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Home My WebLink AboutPermit Building 1988-6-9 jlNSPECTION LINE i 726-3769 . CITY UF SPRINGFIELD CDrlBIIIATION APPLICATION/PERMIT EilERGY SOURCES: Heat l~ater Heater Ranqe . INFDRltATION LINE 726-3753 Sq. Ftg. 1.lain ~q. Ftg. Access. Sq. Ftg. Other New Add Alter Rep. --Fence Demo Change/Use Other- - I ~ ~, \}J , Job Address '3 ??? /'h"d/# 57: Legal Description ~ ~~ ~?P<~. Owner ~O 5<::;;#OL.T.4 - ' Address /7?';:'~(...... 4vc. '; ~':;e;:;::~ c~~E ,.oA" 9:?Yc/, " Address Ul5 I uN fEAr~ {namel Phone (address \ ValUE of l'lork: ~.=e> BuilriinQ Permit Info: Describe Work(i.e.. Build Single Familv P-es;dence With Attached Garaael mR"ZL :;; ;;~?:7.#,G, C;;:;J".~."'-ez-.~'7 /~/~ ~7;i1{/ ~A"'/...?/h$';-;~ .z&e,R~ ~~ ;l;~C/7r~.r. (lies. no.l (exo;res) (ohone no. \ Construction Lender Primary ----.It ~ ~ Q""~ . c-....flO U... ..1- Structural Electrical , v~~ Mechanical CONTRACTORS (namel _____- (address) (l ics. no.) (exoi reI;.) (ohnne no.1 General ~W~ Plumbina Electrical ~lechan; ca 1 PLur,IB I NG ELECTRICAL MECHANICAt NO.1 Each single fixture I HE I r.HARGF NO_ I I I="H I rl-lARh~ NO. I Residence of furnace/burner to SQ. FT. BTU's I H.~ 1 r~AJ:;lr.:~ Relocated building (new fix. additional) New circuits alts. or extensions Floor furnace and vent S.F. Residence (] bath I Duplex (1 bath) each Additional bath SERVICES Recessed wa 11 ~n~rp hp~tpr ~nrl vpnt Storm Sewer Of amps Appliance vent o:;pOi'lr<'ltp Stationary evap. cooler Vent fan with sinole duct Vent system apart from heat;no or A.C. Mechanical exhaust hnnd and durt Wood stove/heater I' I I I I Sewer Temporary Construction Change in existing rp.c:iQr.nl'p multifamily~ comm. or Tnnuc:;trii'll ~Iater service COMM./IND. FEEDERS Install/alter/relocate rlio:;trih. fppdpr~ Of amps. TOTAL CHARGES TOTAL CHARGES WHERE STATE L"~ REQUIRES that the Electrical work be done by an. shall not be vali~ until the label has been signed by an Electrical I SSUANCE OF PFR!lIT TOTAL CHARGES Electrical Contractor~ the electrical portion of this permit Supervisor and returned to the Building Division I HAVE CAREFULLY EXMilNED 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 fW OCCUPAHCY 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 701.055 will be used on this project. Zone C~ Tvpe/Const. Bedrooms Stories :5"-# . Units Occy Load Occy Group? - L SIGNATURE ~e .$-.L{,lf DATE 6-9-~'l FOP. OFFICE USE DilL Y ~ i..J Sq. Ftg. f1ainx Value Sq. Ftg. Access x Value Sq. Ftg. Othe.;:;..:.-y~~"~/, Value~- TOTAL VALUATION /fc7:>r//667 , ~-'7'~i!"Systems Development q.~ Charqe (l.S~) )/~- c , IIM~E(please print) ~aI;t~;;' f ScillA It Fi re Zone Flood Plain BUILDING PERflIT Charges and Surcharges ~ PLU01BING PERMIT Charges and Surcharges LI Plan Ck. ___[7.:"5:.~___ 6SVBldo Plan Ck. 30%lBl do .73 (\) conmi rod Pe>r Fee Res Per Fee Fence D~RlO ELECTRICAL PERr~lT Cha rges and Surcharges MECHANICAL PERMIT Charges and Surcharges Sidewalk AlC Paving 'Total Comb. rermit I I TOTAL '7'1(;6 ~ Curb Cut . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal Oescription (" I. example- Tax Lot 100, Lane County Map Reference II U3 43 2. example- Lot I. Block 3, 2nd Addition to >prlngtield Estates . 'C. Name. etc. of owner and 'construction iender D. . Energy Sources . 