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Home My WebLink AboutPermit Building 1987-6-22 I I r1SPECT ION LI r1E 726-3769 . ... I NFORlIATION 1I Nt 726-3753 Sq. Ftq. 1.lain ~q. Ft!]. Access. Sq. Ftq, Other flew Add Alter Rep. --Fence Demo Change/Use ,I -Other- - ~ \J o --t JJ ~ Job Address L-J~19 lQ CITY OC SPRINGFIELD CotlBIIIATION APPLICATION/PERMIT II\A iA-',,^-~r' --f"; Id I (2,', n- 0I7~''''' ') I , I EilERGY S~RCEl Heat p-",? ('llAMA) ilater HeaterFJ e.c.. + - Ai/lit Legal Description , Construction Lender Range ValuE of l'lark: '2. o>'i!-o, -- BuilciinQ Pennit Info: Describe Work(Le., Build Single I Familv nes;dence Hith Attached (laraoe) /#5'-r:;??-L h,/ =/,f~AP ~7/.?/a.<:& rop #r"C~n'Ce=- 52?9 ,:,:C, /~ V;4A--, c-", ;;6.-4''2, /#'5' Address /;:cO. 'B6X /::,,,:;~ I 7V~~~~.,( r ~~rd/. c?7f, Address Ut~j"N TEAI1 (name) Phone {address 1 (lies. no.l (exoiresl (ohone no., Structural r. --.d "ll{1I0 0"'" ~ ,....J.~ ~ t '" Primary Electrical Hechan;cal CONTRACTORS (name) (address 1 (lies. nn.) (pxoirpsl (ohnnp nn_ Genera 1 PMOAI'rdOP-V'.. j=PA<\C,'" # /'A~/"'1;Ur :t/:-;Jj9n7 o b'X"'I-58o/1 PlumbinQ Electrical /llechanical PLUllB lNG ELECTRICAL MECHANICAL NO. FEE CHARGF Nn ~~~ rHARr,~ NO_ ~~~ rHARr,~ Each single fixture Residence of SQ, FT. furnace/burner to BTU's Relocated building (new fix. additional) .New circuits alts. V' su:-..extensions~ --:- , /,n ./hc>/P"" SERVICES n$>' Floor furnace and vent S.F. Residence (] bath) Duplex (1 bath) each Recessed wall ~nnrp hp~tp~.~nrl v~nt Additional bath Temporary Construction Change in existing rpc;id~nC':p multifamily, comm. or Tnnustrial Appliance vent seoaratp Stationary evap. C':ooler Vent fan with sinale duct Vent system apart heatino or A.C. Mechanical exhaust hnnrl .1nd nur:t from ~Jater service Sewer IStorm Sewer I 1 I amps.1 C0I11.\. /IND. FEEOERS 1 Install/alter/relocate 1 dic;trih. fppnprc; Of Of amps.1 I Wood stove/heater I "":!,Ti!!$'i' o/'i' i5l'7Z=-~ .-n~7';'._ Yi.-I "./ TOTAL CHARGES TOTAL CHARGES WHERE STATE U\~ REQUIRES that the Electrical work be done by an shall not be va1i~ until the label has been signed by an Electrical 1 1 I I SSUANCF OF PFRrllT ,...., /J /.S. ~- "2'2_~""'" TOTAL CHARGES /' /?//-/. Electrical Contractor, the electrical portion "of this permit Supervisor and returned to the Building Division I HAVE CAREFULLY EXAMINED 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 Derformed 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 fm OCCUPAUCY 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 OP.S 7Q1.055 will be used on this project. IW,IE(please print)~MA"eJ^ J" j\(-h-rv-.. SIGIIATURE h \'::h MAA'OM.J) ~ FO~ OFFICE USE OIIL Y V Sq. Ftg. f1ain x Value Sq. FtlJ. Access x Value Sq. Ftg. Other,4(7'./f'CM""~fC Value -Z6~ c:oe. , TOTAL VALUATION b =-...:-. e;:; J'';Z-;'-'t-~~ter:1s oevel~pment ?Co<;- CharQe (1.5~) DATE (" -dd-fD Zone .cL:- TYOe/const.~.J;.rJr. Units Bedrooms S W Occy Load Stories I Occ,Y Group 7- "2... Fire Zone Flood Plain BUILDING PERfIlT Charges an':: 1 Surcharges ."I... -::>&:> <:- Plan Ck, :;:> =, -,0 65S/B1da _n__/_.-;y- ~6~~Bi~~ I Comm/lndl P~r Fee R"es Per Fee d.~ PLU'1BING PERMIT Cha r..ges and Surcharges Fence Demo 1 I 1 'I I ITotal Comb. Permit ELECTRICAL PERI~IT Charges and ,I Surc~arges ~ . .1ECHANICAL PERMIT Charges and / SUrcharges ~ -Z2~>C:> Sidewalk ------------ _ ",?P AIC Paving ___.15..-_,::=_ Curb Cut . bO '- I I TOTAL !?JCf,t) 7 1 .' . . !~ COMBINATION APP~ICATION/PERMIT (CAP) I. PERMIT VALIDATION II. 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 ~ ,~p~':lng!..i,e!~.~~t~~s, _ ,", .' .... ',,,\,:-' . C. Name. etc. of owner and construction lender D. Energy Sources '.. .; 1. exaniPle: heat/electr;caf ceiling/or fo'reed air qas 2. exa~le- waterheater/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, check add, etc. F. Building, permit information: . 