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HomeMy WebLinkAboutPermit Building 1988-5-13 . . J m~~mON LINE COMBllIm~NO~p~mmm~ERMIT u EIIERGY SOURCES: Job Address Ifl-s'7n""'",t?':_ ~A"" "::/:'.;7'- Heat~-' QlV~ Legal Descnption /""7...-.'" ~-"..,., /"" ,_~ Ilater Heate,~:~o;,7.",,~ " . .......,...".......-.... ~ -7~,_ "Z~ ?/~ , Ranqe .' Owner ~d.h?A1-N ~i>~#'.:5S JfW. Addre.59...", At: 7'~AHd"""V /~. ~_ ~~e:~~ ~'-'-.l> .LP7? 9?2/? . # Construction lender INFORllATlON LINt 726-3753 Sq. Ftq. Hain~~ ~q. Hg. Access. Sq. Ftg. Other Xllew Add Alter Rep. -Fence Demo ChangelUse XOther~~A='" ValUE of Work~ ~/(?~. Bui16inQ Permit Info: Describe Work(i.e., Build Single Family nesidence With Attached ~araQe) ~~.G7.7~.6- 0.;<::" &......JC" S~ ;7;;2 ;t("'::-N'T'.4L ~?'2S'R"":- Address Phone Ut~lliN lEA,., (namel (address) (lies. no.) (exoires) Primary 14"./f:> h?~.-.-".,.....? ~~. /':Z2er> A( rf,#7?€/-7r ~.. ~~ Structural Electrical fohone no. I ~ ~ \J ~-.2.25"'~ ' Mechanical CONTRACTORS (name) (address) (lire:.. nn. \ (pyrdrl'lc\ General M~<5lY2/'<;: r -'ld~;,;f?~,...,..,. ~n;;.~.,.. Jv. ~~ G~~ Plumbino~..... ??~( 7?~.#-, 7d'S'~ w: M~~~/ 6"/-(--1:50 .ElectricalL.R1?,.:;>~pc,;, /oI!!'~..... ;o,'~p.:)~/~ ~lechanic'al /7,t,.'7?~ .f At>/~ ~. _~.6'" Ak1~~r tMr . - , w - _Jill.:.: '2 Each single fixture PLUIIB I NG ELECTRICAL , HF I CHARGE 'ilL. ' Residence of 7.S~ 1:;:-- Relocated building (new fix. additional) ~ New circuits a1t5. or extensions ~ oCR n;e:R& SERVICES S.F. Residence (] bath 1 Duplex (1 bath) each Additional bath Water service Sewer Storm Sewer ("k"..<:. nl"\ , ~-7/~9' bR-.;r-/~/~ ?7'7-b~~ 7<<h. /~2/ MECHANICAL <<r I rI-lAQr.~ NO SQ. FT. / furnace/burner to BTU' N..I/A-<- '..J~~ Floor furnace and vent I r1:r , ," zzsz: Recessed wall ~n~~p hp~tp~ ~n~ ~pnt I Appliance vent O:::PI1"'f;lltp Stationary evap. cnnler Vent fan with sinole duct Vent system apart from heatina or A.C. Mechanical exhaust hnod and durt Hood stove/heater Temporary Construction Change in existing fP$ j d.r!H~P multifamily, camm. or Tnduc;.tri..l ~- :5.- I I <-.....1 I I I ISSUANCE OF PFRltlT TOTAL CHARGES /5:..... TOTAL CHARGES 9'~"""'" I TOTAL CHARGES ~# /.c;;:- WHERE STATE LAW REQUIRES that the Electrical work be done by an Electrical Contractor. the electrical portion of this permit shall not be valij until the label has been signed by an Electrical Supervisor and returned to the Building Division J Of /~ amps. '?'2.Sb 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 flO 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 ORS 701.055. that if exempt the basis for exemption is noted hereon. and that only subcontractors and employees who are :n compliance with ORS 7Ql.055 will ~ed on this ~roject. . IlAI-lE(please print) ~tO./2I1./r<J('. SIGNATURE L...LI? /./ ~~/ OATE .sh3.4,li FO~ OFF I CE USE mil Y , Sq. Ftg. 11ain_"39::?':;"" ,x Value ~~- Sq. FtlJ. Access ,x Value # Sq. Ftg. Other x Value Zone LL Fire Zone Flood Plain BUILDING PERfllT Charges and Surcharges PLU'lBING PERMIT Charges and Surcharges \ I I ELECTRICAL PERmT Cha rges and Surcharges '.. MECHANICAL PERHIT Charges and Surcharges COffi1./IND. FEEDERS Install/alter/relocate rli<trih f~~rl~r~ Of Type/Const.~ ~Units Bedrooms Occy Load Stories / Occy Group_ g-:z '),~ ..... Plan Lk. Lomm/lnd __~.5.L_____ 65%/Bldo P,rr Fpp Plan Ck. Res 30%/Bldo Per Fee f C1.r~ _ __...LS:. ~___ -75 ---~;?;~"':._- 7.::?