1. exam(?le- heat/electrical ceilin....Q/or forced air Q, ,2. example- waterheater/electncal/or solar (". L Square footage or valuation, etc. . - I. examole- 1250 sq. foot house, 500 sq. foot garag' 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 gar~ge 2. example - remodel existing garage into family roc ( 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 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 jab 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 adjacem (" 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 schedule~ ( 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 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. --- 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. .' Ill. V. FOR OFFICE USE DNLY PROJECT CONOITIONS TO BE SATISFIED BEFORE OCCUPANCY: r CITY OF SPRINGFIELD . City Hili Sprlngftold, Oregon Office of Community and Economic Development OFFICIAL RECEIPT ; c 11667 ( Oale r/vP€ 9, 19 9*'i!:o Rec'd FromE.M>dAt:'/-:> W~i7nz:..~ .,..' ( Address ~ /7 ~ ~~/~ ~ - Received For:tk~~ZSt!) ~~/~.b? ( ~~ J:p. f:,~<? /&>/;;;r' L-- ~7?' lyS-.o '"?':O;" 2 <;t': be , ( ( qP:-9'~8 Amount Received ~ '2~~ f ~ ". ( BV /..... ~ \. ,d ~k'~ 74--=-,- ~/<~UlH~R1zED SiGNMURE /' -:;:> ...... ( .,.' .......1 . _ BUSINESS fOAMS. INC. 150313420'14' "" .; 1 ~ -' Permit Cl erk Permit applicant exempt from registration with the Builder's Board because: Additional Project .Information: PLANS REVIEWEO BY: , name Lc;?~ ~ signature . /'? ~~ date ~"~-BS ;7~ r ". jlNSPECTION LINE 726-3769 . CITY UF SPRINGFIELO Cm1BlIIATlON APPLICATION/PERMIT E!lERGY SOURCES: Heat Hater Heater Range_ ValuE of Hork: 7.52;>. crt> BuiloinQ Pennit Info: Describe Work(Le., Family n.esidence Hith Attached Garaoe) . INFORl1ATION LINt 726-3753 Sq. Ftg. 1.lain ~q. Ftg. Access. Sq. Ftg. Other Ilew Add Alter Pep. --Fence Demo Change/Use -Other- - bA::?1~;~ ~;~ ~> c;..,PW<f->. Owner ,~O 5~Vq~- Address/77:z ~C:7-"4VE. .:,~e~~~B C~e~,~A" 9?Yc/ r Build Single ~ ~ I~ \A) Job Address '3??'? /'/.J'd./# 57. legal Description Address Ut>IGN TEAH (nameJ Phone (address) mRU Cin~n-h"6, &A53,:-E b-___-::, /~/~ ~77'Y -7PAt;.;,,;; :c;~ Z&,p7i>.p M~ ~~~r. (lies. no.) (exllires) . (ohone no. \ Construction lender Primary Structural Electrical Mechanical CONTRACTORS (name) _____ (addre~~ ) (l ics. no.) (exnirps) (ohnnp nn,) General /?W~ Plumbinq Electrical ~1echanical PLUIIB I NG ELECTRICAL MECHANICAL NO. Each single fixture I FFF I rHARGF Nn I I ":'LJ..clIARliE. NO Res idence of furnace/burner to SQ. FT. BTU's Il='n' lr\.l~ IRelocated building (new fix. additional) Is.F. Residence (1 bath) IOuPlex (1 bath) each IAdditional bath I ~Jater servi ce I Sewer I Storm Sewer New circuits alts. or extensions Floor furnace and vent SERVICES Recessed wall Sn~~p hp~tpr ~nrl vpnt Of amps. Appliance vent c:.po~ ra tp Stationary evap. cooler Vent fan with c;.inole duct Vent system apart from heatino or A.C. Mechanical exhaust hnnd "nd dlJrt Temporary Construction Change in existing rp~ j 4r:nrp multifamily, comm. or Industrial CO~~./INO. FEEDERS Install/alter/relocate /'H c:.td h fpprlpY'c:. Wood stove/heater Of amps. ISSUANCE OF PFRflIT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES WHERE STATE L,'I~ REQUIRES that the Electrical work be done by an-Electrical Contractor, the electrical portion of this pemit shall not be vali~ until the label has been signed by an Electrical 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 un 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 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 7nl.055 will be used on this project. IW.IE(please print) Rodrlev e Sc.11 fA It SIGI/ATURE ~ J!! $-L..l-'U OATE 6-9-'6<:6 Zone .c ~ Fire Zone Flood Plain TYDe/Cons t. Bedrooms Stories ~. Units Occy Load Occy Group 1"- L.. FOP. OFFICE USE DIlLY Sq. Ftg. Sq. Ft9. Sq. Ftg. ~ u t1ain x Value Access x Value Othe~~-~-~, Value TOTAL VALUATION ~...... BUILOING PERf1IT Charges and Surcharges U Plan Ck. _ _ j3_ :.