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HomeMy WebLinkAboutPermit Building 1986-2-11 , ~___~__'A._"""____4 '_.' .. INSPECTION LINE 726-3769 .. "~.-- -....-........- . ~.~@ Job Address 'I :$-" 11 legal Description Ii ();:) ~...._~.:... ,,~50'{) rQ,2)L C TY SPR NGFIElO COMBINATION APPLICATION/PERMIT EIIERGY SOURCES: Heat l4ater Heater Range INfORllATION LINt II 726-3753 Sq. Ftg. '.lain i'~ ':20 ~q. Ftg. Access. Sq. Ftg. Other ..!lew__Ad~A1ter"yep. Fence Demo Change/Use .1 Other-- -- Build Single CX;) ~ D o CJ ..0.; .A:" Address / ~ / 1IV,~~ $J ~ - rr. . /J7"/~....,w:l CLL"-"~ /PA.//'. .... - - 'P v Construction lender ValUE of ,rk:, 0 e;J d Ill" . BuildinQ Permtt Info: Descrlbe Work(l~e., Famil ~esidence With Atta)~ed Gara~A /J/1/1.f) rI./ j/ p/j' ~/ Owner' Address Ut>luN IlAl1 ~--'.-fllIA~ Phone Phone Iname)P/, t V'I'JIJ a", A ,P'S"/Iaddress) (lics. no.) (exnires) I (ohone no. \ Structural 1r.1/V& /5F74/?/tYli" tHe. ;?5't$~ A!v N/CJlt,Ar M/i../!J/I/' t.- .?'oW,cL.L- (AGPAlT2 -811rPl.4:ior-' fElAEc;fi&,G. 't-15:"0 e>1.'V/G. r;IJ/n;M;W -;(17t:- <; r ~Jf.nA Nt!' ~ 6' :F"':~,N (' KI'3I/11.. /.f8t-7l-7i Primary Electrical Mechanical CONTRACTORS Genera 1 Plumbina {name} (address) (1;("s no. \ 0tlllC :1'; ,~ ,I€ AI.'.c, 'S"'~$~" , ~~~ ~L /I9e>,~~ ELECTRICAL Electrical ~1echanical ....l!Sh PlUflBING FFF I CHARGE J!(1 '2 Each single fixture 7.?~ Relocated building (new fix. additional) S.F. Residence 11 bath) Duplex (1 bath) each Additional bath l-Ia ter servi ca I Sewer I Storm Sewer I I I I I I I I I IS: .... ~n 1...c..t:iARG.E. NO Residence of SQ. FT. New circuits alts. or extensions SERVICES (plCnirpc,' (.,~nr'p ...., , ~89'-,,!'~~ MECHANICAL furnace/burner to BTU's ~~~ rullRG..E.. Floor fu rnace and vent '2 :..---.; H",:,;4J11_6 /"'cS1 ~n~("p hp~tp~ ~nrl ~pnt .c . ITemporary Construction IChange in existing r~~ i djlJ1~p _ ImultifamilY,~ or Tnd""tr;al I I Of '1.t:? 0 ICOMfI./IND. FEEDERS l~ns;alY/alter/relocate 1C, _rih fpprlp~c, I IOf -;',,0 0 amps.1 I h/p If?'")r . I " App 1 i ance vent c;.eoa ra te I Stationary evalJ. cooler I Vent fan with sinole duct I Vent system apart from heatina or A.C. I Mechanical exhaust hnnd and du("t I ~lood stove/heater I I~ 1}p/~ I I I I I ~~~~~y~1 I I I 6L>.- ---~--?~ -q'. ~~ ____.J.s;._~~_ Fence . ~O I DfjIIlo '" . . .', I'Sidewalk ------------- -...:' ';1.~.' AlC,paving -----O.-~ Curb Cut .68 amps.j I I I I I ~7.J" I ?z,SC' I I~~ ... <;>..- ISSUANcr OF PFRI1lT /7.- 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 Ore90n pertaining to the work described herein, and that 110 OCCUPAIlCY 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 701.055 will b~ used on this project. IlAJ.lE(please print) Zone ....L!!l# Fire Zone Flood Plain BUILDING PER~1lT Charges and Surcharges PlUI~BING PERMIT Charges and Surcharges ELECTRICAL PERI1lT Charges, and Surcharges MECHANICAL PERMIT Charges and Surcharges M IJ,...TA itl L;q.WF.LLsIr.ll^TURE~ ;T'./?..n..r<--U FO~ OfFICE USE OllLY N Units Sq. Ftg. llain ~~':2t::' Occy load Sq. Ft9. Access Occy r.roupJ1- Z Sq. Ftg. Other Type/Const.;zz:: Bedrooms Stories Plan Ck. Comm/Ind 65%/Blda ~er Fee Plan Ck. Res 30%/B1dQ Per Fee s-z- -,.'? DATE .J.It /;Y c x Value Value Value /a"<Jd. -. x , TOTAL VALUATION Systems Development Charqe tI.5~) , /'5t.:J. C'Q lTotal.comb. Permit I I TOTAL 1/ 7. t:7Ci .I?