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Home My WebLink AboutPermit Building 1988-5-13 I INSPECTION LINE j726-3769 .' , CITY UF SPRINGFIELD COMB illATION APPLICATION/PERMIT E!lERGY SOURCES: Heat~ ./,/y~ I~ater Heater~~ Ran~e ValuE of I-Iork: 7/Yt:>. ..... BuilGlnQ Permit Info: Describe Work(i.e.. Build Single Familv nesidence Hith Attached Garaoe) Job Address 19'1'7 &Nee-.e ~.Re"4>v'AY CAST Legal Dmription l7--J~42e::-'?.~/1'~~ "'2/~ Owner h?u:./dA'N ~P6<?z:;.E5 .4,Jy. Address_.-?o /-. ~ ~~~~ .7~ A/. /""""""A.HA.wk' 'S. f,,_. "'~/': ~~2l_~7? 9?:z/? . # Construction lender INFOR/lATJON L1NL 726-3753 SQ. FtQ. I.'ain .s<>ve>9' ~q. Ftg. Access. SQ. Ftg. Other XNew Add Alter Pep, -Fence Demo Change/Use X.Other~~~ ~~~d.&- C5F &___<=- ~ -~ .5'~;C" Address Phone UI::::lltiN ltAl! (name) (address) flies. no.) (exoires) Primary t4",p h'/LI-""''-..v -I~~. /':Z2C1::>.Ii( rJ,.#77€~ ~:.~.h7l Structural Electrical Mechanical CONTRACTORS (name) (address) f1il"s. no.) (pxoirp.d General.M~<9Y2/&; ,,-- -'ld..-..<;;l?~~ ~ ~~, ~*>"" Jv. "2'~ G~~ Plumbina7.i,0.H J?~("_~;l?'~4--, 7d;S",p W: _l:?iI'~1.. ,...,. & .:c':.J;;" ElectricalL.R ~~~~. hPU/=.:u ;>o,'.c;::.~ .0.. 5~~ Mechanic'al /htr~~ .{ ~/<2'? ~. ~~ ~~T W'A-:?" I - NO. '2 Each single fixture ELECTRICAL MECHANICAL '10 <<< r"-l.RliE. NO <<< r" Residence of furnace/burner to SQ. FT. / B~ 6,- N. VR-c.. ,,,"'" ~ New circuits alts. Floo.r furnace or extensions ~ and vent -!Z ~ b.:if&R& SERVICES Recessed wall ~n~rp hp~tpr ~nrl vpnt Temporary Construction Appliance vent sgoaratf' Change in existing Stationary evap. rPS j dJ'Ju"p cooler multifamily, COnIn. or / Vent fan with ~.- lnduc;.trii'll sinole duct J Of /~O amps. n.se. Vent system apart from r heatino or A.C. COI~'1./ I NO. FEEDERS Mechanical exhaust I hood and du('t Install/alter/relocate Wood stove/heater I rlic:.trih fpprfprc:; Of amps. ...- GA'.!'; P/?/~ 1<-.... PLUl1B I NG FEF rHi\Rr:E Relocated building (new fix. additional) 7.S~ IS-- S.F. Residence (1 bathl Duplex (1 bath) each Additional bath \oIa ter serv; ce Sewer Storm Sewer ~ ~ 5~",~ fohoM no. ~...225""e:: i rohnnp nn.. \ ~-7/.y~ r.:;R":?-/4//~ ?7'.?-b~~ 7~. /~:v ISSUANcr OF PFRIIIT TOTAL CHARGES /!?-....". TOTAL CHARGES 51'S"" TOTAL CHARGES ~# /.<;;":.-. WHERE STATE L'l~ REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit shall not be vali~ 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 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 UO OCCUPAIKY will be made of any structure without the permission of the BUilding Division. I further certify that my registration with the Builderls 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 ~ed_ on this p~ect. IW1E(please print)~~ ')/.J~ SIGIlATURE~ -:-)~.'" ) DATE ~.3k8 FO~ OFFICE USE mIL Y Sq. Ftg. SQ, Ft9, SQ. Ftg. Zone .c;L Fire Zone Flood Plain BUILDING PERNlT Charges and Surcharges PLur~BING PERMlT Charges and Surcharges ELECTRICAL PERI~lT Cha rges and Surcharg~s MECHANICAL PERMIT Charges and Surcharges TYoe/Const.~ ~Units Bedrooms ' Occy load Stories / Occy Groupfi-.z Plan Ck. Comm/Ind 65%/Bld~ P~r Fp~ Plan Ck. Res 30~/Blda Per Fee n __~.B-~tp__ ;3. $13 /~ ew:> Fence ___-L<J.-=-_____ -75 ____'IS ~ ! Sidewalk Z. '25" I NC Paving IS; dOl> .., Curb Cut ---- ~-7.?