~~ _ _ _ ..ill/BI do Plan Ck. . '7~ 30%/Bldo Fence CorrrnlInd Pj'r Fpp Res Per Fee ~c7>r//667 ,-,,? ~.-;;-t3'if.syste, ms Development '9..,.. ... Charoe (1.5~) }/-/f:-. . , Curb Cut I I I I 'I, I Total Comb. Permit PLW1BING PERMIT Charges and Surcharges D~.o 'Sidewalk A/C Paving ELECTRICAL PERI~IT Charges and Surcharges. MECHANICAL PERMIT Charges and Surcharges ~ TOTAL -;?'i~ . . I .. " ,,' ~ > ,,' ,:. COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATION III. I. Applicant to furnish A. Job Address B. Legal Description >; I. example- Tax Lot 100, Lane County Map Reference I! 03 43 2. example- Lot I. Block 3, 2nd Addition to _ '. Sprlngtie,ld Estat~s. ,. . .' / 'C;. Name. etc. of'Owner and'construction lender D... Energy Sources . *' '. -. "I. examole- heat'/electrical'ceilinq/or---forced air qas _ 2. examole-.waterheater/electncal/or. solar E. Square footage or valuation, etc:' " - . I. example- 1250 sq. foot house. 500 sq. foot garage 2. example- if new project. check new - if addition. chec k add, etc. F. Building pennit information: 1. example - construct single family house with an attached garage 2. exam~le - 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 TE~I 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 full 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 the electrical contractor for signature by his electrical supervisor. The general contractor is .not authorized to sign the electrical label. --- 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. '. .'. . ~ . ... ~ I ...., ~~';" " , " ....... .... " ~.: ~':'4" ...-' , . , . - ,- ..... .'. ,1/" '~"...:. V. FOR OFFICE USE ONLY Permit Clerk 1 PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: , . Permit applican~ exempt from regist~ation with the' Builaer's Board because: " .' " Ad,ditional Pr.oject ,Information: . , . . . '. '. '. PLANS REVIEWED BY: . ~-~- ~--? /' tr or . date c;."~-B8 name Lc:;?~ J!l;::.~ signature \ ~~ .. .quired Inspectrs .. IT IS THE RESPONSIBILITY OF TIlE PER-'lIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TII'IE. THAT EACII ADDRESS IS READABLE FROM THE STRF.ET, AND THAT TilE PERl-iIT CARD IS LOCATED AT TIlE FRONT OF THE PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL THIES. PROCEDURE FOR REQUESTING INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUMBER, job address, type of inspection requested and when you will be ready for the inspection. Contractors or owners name and phone number. Requests received before 7:00 8m;will be ~~de the same day, requests received after 7:00 am will be made the following work day. - /" Your City Designated Job Number Is: 880 7'95 Job Address: -=?:) 7'3 /"/7..4/AE -2;.r;- Owner: 11=!/ _~L~?TC7-2 Phone: 7q-~- ~~8 Contractor: 6)OV-~ Phone: D D D D o SITE INSPECTION: To be made after excavation, but prior . to setup of forms. UNDERSLAB PLUMBING, ELECTRICAL & !