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HomeMy WebLinkAboutPermit Miscellaneous 1988-2-9 + J. <!f . Job Address '3~22 OL Y'M..P/C "':;7: CITY OF SPRINGFIELD COMBIIIATION APPLICATION/PERMIT EIIERGY SOURCES: Meat liater Heater Range ValuE of Hork: i",aaeJ. .#-'> BUl16inQ Permit Info: Oescribe Work(i.e.. Familv Residence Hith Attached Garaoel . 1 NFORllA Tl ON II Nl 726-3753 Sq. Ftg. l'lain ~q. Ftg. Access. Sq. Ftg. Other flew Add Alter Pep. -Fence Demo Change/Use Other - - . ~ IrISPECTlON LINE 1 726-376g I Owner 2~6.t<'R P lluPPEG Address % S't:J(;/ N. LA 6 e:>dA/ ~pr44h'Z:>. o-K 972/7 Phone Build Single ~ \}, "- ~ \) legal Description /7-0Z'3t:;.a:::;> OIQ,2C; Construction Lender , ".,a-~G>-SS- 0 A ,Al/,c 26"x 73' A?,7U)/V I.&N~ 1/./..,.<;,.. 5;n~ 6,c 7?">/LD<q'>"- b.//T# c;PR~CZ::> :5'".7ed/>> ~LC~W~ ~7~. I (address) flies. no.) (exoires) (OhOM no.\ ~.o PEoC.r~ 6' W Y NA, ;30/_,1;:/",1' DP. Ci'?L,/41~ Phone Address UtSluN IEAll (name) Primary t;U6~'YP ~-"., t 6;>o4...-E':::'. Structural hR:::;:~?""t!J~ Electrical t:iot.P I ~C?i'1~ Mechanical CONTRACTORS (name) (address) (1 ics. no. l (pxnirpc:;) (ohnnp no_ \ General Plumbino &~"y~ ~HD. C;:;RA v~L ~/p,c;- }???AS"AO-?:>5!..o.-.o......6) E1 ectri ca 1 .,..Al bR~~-7<,11 ~'echanfcal PlUI.1BING ELECTRICAL MECHANICAL -1J!h FFF ~M?r,F NO ~~~ r~~-liP HF r~q&Gf, Each single fixture Residence of SQ. FT. furnace/burner to BTU.s Relocated building \ (new fix. additional) S.F. Residence 11 bath] Duplex (1 bath) each Additional bath Ilater service &'5' Sewer S to nn Sewer New circuits alts. or extensions Floor furnace and vent SERVICES Recessed wall ~n~rp hp~tpr ~nrl vpnt Of amps. Appl iance vent ~eoaratfll Stationary evap. cooler Vent fan with ~inale duct Vent system apart from heatino or A.C- Mechanical exhaust hood and durt. Temporary Construction Change in existing rfll~ j dJ'J1rp multifamily~ comm. or Tnrlud.rhl CO~1./IND. FEEDERS Install/alter/relocate rlic::trih. fpprlprc:: Wood stove/heater Of amps. I v1\ V\ ISSUANCF OF PFRIHT TOTAL CHARGES 30 TOTAL CHARGES TOTAL CHARGES WHERE STATE l,'li REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit shall not be valid until the 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 110 OCCUPAllCY 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 70.1.055 will be used on this project. NAt.IE(please print) BUILDING PERMIT Charges anC: Surcharges Plan Ck. 65%1Bl do Plan Ck. 30~/Blda Fence SIr.IIATURE FOr. OFFICE USE OIlL Y Sq. Ftg. riain x Value Sq. Ftg. Access x Value Sq. Ftg. OtheW/~ /.82..,9' Value A!!J,.:JaO. -.. /(""'lj TOTAL V ALUA Tl ON ( I / 1J:>?-"'f-R~ Conm/lnd V'<-<rr. '/.:> '"j'// Systems Development '1--"") /~C>, ~ Ppr 'pp I~<f? :;r'-'.-k..." Charoe (I.5~) :...=z. -y < Res Per Fee DATE Zone..ML Fire Zone Flood Plain Tyoe/Const~ Y/~ Bedrooms ' Stories Units Occy load Occy Group PlU~BING PERMIT ;;>~ .... ~~~~~:~g:~d c;_n_u/~-50 ELECTRICAL PERIHT Charges and Surcharges Demo Sidewalk A/C Paving .$\::/. So Total Comb. rermft 117..0<!> MECMANICAL PERMIT Charges and Surcharges Curb Cut TOTAL ~&:z.~ . