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Home My WebLink AboutPermit Plumbing 1981-6-3 IINSr:.:CTlON tiNE 72W769 I Job Add,... Ilegol Description I I Owner I Address I '~ CITY OF SPRINGFIELD ~-& COMBINATION APPLICATION/PERMIT, .. INFORMATION LINE 726-3753 508 Nighthawk Lane 17-03-27-42, TL #2600 ENERGY SOURCES: H.at elect Water Heater -e..l ec.t I Rana. e 1 ec; t Value of Work: Sq. Fig. Main Sq. Fig. Aceeus. Sq. Fig. Olher _Nllw_Add_Altet_Rep. _Fence_Demo_Change! Use _XJt>.h" , leO-.Of) Building Permit Info: bescribe Work (i.e.. Build Single Farnil" Residence With Attached Garaae' = ~ -- o (jJ (jJ VJ 1W~~ell ~nrl Fern Anrler~"n 245 North 21st St. Phone Sorinafield, OR 746-776? F~und~mo.ved-hoUSG rnndructinn lender Address phone DESIGN TEAM (name) (address) (lies. no.) (expires) (phone no.) Primary OWNER Structural Electrical Mechanical CONTRACTORS {nomel (address) (Iiel. no.) (exDir.s) (')hono no.) General IW~~~llXi"f~X Russell Anderson Same as ahnv~ PlumbinA Electrical Mechanical PLUMBING ELECTRICAL MECHANICAL NO. fEE . CHARGE NO. FEE CHARGE NO. I FEE ' CHARGE SERVICES furnace/burner to ~TU's Appliance vent separate Stationary evap. cooler Vent fan with sinpl. duct Vent system aport from heatlnR or A.C. Mechanical exhaust hood and duct Residence of Each sin~le fixture Relocated building (new fix. additional) S.F. Residence (1 bath) sq. ft. New circuits, alterations or extensions Duo lex (1 both) eoc;h Temporary Construction Additional both Amps. Water service Sewer Wood stove/heater Storm Sewer FEEDERS Heot Puma Air handler to 10.000 CFM Air handler over 10.000 CFM Amos. 1 Plmb Connection 1 sewer line -100' 15.00 JO,OO 1 lelacation of f,Jdl!, frr m 100 to 200 amp" ,~ nn ISSUANCE OF PERMlT TOTAL CHARGES 25.00 TOTAL CHARGES 15 . 00 TOTAL CHARGES WHERE STATE lAW REQUIRES that the Electrical work be done by the Electrical Contractor, the electrical portion of this permit shall not be valid until a label has been signed by an Electrical Contractor and attached to the electrical panel. I HAVE CAREFULLY EXAMINED the completed application for permit, and do hereby certify that 011 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 herin, and that NO OCCUPANCY will be made of any structure without the permission of the Building Division. I furth.r certify that my registration with the Builder's Board is in full force and effect 0 s required by ORS 701.055, that if exempt the basis for exemption Is noted heron, and that only subcontractors and employees who ore in compliance with ORS 701.055 will be used on this project. " Basis for Builder's Boord exemption: NAME (please print>!1, J:i "jEt-J.... 1. ~ IJPE"IfSO/Il SIGNATURE 8-'M-rlJ~ DATE0/~ FOR OFFICE USE ONLY Zon" Fire Zon- Flood Plain RA Type/Canst. VN Bedrooms Ctori." Units n,.~y Load "ccy Group Sq. Fig. Main Sq. Fig. Access Sq. Fig. Other x Value x Value x Value TOTAL VALUATlON -l..-U'n nn BUILDING PERMIT Charges and Surcharges 17.00 Pion Ck. Comm/lnd 65%/ Bldo Per fee Pion Ck. Res 30%/ Bld~ Per Fee Systems Development CharQe (1.5%\ 202.50 PLUMBING PERMIT Charges and Surcharges .68 25.00 1.00 15.00 .60 ]8.00 PO,5-?fi-Rl rn~ie~ _~n Fence Demo Total Comb. Permit ELECTRICAL PERMIT Charges and Surcharges Sidewalk 18.00 Ale Pavina MECHANICAL PERMIT Chargos and Surcharges Curb Cut 11.80 TOTAL 292.08 COMBINATION APPLlCATION!PERt:~(CA" ' I'tIlApplicant to furnish 'I VIJ A. Job Address ---'B'. Legal Description o 1. exomple,tox lot 100, Lone County' Map'Reference 17 03 43 I 1\ 2. example,Lat 1. Block 3, 2nd Addition to Springfield Estates '-'\.J C. Name, etc. of owner and construction lender /\ \ D. Energy Sources \ V 1. example-heat/electrical ceiling/or forced air gas C\J 2. example-wate,' he.ate~/ele_ctri~al/o.~ s~l~r.. . \ '", E. Square footage or valuation, etc. 1. 