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Home My WebLink AboutPermit Building 1988-6-17 Job Address 11?S3-~M~~~~~.r.1 Legal De5cription /?-Gl?-~-2~.~. ~.. ?' ://.P"&' ! ) -~ I INSPECTION LINE 726-3769 1 INFORlIATION UN" 726-3753 Sq. Ftg. 1.lain7."'>'=~ ~q. Ftg. Access. 5q. Ftg. Other Ajlew_Add_Al ter _Rep. Fence Demo Change/Use YaluE of Hark: -;'""1/ J-4W1 LOther-'........?"'.,...z:€ :;J~, u UV / ~ ,.,~& BuiltiinQ Permit Info: Describe Work(i~e., Build Single Familv nesidence With Attached Garaael I/zmA .aA /; ~ rA. /2d;;;tJ ~ I' /J.h'VI/I.R _..-I . '~f ~" /~ :1_ . CITY OF SPRINGFIELD COMBINATION APPLICATION/PERMIT E!IERGY SOURCES: Heat Hater Heater Range Owner (;J-i /f35""; / U,U.//Y> rit,~/ 'pjJ E - / Phone Address Construction lender Address DESIGN TEAM Phone (address) primaryJ?'/;vp.#/~~_-1~. /2~ .N_,~~m__ f1 ;l"'<:_ 00,) ~T.> ~....ItS- z-:;z,<;e:;: Structural Electrical Mechanical CONTRACTORS (name) Genera 1 ~~J)O H U~.WA-LL~E" ({ uL~P,,~~ Plumbina (addr~) ,/ ~(L1C". no.) -' (.~/l~ t-"II..Io r:Jo;i. 5i(3 CLA-<'_1<.A-"'--'5 Or>- S()Oo<..OO P'b. BD'" ~ . b.1'h'4t~o..DIL 5117'ilDD P.o,l':>>'l.I'fIO GU CfG"':';:; n/2.... 7700 ~'echanical \.Ll~ ~",'.h-:r -ll."f2l\~ ~ (J/2 ;c..~ P1.IIIIllING Relocated bu;lding (new f;x_ additional) S.F. Res;dence (1 bath) Duplex (I bath) each Additional bath I ~::i1 I I I I I I TOTAL CHARGES 5lC? TOTAL CHARGES 6Z/. _1> TOTAL CHARGES 87- s-c:> WHERE STATE Ul~ 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 Electrical NO. /2 Each single fixture ~Iater servi'te Sewer Storm Sewer Zone /r':. Fire Zone Flood Plain BUILDING PERMIT Charges and Surcharges PLUl1BING PERMIT Charges and Surcharges ELECTRICAL PERllIT Cha rges and Surcharges /1ECHANiCAL PERMIT Charges and Surcharges ~ ELECTRICAL FFF l":HARr,E Nn ""L..cl!ARG.E. ..l!ll... Residence of 7-sz:> 9.::::> SQ. FT. New circuits alts. ~ or extensions .., "","f ~~E SERVICES :::c?- :52 Temporary Construction Change in existing r'p~_i dJ'Jlre multifamily, COI11l1. or Tnnuc:.t.ri"l I -;:;:oz::;. Of amps. CO~j./IND. FEEDERS Install/alter/relocate nic:.t.rih. fppdprc:. Of amps. I /7 ~.:> hh~ ~ TYOe/Const.~_~ Units Bedrooms Occy load Stories / Occy Group co d ~- -.....\ ~ (exnires) (ohone no. I HAVE CAREFUllY EXAMINED the completed aprlication 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 Oregon pertaining to the work described herein, and that 110 OCCUPAI~CY will be made of any structure without the permission of the Building Division. I further certify that my registration with the Builder1s 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 7Q1.055 will be used/on this project. IIAt.IE(please print) Cf? e I j..) '(pe'i2- SIr.IIATUR~J.-.,.A ~ DATE4k gi FOr. OFFICE USE OIIL Y Sq. Ftg. f1ain Sq. Ft!J. Access 7? -,2 Sq. Ftg. Other/~~, = (exnirpc:.) (ahonp no, )_____ thS;<-,;Jn 08 8j-'lI!RY 1/J1J /f(<? , / /013./ /"1. 'if MECHANICAL """ 1..cl!ARG.E. I furnace/burner to BTU's HV~ r..J>^-/.lr Floor furnace and vent 6ae Recessed wall ~n~rp hp~tpr ~nrl vpnt 1/ Appliance vent c;eoaratp Stationary evap. cooler Vent fan with sinole duct Vent system apart from hf!atino or A.C. Mechanical exhaust hood and durt. r.- Go..." I '5' ~" "2... Wood stove/heater ISSUANCF OF PFRI11T x Va 1 ue x Va 1 ue '=~Value ,j?< TOTAL VALUATION 1I1f,t{3 /,':<'/ 7/ L._J .CO Systems Development v ...J 10 IZl 00 Charqe (1.5~) Plan Ck. Comm/Ind __24'~._~__~/Rlda P.er Fee I Plan Ck. Res 60 . r~ 30%/Bldo Per Fee ?,?'. .",.c> Fence .n_--v..z.-- O~mo ~_ce> I Sidewalk - --- - ::?