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Home My WebLink AboutPermit Building 1984-5-30 CITY 0' SPRINGFIELD COMBInATION APPLICATION/PERMIT EIIERGY SOURCES: Heat Ua ter Hea ter Ranne ValuE of I'lork: /S,?O. - Builriina Permit Info: Describe Work(i~e'9 Build Single Familv.nesidence With Attached Garaae) r VliJ/m :c;lJ~ ltJg-a ,/Ill? ~$JffJ'Y!? J?/J //f)I;U,!..s /WI) S~llv/t'K ~ AJHtU 5l0K . (lies. no.) (exI)irp.<;) (ohone no.) r/ . IrISPECTION LIIIE 726-3769 Job Address} /)'<>'D {)L limp/I' Legal Description ;ey;l'/l/,t,otP !':vl?n<. 'd:2I1/JIX \lTl~'3 ~~j I ()llcYJ Owner ;: /.P -:\"J!.ffl)( --C rU( Address 77 Z ':( Il/tf HIt!,4{ L [)YI ;hift.J-.( (/A-/'/(JJf)/.JtfR 1~1'(,1-I '1i5fe/., <r 11 )1/1 I -- )~I Construction Lender Address UtSlGN TEAll (namel Phone (address) Primary Structural Electrical Mechanical 4 CONTRACTORS General Plumbina Electrical ~1echanical (namel ~A 1.J.1\J r address' ( JAt.,J-JtJ1A ;Jet ~ ,PI/$(.1/? It' PLUllB I NG NO. FFF rH~ yn Each single fixture Residence of Relocated building (new fix. additional) New circuits alts. ~ or extensions S.F. Residence Cl bath I Duplex (1 bath) each SERVICES Additional bath . (lir<;. nn.' ELECTRTCAL t't't' ru~ NO SQ. FT. IS:-:- IWater service lsewer I Storm Sewer Temporary Construction Change in existing rps i ctPJ'll"P multifamily. CORm. or Indtl<:tri""l I I I I I V~.... I I I TOTAL CHARGES TOTAL CHARGES ::?~.... TOTAL CHARGES WHERE STATE L~W REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this penoit shall not be valiJ until the label has been signed by an Electrical Supervisor and returned to the BUilding Division Of CDMfl./IND. FEEDERS amps, ( Of /&!>.c> Install/alter/relocate nic:.trih fppnpr'c:. amps. INFORlIATlDN UN" '. 726-3753 Sq. Ftq. ',lain ~q. f'tg. Access. Sq. Ftg. Other -1lew_AddxAlter ---,~ep. Fence Demo Change/Use Other- - ~ ~ ~ (~xoirp,,' (nhnnp nn, \ MECHANICAL CEL .QIAill furnace/burner to BTU's Floor furnace and vent Recessed wall ~~~rp kp~tpr ~nn vpnt Appliance vent <;.~oaratp Stationary evap. cnolpr Vent fan with sinole duct Vent system apart from I heatino or A.C. Mechanical exhaust I hood and duC't. I I I I Wood stove/heater ISSUANCE OF PFRrIlT 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 Orel]on 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 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 7Ql.055 wi be ed on i project. /lA/,IE(please prin,?oZ~P( tlrrMlJJA./ Zone .co::::::. Fire Zone F1 ood PI a i n SIGIIATUR FO~ OFF I CE USE Q;lL Y Sq. Ftg. Sq. Ftg. Sq. Ftg. Type/Canst. Bedrooms Stories Units Occy Load OcCY Group 'J:J ~ '2 . 'L 'l8in Access Other BUILDING PER~IIT L~ -- Plan Ck. Comm/Ind IC>. ,,~ Charges an~ -- --=------ 65%/Bldo P~r Fep Surcharges .6"/' Plan Ck. Res 3D%'Blda Per Fee PLU'~BlNG PERMIT Fence Charges and ------------ Surcharges Demo ELECTRICAL PERI~IT ___:?:f.-_~~__ Sidewalk Charges and Surcha rges /.-'0 A/C Paving MECHANICAL PERMIT Curb Cut Charges and --- - -- -- - --- Surcharges DATE.s-/.r~/~ ' / Value Value Value /S~.- TOTAL V ALUA Tl ON x x , syste.ms Development Charoe tI.5~) /,/./1. Irotal Comb. rermit I I TOTAL ~=< .~ y ~ R1S'3.6Y CITY OF SPRINGFIELD . ( . City Hall Sprlngtleld, Oregon Department 01 Public Work. \ OFFICIAL RECEIPT No. B 6297J ',1' ( COMBINATION APPLICATION/PERMIT (CAP) ( Date ,J,I h 7 '3? 