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. example-remodel existing garage into family room 3. example-convert single family residence into restaurant (change of use) G. Value of work as defined in Section 303 (0) of the Structural Specialty Code ,Ii. 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. ~ , /.-1 "1') "..",I ... ~ IT'lALlDATIONlf -'J ,:"./, ~ ''"".,.- ~~: , , .. , .. . '. II. Abbreviated Plumbing, Mechanical & Electrical Schedules A. Except where blank spaces occur in the description portion of the Mechanical 6nd Electrical Schedules, the applicant need fill,in only the No. Boxes adjacent to the appropriate item(s) 10 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 abbrevi, ated schedules you should consult the full schedules C. BUILDING DIVISION STAFF WILL Fill OUT ALL FEES AND CHARGES ON THE SCHEDULES III. ~pplicanl to sign and date Whenever possible, the initial application will be used as a worksheet only. Where possible, Building Division Staff will prepare a typewritten 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 applicatiqn, 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 Cler~ PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Cul~ert re~uired if access taken off Nighthawk 9rive Contact r~intenan:a ~a~a~~7.:~~ for specifications - Brigg house into conformance with existing n8ighborhood - UPGRADE. electrical and plumbing to meet or exceed housing code. \~~~ ,'J.~~~ \I\\:)<~~<.\\A" ,~ ).\~n.\.l" Additional Project Information: . I~pro~em"nt ;lgr""m"nt ""'~"irl1r1 for nigllth;lwk I ;Ill" Street Improvem~llh Atjtj1tioll~l r,,_H~ \' will be necessary for any plumbing/electrical not covered by this permit. PLANS REVIEWED BY, name 'ITom Sh"irbo" signaturo '.'-. ..ratl'" n ;'''1 I IINUECTlON "HE 726-3769 I Job Address ~~ '~ CITY Of SPRINGFIELD ..!t .. COMBINATION APPLICATION/PERM" .... INFORMATION LINE 726-3753 Legal Description 508 Nighthawk Lane 17-03-27-42. TL 12600 ENERGYeSflll~tES, Heal Wale, H~ale. lelect t: IIC\.t . Range I Value of Work: Address Russell and Fern Anderson 245 North 21st St. Springfield. OR Phone 1.700.00 Building Permit Info: Describe Work (i.e., Build Single Familv Residence With Attached Garaau) Sq. Fig. Main Sq. Ftg. Aceon. Sq. Fig. Other _New_Add_Alhtr_Rop. _v./ence_Oomo_Chongo' UIO ~lbth.r Owner 746-7762 Foundation for moved house 'I Construction Lender Address Phono DESIGN TEAM (nome) (address) (lies. no.) (expires) (phone no.) Primary OWNER Structural Electrical Mechanical CONTRACTORS 1"__KllXxnfKX Russell (nome) (address) Anderson Same as above (lies. no.) (expire.) (Dhone no.) General Plumbing Electrical Mechanical PlUM81NG elECTRICAL MECHANICAL NO. I FEE I CHARGE NO. I fEE I CHARGE NO, I I FEE I CHARGE Residence of Furnace/burner to 1\1U', Appliance vent separate Stationary .Yap. cool.r Vent fan with singl. duct Vont ,ydem apart from heating or A.e. M.chanieal exhaust hood and duct Each sinqle fixture Relocated building (new fix. additional) S.F. Residence (l bath) .'9' ft. New circuits, alterations or extensions SERVICES Duol.. (1 bath) each Temporary Construction Additional bath Amps. Water service Sower Wood Ito..../hooter , " Storm Sewer FEEDERS 1 Plmb Connection 1 sewer line -100' 18.00 10.00 1 I'eeocation of bld I. 100 to 200 amps frvm 15.00 Hoot Puma Air hand I., to 10.000 CFM Air hondl., 0"0' 10.000 CFM Amps. lSSUANCE Of PERMIT TOTAL CHARGES 25.00 TOTAL CHARGES 15.00 TOTAL CHARGES WHERE STATE LAW',REQUIRES that the Electrical work bo done by the Eloctrical Contractor, the electrical portion of this permit .hall not be valid 'until a lab.1 has been signed by an Electrical Contractor and attached ta the oledrieal panel. I HAVE CAREFULLY EXAMINfD fho'completBd a'pplication far perm'it, and do hereby certify that ali informati~n hereon is true and corr'ect: ~nd I fu'rthe, cortify