~~--I A/C Paving _n_rr-~!:__II Cu'rb Cut -;<--$8 ITotal I I TOTAL / '3'1. /It::' - Comb. Permit Cf-:< ".6ft 5'58,68 . -\, f-( . :~ '. L i COMBINATION APPLICATiON/PERMIT (CAP) PERMIT VALIDATION 1. Applicant to furnish A. Job Address B. Legal Desc",iption I. example- Tax Lot 100, Lane County Map Reference 1I 03 43 2. examole- Lot I. Block 3, 2nd Addition to Springfield Estates C. Name. etc. of owner and construction lender D. Energy Sources 1. exam~le- heat/electrical ceilinq/or forced air Qas 2. example- waterheater/electrlcal/or solar E. Square footage or valuation, etc. - I. examole- 1250 sq. foot house, 500 sq. foot garage -. :"12. examole- if new pr.oject-; check--nfw - if addition, ~7-:-._ check add, etc~'~ ,...~ --,'\. . F. Building pennit information: I. example - construct single family house with an attached garage 2. example - 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 TE~I 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. IY. 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. (l13b/~~ /' l1 {o V. FOR OFFICE USE ONLY Permit Cl erk cY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: Additional P.roject Information: PLANS REVIEWED 'BY: nameUBo/k 7l~&'f" signature 4~~>.? date 6-/3'-5~ I J /" IlIlSPEcTIOl1 :~IIE . CITY OF SPRIIIGFIElO 726-3769 COMBIIIATION APPLICATION/PERMIT J b Address /.'~-:? -n - .~,~ . ..._..r.: EIIERGY SOURCES: o CI.J ./ /.:Z;cx/c-c=r--pi',(zgv-.-r-?,.. ~/. r1N.l: legal DescriPtion/?~~.~._. . l'?/~ ~ Heater C --.::. . qe /:: l (I j ValuE of f1ork:5:2.(!iJ{) ( ~ tr ....) .(i.{UYl aAJ~/ Lih.t:::~ I Phone BuilriinQ Permit Info: Describe \~ork( Le., Build Single r /- Familv ~esidence Hith ~.ttached Garaoel /f4nA d'2A /.;;~ nA /2d;J ;t1 - !~,,,~J' ( . Owner Address i&3s-::s Construction Lender INFORltATION LINt 726-3753 Sq. Flg. 1'lain7~9I ~q. Ftg. Access. Sq. Ftg. Other ~lew__Add__Alter--,~ep. Fence Demo Change/Use ..LOther/....;"L!'<<~rE /E~ "'~C C)(J d -t' 1--....1 ~ Address Phone Dt~llir~ TEAf.l (name) (address) (lir<;._ no.) (exoires) Primary ]}~DgLK.!:'i"~ .-9"~. /2:7= AI. ,~~ m_ _ ~/~',....-,,;::> I I I I I TOTAL CHARGES 510 TOTAL CHARGES b::? -~ TOTAL CHARGES S7~ St?> WHERE STATI l,\\~ REOUIRES that the Electrical work be done by an Electrical Contractor. the electrical portion of this pelT.1it shall not be valiJ until the label has been signed by an Electrical Surervisor and returned to the Building Division 171 ~:5 7fh/.7~ I I I HAVE CAREFUllY EXAMINED the completed aprlication for permit, and do hereby certify that all information hereon is true and correct, and 1 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.:lOn pertaining to the work' described herein, and that HO OCCUPArKY 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 701.055 will be usedfon this project. IlAIlE(please print) ,? e. I-l'fPEJ2.- SIGilATURE~J"A~ DATEu.-IlI.frr FOP. OFFICE USE OIll y Sq. Ftg. Sq. Ftg. 7? -..2 Sq. Flg. Structura 1 I _11:"~~ ~ .r (add~~) . :/;;f1ir" 1"\0.) ,- . . / _ --h'(]~~-'~ ~~ P,c.). 'dui. 0'<..3 C-LACc...."''''"ffi Qr<.- SOo",<--OD ;:::,,,. Bet ~ " <=' b./!K<~J,..:>o .ofZ- :J " 7 'if DD PL), F5e>"- 1910 (='-1 "'G~';; ""It- 7706 Electrical ~lechanical CONTRACTORS .-i"a.-e I 1-----1 I ~ ,!l7Al!.P";Ui f) 0 H '~WAu~~ PLA~;J..~)~~ Genera 1 Plumbina Electrical \.u~ 1_1'\~o~t !="\,.,h-:r -iJ A? .\tl..l ~ (:k 'Lf. \ . PUII'.llING ELECTRICAL ~lechanical NO.1 ;';2:IEach single fixture IRelocated ~~ilding (new fix~ additional) I'S.F. Resi6ence (1 bat" \ Duplex (1 bath) each FEF fHARr,F Nn ~~J:' I r~AllGE. NO Residence of 7sz;> '7t' SQ. FT. New circuits alts. or extensions ~ .., ~~ ~r.