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal Description 1. example- Tax Lot 100, Lane County Map Reference II OJ 4J 2. examole- Lot 1. Block 3, 2nd Addition to . SPrlngfield Estates . C. Name. etc. of owner and construction lender D. Energy Sources 1. eiam~le- heat/electrical ceilinq/or forced air Qas 2. example- waterheater/electrical/or solar E. Square footage or valuation, etc. ------ 1. exam~le- 1250 sq. foot house, 500 sq. foot garage' 2. example- if new project. check new - if~addit;on, cneck add. etc. . f. Building pennit information: 1. exam~le - construct single family house with an attached garage 2. examEle - 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. 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. --- 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 r .CITY OF SPRIN.rFI~ilD City HilI Sprlnglold, ~on Oll1ce of Community end Economic Developmenf OFFICIAL RECEIPT ( 10911 o Data FEB. 9, ,g8A (. Rac'd From C~P~? ~"" p- S::>~A".A".s- . 5"'O~ I ~. E.4-~t:>'DH .' Address 'P~rt!A'_Z:>. 4€". 97217 O. I ~ /~r. Received For:,~" -g~o I~ / ,/' c"! ~M , . f o PoP:. ~c:> -.. ~ 1,:>'"0. o .%V/~ f3o,Sc> PVfW.l?~YI'<!:'''V' rcc...- 2'0...... o ~DG /tTCJ. ~ ?or.4L 2,.S?2. "".. o Ct ~ ~::? t::.5<<:; .ct "2.82. c.~ ',t' Amount Received C) ..~.. C) . ~-?~'i!~~""I~ l' AUTttORlZED 51GNATUFh;"" /' \.. frDnIlIer ,US'NESS FORlllS. lMe. 110313012."'" '.' . - Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: . Permit applicant exempt from registration with the Builder's Board because: Additi ona 1 Project Informati on.: 1 PLANS REVIEWED BY: name /"'P/l/P ~~~ Signature4'"7___/,~:~"" ,-'? date 2-<)"815 - w....~ .. Required Inspections.. IT IS 'THE" RESPONSIBILITY OF THE~IT HOLDER TO SEE THAT ALL INSPECT.S ARE MADE AT THE PROPER TillE, ,/ THAT EACH ADDRESS IS READABLE FROM TIlE STRF.ET, AND THAT TIlE PERJoIIT 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 when you 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. Number Is: .J?.RCY'OO I':?L Y'.m/Zo/ L S-r Owner: Rc>~~ ? 7?b/'?~~ Contra~tor: Ea:::;.EN~ s.;~ ~ h7i"#Yc" CITY'S SITE PLAN REVIEW BOARD INSPECfION: Must be requested 2 days in advance of the date you wish inspection. All project conditions such as landscaping, parking lot strip!nl etc. must be c~leted before requesting this inspection. . ~~ 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 Certificate of Occupancy has been issued by the Building Division and posted on the premise~ Your City Designated Job Job Address: -:r ~ 2 '2 o o o ~ITE INSPECfIDN: To be made after excavation, but prior to setup of forms. UNDERSLAB PLUMBING. ELECTRICAL '6 MEotANlCAL: To be made before any work is covered. CONCRETE SLAB INSPECTION: To be made after all inslab building service equipment, conduit. piping. accessories and other ancillary equipment items are in place but before any concrete is poured. o FOOTINGS 8 FOUNDATIDNS: To be made D after trenches are excavated and forms are erected, all steel in place. but prior to pouring concrete. UNDERGROUND: Plumbing. Electrical, Gas ,(SlJriitarr ,..sewer.) StOnD Sewer. Water and Dra1n3gG lines. To be made prior to coverinik~illing trenches. Y f ~ o UNDERFLOOR: J Plumbing. Electrical, Mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. POST Ii BEAM: To be made prior to installation of floor insulation, decking or floor sheating,'. FLOOR INSULATION 8 VAPOR BARRIERS: To be made prior to installation of decking or floor sheating. MASONRY: Steel location, bond beams grouting or verticals in accordance 0 with U.B.C. Section 2415. o o o D D o o ROOF SHEAnnNG AND NAILING: Prior to installing any roofing. ROUGl PLUMBING. ELECTRICAL 8 MECHANCIAL: No work is to be covered until these inspections have been made and approved. [8] I ><1 ~ PLUMBING D o o o FINAL ELECTRICAL FINAL MEOlANICAL FINAL FIRE DEPARTMENT SIGNATURE Phone: Phone: .t::B3- !