that any and 011 work performed shall be done in accordance with the Ordinances of tho City of Springfield and the Laws of the State of Oregon pertaining to the work described herin, and that NO OCCUPANCY will be mCiJde ,of any structuro without the perminion. of th, Builc!i"g qjvisl~n...1 .fur~h.r certlfy that my registration with the Builder's Board is in full force and effect as required by ORS 701.0.55, that If exempt the basis for exemption Is noted heron, and that only subcontracton and employees who are in complianco with ORS 701.055 will be used on this project. . 6os11 for Builder's Board exemption: NAME (please print) ~IGNATURIC "lATE fOR OffiCE USE ONLY Zone fire Zone Floo~, PI~ln N\ Type/Canst. Bedroom' ,Ctarie- VI1 Units occy Load I"'lccy Group Sq. fig. Main Sq. Fig. Acces- Sq. Fig. Other, x Value Value yalue 1./UU.UU x 1 '\ TOTAL VALUATION 17.00 Plan CIt. Co~m/lnd Sys.tems Development 65%/ Bldel Per Fee Charae (1..5%) .68 Plan Ck. Res 18.00 PD.5-26-8l copies 30%/ Bldg Per Fee 25,.00 F,.n~1It 1.00 Demo Total Comb. Permit , 15.00 18.00 '\ Sidewalk .60 Alc Pavina 202.50 . BUILDING PERMIT Charges and Surcharges .50 PLUMBING' PERMIT Charges and Surcharges ELECTRICAL PERMIT Charges and Surcharges MECHANICAL PERMIT Charges and Surcharges , Curb Cut 11.80 ., TOTAL " 292.0B .. ., ... . ..\.l' .' - .....~'--- ,.. . .;. ....... - 1~:~')"'" '. I .__.oJ:.l . :1' COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Jab Address B. legal Descri ptian 1. example-tax lot 100, lane County Map Reference 17 03 43 2. example-lot 1. Black.3, 2nd Addition to Springfield Estates C. Name, etc. of owner and construction lender. D. Energy Sources 1. example-heat/electrical ceiling/or farced air gas 2. example-water heater/electrical!or,solar .,L E. Square footage or valuation, etc. 1. 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. example-remodel existing garage into family room 3. example-convert single family residence into restaurant (change of use) G. Value of work os defined in Section 303 (0) 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 Plvmbing, 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 ore not covered on the abbrevi- ated sohedules you should consult the full schedules C. BUILDING DIVISION STAFF Will Fill OUT All FEES AND CHARGES ON THE SCHEDULES '~MIT VALIDATION . '. . . ~ - 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 typewritten 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 ore due and payable at the time of the application, and no plans will be processed until these fees ore paid. All other fees and charges ore due and payable when the permit is issued. .. , V. FOR OFFICE USE ONLY Permit Cler~ PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: ~lvprt required if ~rrpcc t~~pn nff Nighth~w~ nrivp - rnnt~rt M~int~nanco no~~rtmen~ for specifications - Bring house into conformance with existing neighborhood - UPGRADE. electrical and plumbing to meet or exceed housing code. Additional Project Information: Improvement aqreement required for niahthawk Lane Street Imorovements. Additional aermitc will be necessary for any plumbing/electrical not covered by this permit. PLANS REVIEWED BY: '. nam'"' Tom Sheirbon "',ignatur'"' ~ate ~~.,~,~. w.::-u-. - " " g8' _~_i _:JJ_ _ Ulf~~-;~J:.'~~~~"'''''' ,./< ~ --,j ,_~~~.,~.e.-.,.J.t..l;-~:I!!.ll"l '_i~,~Il!'JI!!.!..!,!~ ~_. -, I INSPECTION LINE 726-3769 I Job Addren I legal Description I I Owner I Address I I Construction lender I Address I DESIGN TEAM CITY OF SPRINGFIELD COMBINATlON APPLICATION/PERMIT INFORMATION LINE 726-3753 Sorinafif;'ld _ OR 746-776') """"n.HOI1 for moved-l1our: Yf .....ft,. - C> OJ (j) VJ 17-03-27-42, TL #2600 ENERGY SOURCES: Hoat e 1 P.C: t Water Heater _elect RanRe p 1 pc:t ::: Value of Work: Sq. Ftg. Main Sq. Frg. Accen. Sq. Ftg. Orh.r _New_Add_Alt.r_R.p. _Fence_Domo_Chang./Us. j{)Otho, 1 7--00-.