/r. 33 . . .' . . . " COMBINATION A~PlICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. legal Description I. example- Tax lot 100, lane County Map Reference II U3 43 2. example- lot 1. Block 3, 2nd Addition to ~prlngtield Estates C. Name. etc. of owner and construction lender O. Energy Sources 1. examole- heat/electrical ceilinq/or forced air Q3S 2. example- waterheater/electrica(/or solar E. Square footage or valuation, etc. ------ 1. example- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project. check~w - if addition, ehee k add, etc. F. Building pennit information: 1. example - construct single'~family house with an attached garage , 2. examole ~ 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 Division Staff must be able to contact appropriate persons regarding design information or jOb site' corrections. etc. 11. Abbreviated Plumbing. Mechanical. & Electrical~Schedules .') A. . Exce'pt 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 o~ 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 ,1" ,full schedules ~. 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 payab~e when the permit is issued. PERMIT VALIDATION '. ' ....... <'. .. \ : .'~. . . -. V. FOR OFFICE USE ONLY Permit Clerk . ~ ... - '. . . PROJECT CONDITIONS TO BE SATISFI~D BEFORE OCCUPANCY: , . " Permit applicant exempt from registration with the Builder's Board because: " . ./. :.. 0-,' " Additional Project Information: , .. ." ,~.... , :> " PLANS REVIEWED BY: ..,. name ~~n~~ signatur- ~..-~~. ~..... - _, r .' date .- .... , " --- ~. '. . '., .. " '. '~ ',~ .. R_uired Inspecti.s .. ". IT IS THE RESPONSIBILITY OF THE PER!UT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TillE. THAT EACH ADDRESS IS READABLE FROM TIlE STREET, AND THAT THE PElUfIT CARD IS LOCATED AT TilE FRONT OF THE j"PROPF.RTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIMES. :~'~. 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 tr.ade the same day, requests received after 7:00 am will be made the following work day. "Your City Desig"ated Job Number Is:....B6<!;169_~ . .Job Address: ?€ 2~ /'5)L~h1J.P/<:::' . -.-, - / ,';';.Owner: Ii=:/~ '" I4-c:.AY'4 >i:ontra;tor:~~~ J'" '+~~ (. . ;Jj::......::\..,.I~ - ..-. ......-;- - - - O SITE INSPECTtON: To be made .. 0 ATIIC ORAFT STOPS 6 CURTAIN WALLS. . l' after excavation. but'prior ,;;;( ~O;:~~Bo:L:a,,;~~, ELECTRICAL ,0 .It MECHANICAL: To be made before ~:~;;'''':=-'i.-~':~Y work is covered. /r ;f'~.' . r-:l..CONCRETE SLAB tNSPECTION: To be ~ made after all inslab building -~~.;~i~ervice equipment. conduit. piping, '{1~~'::~cc~ssories and othe~ ancillary . .~~'eqU1pment items are 1n place but .+::~~~~~~o~~ any concret~ "is p~u~ed~.;. ~ D FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and . '-:,,:forms are erected, all steel in ,> :~"Ji'lace. but prior to pouring concrete. D YNDERGROUND: Plumbing, Electrical. Gas. Sanitary Sewer. Storm Sewer, ~ ;:i '. ~:. Water and Drainage lines. To be l...CJ ". .' . . made prior to covering or filling r'Vl . r trenches. LCJ D o .,. o o o [K] [lJ [l] [1] CRI UNDERFLOOR:, 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.". FLOOR INSULATION 6 VAPOR BARRtERS: 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. 