in place but ~~f?~'~~~~~~ any .c.oncr~t~_.~~ .p~ured:.,. :: ........ 0 IXI FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and .:...~\\:..,:fonns are erected. all steel in ,;'i..;~~.;;f'Flace. but prior to pouring concrete. . rvr -UNDERGROUND: Plumbing~ Electr1.cal.' ~ Gas, Sanitary ~ewer. Storm Sewer. ....:'f.L._.>::":,Water and(15Jain3p,e lines) To be ' \~~t~:_::;'uiade prior to covering or filling ..... ;:f}.~: trenches. D UNDERFLOOR: . Plumbing. Electrical. Mechanical. To be made prior to installation of floor insulation. .~ decking or floor sheathing. O POST 6 BEAM: To be made prior to installation of floor insulation. '....:'.. ".decking or floor sheuting.'. o ',. ~ FLOOR INSULATION 6 VAPOR BARRIERS: To be made prior to installation of decking or floor sheating. MASONRY: Steel location, bond beams grouting or verticals in accordance with U.B.C. Section 2415. o ~ ROOF SHEATHING k~D NAILING: Prior to installing any roofing. ROUCH PLL~mINGrELECTRICAL'); MECHANCIAL: No work 15 to be covered until these inspections have been made and approved. '.;' ''{ ~ FINAL PLUMBING ~ FINAL ELECTRICAL o FINAL ~IECHANICAL D FINAL FIRE DEPARTI-IE,rr o "0 ", . D D D D ATTIC DRAFT STOPS 6 CURTAIN WALLS. ....;, FIREPLACE: Prior to placing materials and befo~e framing inspection. fac ing 'SPECIAL INSPECTIONS: In accordance with Section 306 of the Building Code a special inspector'shall be employed by the Ownerl Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. =:J =:J =:J STRUCTIJRAL CONCRETE: P.S.I. (306 a.I) STRUcnJR.o\L h'ELDS: Pref~rmed on the job, (2722 f) HIGH STRENGTH BOLTING: During all bolt in~t3llation and tighting operations (306 a.s) INSULATION 6 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 . appro'Ved. FIRE & SEPARATION WALL: Located & constructed according to plans. D D =:J LAm AND/OR GYPSlJl-.1 BOARD INSPECTION: ---, To be made after all lathing and ~ g)~sum board, interior and exterior, is in place but before any plastering---, is applied or before gypsum boar~ ---l joints and fasteners are taped and finished. . In excess of 3000 SPRAYED ON FIREPROOFING: Standards 43..,8) (U.B.C. D D WOODSTOVES: 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. After installation is =:J SPECIAL GRADING. FILLING: ~Jring & Chapter 29) GLU-LAM BENIS: Inspection Certificate, by an approved agency. furnished to . the City's Building Division before beams are'placed. (2S01-U.B.C. STDS. 25-10, II). PARKING LOT: After gravel place but prior to placing or concrete. . is in asphalt EXCAVATION AND earthwork. (306 a~ 11 * In addition to the inspections specified hereon. the Building Official ~ay make or require other inspections of any construction work to ascertain coopliance.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 wish inspection. All project conditions such as landscaping. parking lot striping etc. must be com~leted before requesting this inspection. jg] FINAL BUILDING: Must be requested after.the finai Plumbing. Electrical. Mecha~ical and Fire Department inspections are made and approved. No'Occupancy of the p~emises can be made until a.~ertificate of Occupancy has been issued by the Building Division-and posted on the premises SIGNATURE 'OATE *ALLMANHOLES AND CLEANQUTS ~ST BE ACCESSIBLE. ADJUSTI-IENT TO BE MADE AT NO COST TO THE CITY.