-00 Building Permit Info: b.scribe Work (i.... Build Single Famil.., Residence With Attach.d Garaae\ 508 Nighthawk Lane RUSsp.ll and Fern Apnpr<nn 245 North 21st St. Phone Phone {namel (address) {lies. no.} (expires) (phone no.) Primary OWNER Structural Electrical Mechanical CONTRACTORS (name) (address) (lies. no.) (ex.,ires) (ahone no.) General I"~~~llXX~f~X Russell Anderson Same as a~nvp. Plumbin!1 Electrical Mechanical PLUMBING ElECTRICAL MECHANICAL NO, feE ' CHARGE NO_ , feE . CHARGE NO_ feE 'CHARGE Residence of furnace/burner to Each sinQle fixture SQ. ft. I\TU's Relocated building Now circuits, alterations Appliance vent (new fix. additional) or extensions separate S.F. Residence Stationary evap. (1 bath) SERVICES cooler Vent fan with Duplex (1 bath) each Temporary Construction single duct Vent system apart from Additional bath Amps. hoatinQ or A.C. Mechanical exhaust Water service hood and duct Sewer Wood stave J heater Storm Sewer FEEDERS Heat Pump Air handl.r to Amps. 10.000 CFM Air handler oyer 1 Plmb Connection 15.00 1 l'el ocat ion of blrlll. frlm 10,000 CFM 1 sewer 1 ine -100' 10_00 100 to 200 amnc:. l~ nn ISSUANCE Of PERMIT TOTAL CHARGES 25.00 TOTAL CHARGES 15.00 TOTAL CHARGES WHERE STATE LAW REQUIRES that the Electrical work be done by the Electrical Contractor. the electrical portion .of this permit shall not ba valid until 0 label has b..n signed by on Electrical Contrador and attached to the electrical panel. I HA VE CAREFULLY EXAMINED the completed application for permit, and do hereby certify that all information hereon is true and corre~t. 'and I further certify that any and 011 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 her.in, and that NO OCCUPANCY will be made of any structure without the permission of the Building Division. I further certify thot my registration with the Build.r's Board is in full force and effect os required by ORS 701.055, that if exempt the basis for exemption is noted hefon, and that only subcontractors and employees who or. in compliance with ORS 701.055 will be used on this project. _ '-"": Bosis for Builder's Soard exemption- NAME (ploD.. pdnt) liJ J ;j J E /. t... 1. A I,LDEI?" t71!-SlGNATURE II /"'-'<.tIJ~!. I., FOR OFFICE USE ONLY DAT~0/u- Zone RA Type/Canst. VN Units Fire Zone 'lldrOoms nccy load Flood Plain "'torie" -occy Group BUILDING PERMIT 17.00 Plan Ck. Comm/lnd Charges and 65%/SldQ Per Fee Surcharges .68 Plan Ck. Res 30%/Stdq Per Fee PLUMBING PERMIT 25.00 Charges and Fence Surcharges 1.00 Cemo ELECTRICAL PERMIT 15.00 Charges and Sidewalk Surcharges .60 AIC Pavina MECHANICAL PERMIT Charge. and Curb Cut Surcharges .------- Sq. Ftg. Main Sq. Ftg. Access Sq. Ftg. Other x Value x Value Valu. TOTAL VALUATION 1,700 on Sy.stems Development Charae n.5%' 202.50 .' 18.00 PO.5-26-S' cODie~ _~O Total Comb. Permit lS.00 11.80 TOTAL 292.08 " .' ~:..-.(... :a~l '.", ' / -/ ' , , I ,~"""./ ~-" ,.... .,"'- ..' ,.".-' .u,,~'--'-I' I. .. . t ,U..l,. " ", ," Y~.,.....,,, ,~~,: ,<<,_ ..,...Jl.;,~~l,.. "~'''' /.It ~,~"",~~<"~!,..4.L,,,,,,,,"..,,.,,,,,,,,A,l'! i!i.f:'~': ... ~4'" :-' ... .~. " r t'. J l ..... ..._.,.,_......-...__..~...". COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to fvrnish A. Jab Address B. legal Description 1. example.tax lot 100, lane County Map Reference 1; 2. example.lat 1. Black,3, 2nd Addition to Springfield E (es C. Name, etc. of owner and construction lender. D. Energy Sources 1. example.heat/electrical ceiling/or forced air gas 2~ example-water heater/electrical/or solar .;i~. E. Square footage or valuation, etc. . 