'i ROOF SHEATHING k~n NAILING: Prior to installing any roofing. ROur~ PL~mING. ELECTRICAL & MECHANCIAL: No work is to be covered until these inspections have been made and approved. FINAL PLUMBING o 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, parking lot striping etc. must be com~leted before requesting this, inspection. FINAL ELECTRICAL 00 [Z] o o o o Phone: Phone: 1I1ffiS- 7?/h FIREPLACE: Prior to placing materials and before framing inspection. " facing 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. :J :J :J STRUCTIJRAL CONCRETE: P.S.I. (306 a.l) In excess of 3000 INSULATtON 6 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. FtRE 8 SEPARATION WALL: Located 6 constructed according to plans. LATH AND/OR GYPSUM BOARO tNSPECTtON: 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. WOODSTOVES: After installation is completed. SIDEWALK 6 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 place but prior to placing or concrete. is in asphalt STRUCTURo\.L WELDS: Preformed on the job. (2722 f) HIGH STRENGTH BOLTING: Ouring all , bolt installation and tighting oper3tions (306 a.S) :J :J SPRAYEO ON FIREPROOFING: Standards 43~8) (U.B.C. SPECtAL GRAOING. EXCAVATtON ,<NO FlLLlNG: During earthwork. (306 & Chapter 29) a.11 :J GLU-LAM BE~tS: 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 to ascertain compliance with the Building. City or Zoning Codes. 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 premises FINAL ~IECHANtCAL FtNAL FIRE DEPARTMENT SIGNATURE OATE *ALL MANHOLES ANP CLEANOlITS MUST BE .\CCESStBLE. ADJUSTMENT TO BE MADE AT NO COST TO THE CITY, ..l!~ . .. ~--_..~~.... .-. .-'-.. -;- ..0:' . . I INSPECTION lINE 726-3769 '_._-,.~..-.,-_.. .. .-......-..... ..' ....... . ---... '.-' '-"'- -- .... . .-. .-....--.... CITY Uf SP~NGFiElD COMBINATION APPlICATION/PERMIT EIlERGY SOURCES: Heat liater Heater Range ~__ _ ___ Job Address INfOR/lAllON LINE 726-3753 Sq. Ftq. Hain fI~:2.o ~q. Ftg. Access. Sq. Ftg. Other --1lew__Ad~Alter--,~ep. Fence Demo Change/Use Other - -- I ,I '% ~ D U C; ~ ~--' /1 ~....J~ Oescription 17 ();:) ~17 50 0 rq:2 Owner. ,n # -P "".' ,,?f,.,, ,;.,(,.':,_ .',' .A ( .... _ Addres. / " I l' . ..,1--. ." 51 /I I ; 1'J,,/td........'...:I rAUb' ~1"'" Construction lender legal Address DESIGN TEAH tJ- Phone (ohone no.-l Build Single / Phone (nameIP/, / D/II.) .a":Acf.('f'/(addressl (l;cs. no.l (exni res) Structural Electrical /r//Vr;" l.frA/?//Yr;- IIY'-- ':<S'/f>' AI"" N/uU.A( MIt..i~A/ L- r::'oW,c,.!.l- (t(6~AlT2 -:7rfrp1~1 OrJ (3(ACq/0'- 1--1 S; 0 e.~' vK.- t;lJlrer-r;.'W -iqU.. <:r ~A'r.tAN~' 4- F.r ::z.?/I' i/~J/n '-I8t-7l-7.P Primary Mechanical CONTRACTDR~ General Plumbina '~I (address) (lies. no.) (exoires' (ohnnp I'l:n l_, PlUIIB I NG 4/;v;P~~ ~L-<, 119~ ~S~-- """ ELECTRICAL ! <'I-.J:JJAllli.I: ,.llll....J furnace/burner to BTU's I IOE.E...J.lJiARliL ~Jt.~iC r; ,tJ@p,/~ AJ.t~ ~1lf~&:,.A c:. - Electrical , ~'echantcal NO. ~8c;t-....c~ MECHANICAL ffF I...QJARGF NO 7.SZ' 0- Residence of Each single fixture SQ. FT. '2 Relocated building (new fix. additional) Temporary Construction Appl iance vent ~eoar~tp Change in existing I', Stationary e\lllolJ. rP'i j dypl'"P coo 1 er ImU1tifami1Y.~ or I I Vent fan with Innuc::.triA' ..inale duct I 10f 'U;;V \"-7.'~' Vent system apart from I amps, 'r:J,..,J" heatino or A.L ., ICOM/"./lND. FEEDERS I I Mechanical exhaust I - hnnd and dUl'"t I ins;alY/al ter/rel ocate I Hood stove/heater I I ' <: r; h fpprlprc:, I IOf "7.-00 amps. ?ZS''t IG~ 1}.P/he'-. '_Rr- I I I I I I I ~/P 8'-::- ~.::::~~._I I I I I I I TOTAL CHARGES /5: - TOTAL CHARGES 6L>. - I TOTAL CHARGES /7.