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Home My WebLink AboutPermit Building 1989-1-26 INFOR/1ATlON LINE 726-3753 EIIERGY SOURCES: Sq. Ftq. I,'ain It. '1'?t:.'P Heat ~q. Ftg. Access, Description/7_......"._.2.c_2--=' ......-.. _ . 4</~ I Hater Heater Sq. Ftq. Other rC/"l 7 ~--~. /' . flew AddXAlter Rep, I Range . -Fence Demo Change/Use J' Valu, of Hork~ tD"O . ~t_~~=A~~~:: Phone BuildinQ Permit Ir\fo: Describe Work( Le. I Build Single 289-1 36amilY Residence IHth Attached Garaoel I.UUJL ,(j1?11 .('-1 ./ UJYlLO( piTt)'(\.., r;;$#/""# ~:O. hies. 00.1 , . 1 INSPECTION LINE . i 726-3769 I ,V C/-(] ~11 ~ ./ 1,,a/1l fm t3.uw f . / CITY Or SPRINIlfIE COMBINATION APPLICATION7~ERHIT . Lega' Job Address \ B '1 q t>)> l:: \f) ~ is'\ ~ Owner Hill man Prooerti es Address 900 N TOMAHAWK 1S~AND DRIVE Portland OR 97217 Construction Lender Address Dt~ I uN TEAr1 {name} Phone (address) (ohane no. (exoiresl Structural Primary Davi d Hi ckman 12200 N Jantzen Drive Portland 97~17 285-2256 Electrical Mechanical CONTRACTORS (name) (address) (lies, no.) (ohone no. (exo; res) GeneralMcKenzie Commercial Contractor~, Tn~, Bfi5jJp<t ?tID Plumbing Twi n Ri vers ~hi no ?050 WP<t Rroarlway FlIgpnp Electrical L R Brabham 12-C W "0" Street Sorinofiplrl FlIgpno 4~~<Q--1-=.RQ ?Q:ShOR ~_Ra 1~A1 ~~:-1.4+~ 747-6638 ?0-A7f lfl-AQ /Iechanical Harvev & Pri ce NO. G Each single fixture PlUl1B ING POBox 1910 Fi,;opnp ELECTRICAL MECHANICAL 77 , f)_OQ "l...,t::_1~'p FEF r.HARr.F NO c~~ r~~ Nn ::E.L .cJJARli.E. ~. -12.-' , Residence of furnace/burner to BTlI's 6'"P~~~P~. ~l oor furnace and vent 7.6"0 ., 7. 6i:? SQ. FT. z ~ ~ew circuits alts. ,. or extensions ..., ~R hII..,.AdF SERVICES Relocated building (new fix. additional) ?7~ Recessed wall Snace ~p~tpr ~nd vp~t S.F. P.esidence (l bath) Duplex (I bath) each Additional bath ~Ia ter servi ce Sewer Storm Sewer / Temporary Construction Change in existing rpsjq~n('p' multifamily, comm. or Inrluc;trial Of ~~ amps. COMfl. /I NO. FEEDERS Install/alter/relocate dic;trih. fppdprc; Appliance vent 'i_p'oartl.tp. Stationary evap. cooler Vent fan with sinole duct Vent system apart from heatina or A.C. Mechanical exhaust hood tl.nd duct ~-b.- :z n;;: Wood stove/heater Of ~~?/'P/.~ -;2,- amps. ISSUANCF OF PFR!1IT 37.-$'"O TOTAL CHARGES ~_...",. TOTAL CHARGES -:ZO. ~ TOTAL CHARGES WHERE STATE L~H REQUIRES shall not be vali1 until the that tile Electrical work be done by an Electrical Contractor, the electrical rortion of this perr.tit label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFUllY EXN1INEO 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 Spri ngf; e 1 d and the laws of the S ta te of Oregon perta; ni ng to the work descri bed herei n, and tha t UC 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 compliance with OP.S 701.055 will be used on this project. IWIE(please print) c:.\"'"..\ ,. ~D'O\~'N\.<J.'" Zone .:::G Fi re Zone Flood Plain BUILDING PER/lIT Charges an~ Surcharges PlU!