-1 O~,"o t1ain Access Other J?9C> ~ x x x Value 7~.1':)...... Value Value TOTAL VALUATION ~//~n._'S'=>'~ l/H ........? Systems Development_I ~~. =0 r,.. 0> ~ Charee rl.5~)~ -c ". " ,- Total Comb. rermit TOTAL /6"C? 68 / 6/::).~7 , '- . , 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 II OJ.4J 2. examEle- Lot 1. Block 3, 2nd Addition to ~pr'ngtield Estates C. Name. etc. of owner and construction lender O. Energy Sources 1. exam~le- heat/electrical ceilinq/or forced air Qas 2. exam~le- 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. check-new - if addition, check add. etc. F. Building pennit information: 1. examele - construct single family house with an attached garllge 2. exam~le - 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 TEAll AND CONTRACTORS To ~void design or construction delays, Building Division Staff must be able to contact appropriate ..; per:sons 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 ~ivision 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 fu 11' schedu 1 es C. BOILDING DIVISION STAFF WILL FILL DOT ALL FEES AND CHARGES ON THE SCHEDOLES 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. /(5o-~ G~(?-fr V. FOR OFFICE USE ONLY Permit C1 erk C r . 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 LI!J7GYE 7i (?"Q ~ signature 4-e.r?-~ date}),;' c:t!3 , '- .,.. . " . CITY Of SPRINGFIELD COMBlr~TION APPLICATION/PERMIT EilERGY SOURCES: Heatg~ ~VA<:: Ilater Heater,Ro!"C7.". ~ , Ranqe . INFDRnATIDN LINE 726-3753 Sq. Ftq. l-lain 1ii>f'o9' ~q, ftg, Access. Sq. Ftg. Otller )( rlew Add Al ter Rep, -Fence Demo Change/Use XOther~~~ ~ ~ ,~ I I INSPECTION LiNE 726-3769 Job Address /9"7 /9;Nee-.e ~;;a.--4v'AY P""..::-r Legal OescriPtion/7~3.:Z':;;_23 /9tt:>~."Z~ ?/~ Owner ~.t:.L..H7A1-N 4P.6'?#'6S )f}f/. Address.o ~ .I -r->.-. ~~-/r4;; """'''''tt:> AZ .loIl#'>A.HLl.lA/k' IS. ,..,,;r. ....z:--#I" ~~21_..c:>A'. 97':Z/? . # Construction lender Value of Hark: 7/Y~,-- BuilriinQ Permit Info: Describe Work{i.e.. Build Single Family Residence With Attached GaraQe) ~~'::-"'.I""'k ~"c:- /'-C:-h_~ S7:~ ~ -~ ~~,.<:" Address Phone Ut~l~N leM! (name) (address) (lies. no.l (exnires) Primary UIr/P /h.c~-:""" -I~"/ /"22Cl:> A( rL,A77€Aor ~._ ~~ Structural (ohone no.\ <-'<'... ..z:;:>S1! Electrical 2.. jJ. <t:;2,l>{) Mechanical CONTRACTORS (name) (address) (lir,s. no.' (pxoirp"" General M.cRev;:.>/,<;: r-~~~"::J~ C...."..,nP.. ~~ Jv. ~~ ~~E~ . - , ' . . ~ . , Plumbine2l....."...., ??~( J?;t?'--;.4--, ':?dS',p Joy: lVJ~'-'__. &-e:;q.~ ElectrlcalL.R 1?Q~~~<rC~_ /~ft!;~/ ->v.'.y~ _n,o 5~/~~ flechanl~al /ly;.7?Y1!F"7' 4 ~/~~, . ~6"" A:h~~r ~y- (' I ELECTRICAL (ohnl'lp "n ~-7/.y9" It: R-=? -/4//4/ "2Z'7-.o:::.o?~ 7%-A{2( PLurlB I NG MECHANICAL NO. FFF r.H/HU~F Nn I Residence of I n.~ I rU.ll..B.G.E.1...tlO..a....1 furnace/burner to / BTU' "",,,A-C- 'J""4 ~ Floo"r furnace and vent I-EEL' '2 Each single fixture 7!S~ IS-- SQ. FT. 6.- Relocated building (new fix. additlonal) S,F, Residence n bath 1 Duplex (1 bath) each Additional bath ~ New circuits alts. or extensions ~~~6 SERVICES -zzsz; Recessed wall Sn~rp hp~tpr ~nrl ypn~ Storm Sewer J Temporary Construction Change in existing rp~ j dJ'nrl'! multifamily, COITlTl. or Tndustri;tl Of /t7t7 amps. COMfl./INO. FEEDERS Install/alter/relocate rlic:,trih fpprlprc, I App 1; ance vent II;pl)~rat,p Stationary evap. cooler y'ent fan wi th sinole duct Vent system apart from heatino or A.C. Mechanical exhaust hnod <'lnd durt ~.