19:1? '/ Rec'd Fro~r:?:T-i""?? ):-C:-O/?YTY r MkN)-. AddressPD;:?'",,,,, /i./ /_~ 5l>?E/':/ " I. Applicant to furnish A. Job Address , B. Legal Oescription ( 1. example- Tax lot 100, lane County Map Reference II 03 43 2. examole- Lot I. Block 3, 2nd Addition to Sprlngfield Estates C. Name~ etc. of owner and construction lender O. Energy Sources .1. example- heat/electrical ceilinq/or forced air c 2. examyle- waterheater/electrlcal/or ~ E. Square footage or valuation, etc. !. exam~le- 1250 sq. foot house, 500 sq. foot garag 2. example- if new project. check new - if addition cneck add. etc. F. Building permit information: 1. example - construct single family house with an a ttached garage 2. ;examole - remodel existing garage into family ro ( 3. ,examyle - conve~~ single family res1dence into restaurant (change of use) G. Value of work as defined in Section 303 (aJ of the Structural Specialty Code H. OESIGN TEAM 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 adjacel ( to the appropriate item(s) to be installed 8. Full Plumbing, Mechanical, and Electrical Schedules are .available at the Building Division I. To conserve space on the permit form the schedul, ~( have been abbreviated 2. I f the item( s) to be ins ta 11 ed are not covered or the abbreviated schedules you should consult the full schedules C. BUILOING OIVISION STAFF WILL FILL OUT ALL FEES ANO CHARGES ON THE SCHEOULES O. 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 signa ture. 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 penmit is issued. ( c/'^ ;& lf 03B~ Received For. ( r;, c:::: - 8-7'. ij~ C-,"P. 4'-?= /2), 'Ie> /6- ~2> ,6Y ( -'<s--:- <==s.o ~ /. 00 ( 7/:/T 55.6 y , ( r:./--i ffL/ "/ J ~w C> Y Amount Received ~J-~p~~. ;" 4.UTHORIZEOSIGNATURE '#'" /r \ - ~, ( '. r ."IQQa ~"INTIl"aILlTHOG"A~HIl"a.IlUGIlNII:. O"IlGON , .... I III. SPRINGFIELD MALL 1920 OLYMPIC ST.. SPRINGFIELD. OR IV. ROBERT F. PITTMAN FACILITIES MGR.lPROMOTIONAL IS031 726.1567 V. FOR OFFICE USE ONLY I PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: SPRINGFIELD MALL 1920 OLYMPIC ST.. SPRINGFIELD. OR ROBERT F. PITTMAN FACILITIES MGR.lPROMOTIONAL 15031 72e'1567 I PLANS REVIEWED BY: LQq~~ ;Z=:-C~.s-~Signatur~ , > ~~e /::~ S-~,ey name.' ~ .. .uired Inspect4tns .. IT IS THE RESPONSIBILITY OF TilE PER.'1IT HOLDER TO SEE THAT ALL INSPECTIONS ARE. MADE AT TI!E PROPER TUlE, THAT EACIl ADDRESS IS READABLE FROII TilE STRl':ET, AND THAT TilE PERl'flT CARD IS LOCATED AT TilE FRONT OF TilE PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIllES. PROCEDURE FOR REQUESTING INSPECTIONS, Call~~769 (~~corde~) state you CITY DESIGNATED JOB NUIIBER, job address, type of inspection requested and '(,hen you will be reG.dy for the inspection. Contractors or ot~ers name and phone n~~bcr. Requests received before 7:00 am will be ~Ade the same day, requests received after 7:00 am will be ~de the following work day. Your City Designated Job Number Is '. ~ C/ 0"38 t!:> Job Address, -:;?tt> So ~ ~~"Z>/C S->--. Owner, t:' t:E' ,J~AI' /",C. Phone, _con.::.actor:_-VbN V.A.Ne.A:t. Phone, o ,0 SITE INSPECTION: To be made after excavation, but prior to setup cf forms. UNDERSLAB PLUHBING, ELECTRICAL it ~IECHANICAL: 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. .0 o ~ FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place. but prior to pouring concrete. USDERGROUND: Plumbing, Electrical. Gas, Sanitary Sewer, Storm Sewer. Water and Drainage lines. To be made prior to covering or filling trenches. o D UNOERFLOCR:. 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.'. o o FLOOR INSULATION & 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 o CEJ ROOF SHEATHI~G k~D NAILING: Prior to installing any roofing. D ROUGH PLUMBING.