1. example - construct single family house with an attached garage 2. example - 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 correctfons. etc. 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 install~d are not covered on the abbreviated schedu1'e's you' should consul t-,-the ~ fUll'1 schedules C, BUILOINGI DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES O. As notedllon the CAP, the label must be delivered to the electrical contractor for signature by his electrical supervi sor. The genera 1 contractor is .not authori zed to sign ~he electrical label. --- Applicant tOil sign and date Whenever possible. the initial application will be used as a worksheet only. Where possible. Building Division Staff will preparel!a type written copy and return it to the applicant atlthe time the actual permit is issued for his signature. I' Fees and Charges Plan check fees are due and payable at the time of the app1ication.I'and no plans will be processed until these fees' are paid. All other fees and charges are due and payable..when~lthe permit, .is issued. :< , ,", " I II. IV. V. FOR OFFICE USE ONLY Permit Clerk ,PROJECT CONDITIONS TO BE SAIISFIED BEFORE OCCUPANCY: . " , , Permit applicant exempt from registration with the Builder's Board because: < Additional Project'Information: .', v , PLANS REVIEWED BY: iI ,I. il name /../?/? #c ,f::3-..,'_ ~rT'sig'nature ~.a.>~'--~ date b- - ~ '2~") // . /' r r \ I HiSPECTION L1IIE 726-3769 . . INFORlIATlON U;lt I 726-3753 Sq, Ftq, 1,Iain ~q. Ftg. Access. Sq. Ftq. Other New Add Alter ~ep, --Fence Demo Change/Use Other - - ~ \J o ~ }J fl Job Address y;:{ 1 9 legal Description kQ CITY UF SPRINGFIELD COMBIIIATlON APPLICATION/PERMIT , C, ,\ I EIIERGY SPYRCES: ~~~ I'^- "YJi.....rp", ICI ,Heat ~+ (,)vw~.D ( IJ" I Hater Heaterrl ec.-f- ,2', n~ 0I7~"<;( ) i RaMe A/lilt I " I~~ V.#...v, =-<; Address ~ ctJ. B6X' f c:.,z>,Tc]), ;6,,4'2 . /-"""5 , / /~h55 7'/~~~~~ C'7f. ValUE of l.jork: ;z, t:P'f8-0 . ...- Bullciina Pennit Info: Describe \~ork{Le," Build Single Family P-esidence Hith fl.ttached Garaoe) /#5r.#?-L hre=-/?/;cr/-? ~n<?'/~ ,rop --WSORH/Yc.e= ,?'Z>/9 LC_ / Construction Lender Address Ut>IGN ItAI-! {name} Phone (address) fl ics. no.) (exoi res) (ohone no_ Primary Structura 1 Electrical 11echani ca 1 CONTRACTORS (name) (addrps<: ) (lir:s.no.) (pxnirpc;) (nhnnp nn, ) General ;;::-MOAl'r!ifOP~l/'... IP.N\C,," J: /'A/VoL-,i2Ar ::tf-':Jj9n7 o bf<.9-5f5Cf1 Plumbino Electrical f.1echani ca 1 PLUrlBIIIG ELECTRICAL MECHANICAL 110, Each single fixture I FFF rHARGF ilL! Residence of 'IL J:liARliE. 110 J:' J:' J:' 1..cHARGE. SQ. FT. furnace/burner to BTU's Relocated building (new fix. additional) New circuits alts. V' .su:..extensions ~ , /....a,/J-,d7'f.d I SE'RV ICES I "Z1 ,S~ . Floor furnace and vent S.F. Residence (1 bath) Duplex (1 bath) each Additional bath Recessed wall ~o~rp hp~tpr ~nrl wpnt Sewer ITempOrary Construction IChange in existing ree; j rjeJlce Imultifamily. comm. or Industrial Storm Sewer Of COI~.1. /I ND. FEEDERS I Install/alter/relocate dic;trih. fppdprc; 10f amp~ I I I amps. Appliance vent ~POilrilt.p Stationary evap. r:nnler Vent fan with sinole duct Vent system apart from hea t i no or A. C. Mechanical exhaust hnnd ilnd dud. ~Iater service Wood stove/heater ,/ "-....~ ",,!'i' Ci{~-?:P .n~--=.:._~I TOTAL CHARGES ,WHERE STATE L,\IJ REQUIRES shall not be vali~ until the TOTAL CHARGES that the Electrical work be done by an label has been signed by an Electrical I SSUANCF OF PFR!lIT --:;;>7._::>C:> TOTAL CHARGES, /7;/,",/, / S. ~- Electrical Contractor, the electrical portion of this permit Supervisor and returned to the Building Division I HAVE CAREFULLY EXAMINED the completed aprlication 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 HO OCCUPArlCY 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 OP.S 7Ql.0S5 will be used on this project. IW1E(please print)~.AM'IQI^ L" ,k:',-hl\^, SIGIIATURE 'R \J. M.uOAi ~ ~ DATE (" -,CJd-f);. , FOP. OFFICE USE QijL Y Sq. Ftg. !1ain Sq. Ftg. Access x K'- "2... Sq. Ftg. Other'wT, k~~EC J TOTAL VALUATIOII ./ __ ~ ,~r"-'j~"'-:::c-. . 