1. example.1250 sq. foot hause, 500 5,g. foot go rage 2. example-if new project, check new~~if addition, check add, etc. F. Building permit information: 1. example-construct single family house with an altae! garage 2. example-remodel existing garage into family room 3. example-convert single family residence into restaurant (change of use) G. Volue of work as defined in Section 303 (0) of the Structural Specialty Code H. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Oivisio Staff must be able to contact appropriate persons regal (' design information or job site corrections, etc. :-f. II. Abbrevioted Plumbing, Mechanica,' & Electrical 'Schedules A. Except where blank spaces occur in the description por of the Mechanical ond Electrical Schedules, the opplica need fill.in only the No. Boxes odjacent to the oppropr item(s) to be installed B. Full Plumbing, Mechonical, and Electrical Schedules are available at the Building Division 1. To conserve space on the permit form the schedules hove been abbrevioted 2. If the item(s) to be installed ore not covered on the ated schedules you shovld consult the full schedule! C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AN CMARGES ON THE SCHEDULES III. Applicont to sign and dote Whenever possible, the initiol opplicotion will be used os (' worksheet only. Where possible, Building Division Stoff w prepare a typewritten copy and return it to the applicant , the time the actual permit is issued for his signature. IV. Fees ond Chorges Pion check fees ore due and poyoble ot the time of the oF-;:" '_..., ond no plans will be processed until these fees ore poid. All other fees ond charges ore due ond poyoble when the permit is issued. V. FOR OFFICE USE ONLY , PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: PERMIT VALIDATION " ( CITY OF SPRINGFIELD City Hall Springfield, Oregon Department of Public Works OFFICIAL RECEIPT (' ( " (\ \No. B Dote ____\\ \\G ~ 19 ~ Rec'd From \(~~ ~~ W Addressc04 ~ (\ 56656( ( c " J ~. I, Received For' b\~k\ ~ \\:00 ,( ~I"'> ,(O~ ~Iln\'() ~rOS 00 ,f ~'\ J DC> t~QJ!Ott . '-'i,~oo (I - 4QO. (ri) ilD/0rf'_ rOo .gO '(I [)C). 'T' ,,~/),!J :So O)~O_~. . . .0(}d (' Amount Received c5J-.16J D~' (L \1' <,' \. ( ( c ( (J . M1 AUTHO"liw' "IONAnM SHltlfo...n,l"".ULL "..'..TIUI,. ItUOI.... Oil '7.01 ( (J (I '. .< , -;' . . Permit Cler~ -' ,1... "_ Culvert required if acce~~ taken off Nighth~wk nrivp - ront~rt M~intpn~r(e Departmen~ , , for specifications - Bring house into conformance with existing neighborhood - UPGRADE. ,-.1.. " electrical and plumbing to meet or exceed housing code. Additional Project Information: .','" .1 ,- .>\ " .\., Improvement aqreement required for niQhthawk Lane Street Imorovement~. Additional oermit, will be necessary for any plumbing/electrical not covered by this permit. .'.....' . PLANS REVIEWED BY: " , nom":" Tom Sheirbon : ; .........t. ~ignaturo . , , '.. . , ~I I I I , I ',. 1: ....l,;\.:: -- , .'i-: }Y::: . ~.l~' ! . . :t -fat... .. V ..: .. INSPECTION LINE 726,3769 YOOR CITY DESIl1lAITD JOB Nl11BER IS: -~QUIRED e.. IflSPECTIOflS~- - INSPECT 1011 PROCEDURE FOR THE CITY OF SPRINGFIELD BUILDING DIVISION 346 MAIN STREET $\10355" INFORMATION LINE 726-3753 The following indicated inspections are required for your construction at ~6B N1trtlTI-\.I!I.IU"'- D~.~\lE" It is the responsibility of the permit holder to see that all inspections are made at the proper tlme, that each address is readable from the street, and that the permit card is located at the front of the property. ~ SITE INSPECTION: To be made' after excavatlon. but prior to set- up of forms r--l UNDERSLAB PLUMBING. ELECTRICAL & MtCHANICAL: TO be made betore any work 15 covered ~ FOOTING & FOUNOATION: To be made after trenches:are excavated c==J and forms are erected. but prior to pouring concrete ~ UNDERFLOOR PLUMBING ...- ~ 10 oe made prlor to ~ of floor ins~lation or decking ~ 'POST & BEAM: To be made prior to lnstallatlon of floor insulation or decking IXl ROUGH PLUMBING. ELECTRICAL_- .