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HomeMy WebLinkAboutPermit Building 1987-12-15 I INSPECTION LINE 726-3769 . CITY Or SPRINGFIElD COMBINATION APPlICATIONIPERMIT EIIERGY SOURCES: Heat Hater Heater Range ValuE of Hork: l5'e>o. .",.-d Bul10ina Permit Info: Familv nesidence With . INFORlIATlON liNt 726-3753 Sq. Ftg. I"ain ~q. Hg. Access. Sq. Ftg. Other New Add Alter Pep. --Fence Demo Change/Use -Other- - ~ 'v ~ ~ \).j Job Address 383/ ~..w ~/?E ~63 ,/~Clr legal Oescription / 7-t:> :4-'"3/- Y /. c:::l.<5"aa Owner 6-;#/ L V. ~-"?,C> /YG=,.;e Address 3'/ Yo <). W. ?(:::>~ /1 r.e' Phone P~.c#h'7), ..:5~. '9/ -",,,S' Construftion Lender I' DescrIbe Work(i.e., Build Single Attached Garaae) Address DESIGN HAI1 (name) Phone (address) /" ~STflt:JC;r V<=/) /'2.;>A-?o~7.} .vC-~<;.;'.__ ~Ll.. Z~~ 7C/T~/7T S~C~. (lies. no.) (Elxnir~sl (ohane no. I Primary Ii ~f?- ,~ , __ \ 1'1'/ v;Je..j \ I .." .-.i ,I/) i' jI I Structural Electrical Mechanical CONTRACTORS lnamel General /""..A'A/C ~c./<;<:; 6n-s/"o r (address) (lic~. no.) (~xnirp~) :<'3'Yo/ ~'--.... ~d.' r;.~.--~ / (ohnnp nn_ 1 ?"~~ /'-/59 Plumbina Electrical ~1echanical PlUllB I NG ElECTRICAl MECHANICAl NO. FFF r:I-/ARr,.1=' NO I=I=L...G.I::lARG.E Nn ""L .QJARliE. Each single fixture Residence of SQ. FT. furnace/burner to BTU's Relocated building (new fix. additional) New circuits alts. or extensions Floor furnace and vent S.F. Residence (1 bath) Duplex (1 bath) each Additional bath SERVICES Recessed wall C:;n",,.p hp",ta.. ",nri I/,ant Storm Sewer Of amps. Appliance vent ~po~rrlt_p Stationary evap. cooler Vent fan wi th sinal"" dlJr:t Vent system apart from heatina or A.C. Mechanical exhaust hood and dur:t Sewer Temporary Construction Change in existing rps; d_pnr:p multifamily. COIl1Tl. or Tnduc;trial ~Iater service COMfl./IND. FEEDERS Install/alter/relocate d;c;tr;h_ fppdprc; Wood stove/heater Of amps. TOTAl CHARGES WHERE STATE L~W REQUIRES shall not be vali~ until the I SSUANCE OF PFRrm TOTAL CHARGES TOTAl CHARGES that the Electrical work be done by an,'Electrical Contractor. the electrical portion of this permit label has been signed by an Electrical 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 performed 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 OCCUPAUCY will be made of any structure without the permission of the Building Division. I further certify that my registration with the Builder1s 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 comoliance with OP.S 7nl.055 will be used on this project. a 'fCt,' ":> L(lr},'" <; SIt-IIATURELA L':' r! ~ . / FOP. OfFICE USE OIIL Y / TvoelConst. .s---.cY" Units Sq. Ftg. liain x Bedrooms Occy load Sq. Ft~. Access x Stories Occy Group;;? -? Sq. Ftg. Other/ .tV7_ &s..~~ (i) Conm/l nd- PP" 1=.... Re.s-- Per Fee DATE 1).-1.>-9 J IIAIIE(please print) Zone -:::c. Value Value Value /.~-"-"" Fire Zone Flood Plain BUilDING PERMIT Charges and '""\ Surcharges e;J--- "2 <- ~ Plan Ck. _ _ __ _'<!!.: __ _ _ _ ..22!./~ldo ( __ r- Plan Ck. -,<.) 30%/Bldo r./'/S-1C? I~&.'o // Zr- Systems Development (t:>. ;;> Charqe (!.5~) . TOTAl V AlUA TI ON If,A. PlU11BING PERMIT Charges and Surcha rges Fence ElECTRICAl PERI1IT Cha rges and Surcharges MECHANICAl PERMIT Charges and Surcharges D~R10 Sidewalk AIC Pavi ng Total Comb. Permit .... Curb Cut TOTAl i7~SC/ . . .,." COMBINATION APPLICATION/PERMIT (CAP) PERMIT .VALIDATIDN I. Applicant to furnish A. Job Address B. legal Description \. 1. example- Tax Lot 100, Lane County Map Reference 11 03 43 2. example- Lot I. Block 3, 2nd Addition to , . Sprlngtield Estates " , " " C. " Name', etc. of owner and construction lender ,D. Energy S~urces:. : . _. .., . 