>lECHANlCAL: 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. ATIIC DRAFT STOPS & CURTAIN WALLS. ISPECIAL INSPECTIONS: In accordance with Section 306 of the Building Code a special inspector shall be employed by the Owner/ Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. FIREPLACE: Prior to placing facing materials and before framing inspect ion. o INSULATION & 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. STRUCTURAL CONCRETE: In excess of 3000 P.S.I. (306 a.1) :J :J :J o STRUCTUR\L WELDS: Preformed on the job. (2722 f) HIGH STRENGTH BOLTING: During nIl bolt installation and tighting operations (306 a.S) D FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in -place. but prior to pouring concrete. o UNDERGROUND: Plumbing, Electrical, Gas, Sanitary Sewer, Storm Sewer, Water and Drainage lines. To be made prior to covering or filling trenches. :J LATH AND/OR GYPSUM BOARD INSPECTION: :J To be made after all lathing and g)~sum board, interior and exterior, is in place but before any Plastering:J is applied or before gypsum board joints and fasteners ,are taped and finished. SPRAYED ON FIREPROOFING: (U.B.C. Standards 43",8) SPECIAL GRAOING. EXCAVATION AND FILLING: During earthwork. (306 3.11 & Chapter 29) o [ZJ ID FIRE & SEPARATION WALL: Located & constructed according to plans. o UNDERFLQCR: > Plumbing, Electrical, Mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. POST & BEAM: To be made prior to installation of floor insulation, decking or floor sheating;<, PLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheating. GLU-LAM BEAHS: 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) . o o o o o WOODSTOVES: After installation is :J 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. MASONRY: Steel location. bond beams grouting or verticals in accordance with U.B.C. Section 2415. o o o *In addition to the inspections specified hereon, the Building Official ~ay make or require other inspections of any construction work to ascertain compliance with the Building, City or Zoning Codes. ROOF SHEATHI~G k~D NAILING: Prior to installing any roofing. ROUCH PLU>ffiING. ELECTRICAL & MECHANCIAL: No work is to be covered until these inspections have been made and approved. o PARKING LOT: After gravel is in place but prior to placing asphalt or concrete. CITY'S SITE PLAN REVIEW BOARD INSPECTION: ~fust be requested 2 days in advance of thc datc you wish inspectio~. All project conditions such as landscaping, parking lot striping etc. must be com~leted before requesting this inspection. o o o o D ~ FINAL PLUMBING FI~AL ELECTRICAL 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 Certificat~ of Occupancy has been issued by the Building Division and posted on the premises FINAL ~IECHANICAL FINAL FIRE DEPARTMENT SICNATURE DATP * ALL MANHOLES AND CLEANOUTS ~fUST BE :\CCESSIBLE, ADJUSTIfENT TO BE MADE AT NO COST TO 11-IE CITY. (.. , ,J01 z"ro !..cr/le (J /a.e1 e r 6id/il~ ./. i'., .;~ CO: I \ . "" I: .j!' '. , . i' " I' , ' I; '. i I I: . I 1 , Ii j! ; f 'i-.. 12.. 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'."Ii.... _ ~CCUP/..:-.;Cy L.OAD ...~. }'~p~ COl'o';I; - .-.....-- ._..~. - -- .-- - _:'_:~J ?TION '_'_..":'5. .. ....-'" ~: .:~;! tl--: H~f~~ O~ '-U.Y'. ".'1"" .I..,...)....l:: l~'alr-",-..O" ~t!Y~IiY'laO. WITH _._____----'-:_~""-'.. . _'" IN ...vU')~..O !"f:"''-IL r-H _ .___. ...! :-:'f"'S-H.~DI'! AP'Tf:R 0 T . . .' A,NG!.S '.,~...rcJ'.'.:n . UY THE' 8 . ,A.. eF.l..:')w el-tALL BE . . UILOIN':J CP'FICJAL. ....,...." ,. !, OF SPRl NGFI ELD . OREGON ApPROVED fly DATI! : . " ,< i- \1 '" ,~ .-. .,"