~ No wOrk 15 to be covered ~these inspection5 have been made and approved ~ FIREPLACE: Prior to placing fac, 1n; Materials and before frc1r.ling inspection ~ FRAMING INSPECTION: Must be re- 1V>l quested after approval of rough ~ plumbing, electrical & mechanical. All roofing. bracing & Chimneys. etc. must be completed. No work is to be ~ concealed until this inspection has ~ SEWER. WATER & DRAINAGE LINES: been made and doorove.d. __ _ "'rlor to fl111nQ 1n trencnes ~ FINAL PLUMBING ~ FINAL ELECTRICAL c==J FINAL MECHANICAL BUILDING UISPECTlC\'E: ~ INSULATION/VAPOR BARRIER INSPEC, nON: fa be made atter all 1nsula- t10n and required vapor barriers are in place but before any lath. gypsum board or wall covering is applied, and before any insulation is con- cealed DRYWALL INSPECTlOII: after all drywall is prior to any taping To be made in place. but" ~ WOODSTOVES: After installation is completed MASONRY: Steel location, bond beams. grouting or verticals in ac- cordance with U.B.C. Section 2415 c==J ~ ~ ~ FIRE & SEPARATION WALL: Located & constructed according to plans i ATTIC DRAFT STOPS: ROOF SHEATHING AND NAILING: to installing any roofing Prior ~ ~ SPECIAL INSPECTIONS: When re, qUlred by BUlldlng Code. special inspector to be present when work is in progress. A copy of the special testing report to be ' furnished to the Building Division' .. SIDEWALK & DRIVEWAY: Required for all concrete pavlng within street right,of-way, to be ~ade after all excavating complete & fonm work & sub-base material in place Structural Concrete: 3000 P.S.I., In excess of CURB AND APPROACH APRON: After forms are erected but prior to pour- i ng cone rete Structural Welds: Performed on the jOb , ~,lilu-Lam Beams: Inspection eertifica~e (by approved agency) supplied to Build- ing ~ivision before beams are placed c==J Fire Retardant Roofing: Before Instal, lation 'OTHER INSPECTIONS: May be required 'in accordance wlth Building Code. to be indicated in plans or by notice from Building Inspector //. ~ FINAL FIRE DEPARTMENT All project conditions, such as the installation of street trees. completion of the required landscaping, etc., must be satisfied before the BUILDING FINAL can be requested. ' c==J Construction projects that required approval by the City.s Site Plan Review Board shall be inspected by the Review Board ' . before requesting a final building inspection. Requests for inspection by the Site Plan Review Board must be made 2 days 1n advance of the date you wish inspection. , ~FINAl BUILOING: The Final Building Inspection must be requested after the Final Plumbing. Electrical~ and Mechanical' Inspections have been made and approved. No occupancy of the premises can be made until the Final Building Inspection has been made and approved, and a CERTI~ICATE ~ O~C~P~ H BEEN ISSUED BY THE BUILDING DIVISION AND POSTED ON THE PREMISES. , '. Signatur~:_I;~UJf,/t1. -"hone: 74/.-77&'2- Datet~.yx- / " , MOBILE HC!,ts-Your Job # is: OTHER-Your Job # is: r==J Blocking/Setup r==J Plumbing Conn~ctions Sewer and Water r==J Electrical Connection From Service to Mobile Home .r==J Electrical S~rvice Pedistal , r==J Accessory Building - May require Inspection as Buildings, See Build- fnQ' Insoeetions Above - r==l Final.. After Porches. Skirting, Decks, etc, are completed Slgnature Date SIGf,IS-Your Job I is: c==J Site/Location c==J Footing or Method of Attachment c==J Electrical <:)Rough <:)Final c==J Final - After Installation is com- pleted ~ 1 gna ture Date c==J Fence.. When Completed c==l Demolition.. When Completed :ilgnature Date BUILDING DIVISION APPROVED PLANS SHALL REMAIN ON THE BUILDING SITE AT ALL TIMES, AND ALL WORK MUST BE COMPLETEO IN ACCORDANCE WITH THOSE APPROVED PLANS. NOTE: All manholes and cleanouts are to be adjusted at no cost to the