1. example- heat/electrical ceilinq/or forced air Qas 2. examole- waterheaterjelectrlcal/or solar E. Square footage or valuation, etc. - 1. examole- 1250 sq. foot house, 500 sq. foot garage 2. examp.le- if new project. check-nfw - if addition, check add. etc. f. Building pennit information: 1. example - construct single family house with an attached garage 2. examele - remodel existing garage into family room 3. examele - convert single family residence into restaurant (change of use) G. Value of work as defined in Section 303 (a) of the .... ..,. Structural Specialty-Code ',' r ':.., '..I . J ~.' 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 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 ANO 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 Permit Clerk . PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: .Additional Project Info'nnation: , . PLANS REVIEWED BY: name /. t7"??~ ,A.C?;6?'f' Signature~~~ ////' t - ./ I date/:?Y.Y -B;::> jlNSPECTION LINE 726-3769 . CITY UF SPRINGFIELD COMBINATION APPLICATION/PERMIT EilERGY SOURCES: Heat \~ater Heater Ranqe . INFORlIATION LINe 726-3753 SQ. FtQ. /.Iain ~q. ~t9. Access. SQ. Ftg. Other New Add Alter Rep. --Fence Demo Change/Use Other- - ~ \.J ~ ~ \).j Job Address 3831 /IZ~'//S( _'G.N7'E ~6:3 ,/~"'r Legal Description 17-t:>"2,,-""3/-YI ~<,")a.o Address Ul:.~l{jrl TE:.Ar~ {name) Phone (address) ValUE of Hork: l5:c>o. ...... BuilriinQ Permit Info: Describe Work{i.e., Build Single Familv nesidence With Attached Garaae) /'" t;?i/.,;r~c...rC7 V<=?:> ~~e-Z> I .vC-/7.?'Sh"'~ ~.LL ..df~cc..-.: 7C/'T"~-7r ,;),.J?ff C~. (lies. no.) (exo;res) (ohane no. Address 6-// (. V. <::;;~r? D /Y<:;=~ "3/7'0 5.VY. 70724te' Phone ~/l". '7/..<..c..s- Owner P<SRT?#h'"7.), (onstru{t;on Lender ' Primary Structural Electrical Mechanical CONTRACTORS Inamel General /~A/C C6?'rC/S<; ~~r., , (address) (lies. no.) (pxn;rpo;.) (ohnne no. :<'3'Y'o/ ~",--........6rd r=;.,",,:""~~ I 9'.!5'<\- /'7'59 Plumbina Electrical ~1echanical PLUI1B I NG ELECTRICAL MECHANICAL NO. FEE r.HARr,E '" H'~ r\..ll1RG.E.. Jl() SQ. FT. furnace/burner to BTU's <<F I r.HARr,F Each single fixture Residence of Relocated building (new fix. additional) New circuits a1t5. or extensions Floor furnace and vent S.F. Residence (1 batb\ Duplex (1 bath) each Additional bath SERVICES Recessed wall So~cP hp~tpr ~nrl vpnt Storm Sewer Of amps Appliance vent seoarat.p Stationary evap. cooler Vent fan with sinole duct Vent system apart from h~~tinq or A.G. Mechanical exhaust hood itnd duct Sewer Temporary Construction Change in existing rp} i dJ'pl":p multifamily, corm!. or Tnrlu<:triil.l Water service COMM./IND. FEEDERS Install/alter/relocate rlic:;t.rih_ fppdprc;. Wood stove/heater Of amps. TOTAL CHARGES TOTAL CHARGES WHERE STATE L'\~ REQUIRES that the Electrical work be done by an shall not be valid until the label has been signed by an Electrical ISSUANCE OF PFRllIT TOTAL CHARGES 'Electrical Contractor. the electrical portion of this per~it S~pervisor 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 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 NO OCCUPAI~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 comoliance with ORS 7nl.055 will be used on this Droject. NAIIE(please print\ (lrCt.'~ Cor ),'<, <; SIr,IIATURE1,,*.L': t1.....L. I FOR OFFICE USE ONLY 1 Tvoe/Const. .s ---.cY Units So. Ftg. 11ain Bedrooms Occy load Sq. Ft9. Access Stories Occy Group ;:1-7 SQ. Ftg. Other/ ""'7", DATE /).-/5=9 ] Zonp Lc.. BUILDING PERIIlT Charges and Surcharges c- ~ Plan ek. :z ./ . 65%/Bldn ------(---:::;,=.- Plan Ck. -~.) 