~CTRICAL ~ ~lEC!lANCIAL: No ",'ork"ls to be co\'ered until these inspections have been made and approved. o 11Il o [!]. FIN:\L PLUMBING D 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, parkinc lot striping etc. must be com~leted before requesting this inspection. FI~AL BUILDI~G: Must he requested after the final Department inspections are made and approved. No a Certificate of Occupancy has been issued by the SICNAWRf)f!it ~ FINAL ELECTRICAL ~ FINAL MECHANICAL FINAL FIRE DEPARTMENT D ~ D D D D o ATTIC DRAFT STOPS & CURTAIN WALLS, FIREPLACE: Prior to placing materials and before framing inspection. facing SPECIAL INSPECTIONS: In accordance with Section 306 of the Building Code a special inspector shall be employed by the ~~erl 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, P.S.I. (306 a.l) STRUCTUR~L WELDS: Preformed on the job. (2722 f) HIGH STRENGTH BOLTING: During all . bolt installation and tighting operations (306 a.5) o INSULATION & VAPOR BARR!ER: 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. In excess of 3000 SPRAYED ON FIREPROOFING: Standards 43.8) SPECIAL GRADING. EXCAVATION AND FILLING: During earthwork. (306 & Chapter 29) (U.B,C. a.ll 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 & censtructed according to plans. ::J LAW AND/OR GYPS1~1 BOARD INSPECTION, --, To be made after all lathing and ~ g}~sum board. interior and exterior, is in place but before any plnstering ::J is applied or before gypsum board joints and fasteners are taped and finished. WOQDSTOVES: 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 nre erected hut prior to pouring concrete. PARKING LOT: After gravel place but prior to placing or concrete. is in asphalt ::J GLU-LAM BEMiS: Inspection Certificate, by an approved agency, furnished to the City's Building Division before beams llre placed. (2501-U.B.C. STDS. 25-10, II). *In addition to the inspections specified hereon, the Building Official may make or require other inspections of any construction work to ascertain compliance with the Building, City or Zoning Codes. Plumbing, Electrical. ~Iechanical and Fire Occupancy of the premises can be made until Building Divisicn and posted on the premises DATE < / ~()J /;r)~ I { , *ALL HN\1tOLES AND CLEANOUTS ~tUST BE .\CCESSIBLE, ADJUSTMENT TO BE MADE AT NO COST TO ruE CITY. . . SPRINGFIELD MALL MERCHANTS' ASSOCIATION, INC. 1920 OLYMPIC STREET, SPRINGFIELD, OREGON 97477 . (503) 726.1567 30'- or ;1)8w(,,/nIA, e'St~/Y/lJil 1xf'~SlltJ"rZJ( l~ ~ erf J ~ J I/)O AMP [.o} Sill';"; 1 Mgr'81l.. 3 ~ ft, !~/~ SOtJl,) ~~ ~r~ ~ ~ tv "-~ . f\~'" '(~~ . \~ '. ~J'\ :~~ {J 4Sv fLV e_& GOLDEN SPIKE BURGER KING -- BRIGHT. CLEAN PRINT RIGHT ,SUPER --"""\LUTS ~ m:r ~i ~m ,~~ :r" ~2 KO - EMPORIUM ALBEATSONS :r~ ,,- I'~ ;o~ e~ c; ~ ;0;0 ~~ ~~ m " ~ IN ~:; o STU"S LOCKER ROOM t MALL -+ ENTRANCE SPRINGFIELD ;On "c: ~~ ~=' .... ........ 13 e~ ~m om c: m W1LLOUGHBY~ ~ i ..~ ~ .. NEMARS PERFECT LOOIC ........ ~ ~1: mK. "13 ili~ o ;0 BOBS JEWELERS GROUP W CABLE PAVLESS DRUG .. ~ m i!! m ~ .. o~ em liS mK - I MR. ROBERTS ~ REX CHICKEN CHUCIC RICHEY JEWelERS ICINNEY SHOES PETPORJUM OLlVER"S :. . REelEVED .5- 3~8'1 JOB ND.gYO>a~ .::::: c:::... OCCUPANCY GROUP "8-2-.. ~. ----.--....-. '. OCr.UPANCY LOAD TYPli CONST. --I LEGAL DESCRIPTION ACDRESS ,<.e:>S~ ~ ~ 47P/C OWNER C.e.. ,~~ ~. THE CONTENTS HERE OF HAVE BEEN m::V1EWEO. WITH ALTER.A,TIONS INDICATED IN COLORED PENCIL. CHANGES OR ALTERATIONS MADE AFT'Z.R DAn: BELOW SHAL1.. BE APPROVED BY THe BUILDIN::; -OFFICIAL.. CITY OF SPRI NGFi ELD. . ,~PPRO~EO_ ,~,~_~-?.., - ~_:~_ OREGON _.()~~E !i-3D! t? -'