- Water service Sewer n.se. Wood stove/heater Of amps. ...-- G~ P/P/~ <- ..... ,8'P ~ ISSUANCE OF PFR/1lT TOTAL CHARGES /5:""" TOTAL CHARGES rS -. TOTAL CHARGES ~/Y- /.<:;:.-. WHERE STATE L~H 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 1 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 Ore90n oertaining to the work described herein, and that NO OCCUPAIICY will be made of any structure without the permission of the BUilding Division. I further certify that my registration with the Builderls Board is 1n 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 ~ed~on this p~ect. rlAHE(please print)-S::;,S;~_// ).lI'JtlB-L SIGIIATURE~ -I' )!::.... 4,,, ) DATE ~.3~8 FOP. OFFI CE USE DIlLY Sq. Ftg, Sq, Ft9. Sq. Ftg. '-\ ____fi?.B-~tp__ -:3. $'3 /c- ew:> Fence ___..L/OJ. ~_____ -?S ____'IS eo<> 2'. "25' A/C Paving ,.s; ..... ., Curb Cut V ---- ~-7.?-1 B-2 m Plan Ck. Co~nd 65%/BldQ P~r ~pp Plan Ck. Res 30%JBlda Per Fee Value 7~'-'. ..... Value Value TOTAL VAL~ ~ //-Y7';/.--)- >' 6:J!!. r""\ ..... '- ) lh/. .--? - Systems Development "-..::..--'...,""" =~ 7Y. ~ ~ Charae [1.5~)~-- ~ '7." ,. 1?9t::J .", x Zonp /,:L Fire Zone Flood Plain Type/Const.~~Units Bedrooms Occy load Stories / Occy Group riain, Access Other x x BUILDING PERHIT Charges and "'" Surcharges 0... PLm~BING PERMIT Charges and /' Surcharges J D~A1o ELECTRICAL PERmT Charges and Surcharges Sidewalk MECHANICAL PERMIT Charges and Surcharges TOTAL I? t:? 61%> 1t!fil:).~7 Total Comb. rermit I"""" . . . .' -,/ -'~., COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATION I, Applicant to furnish A. Job Address B. Legal Description J. example- Tax Lot 100, Lane County Map Reference, . II 03 43 2. exam~le- Lot I, Block 3, 2nd Addition to ~prlngtield Estates C. Name, etc. of owner and construction lender D. Energy Sources I, exam2le- heat/electrical ceilinq/or forced afr Das 2. examDle- waterheater/electrlcal/or solar E. Square footage or valuation. etc. ------ I, example- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project. check new - if addition, cheCK add. etc. F. Building. pennit information: I. examole - construct single family house with an attac~hed 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 (a) of the Structural Specialty Code H, DESIGN TE~l AND CONTRACTORS To ~void design or construction delays. Building Division Staff must be able to contact appropriate ".: per:sons, regarding design infonnation 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. 1(50 CJ G~(?-fr . V. FOR OFFICE USE ONLY Permit Cl erk (l/'" 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 Lt!J7QyE J1:. ~t$ e?f signature .4~I~fI~ date ,"-~ ;-"~:-~::l ~ ~ .. Required Inspections.. . . IT IS THE RESPONSIBILITY OF TIffi PE~~IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE THAT EACIl ADDRESS IS READABLE FROII TIlE STRF.ET, AND THAT TIlE PERlnT CARD IS LOCATED PROPERTY, BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIllES. Jr AT THE PROPER TillE, AT TIlE FRONT OF THE PROCEDURE FOR REQUESTING INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB Nu}lBER, job address, type of inspection requested and vmen you will be re~dy for the inspection. Contractors or owners name and phone number. Requests received before 7:00 am.will be ~ade the sa~~ day, requests received after 7:00 am will be made the followinh work day. Your City Desi~nated Job Number Is: ~~<5f~ Job Ac!dress: /$5/7 .:9AN~ ~A"t.;,..