{;"'?o/ / o D ATTIC DRAFT STOPS 8 CURTAIN WALLS. SPECIAL INSPECTIONS: In accordance with Section 306 of the Building Code a special inspector shall be employed by the Ownerl 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 materials and before framing inspection. facing D. INSULATION 8 VAPOR BARRIER: To be made after all insulation and required vapor barriers are in place but before any lath or gypsum board :J interior wall covering is applied. :J :J STRUCTURAL CONCRETE:' In excess of 3DO P.S.I. (3D6 a.l) STRUCTURAL WELDS: Prefol'llOd on the job. (2722 f) HIGH STRENG11l BOLTING: During all . bol~ installation and tighting operations (306 a.5) o D 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: constructed according to :J SP.RAYED DN FIREPROOFING: (U.B.C. Standards 43.8) :J SPECIAL GRADING, EXCAVATION AND LATH AND/OR GYPSUM BOARD INSPECTION: FILLING: During earthwork. (306 To be made after all lathing and & Chapter 29) g)~sum board. interior and exterior. is in place but before any ptasterin&--, is applied or before gypsum board ---l joints and fasteners are taped and finished. Located 11 plans. a.ll "vv~lvJES: After installation is completed. SIDEWALK & DRIVEWAY: Required for all concrete paving within street right-of-way, to be made after all excavating complete 11 form work 11 sub-base material in place. CURB AND APPROAot APRON: After forms are erected but prior to pouring concrete. GLU-LAM BEAUS: Inspection Certificate. by an approved agency, furnished to the City's Building Division before beams are placed. (2S01.U.B.C. STDS. 25-1D,l1). :J PARKING LOT: After gravel place but prior to placing or concrete. is in asphalt -In addition to the inspections specified.~ereon, the Building Official may make or require other inspections of any construction work to ascertain compliance with the Building, City or Zoning Codes. DATE . ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTMENT TO BE MADE AT ND COST TO 1llE CITY. I . " I INSPECTION LINE 726-3769 , CITY UF SPRINGFIELD COMBINATION APPLICATION/PERMIT EilERGY SOURCES: Heat Hater Heater Range ValuE of Hark: It) aaD ..." I ( . BuilGinQ Permit Info: Describe Work(i.e., Familv nesidence With Attached Garaae) , INFORllATION UNt .1 726-3753 Sq. Ftq. 1.lain ~q. Ftg. Access. Sq. Ftq. Other New Add Alter Pep. --Fence Demo Change/Use Other - -- Owner ;l2~ 6GR P 2?u.Z? PEG Address % 5" ()6/ AI. L...4 ~ ~ l:t.X?7"44A/Z:>. O"K <772/7 r Construction lender Phone Build Single ~ ~ ......... \') \) Job Address '3'1'22 OL Y'M.P/C -<;7: Legal Description 17-0Z'30.cc>. 0/ Q2'G Address Ut~JGN TEAM (name) Primary G../-v~~",~ ~.Hn t ~... v.....~. Structural 7'T"'-~~$S- PAJ//C 26"~ 73' /JPnD/Y A,-_.-!'~ 1/./-",-<: r ..e;;n~ 6,c /S.""'/L T-l/~ In//rH Phone C;,W?t;:5CZ:;> ~"f,," L('L:'€'~"'~ ~"?Q51. . (address) nics. no.) (exoiresl (ohone no.l ~e> :o~..-? 6'wy NSit. r.!o~~e/Y"i' DP <??