~BING PERMIT Charges and Surcha rges ElECTR I CAL PERIIIT Cha rges and Surcharges MECHANICAL PERHIT Charges and Surcharges ~~ DATd~).h'~(C TYOe/const.~'1(- ~Ynits Bedrooms Occy'load Stori es / Occy Group S lr,fIATURE FOr. OfF I CE USE DilLY Sq. Ftg. Sq. Ft9, ~--:<> Sq, Ftq. f1ain ,x Value Access x Value OtheryA.-,..c ~ tit ':7",-"Value .~~~ TOTAL VALUATION II:' Plan Ck. COlllll/lnd 2/ v -50 65%/Rl do Per Fee ------------""""ii"fan Ck. R-es / 1'::>. ~ 30%lBldo Per Fee ____:2ZS-~__ Fence I.D:!;' ____6?!.'-~~__ S1dewalk ;3 . <X> -::< P.. .",..." ------------ /.- l-z/,,-fQ No.ox f 3bfr , 11/7. .-. Systems Development CharD. O,5~) '::lR'S.. Demo AIC PaYi nq Total Comb. Permit -g '7'9'. a 'I '?6,66 -I Curb Cut TOTAL . . . , . ~ "/ 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 17 03 43 2, example- Lot I. Block 3, 2nd Addition to . springtield Estates C. Name, etc. of owner and construction lender D. Energy Sources 1. example- heat/electrical ceil inq/or forced air Qas 2. examQle- waterheater/electrical/or solar E. Square footage or valuation, etc. - I. ,example- 1250 sq. foot house, 500 sq. foot garage 2~examp 1 e- if new project. check new - if add it; on , . check add, etc. F. Building permit information: 1. example - construct single family house with an attached ga"ge 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 (aj 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 abbrevi a ted schedul es you shou 1 d consu 1t '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 . ~ermit Clerk J ,~~ _ '\(g,c.. ,t\:-- 1;3 I to "l ....., -/0-8/ . PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPArKY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: name LCS71HC: ;:3-~~~ signature d ~ date ~~.$S?i?9 // ~~/ . INFOR/1ATION liNt 726-3753 E!lERGY SOURCES: Sq. Ftg, I.'ain Co -s'?t:.'1' Heat ~q, Ftg, Access. Hater Heater Sq. Ftg. Other Ile<< AddX Alter Rep, Range -Fence Demo Change/Use Value of Horkt6. tWO YOther/~~&,"""""'" :?t."",. -~- ~~ ~ , 289 . Built;inQ Pel111;t Info: Oescr be Warkli'.e., Build Single - L 36amil v nes idence \lith Attached GaraQe 1 I UJLU - ilf?(] ,(' j / LDYYL,pfi jT()~ r;$#/d>/y ~~, ilies. no. \ 12200 N Jantzen Drive Portland 971'17 v';). 0 ;--""2 n() ./ - (address) (1 i cs_ no.l (exnir~li.\ ...... \ . 9'0 ~ II~Yl a"J In /1-, ,111/;m Iduev f , ' f CITY Uf SPRIN.fIE U/ COMBINATION APPlICATION~~ERMIT I INSPECTION L1IlE L 726-3769 ~ f Job Add;ess \ 9, ')_ q ~ ~ ~ Legal Oe"ri ption /7-o"3-':?C- 2"3" ~ 2~~:i -:?/~ O<<ner Hi 11 man Prooerti es Address 900 N TOMAHAWK ISLAND DRIVE Portland OR 97217 Phone Construction lender Address DESIGN TEM (name) Phone (address 1 Primary Davi d Hi ckman Structura 1 Electrical !1echa n ; ca 1 CONTRACTORS (name) GeneralMcKenzi e Commerci al Contractor~, Tn~ _ Rli5 WP~t ?Nn Flfgpo" 1l~~10 7-80 Plumbin~ Tw; n R; vprs Plumb; ng ?n5n WP~t Rroarlw"y FII9""" Electr;cal L R Brabham 12-C W "0" Street Sorinof;plrl flechan;cal Harvey & Pri ce P 0 Bn 1910 Rliopnp PLUI1G IIlG ELECTRICAL NO. FF r CIl'ilillL.1ln ~ Each single fixture Residence of 7.5"0 n:50 SQ, FT, Relocated building (new fix. additional) New circuits alts. or extensions ~ AR ~~A4: /' S.F. Residence (1 bath) Duplex (1 bath) each SERVICES Additional bath Temporary Construction Change in existing re.s.1 4~.n(p multifamily, comm. or lmlustrial Of "2C>c=> amps. CQI-IH. /IND. FEEDERS Install/alter/relocate rli~trih. 