30%/Blda Conm/lnd Ppr Fee Res Per Fee r.?YS-~? /~&,O 1/ 2"'"" Systems Development {I:>' ~ CharDe (1.5~1 x Va 1 ue )( Value ~~~ Value TOTAL VALUATION /.0::s=>-"-"" Fi re Zone Flood Plain ;1,A. PLUMBING PERMIT Fence Charges and ------------ SurCharges Demo I I I ELECTRICAL PERI~IT Sidewalk Charges and ------------ Surcharges Ale Paving Total Comb. Permit 11ECHANICAL PERMIT Charges and Surcharges Curb Cut I TOTAL i2-S~ . COMBINATION APPLICATION/PERMIT (CAP) 1. Appl icant to furnish A. Job Address B. Legal Description I. example- Tax Lot 100, Lane County Map Reference 11 o'j 43 2. example- Lot I. Block 3, 2nd Addition to ~prfn9tield Estates C. Name. etc. of owner and construction lender D. Energy Sources 1. example- heat/electrical ceiling/or forced air Q3S 2. examDle- waterheater/electrical/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, check add. etc. F. Building permit 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 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. Abbrevi~ted 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. --- 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 c: CITY OF SPRINGFIELD ( City HIli Sprlngftold, Orogon Office of Community and Economic DeYelop~ent OFFICIAL RECEIPT . 1068!. o Date De?:. 1(')-. 19:?7 . ( (. Rec'd From ~......~ Cd'?"[ c.." :>5 "1351''7' 6~~ 7C-,.P?~&- Address CC;Z ~~ /D,/,'> _ '7"7 Yo" Cl- T7 Received For:\k~~~/ Gfi?A / o '0/ML L/f. () J.r>, ~ f6~ /b.-Z.J-- ::?5. ...- -- I-- 2.5 ", t-I2.,!)O 0- o o L/,;f -* Y2b o Amount Received :ff" V 2. 5"" c> d~~r~_.1"'o ?/l AUTHORIZED SIGNATURE,/" - I , c. 1!:!...-....- o BUSINESSFQR"'S.INC. 150313.12-'1" Permit Cl erk I PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: name /....c>7i'~ ,??.e<:;~ Signature~~.-; //// "'~~ '''''' /' ) date/'?YJ' --S;> .,. - SPR""'~ELD . l . tIII1L: eRequired Inspe,ions .. IT IS THE THAT EACII PROPERTY. RESPONSIBILITY OF TilE PER!lIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TUIE, ADDRESS IS READABLE FRO!1 TilE STREET. AND THAT TilE PERHIT CARD IS LOCATED AT THE FRONT OF THE BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE- AT ALL TIllES. PROCEDURE FOR REQUESTING INSPECTIONS, Call 726-3769 (recorder) state vou CITY DESIGNATED JOB NUMBER, job address I type of inspection requested and vlhen you will be re.:::.dy. for the inspection. Contractors or o\mers name and phone number. Requests received before 7:00 am w~11 be made the same day, requests received after 7:00 am will be ~ade the following work day. Your City Designated Job Number Is, g / 0 "9,'5- '? ~ I Job Address, ? g 3/ /'77/f""//>-> # 2eS7 ., 2<5" 7" Owner, ~R<:"" bd")'97)A/~ Phone, Contractor, C7-i'R"/~ ,~~;"/ ~ S o SITE INSPECTION: To be made after excavation, but prior to setup of forms. UNDERSLAB PLlIHBING, ELECTRICAL. &- ~IECHANICAL: To be made before any Iwrk is covered. o o 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 Lp [2J FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to pouring concrete. UNDERGROUND: Plumbing, Electrical, Gas, Sanitary Sewer, Storm Sewer, Water and Drainage lines. To be made prior to covering or filling trenches. o o UNDERFLOCR:, Plumbing, Electrical, ~Iechanical. 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.-. FLOOR INSULATION & VAPOR BARRIERS: To be made prior to install~tion of decking or floor sheating. o o o ~~SONRY: Steel location, bond beams grouting or verticals in accordance with U.B.C. Section 2415. '. o o ROOF SHEATI-lH!G A.'!D NAILING: Prior to installing any roofing. ROUGH PLUMBING. ELECTRICAL & ~IECHANCIAL: No work is to be co\'ered until these inspections have been made and approved. o o o o FIN.'