#4/r:> LJ<':? ~ (; ~ .t)~ Electrical Mechanical CONTRACTORS (name) (address) (l ics. no.) (pxoire...) (ohnnp M. ) Genera 1 Plumbina &~_p' ~_L> qfC:;:;RA.vE<:..W,..a,.;- .i?R6A&>5~""R..6) Electrical b-!!i:~ ~~ 7 c.J/ ~'echani ca 1 qO~ / 'l.,0""1"'l PLUI.lBI NG ELECTRICAL MECHANICAL --'!Q..,.' , FEr 'FHARGF Nn nF . rHARliE JIll..... SQ. FT. furnace/burner to BTU's I...E.E.L' .cJfARG.E. Each single fixture Residence of IRelocated building (new fix. additional) Is.F. Residence () bath \ IDuplex (1 bath) each IAdditional bath ~Jater service ~' Sewer I Storm Sewer New circuits alts. or extensions Floor furnace and vent SERVICES Recessed wall So~rp hp~tp~ ~nrl vpnt Of amps, I Appl lance vent <;,~oaratp I Stationary evap. coolar I Vent fan wi th sinale duct I Vent system apart from I hea t i no or A. C. IMechanical exhaust hnnd and durt I flood stoye/heater I I I Temporary Construction Change in existing rps i dJ'Jlrp multifamily, conn. or Ind""trial CO~~./IND. FEEDERS Install/alter/relocate rli"trih fppdpr" Of amps. I TOTAL CHARGES 30 TOTAL CHARGES TOTAL CHARGES WHERE STATE L\H REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit shall not be valid until the label has been signed by an Electrical Supervisor and returned to the Building Division ~I ?-q IV'} ISSUANCF OF PFRilIT I HAVE CAREFULLY EXAMINED the completed application for permit, and do hereby certify that all information hereon ;s 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 Spri ng fi e 1 d and the Laws of the Sta te of Oregon perta i ni ng to the work descri bed herei n, 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 OPOS 7~1.055 will be used on this project. SIGIIATURE~,('./.11:?~ k /i5+U DATE,-J-9-f?K IlAI.1E(please print) GAIL DEB LE.R FOr. OFF I CE USE DIlLY Sq. Ftg. Sq. Ftg. Sq. Ftg. Zone..NL. Fi re Zone Flood Plain Type/Const~ y/~ Bed rooms ' Stories Un; ts Occy Load Occy Group t1ain BUILDING PERmT Charges and Surcharges It) Plan Ck. Comm/Tnd 65%/Bldn Ppr F~p ------------ Plan Ck. Res 30%/Blda Per Fe. x Value x Value /.$32."", Value /~,&:JaO. -.. TOTAL VALUATION ~ ~..q-;::]# .c~ F/tO ~//. Systems Development /C""~ ~ !./LoR<€> :7,.".-'&.D Charae ()'5~) ---1.', JI "---,, d? Access Othe~.V/~ PLUMBING PERMIT ;;>c:> .... ~~~~~;~g:~d ~ ------/~.-5~- ELECTRICAL PERIHT Charges and ------------ Surcharges /lECHANICAL PERMIT Charges and Surcharges Fence Dl1R1o I I I I 91 ~ So ITota' Comb. Permit I I TOTAL II?.=- .Sidewalk A/C Payi ng I Curb Cut I :2&2. ""'c:> , COMBINATION APPLICATION/PERMIT (CAP) '.' I. Applicant to furnish A. Job Address B. Legal Description 1. examole- Tax lot 100, Lane County Map Reference 17 oj 43 2. exam~le- Lot 1. Block 3, 2nd Addition to .' sprlngtield Estates C. Name. etc. of owner and construction lender O. Energy Sources . 1. examole- heat/electrical ceilinq/or forced air Qas 2. examyle- waterheater/electrical/or solar' E. Square footage or valuation. etc. 1. examole- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project, checknew - if~addition, " cnecK add, etc. '. F. Building pennit information: 1. examele - construct single family house with an attached garage 2. example - remodel existing garage into family foom 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 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. --- 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 PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: , I -'-# '" PERMIT VALIDATION . . .- . .. '. \ b~ \ \q frb \) ~ Permit Cl erk L4~ '--./ Permit applicant exempt from registration with the Builder's Board because: Additi ona 1 Project Infor.mati on.: PLANS REVIEWED BY: name-.L"PIII',.:: "?C~~ signature4~ --- i'~ .' ,'" date '2 - '77f!r.s ,.