'pprler~ 'rIa ter serv i ce Sewer -, (jJ ~/ ,I\:'t) \ Storm Sewer I Of . (exnires) ?Q..=.9.~p~ ?n-A7r 77 ~ In-QO 1 n-AO \S'\ ~ (ohonl'! no.) 285-2256 (ohon(' no. , U=-7-l-AO SgJ-141^ 747-6638 7"'k_1':;?1 MECHANICAL FFF tll'llllif. Nn. FFF n'J\RGL furnace/burner to Z BTU's ",.- 12.- f?:aA&~ V"t""--tf""7? p"'!fS . loor furnace 77ft and vent Recessed wall S~~r.P hp~tpr anrl vent Appliance vent s_~p~r:ate Stationary evap. cooler 2 Vent fan wi th 9,-6.- s11)ole dyct nrc. Vent system apart from heatinq or A_C. Mechanical exhaust hood and rluct Wood stove/heater ---:f~P/PI'~ 2.'0 ~~/ fiain Access x x amps. I SSUANCF OF PFRlll T TOTAL CHARGES 97.5'0 TOTAL CHARGES ~_ ell:> TOTAL CHARGES -:::?C', ~ WHERE STATE L,\IJ REQUIRES that the Electr;cal work be done by an Electrical Contractor. the electrical portion of this peroit shall not be vali~ until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFULLY EXJ\t1INED the completed application for ~ermit. 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 Ore12lOn pertaininl) to the work described herein, and that 1m OCCUPAr~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 ons 701.055, that if exempt the basis for exemption is noted hereon, and that only subcontractors and employees who are in compliance with OP.S 7nl.055 will be used on this project. Other~. \ 1- 2/A-'jq ll!O,DS I ?,oYr IWfE(please print) c.'v-.f\"\ \< \'-,oC\""l'M.~," SIGIIATURE FOr. OFF I CE USE OIIL Y S~. Ftg. Sq. Ft~. ~--:;> Sq. Ftg. Zone ~ TYOe/const.~~_~Ynits Bedrooms Occy.load Stories / Occ.V Group Fi re Zone Flood Plain BUILDING PERHIT d-' Charges an~ Surcharges Plan Ck. Comm/lnd 65t/Blda ~pr Fee Plan CIe:. Res 30%/BldQ Per Fee Fence _ _ _-:? { P:-.2?_ _ /O.~ _ _ __'2?. 5'"0 / .$;;;, _ ___64.~~__ ?= n__~q,-~__ /,- PLU'-1BING PERMIT S Charges and Surcharges Domo ELECTRICAL rERI~I8 Charges and Surcha rges . MECHANICAL PERMIT Charges and I" Surcharges LV Sidewalk A/C Paving Curb Cut ~ Value Value ~~alue-~r~- TOTAL VALUATION /- ._~, syste.ms Development CharQe tl. 5%) ~i?S.. Total Comb. rermit TOTAL DATE/-J {..-,o,c, f/-/7. .-. 7 --?..-- ~ -g 9',,? "" tf~6,66 , .- '- . . 'l ~ ) " 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 11 oj q3 ~. exam~le- Lot 1. Block 3, 2nd Addition to ~prlngtield Estates C. Name, etc. of owner and construction lender O. Energy Sources 1. cxample- heat/electrical ceilinq/or forced air Qas 2. examYle- waterheaterlelectrlcal/0r solar E. Square footage or valuation) etc. 1. ,example- 1250 sq, foot house, 500 sq. foot garage 2~ examp'le- if new project. check-new - if addition, . cheCK add, etc. F. Building pennit information: 1. example - construct single family house with an a ttached 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 (aJ of the Structural Specialty Code H. OESIGN TEAfl 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 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 OIVISION STAFF WIll FIll OUT ALL FEES ANO CHARGES ON THE SCHEOUlES 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. ~ Ill. 