1:7 -_. c;. ~ ... - - . Systems Development ?~C><: CharQe (L5~) v Zone L:L.:. Fire Zone Flood Plain Type/Const. ~140; l;r~ Units Bedrooms .5 7V Occy Load S tori es / Occy Group x Value Value Value 'Z60~ ~ BUILDING PERNIT Charges anc Surcharges ~b" c-......, Plan Ck, COnln/lnd ~ 72:h ....,J G-- 6S1:/Bldo ppr J:'pp _nu/-.5-Y- ~~~~B~~~ ~:~ Fee ~/4- PLUMBING PERMIT Char~es and Surcha rges Fence ELECTRICAL PERI~IT Charges and Surcharges 11ECHAN I CAL PERMIT Charges and Surcharges I O~mo 'Z2~S-c:::::>1 Sidewalk -------_-~;-I A/C Paving /C::-. =-- I Curb Cut --_.1'-""--6:0--1 ITotal Comb. Permit I 1 TOTAL !OCf,t) 7 . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A, Job Address B. Legal Djscription I. example- Tax Lot 100, Lane County Map Reference II 03 43 C. 2. example- Lot I, Block 3, 2nd Addition to ~p~~ngtJelq ~st?~~s _. .,.... \ C. Name, etc. of owner and construction lender D. Energy Sour~es " '. . 1. examDle-"heat/electrical ceilinQ/or forced air Q 2. examyle- waterheater/etectrical/or solar E. Square footage or valuation, etc. - I. examole- 1250 sq. foot house, 500 sq. foot garag ( 2. example- if new project. check new - if additior cneck add. etc. F. Building permit information: 1. example - construct Single family house with an ( attached garage 2. exam~le - remodel existing garage into family f( 3. exam~le - convert single family residence into restaurant (change of use) G. Value of work as defined in Section 303 (aJ of the Structu~al Specialty Code H. DESIGN TEAM AND CONTRACTORS To avo;~ design or construction delays. Building Division Staff must be able to contact appropriate persons jlregarding design information or job site corrections, etc. II. Abbreviated !Plumbing, Mechanical, & Electrical Schedule, (, 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 adjacl to the appropriate item(s) to be installed C B. Full Plumbing, Mechanical, and Electrical Schedules are available at the Building Division 1. To conserve space on the permit form the schedu have been abbreviated ( 2. If the item(s) to be installed are not covered, the ,abbreviated schedule's you should consult th fulll 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 "'.." electrical contractor for signature by his electrical supervisor. The general contractor is.not authorized to sign ,the electrical label. - Applicant t~, 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. III. " V. FOR OFFICE USE ONLY II , PROJECT CONDITIONS TO BE, SATISFIED BEFORE OCCUPANCY: " .. !' ( .TV OF SPRINGFIELD City Hall ~ Sprlngfiald, Oregon D.parlman' 01 Public Work. OFFICIAL RECEIPT No.8 Date ,/;o)Nt!? 22.. 19 g 7 Rec'dFrom l? pAl-.47/€/Y t: 0...-.<.r-6",:/." A ~ '"2"7 ./I-J?pt. Ewer.P Address :;=u<i::1.d;';_ x-/:2. c:,-,Vo>'/ r ; -',\),1 '! ( 68495 ( c Received For: ~J7f-t7'r?/OV:2 ~/~~__. '!Z.tt# ~ y~~ "Z s: o..? 7?P - 5'B: So ~ /. .S- 7" E? - ::Z7..,..~O ~~ /k .7.? , -H't:)O .$1'0 /~-: =-- ( 0, ,Go ~..#- C . It? ,/, t?/ - Amount Received = ?/;{ff?- n~. / cJ ~. 07 _ - . ( ~r: ~c.