~ __nL'~_~__ .-;;6" Fence Demo Sidewa 1 k AIC Paving Curb Cut amps. 0/ 6#S' P/P/~ TOTAL VALUATION " .-.... J:;' 171.y/ ~y~ "...".:>> Deve I ~zn.:l Charoe (1.5~) 133.~ Total Comb. rermit '< 9&. E!;5' TOTAL S::$""b /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 1/ uj 4J 2. exam~le- lot 1. Block 3, 2nd Addition to sprlngtield Estates C. Name, etc. of owner and construction lender O. Energy Sources 1. exam~le- heat/electrical ce;l;nq/or 'forced air Qas 2. example- waterheater/electr;cal/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. examele - 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 TEAll AND CONTRACTORS To avoid design or construction delays. Building Division Staff must be able to contact appropriate pe~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 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 O. 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 penmit is issued. tl51 { ~_I)-<lt .. V. FOR OFFICE USE ONLY Permit Cl erk cU . PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: :::;, ~", PLANS REVIEWED BY: I name L&J~c 7i c;:-t$ e:;;:'f signature 4-e.-..~.~ date ,,)-/3-&.!3 - .- '\ , I I I , ,> . . INfORlIATlON UNl 726-3753 Sq. ftq. l-lain~ ~q. !'tg. Access, Sq. Ftg. Other )( I/ew Add Alter Rep. -Fence Demo Change/Use XOther~~E.. I, ~ \J jINSPECTION LINE CITY Of SPRINGflELO 726-3769 COMBII/ATION APPLICATION/PERMIT V EIIERGY SOURCES: Job Address 1J/l-S7 neJIV~ ~8AT.V~'" ~7'" Heat~ /'/J/~ L 1 D . t' lIater Heater..o-~~_ . ega eSCrlp 1on/'7..p342t::-2~ /~~. "2~ oo:z/e:><!> ~-, ~ Ranqe Owner 4u:../>'7~N &~~.,.<;. VZ:--6S ;elf(. , AddressQ ~ / .,..."." ....~~~..i:1G L~~ A/. /""""A-HA,W.v ....'S. ~__ .". /'.' ~~_})/~;<p_ '972/? Construction Lender ValUE of Hork~ 3/( .9~. ButlGlnQ Permit Info: Describe Work(i.e., Build Single Family nesidence With Attached Garaoe) &~~~dAr C>~ /'r=-Ar_-=- 5~ ;7;;p' 1?~Nr.4/ ~72S'R,c- (ohoM no..l Address Phone Ut~llir~ ItAf.' (name) (address) (lies. no.) {exniresl Primary ~"/n h'/~,..,,.,._ -;/~~_ /":2:ZCO A( "~#77€.A/ 7.fi?;. .~",..n Structural ~4.2.2.5""<2.: E1 ectri ca I t"'....~~ :;, -$)11 J~tlO Hechanical CONTRACTORS (name} laddrpssl (lice: no \ (pxrJirpcd General M~<5'v2/'<; ~___~..c./_ C""""n>;' ~~ Jv. 2~ G~~ Plumbino.2iM-..... J?~<" 72.R'/:.'~" 7d'S'~ W:J?)?~Lw'--:. & "'(-stS;' E1ectrical~1?R~~+C:. /"p W'~=u ->o.'<-~ p. :5'~/~ "echani~al /I,r;.'7?~ .{ ~/~ ~ . ~6'" 1h~~r WA-~ . ~ I PLUMBING ELECTRICAL (nnnnp nt"l 1 .:;:"~-'7/.y'9" ?:~"::?-/4//L/ ~7-b~~ 7<<::- /62/ MECHANICAL " NO. . . f~~ . r~ARr;1= ':2 Each single fixture ~Sc!> 1S:<>t> Relocated building (new fix. additional) S.F. Residence (1 bath' Duplex (1 bath) each Additional bath ~n ' ~1=r r~W1= NO 'H1= 'r"~ Residence of SQ. FT. / furnace/burner to BTU' ,.,..,,~ '..J~~ Floor furnace and vent ~- ~ New circuits alts. or extensions '!Z C1R ~6 SERVICES zzsz; Recessed wall ~o~rp hp~tpr ~nrl upnt Storm Sewer J Temporary Construction Change in existing rp~ 1 d...E'Jl,('P multifamily, CQITIIl. or Tndu~trhl Of /~ amps ' COMfl./IND. FEEDERS Install/alter/relocate di~trih_ fppdpr~ I Appliance vent c;poartltp S-tationary evap. cooler Vent fan with s;nole dUC'.t Vent system apart from heatino or A.C. Mechanical exhaust hnnd and dut"'t Vood stove/heater '5. ...... Water service Sewer ?'2.s& Of amps. .,.-- 6~ P/,P/#&, .:<'-..... ISSUANCE OF PFRllIT TOTAL CHARGES /1?