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 ~ermit Clerk d ,~~,,,-, 'K~c... t\:- I a Ita '1 "-.) -Ie) -8'<, PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: I Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: name L",,;r;N~7?-~~;:=r signature ~L~~ // ./ -? date 2-~ -!iiC 9 """'NaAC~LD , .. ti:: " "- IT IS THE RESPONSIBILITY OF TilE PER."IT HOLDER TO SEE THAT ALL INSPECTIONS ARE HADE AT TEE THAT EACII ADDRESS IS READABLE PROH Tm: STRF.ET. AND THAT TilE PF.R.'IIT CAnD IS LOCATED AT TilE PROPF.I:TY, BUILDING DIVISION APPP.OVED PUNS MUST BE ON JOB SITE AT ALL TIllES, .. .quired Inspecwns .. PROPER TIm;, FRONT OF THE PROCEDURE FOR REQUESTING INSPECTIONS: C311 726-3769 (recorder) st3te you CITY DESIGNATED JOn NU}:nER. job ~ddrcs5. type of inspection requested ~nd "lhcn you will be reedy for the in5pccticn. Contrllcto~s O~ o'mers name and phon~ n~~bcr. Rcqucst~ received before 7:00 3m will be ~ndc the sn~c d~y. requests received after 7:00. am will be ~dc the followinh work day. Your Ci:y Desinn3ted Job 'Number Is: j:'?9~67 Job Mdress: ~"Z9 ~I'JNr-,r:,e ;P.4~(,q'A'+' ~ Owner: It/LL.N7#"Q ~.oP",""" //..... ..,' A/. ~ Phone: 2.::::9- //3'& Contr3ctor: ~A'2./6"" ~""""""'~A"< Phona: '39"5' 7/~ o ~ [Z] o o o o o o o [2J [9 [2j [Z] [I] SITE INSPF.CfION: To be tn.1.dc 00 ;1ftcr Cxc:1v:1tion, but prior /} to setup of forms. ~I { 0 UNDERSI.AR Pl.UHRING, EI.ECTRICAL '1 & ~IEC!l'\~ICAL: To be :nade before I any work is covered. ~ r:/l CONCRETE 51.1\1\ INSPECTION: TQ be ~ made arter all ins lab building service equipment. conduit, piping, accessories and other ar.cillary equipment items are in pl~ce b~t before any concrete is poured. ~ FOOTINGS r. FOUNOATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to pouring concrete. ~Or:RGROUNO: Pl~mbing, Electrical, Gas, Sanitary Sewer, Storm Sewer, Water and Drainage lines. To be made prior to coverin& or filling trenches. o o UNnERHOCR: . Plumbing, Electrical, t-lechanica 1. To be made prior to installation of floor ins~lation, decking or floor sheathing. PO$T r. Bt:AJ.I: To be made prior to installation of floQr ir.sulation, decking or floor sheating;. Fl.ooR INSUI.ATION r. VAPOR nARRIERS: To be made prior to inst31l::.tion of decking or floor sheating. ~~SONRY: Steel location, bond beams grouting or verticals in accordance 0 with U.B.C. Section 2415. ROCF S!Ir:ATIIl~~G ~m NAILING: pr~r00 to installing any roofing. t/ ROUr.lI P1.UMBING. ELECTRIC".t f. i l~< . ~IECIIA:\CI,\L: No ~ork is to be co\~ed ur.til these inspections have been made and approved. .