-A-r z;;..~7' Owner: ~/L.LM~/V ~~7/..=r.:-'i Phone: ...-.-s--7'" //3C::; Contractor: ;<i!4f€:#7/E~/'nF?rC/_.c:.. Phone: ::g ~:;?-7/""? o ~ [R] '-\ o o o o o o o ~ ~~ 2>1_ ~~ [l] [K] 00 CITYIS SITE PLAN REVIEW BOARD INSPECTION: Must be requested 2 days in advance of the date you wish inspectio~. All project conditions such as landscaping. parkin& lot striping etc. must be com~leted hefore requesting this inspection. SITE INSPECTION: To be made after excav3tion, but prior to setup of forms. UNOERSLAB PLUMBING, ELECTRICAL & ~IECHANICAL: To be :Dade 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. FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in Jllace, 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. UNDERFLOOR:, Plumbing, Electrical, Mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. POST a BEAM: To be made prior to installation of floor insulation, decking or floor sheating.. FLOOR INSULATION 8 VAPOR BARRIERS: To be made prior to instaIlztion of decking or floor sheating. MASONRY: Steel location. bond beams grouting or verticals in accordance with U.B.C. Section 2415. ROOF SHEATHI~G ~~D NAILING: Prior to installing any roofing. ROUr.H PLL~mING. ELECTRICAL 8 MECHANCIAL: No work is to be covered until these inspections have been made and approved. ')"'l FINAL PLUMBING o \q lKl '1lj FI~AL ELECTRICAL D o o [R] ~ o o [2] 1\ D o o o ATTIC DRAFT STOPS & CURTAIN WALLS. SPECIAL 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. FIREPLACE: Prior to placing facing materials and before framing inspection. 15/ INSULATION & 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. ~ ~ ~ STRUCTURAL CONCRETE: In excess of 3000 P.S,I. (306 a.I) STRUCTURAL h'ELDS: Preformed on t.he job, (2722 f) HIGH STRENGTH BOLTING: During all _ bolt installation and tighting operations (306 a.5) ~ LATH AND/nR r,yPSUM BOARD I~SPECTION: ~ To be made after all lathing and ~ g)~sum board, interior and exterior, is in place but before any plastering ~ is applied or before gypsum board joints and fasteners are taped and finished. SPRAYED ON FIREPROOFING: Standards 43-8) (U.B,C. FIRE & SEPARATION WALL: Located & constructed according to plans. SPECIAL GRADING. FILLING: ~~ring & Chapter 29) EXCAVATION .~D earthwork. (306 a.ll GLU-LAM BEMlS: 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) . After installation is WOOOSTQVES: 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 are erected but prior to pouring concrete. ~ *In addition to the inspections specified hereon, the Building Official ~ay make or require other inspections of any construction work to ascertain compliance with the Building, City or Zoning Codes. PARKING LOT: After gravel place but prior to placing or concrete. is in asphal t ~~ FINAL MEOlANICAL fINAL BUILDING: Must be requested after the final Plumbing, Electrical, Mechanical and Fire Departm~nt 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 ~'"i FINAL FIRE DEPAR~ffi~IT SICNATUP~ DATE *ALL ~~OLES AND CLEANOUTS ~rusT BE ~CCESSIBLE, ADJUS~reNT TO BE ~~DE AT NO COST TO THE CITY.