~~-&-.Y----'/ Vel(JTHORlZEOSlGNATURE' I \, '.. " I FrantlereuslNESS FORMS. INC. C5031342,"4I "" Permit Clerk Permit applicant exempt from registration with the Builder's Board because: II , !! " Additional Rroject Information: PLANS REVIEWED BY: ;1 !I name /j'/A'i?E ~f- ~'r(signature , 4L07~~~~ // - /'" da te b -..:; '2 -zg-") ~ .. .q'uired Inspecens .. . IT IS THE RESPONSIBILITY OF TIlE PER!1IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TIllE, THAT EACH ADDRESS IS READABLE FROU TIlE STREET. AND THAT TIlE PERllIT CARD IS LOCATED AT TIlE FRONT OF THE PROPERTY, BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIllES, PROCEDURE FOR REQUESTING INSPECTIONS, Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUMBER, job address, type of inspection requested and \'lhen YOll will be ready for the inspection. 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. YO'ur City Designated Job Number Is '. 0o~:2"2- Job Address: '7 ':2../"7 /.1' ~h'/'A/ 57' lo!?rY7, ,!1~E? ?H/, ' CO'ntractO'r' CY~4;~Ze-'S- ~"..y-cc. o o D SITE INSPECTION: To be made after excavation. but prior to setup of forms. llNDERSl.AB PLUlIBING, ELECTRICAL & ~IECHANlCAL: To be made before 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. o to FOOTINGS & FOUNDATIONS, To be made ~ after trenches are excavated and forms are erected, all steel in place. but prior to pouring concrete. D UNDERGROUND: Plumbing, Electrical, Gas. Sanitary Sewer. Storm Sewer, Water and Drain3ge lines. To be made prior to covering or filling trenches. D UNDERFLOCR:, Plumbing, Electrical, Hechanical. To be made prior to instal13tion of floor insulation, . ~decking or floor sheathing. POST a BEAM: To be made prior to installation of floor insulation, decking or floor shenting." fLOOR INSULATION & VAPOR BARRIERS: To be made prior to install~tion of decking or floor sheating. o D D ~~SONRY: Steel location, bond beams grouting or verticals in accordance with U.B.C. Section 2415. o ~ ROOF SHEATIiI~G ~~O NAILING: Prior to .i;n),talling anY.;joofing. 3/ 0 ROur.H-PLUMBING, ELEcrnlCAL & ~IECHANCIAL: No "'ark is to be cO\'ered until these inspections have been made and approved. o [LJ [ZJ o \..i1 FI~AL ELECTRICAL D lq [Z] o o o D D o Phone: 7'76- '7::,-1/6" b'$?5-S'X'? ~ Phone: D D ATTIC DRAFT STOPS & CURTAIN WALLS. FIREPLACE: Prior to placing facing materials and before framing '.' inspection. 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. ~ ~ ~ STRUCTURAL CO~CRETE: In excess of 3000 P.S.1. (306 a,l) STRUCTURAL WELDS: Preformed on th~ job. (2722 f) HIGH STRENGTH BOLTING, During all bolt installation and tighting operations (306 n.S) INSUlATION a VAPOR' BhRRIER: 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 & SEPARATION WALL: Located & ---, constructed according to plans. ~ LA~AND/OR GYPSUM BOARD INSPECTION, ---, To be made after all lathing and ~ g)~sum board, interior and exterior, is in place but before any plasterill8I is applied or before gypsum board ~ joints and fasteners are taped and finished. 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. PARKING LOT: After gravel is in place but prior to placing asphalt or concrete. SPRAYED ON FIREPROOFING: (U.B.C. Standards 43",,8) SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (3'068.11 & Chapter 29) GLU-LAM BENIS: Inspection Certificate, by an approved agency, furnished to the City's Building Division before beams are placed. (2S01-U.8.C. STDS. 25-10,11). ". *In addition to the inspections specified hereon, the Building Official may make or require other inspections of nny construction work to ascertain coopliance with the Building, City or Zoning Codes. FINAL PLUMBING CITY'S SITE PLAN 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 com~leted before requesting this inspection. 6'1 FINAL MEOIANl CAL FINAL BUILDING: Must be requested after the final Plumbing. Electrical, ~lechanical 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 FINAL FIRE DEPAR~~NT SICNATUREB-))(U1M-~AA _~, DATE b- ~8- - '2lr *ALL f.lA,'iHOLES AND CLEANOUTS !-fUST .BE .'\CCESSIBLE. ADJUSTMENT TO BE HADE AT NO COST TO TIlE CITY. 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