- ATTIC ORAFT STOPS & CURTAIN WALLS. ISPECIAL INSPECTIONS: In accordance k'ith Section 306 of the Building Code a special inspector shall be employed by the O~~erl Contractor during construction of the fcllowing work. A cepy of the special testing reports shall be furnished to the Building Division. FIREP~AC~: Prior to placing materials and before framing inspection. facing q INSUI.ATION r. VAPOR RARR!ER: To be made after all insulation ~nd required vapor barriers ~re in place but before any lath or gypsuc bo:rd interior wall covering is applied, o o ::J STRUCTURAl. CO~:CRr:TE: In excess of 30(1; I'.S.1. (306a.l) FRMIING: To be made after the rygf. ::J all framing, fire blocking and bracing are in place and all pi s, chimneys nnd vents are complete and =:] the rough electrical, plumhing and heating wires, pipes ~nd ducts are approved. =:] SPRAYEO ON FIRE?ROOFIXG: (u.n.c. FYnE r. SEPARATION h'Att: Located & Stondards 43-8) censtructed according to plans. /,0 1-"111 ANn/OR GYPSI~1 nOARO INSPECT ON: =:] To be made after all lathing a~d g)~sum board, inte~ior and exterior, ~s in p~acc but before any phsterin;: =:] r.LII-tAM BE~lS: bsp~ction Certificate, ~s.applled or before gypsum board by on approved agency, furnished to )Olnts and fasteners are taped and 'the City's Building Division before fir.ished. beams ore placed. (2S01-U.n.C. STDS. WOODSTOVES: After installation is ---, 25-10,11). completed. .-J STRUCTUR\L wr:Lns: Preformed on the job. (2722 f) IItGII STRENGTII BCLTI~G: Dering all ~ bolt installation and tighting operations (306 a.5) SPt:CIAI. r.RA!)J~G. 'FlI.LlSG: Ibring li Chupter 29) EXCAV,\TION .\.'\0 e:J.rth~ork. (306 a.ll SIDE\\'AI.K r. DRYVEh',\Y: Required for 011 concrete poving within street right-of-way, to be made after all excavating complete & f~rm work & sub. base material in place. CURB /\NO .3..PPROACII APRON: After forms are erected but prior to pouring concrete. *In addition to the inspections specified hereon. the n~ildin& Official ~oy ~ake or require other inspections of any construction work to ascertain cODpliance with the Building, City or Zoning Codes. PARY.ING LOT: After gravel is in place but prior to placing asphalt or concrete. FINAL PLUt-mING I) Cf 0 CITY'S SITE PlJ\N REVlm'l BO:\RO INSPEcrION': Must be requested 2 days in advance of the dote yeu ~ wish inspection. All proj~ct conditions such as landscaping, p:J.rkin& lot stripin~ etc. must q be com,leted hefore requestinc this inspection. FINAL ELECTRICAL l..-l . q I V I FI~AL !llIlLnINr.: Must he requested after the final Plumbing, Eleccric:ll, ~lcch3nical and Fi:-e /.t Y' Department inspections are made 3nd 3pprovcd. No Occupancy of the premises C3n be made until FINAL MEOIANICAL..J (ia Certific:1tc of Occupancy has been issued b)' the Building Oivisicn ar:d postcd or. the premises l . FINAL FIRE DEPAR1}~~IT SICNATlJRf- DATE 4- AI.L ~IANIIO!.ES :\1\0 CLr:ANOUTS ~IUST BE .\CCI!SSIBLE, ADJUSTMENT TO nE ~L\nr: AT NO COST TO TIlE CITY. ";. .'.'