>i'?c SERVICES c./ :::t:?-Si' Additional bath Temporary Construction Change in existing rp-s-irly.rH"p multifamily, COlTln. or Inrl""tri<ll I ~Jater servi't€ I Sewer IStorm Sewer I ~ _ "'--.... I . /'I' \ I q;cT/1_~O ) I \ 0-; \'. / I Of ...<.....-c..-' amps. :?7- s;, COMM./IND. FEEDERS Install/alter/relocate rli"trih fpprlpr" Of amps. ------- Zone E ,;:: Fire Zone Tyoe...;;;;st.~~Units '\ ,_m, .., Bedroolll::O __ Occv_Loeo Stories / Occy Group f1ain . Access Othe~~_, ~ Flood Plain (I')hon~ ,,~. \ ~Al'S-Z2.~ (pyo;rp,,) '~hone no.) 0,5':;(-~ 08 -. , 8)",,!O;:Y 7!J1)/f(<'( . i . /()/ ,::{.I / 'f. II . , MECHANICAL I.H.L J:JiAJlliL I furnace/burner to BTU's H1/A'C. r....""-/ / 'T Floor furnace and vent 6~ Recessed wall Sn~rp hp~tpr ~nri vpnt II Appliance vent seoarate S'tationary evap. cooler Vent fan with c;inole duct. Vent system apart from heatina or A.C. Mechanical exhaust hood and dUf't. r -z. ~ I r.-I cs. .,." Wood stove/heater ~C> ISSUANCF OF PFR!1IT x Value x Va 1 ue x-:7~Value TOTAL VALUATION ,~~,~ 111f,43 /,'='/ -=-/ /.._1 ,CO Syste~s Development U . ~ IQ e> 00 CharDe (l.5~) BUILDING PERI-liT -?~:::? dO Plan Ck. Conm/lnd ~~~~~:~g:~C V - - 6d(_ ~ -:-; ~ - - ~i;~B~~~ :_:; ~pe 30%/BldD Per Fee PlUt1BING PERMIT/ ?'::? ~e> Fence ~~~~~:~g:~d ~ ------r:~-- Demo ~.~ I Sidewalk ------:?~;;;,;,.--I A/C Paving ~~ I Curb Cut ----- :<-.58--' ELECTRICAL PERlm) Cha rges and L-- Surcharges I1ECHANICAl PERMIT Charges and Surcharges j'3Y'.. ~~ ~-Z- ITotal Comb. Permit I I TOTAL lp Cf-:;,> "?6&' 5"58,68 . .4'':> .( '\ " It~\ ~ ) . ~ COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATION I. Applicant to furnish A. Job Address B. Legal Description 1. examole- Tax Lot 100. Lane County Map Reference 17 oj 43 2. example- Lot 1. Block 3, 2nd Addition to Spr'ngfield Estates C. Name, etc. of owner and construction lender D. Energy Sources 1. exam~le- heat/electrical ceiling/or forced air Qas 2. exa~le- waterheater/electrlcal/or solar 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. 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. OESiGN TEAM AND CONTRACTORS To avoid design or construction delays, Building ~ivision 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 Oivision 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. --- Ill. Applicant to sign and date Whenever possible. the initial application will b~ 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. IY. 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. /" ll1~/)/~t . ,,~1 W V. FOR OFFICE USE ONLY Permit Cl erk cY " , PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: . PLANS REVIEWED BY: name U~E H ~e'f> signature 4~p~ date 6-/3'-&'~ ..;~"I ., .. ~quired Inspec*ns .. IT IS THE RESPONSIBILITY OF TilE PER.'lIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TIUE. THAT EACII ADDRESS IS READABLE FROII TilE STREET. AND THAT TilE PER.'UT CAP,D IS LOCATED AT TilE FRONT OF THE PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL THIES. PROCEDURE FOR REQUESTING INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUMBER, job address. type of inspection requested and vlhen you will be re.;:.dy for the inspection. Contractors or o\vners name and phone number. Requests received before 7:00 am.will be rearle the same day, requests received after 7:00 am will be ~de the following work day. Your City Designated Job Number Is: R>::t" 04/ 77 Job Address: /R:5"5 ~.<:>y.e-"":::-A" ~Rp',-"_ 9' ~~.:;r- ~~-'~'?' ~ ~.5 ?#~L?/Y y Contractor: 6r-c.I'7//,.