- WHERE STATE l~W REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit shall not be vali1 until the label has been signed by an Electrical Supervisor and returned to the Building Division S.F. Residence (1 bath) Duplex (1 bath) Additional bath Iwater service I Sewer I Storm Sewer New circuits alts. or extensions Floor furnace and vent SERVICES 2 :.mm_ .._..;''4J1'6/iI'.6 ~n"'rp hPAtpr ~nrl vpnt /2.... I i each ~-- ISSUANC, OF PFRlnT 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 Derformed 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 OCCUPAIICY 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 701.055 will b~ used on this project. . flAt-IE(please print) 20ne .../!'lH Fire Zone Flood Plain BUILDING PERfllT Charges and Surcharges PlUHBING PERMIT Charges and Surcha rges ELECTRICAL PERllIT Charges. and Surcharges , MECHANICAL PERHIT Charges and Surcharges M /I-.TIf.it/ L .hW:E..u-sIGIIATURE~~ .:T'PA""Z..r'-I.J' DATE :J/I/Nc FOP. OFFICE USE mIL Y Type/Const.;zz:: N Units Sq. Ftg. r'tai" 1./?2t:' ,. Value~"<Jr!J_ .. Bedrooms Occy load Sq. Ftg. Access x Value Stories Occy Group.1l- 2 Sq. Ftg. Other , Value TOTAL V AlUA II at! c....., C"'c:::> Plan Ck. Conm/lnd ___~,-q':__~/Rlda P.I'r fpp or:? ., Plan Ck. Res ~ . ... ~ 30%/Blda Per Fee / c:'.se;> Fence ____J~~____ . ~() Iletno Systems Development Charqe tI.5~) . $""2- 'Y'7 l~tJ. ~ I I I 'Sidewalk -<". :;.,~ I AlC Paving /"'7. -=-0 I Curb' Cut -----l-"~6-jfl ITotal Comb. Permit I I TOTAL 1/7.(}(j ? If. :3 3 ..~. "... :.' ......... . '. '. ..-,.:.... .. .~. . "~ .... ....~.,' .~ ">I' '.;: _, t .~"'~. ~.' COMBINATION APPLICATION/PERMIT (CAP) / " I. Applicant to furnish A. Job Address B. Legal Description I. example- Tax Lot 100, Lane County Map Reference 17 03 43 2. example- Lot I. Block 3, 2nd Addition to ~prlngtield Estates C. Name, etc. of owner and construction lender 0, Energy Sources I, example- heat/electrical ceilinqJor forced air Qas 2. example- waterheater/electrlcal/or ~ E, Square footage or valuation. etc. I. example- 1250 sq. foot house, SOD sq. foot garage 2. examDle- if new project. check.new.- if addition, cneck add, etc. F. Building permit infonnation: 1. examDle - construct single:family house with an attached garage 2. example - remodel existing '.garage into family roo., 3. examJPle - 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. 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 . . :...:' BUILDING OIVISION 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. .11., .' \ III. V. FOR OFFICE USE ONLY . . , r .CITY OF SPRINGFIELD City Hall $prlngftold, Orogon Depertment at Public Works OFFICIAL RECEIPT No.8 Date FIIr ~ 19 -g~ Rec'd From _~...,ur....)I"-- ~~,,_ ~~. E: H~~. Address - V~dT'...;' 6X ~ , .. ( . '':'' ~ ......:.:. } ~ .1 ( 65994 ( ( Received For:r~'Z'" 96<t!::1C>83 /C:-.P~A'- ( ( St:>. Sa 7.~~ /r"J - ~ ~~. .~ 17.~ .€1.l ,?z. ?'3 /~-~ ~~.~ ( ..p. r:. f-~ -~ t ,_ t SF ~.:> h'/--p- ( ~,.~ ~7rP:V/t5iH.> ( .J;lr . - -r~ I c ;:::::;p.S# ~ ( , = 5/7, ?,;:- Amount Received C' .. ~( (, - ~ r""~ ~~ --,{',.II AUTHORIZED SIGNA TURE / 1- ....... ( , I. Permit Clerk :... , PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: ;. . Additional Project Information: '" '..:' PLANS REVIEWED BY: ., ,. . . ',. ~'a~e~n~~ signatur- ~.--.' 'l-;- -,. date -:2~ --- c...o.=oo .