-..o TOTAL CHARGES ~~:'- - I TOTAL CHARGES ~".y. /.~.-. WHERE STATE LAII REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit shall not be val11 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 oerformed shall be done in accordance with the Ordinances of the Cfty of Springfield and the laws of the State of OreC]on pertaining to the work described herein. and that NO 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 1s 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 :n compliance with ORS 701.055 will ~ed on this ~rOject. . IWIE(p1ease print) ~tD /W./rsJ<'. SIGnATURE LAJ? ~ ~hL-/ DATE sh3b fO~ Off I CE USE miL Y , Sq. Ftg. llain ";J9:2e;;"9I x Value ::y.~- Sq. Ftg. Access x Value Sq. Ftg. Other x Value T01AL~LUATIOtl . /~:k. ~y:,,,...,,sDeJrrpA~ Charoe tJ.5~) Zone~L Type/Const.~~Units , Bedrooms Occy Load Stories / Occy Group B-:z Fire Zone Flood Plain BUILDING PERNIT Charges ant: ""\ Surcharges d- I[) Plan Ck. Comm/Ino I __~~.L~___ 65%/Bldo P.rr fpp Plan Ck. Res I Cl. ,,, 30%/Bldo Per Fee ___~~___ fence .?S ---.!L;?;~":..__ Sidewalk 7-75" A/C Paving ____LSJ_"'::::__ Curb Cut .75" I-Jl. .1,' 13~.~ PLur1BING PERMIT Charges and r-- Surcharges ~ DCAlO ELECTRICAL PERI~IT Charges and \.J Surcharges -, . Total Comb. rermit '? 9C/. f95" MECHANICAL PERMIT Charges and Surcharges ~ TOTAL S$"~ /'1" . . . I /..... " COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATION IV. I. Applicant to furnish A. Job Address B. Legal Oescription I. examole- Tax Lot 100, Lane County Map Reference 17 oj 43 2. examole- Lot 1. Block 3, 2nd Addition to sprlngtield Estates C. Name. etc. of owner and construction lender O. Energy Sources 1. exam~le- heat/electrical ceilinq/or 'forced air oas 2. examp)e~ waterneater/electrlcallor solar E. Square footage or valuation, etc. ------ , 1. example- 12S0 sq. foot house, 500 sq. foot garage 2. examp'le- if new project, check new - if addition, cneck add. etc. F. Building permit information: 1. exam~le - construct single family house with an attached garage 2. exam~le - remodel existing garage into family foom 3. examole - 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 TE~l AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate pe~sons 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 C. 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. 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. '. . ,: . II.. It ~r { ~_I)-<6~ III. V. FOR OFFICE USE ONLY Permit Clerk cC/ PROJECT CONOITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: name L<1J;l?NE Pc. r::-tS ~ signature ~~-~ date _ ')'-/3-&.!3 '''' . .; \ ~ '~----4. .. Required Inspectic;ms.. IT IS THE' RESPONSIBILITY OF'TI~E~~IT HOLDER TO SEE THAT ALL INSPE~ONS ARE MADE AT ~E PROPER TIME. THAT EACH ADDRESS IS READABLE FROlI TIlE STREET, AND THAT TIlE PER."<IT CARD IS LOCATED AT TIlE FRONT OF THE , PROPF.RTY. 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 NU}lBER, job address. type of inspection requested and when you will be re~dy for the inspection. Contractors or owners name and phone number. Requests received before 7:00 8m.will be ~Bde the same day, requests received after 7:00 am will be made the followin~ work day. Your City Designated Job Number Is: BS<:> Y /? Job Address: /f$5"'9 ~I'>N=<-"?<" ~A".A'"(,v~~ E~T Owner: A'/LLM'-'''''' ~~7/Z""'i Phone:...-.-- -;- //3(;; Contractor:,h!.:::d:JI"'N..../E~.h?