=6- G~. D [2j [2J D D D o D o SITE INSPECTION: To be made after excavation, but prior to setup of forms. UNDERSLAB PLUllBING, ELECTRICAL ~\ G ~IECHANICAL: To be :nade before any work is covered. CONCRETE SLAB INSPECTION: To b;\ 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. UNDERFLOCR: , 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 sheuting., FLOOR INSULATION & VAPOR BARRIERS: To be made prior to install~tion of decking or floor sheating. [Z] [] lZJ !Xl FINAL PLUMBING "2.-~ L6l FINAL ELECTRICAL yq FINAL MECIIANICAL'7~ [I] FINAL FIRE SICNATURF D o [2J o o o o Phone: C5;;;:.:<~6 Phone: ATTIC DRAFT STOPS & CURTAIN WALLS. FIREPLACE: Prior to placing materials and before framing inspection. facing [ZJ FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in -place, but prior to pouring concrete. ~DERGROUND: Plumbing, Electrical, Gas, Sanitary Sewer, Storm Sewer, Water and Drainage lines. To be made prior to covering or filling trenches. MASONRY: Steel location, bond beams grouting or verticals in accordance 0 with U.B.C. Section_24.1S-. --- - ROOF SHEATHIXG ~~D NAILING: Prior to Installing any roofing. ~~9PARY.ING LOT: After gravel is in ROUGH PL~mING, ELECTRICAL & ~~\ place but prior to placing asphalt ~IECHANCIAL: No ....ork is to be covered or concrete. untll these inspections have been de and approved. "'7\\ - CITY'S SITE PLAN REVIEW BOARD INSPECTION: ~~st be requested 2 days in advance of the date you wish inspection. All project conditions such as landscaping, parkint lot striping etc. must be com~leted before requesting this inspection. \.~ fINAL BUILDING: Must be requested after the final Plumbing, Electrical, ~1echanical and Fire Department inspections are made and approved. No Occupancy of the premises can be made until a Certificat~ of Occupancy has been issued by the Building Division and posted on the premises DE? ARl;E~l 4ALL ~~HOLES ANn CLEANOUTS ~ruST BE ACCESSIBLE, ADJUS~reNT TO BE ~~DE AT NO COST TO THE CITY. q INSULATION & VAPOR BARRIER: To ~~7 made after all insulation and \~ required vapor barriers are in place but before any lath or gypsum board interior wall covering is applied. FRA}lING: To be made after the roof, all framing, fire blocking and '^ bracing are in place and all pip~, chimneys and vents are complete and the rough electrical, plumbing and heating wires, pipes and ducts are approved. :J LATH ~~D/OR r,YPS~l BOARD INSPECTION: :J To be made after all lathing and \X) g}~sum board, interior and exteridr, is in place but before any plastering I is applied or before gypsum board ~ joints and fasteners are taped and finished. FIRE & SEPARATION WALL: Located & ccnstructed according to plans. WOODSTOVES: completed: After installation is 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 are erected but prior to pouring concrete. 'SPECIAL INSPECTIONS: In accordance with Section 306 of the Building Code a special ,inspector shall be employed by the O~~erl Contractor during construction of the fcllowing work. A copy of the special testing reports shall be furnished to the Building Division. :J :J :J STRUCTURAL CONCRETE: P.S.I. (306 ..1) ]n excess of 3000 STRUCTUR~L WELDS: Preformed on the job. (2722 f) HIGH STRENGTH BOLT]NG: During all ~ bolt installation and tighting operations (306 a.5) SPRAYED ON FIREPROOFING: Standards 43-8) (U.B.C. ~ECIAL GRADINGl FILLING: frJring & Chapter 29) EXCAVATION ANO eart_hwork. (306 a.ll :J GLU-LAM BEMIS: lnspection Certificate, by an approved agency, furnished to the City's Building Division before benms nre placed, (2S0l-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. OATE