City. PROCEDURE FOR INSPECTION REQUEST - Call 726,3769 (recorder) state your City-designated job number, Job address, type of lnspectlon requested and when you will be ready for inspection, Contractors or Owners name and phone numbers. Requests received before 7:00 a.m. will be made the same day, requests made after 7:00 a.m. witl be made the next working day. ~ .. .. Egge's.lSand &.'Gravel Company 90520 Coburg Road Eugene, Oregon June 2, 19B1 City of Springfield Public Works Department Engineering Division 346 Main Street Springfield, Oregon Deer Sir, Egge's Sand and Gravel Company, as contractor on the Prescott.Lane paving project, hereby gives permisaion .to Richmond and Schoap House Moving to move a hous.e on Prascott Lane betwaen Fairview and Nighthawk Streats. It is understood that this move will take place on,Thursday, ~une 4, between the hours of 5:00 am and 7:00 am. Richmond and Schoap House Moving agrees that the house will be off all city straets by 7:00 am and will not interfere with the operations of Egge's Sand and Gravel Co. I SinCerely'~DL Vern Egge or Ken Wilson for Egge's Sand and Gravel Company .......&-.:.- / ;:/' / i,' " . ~,' '_1.:..;.'. . ~ W-'_'WI..:~~~o<;,:") a . , . '.. . . -- -- ~ I I II , I I III ..1 _ ._ .'.":~I.~I,.,...,,,,~,..m~~_I"~.:"~~ ""l. ,~ 'I"~ .....1, ':'7"~lPJrL7'.l:lL:t""-~~.J.:~'!",,~ .', l~ ~ " I INSPECTION LINE 72~769 INFORMATION LINE 726-3753 CITY OF SPRINGFIELD COMBINATION APPllCATlON/PERMIT Job Addreu 508 Nighthawk Lane 17-03-27-42, TL #2600 Sq. Ftg. Moin Sq. Ftg. Accen. Sq. Ftg. Ot"er _New_Add_Alter_Rep. _hnce_Oemo_Change/Use JOb.h" , . 7-OlLillI Building Permit Info:- bescribe Work (i,e" Build Single Familv Residence With Attached Garaqe) ENERGY SOURCES: H.a' elect Water Heater ~.ec.T Ran!;e p 1 pc:t ;:;; Value of Work: legal Description Owner Ru~~eJJ and Fern Andersnn 245 North 21st St. Phon. Sorinafield. OR 746-776? I''J'Indation for 1lIO.ved-house Addren Construction lender Addreu DESIGN TEAM Ph~n.'" (addreu) (expire,) (phone no.) (lies. no.) (name) Primary OWNER Structural Electrical Mechanical CONTRACTORS (name) (addreu) (expires) (phone no,) (lies. no.) General I~~~KllxX~XKX Russell Anderson Same as aQDvP Plumbina Electrical Mechanical \1;- ..y",. -- C> OJ (;J VJ PLUMBING elECTRICAL MECHANICAL NO, FEE . CHARGE NO, FEE 'CHARGE NO, , FEE 'CHARGE Residence of furnace/burner to Each sin~le fixture "".ft. ATU', Relocated building New circuits, alterations Appliance vent (new fix. additional) or extensions separate S.F. Residence Stationary evap. (I both) SERVICES cooler Vent fan with Duplex (1 both) each Temporary Construction single duct Vent system aport from Additional bath Amps. heating or A.C. Meehanical exhaust Water service hood and duct Sower Wood stove/h~ater Storm Sewer FEEDERS Heat Pump Air handler to Amos. 10.000 CFM 1 Plmb Air handler over Connection 15.00 1 le J oca t i on of bJdll. frr m 10,000 CFM 1 sewer line -100' 10.00 100 to 200 amDC; J~_ nn ISSUANCE OF PERMIT TOTAL CHARGES 25.00 TOTAL CHARGES 15.00 TOTAL CHARGES WHERE STATE LAW REQUIRES that the Electrical work be done by the Eledrical Contractor. the electri~1 portion ~f this permit shall not be valid until a label has b..n signed by an Electrical Contradar and attached to the .Iectricol panel. 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 011 work performed ,hall be done in accordance with the Ordinances of the City of Springfield and the laws of the State of Orogon pertaining to the work described her.in, and that NO OCCUPANCY will b. mad. of any "ructure without the permiuion of the Building Division. 