~C/_c.. Phone: ~~':;'-7/""? FOOTINGS a FOUNDATlCNS: To be made ~ after trenches are excavated and forms are erected. all steel in .place. but prior to pouring concrete. UNDERGROUND: Plumbing, Electrical. 'Gas. Sanitary Sewer, Storm Sewer, Water and Drain3ge lin~s. To be made prior to covering or filling trenches. ~ I~I FINAL PLUMBING ?1 [l] FINAL ELCCTRICAL \oj&) CKI FINAL 'lECHANICAL L.l..f ~ FINAL FIRE DEPAR~~IT ,. D IX] [R] '-I o o o o o o o !R] SITE INSPEcrION: To be made after excav3tion. but prior to setup of foms. UNDERSLAB PLUMBING, ELECTRICAL '6 !-IECHANlCAL: To be :nade before any ~ork 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. UNDERFLOCR:. Plumbing. Electrical. Mechanical. To be made prior to instal13tion of floor insulation, decking or floor sheathing. POST a BEAM: To be made prior to installation of floor insulation. decking or floor she&ting.. FLOOR INSULATION a VAPOR BARRIERS: To be made prior to installation .of decking or floor sheating. MASONRY: Steel IOC3tion. bond beams grouting or verticals in accordance with U.B.C. Section 2415. ROCF SHEATHI~G ~~D NAILING: P.rior to installing any roofing. ROUGH PLL~IBING. ELECTRICAL a MEC~!ANCIAl: No work is to be covered until these inspectio~s have been made and approved. '). ~ ,...31 D D !Kl D ~ II D D D D :J LA1l1 AND/OR GYPSUM BOARO INSPECTION: :J 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. ATTIC DRAFT STOPS a CURTAIN WALLS. FIREPLACE: Prior to placing facing materials and before framing inspection. t1 I ~ INSULATION a VAPOR BARRIER: To be made after all insulation and required vapor barriers nre 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. FIRE a SEPARATION WALL: ,Located & ccnstructed according to plans. WOODSTOVES: After installation is 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 APPROAOi APRON: After forms are erected but prior to pouring concrete. PARKINC LOT: After gravel place but prior to placing or concrete. is in asphal t '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. .. l.f"). - - :J :J :J STRUCTURAL CONCRETE: P.S.I. (306 a.l) In excess of 3000 STRUC1URl\L WELDS: Preformed on the job. (2722 f) HIGH STRENGT11 BCLTlNG: Durlng all _ bolt installation and tighting operations (306 a.S) SPRAYED ON FIREPROOFING: (U.B.C. Standards 43-8) SPECIAL GRADING, EXCAVATION .\ND 'fILLING: O'.Jring earthwork. (306 & Chapter 29) a.ll :J GLU-LAM BEAHS: Inspection Certificate, by an approved agency. furnished to the City's Building Division before beams are placed. (2SDI-U.B.C. STDS. 2S-1D,lI) . * In addition to the inspections specified hereon. the Building Official =sy ~ake or require other inspections of any construction work to ascertain co~pliance with the Building, City or Zoning Codes. 1KI CITY'S SITE PLAN REVIEW BO~RO INSPECTION: ~rost be requested 2 days in advance of the date you wish inspectio~. All project conditions such 3S landscaping, ,parking lot striping etc. must bu com~leted hefore requesting this inspection. It! [K] FINAL 9UILOING: Must be requested after the final Plumbing. Electrical. Mechanical and Fire Departm=nt inspections are made and approved. No Occupancy of the premises can ~e made until a Certificate of Occupancy has been issued by the Building Division and posted on the premises SICNATIJRE DATE * ALL MANHOLES .\ND CLEANOUTS ~I\JST BE .\CCESSIBLE, ADJUSTIlENT TO BE MADE AT NO CDST TO 1l1E CITI'.