\L PLU~lBING o CITY'S SITE PLAN REVIEN BOARD INSPECTION: Must be requested 2 days in advance of the date you wish inspectio~. All project conditions such as l~nclscaping, parkin& lot striping etc. must be com;:lleted hefore requesting this inspection. FINAL ELECTRICAL \1') [2g FINAL MECHANICAL FINAL FIRE DEPARTME~IT o D ~ \D o D o D Phone: ~gs< /'7''?'7 o o ATTIC DRAFT STOPS & CURTAIN WALLS. FIREPLACE: Prior to placing facing materials and before framing inspection. 'SPECIAL INSPECTIONS: In accordance \-:1th Section 306 of the Building Code a spe~ial 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. . =:J =:J :J STRUCTURAL CONCRETE: In excess of 3000 P.S.I. !306 ..1) STRUCTUR~L WELDS: Preformed on the job. (2722 f) HIGH STRENGTH BOLTING: Ouring all . bolt installation and tighting operations (306 a.5) FINAL 91l1LnING: ~lust be requested after the final Plumbing, Electrical, ~lechanical and Fire Departm~nt inspections are made and approved. No Occupancy of the premises can be made until . certHiC:;;: occ~p.nC~Lheen issued br the Building Division and postcd on the premises SIGNATURE (~ (/,'1 DATE /"2... - ( !:>-- 2?/ /"" 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. =:J LATH AND/OR GYPSUM BOARD INSPECTION: ---, To be made after all lathing and ---.J 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. FIRE & SEPARATION WALL: Located & constructed according to plans. WOODSTOVES: After installation is :J complete'd. 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. (306 3.11 & Chapter 29) GLU-LAM BEMIS: Inspection Certificate, by an approved agency, furnished to the City's Building Division before beams are placed. (2S01-U.B.C. STDS. 25-10.11) . *In addition to the inspections specified hereon, the Building Official may make or require other inspections of any construction work te ascertain compliance with the Building, City or Zoning Codes. ....ALL MM.:HOLES AND CLEANOUTS ~II1ST BF. :\CCESSIBLE, Arl.JUSTMENT TO BE ~IADE AT ~O COST TO THE CITY. . MAIN PlAZA 3831 Main Street, Springfield, OR 97477 . 3-1 "'j 21' d > 38th 151' ~T.KI:.t.T ( 39' ; ( 48' , ( 64' Suite #206 Suite #205 Suites #204 & #203 31' 1,209 s.f. 1,488 s.f. 1,984 s.f. < I t 7' Mechanical t 168 s.f. . 127' . - " ,', Sc~.":: Floor Suite #202 984 s.f. 142' #201 - Dyn;;unic #202 - Sterling #203 - VN:JWr #204 - VN:ANr #205 - VPC.IWr #206. - Fanners Insurance Tax Service ___.... . L -. Forest Product" Q", I ; i , . I!'!;"~ ":;'O"~~'!~~~>;::~~-'J:::~~:;~~~~9~ . S:_f::______~':~u,,:'-:;.cmpZ?::4. ...,. (',:"')'.,,,,,', I.<".D I' '--~" ...-.'. ..._._...._..___._....7.7 I' L "',.,, "''''''. __.5...b". ..: ..,._.. i .: ..c,., 1?-:c:>2,-~-Y/ 02. r>-s;;:$. " ;g-;/ ~. /...'-"'-=--;-... 5./( ~0"//Y',':>7 :..._. ...... ,. .', ..~4/9:S~4/::>~~, 41' Zt.;;-l>:': S.O' .:-...... . L.'': i ., .. Suite #201 864 s.f. : '.~ " ". "; :. "" -~",' , '-..-' ~. ,-, . .. : ~ ... , 36' t.: ,: . -,. . . :,:-.:: '. "..- ""."--" 1 .:.,. .;, .--"'" 1....:.1.: .: ':;.: ',i ~. : i,' '_ '...:: . ',;' .. ," T, :.~ ,_:J ~ ~ ,='.:;.: (.; (;~-r';~ .:. ~-~ ~:r::l'~;j...;::;;:--; ;.~. ;-. OREG01-J 6' APPR~:'.~?:::~:::.~~ ","ct.;?f.> 5( ~ Balcony ::>4 '-->; '__ _ M.l\IN ,:)J.ro:.r..-.l Ne..w De."l;sin3 ulc.ll CC'lstr"lc.+'oti "2. x If SiD ...,,01 (3~ ti O' stud $ :2..' OC- II" i h.... G~r""Y\ W.,i16c<<r.,! "n 60+1, Sioles ':>0:>1 /'\'1.''\, U~I"'\5 . .'. O-ffice W"II Const.-.....c. h",., 2.XLf STO;, er~ I " uJ I ~ G'jl's"", ,,1/ 800."'01 . c. ,...\ . \ -_._---- ---.. -.---.----- '- ----"-"' ------ ------------.-- Ex i:'+;Y"\J o ~"';siY)j Wo.ll \ .... v s",;h 2..0Lf ~7 ........ .' E";5T;"J Bq+~r~"I" . N. vJ Off ;~e Nt'" T."",,, T De."",;5i~) WG 1/ , 1 ... ~--.- ---.- ~ ---- ./ .5",,;t~ 2.03 . ..'\\ .t..... . .~~~"... _-1-' I I -,./'- ----'-------. --.-.--.-------- .6'. .~ '.'"