1 furthor certify that my registration with the Builder's Boord is in full force and eiffect as required by ORS 701.0.5.5, that if exempt the basi, for exemption is noted heron, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. - ...:;. Basis for Builder's Boord exemption" NAME (pl.a.. p,;nl) 11-1 J j ~ E /.. J.. ,,',,/ I. 1.., A!LDe/fsOfu-SIGNATURE fiJ-4J,dJ~L L. fOR OfFICE USE ONLY OAT//5/41- Zon" fire Zone Flood Plain RA x Haluo Type/Const VN Bedrooms ~tori.~ Sq. Ftg. Main c:.... Ftg. Access Sq. Ftg. Othor IInih n,.cy Load n."Y Group x x BUILDING PERMIT Charge, and Surcharges 17.00 Plan Ck. Comm/lnd 65%/ Bld!l Per Fee Plan Ck. Res 30%/ Bldp Per Fee .. . System, De....lopm.nt Char<,e (1.5%) .68 25.00 1.00 15.00 .60 18.00 PD.5-26-8- cQ)liP~ PLUMBING PERMIT Charge, and Surcharge, Fence Total Comb. Permit Demo ElEO'RICAl PERMIT Charges and Surcharges Sidewalk 18.00 AIC Paving MECHANICAL PERMIT Charges and Surcharges 11.80 Curb Cut 292.08 TOTAL '.; <;0 7::; ;~t '-, ~.< ;:- ,..... \. / .-./ . '.. .... .;/. ~' ....u=.o:~,..,~,.,!;~~~. ;;:" "l.,.)",I,.!aI, "'.~.....,.~l~~.:","';.J~J,..,.~..."._...,<J}~ ... ~--.._'" J~_ll' ~.._.'._J)L"'h" J~j.::'J COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATION I. Applicant to furnish A. Job Address B. legal Description 1. example-tax lot 100, lane County Map Reference 1; 2. example-lot 1. Block 3, 2nd Addition to Springfield E (es C. Name, etc. of owner and construction lender D. Energy Sources 1. exomple.heat/electrical ceiling/or forced air Ras 2. example-water heater/electrical/or solar ..i.. E. Square footage or valuation, etc. 1. 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 attacl garage 2. example-remodel existing garage into family room 3. example-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 Divisio Staff must be able to contact appropriate persons rega: (_ design information or job site corrections, etc. :!. r \ CITY OF SPRINGFIELD City Hall Springfield, Oregon Department of Public Works OFFICIAL RECEIPT r ( ( \ No. B 56656( Date '-..\\5\0 ~ 19 ~\ . Rec'd From \J~~ ~ ~Q ~flrt9 A $fY\ ( Addressc-Cl4 ~ (\ ,D \ cr- ( J (" Received For' b\('\f\ \\.00 ~r-.,;tnR .( PU\,\f) ~rOs 00 .'" \l . 4-9..... JOe> 'I 1J.~Ott . Ci. ~ 00 (I - 4'70. 1m ~llJ)/0~ rOO. 20 q no f' ,-,.')/),.O.sD , o)~ ~ . - . ~)c1. <. , II. Abbreviated Plumbing, Mechanical & Electrical Schedules A. Except where blank spaces occur in the description por of the Mechanical and Electrical Schedules, the applica need fill.in only the No. Boxes adjacent to the appropr 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 ated schedules you should consult the full schedule! C. BUilDING DIVISION STAFF Will Fill OUT All FEES AN CHARGES ON THE SCHEDULES ( ( c. I " Amount F .~ Received QJ-1aJ D <"6 M .' . V~. .... AUTIolO'UZWl!UGNATu'WI ............ i S..ILTO...TI"....UlL~..'..TI....IUQI..I.O...l'.O, .~ \.., /1' \. III. Applicant to sign and date Whenever possible, the initial application will be used as (' worksheet only. Where possible, Building Division Staff w prepare a typewritten copy and return it to the applicant the time the actuol permit is issued for his signature. IV. Fees and Charges Plan check fees are due and payable at the time o.f.the ar.:...._... and no plans will be processed until these fees are paid. All ather fees and charges are due and payable when the permit is issued. (I CI ( (I '.....-..' ., ,. , c: V. FOR OFFICE USE ONLY Permit Cler~ PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Culvert reQuired if ~rrp<< t~kpn nff Nighth~wk nriup - rontQrt ~~;ntpnao~~ D~partment for specifications - Bring house into conformance with existing neighborhood - UPGRADE. electrical and plumbing to meet or exceed housing code. AdditionClI Project Information: Improvement aqreement reouired for niohthawk Lane Street Imorovements. Additional oermit< will be necessary for any plumbing/electrical not covered by this permit. r. ~ ,_.' . ... 1~ ..... PLANS REVIEWED BY: nam~ . . Tom Sh~i rbon .....;.1. . '. c;ignatur.... ....otf'