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HomeMy WebLinkAboutPermit Building 1988-8-4 Job AddressA;'?/ iP,;../"'<""'""'C ~RK""4~ ~ Legal Description/~"'~-23' ~ ?....,."."'::?/~ > . Tenant Improvement Owner Hi 11 man Prooerti es AddressqOO N Tomahawk Is Or_ ,I \ '. ..-.. , I INSPECT !ON LIIIE' 726-3769 Construction Lender Address Dl>I"N TlAH (name) Primary DAVID Hickman Structural Electrical Mechanical CONTRACTORS (name) . . INfORlIATION L1Nl 726-3753 Sq. Ftq. /.Iain J?#.-?7'" ~q. Ftg. Access. S9. Ftg. Other )CNew Add Alter Pep. -Fence Demo Change/Use .e;;.Other ~~r.p I /00 d ~ I~ ').J CITY Of SPRINGfiELD CDrlBIllATION APPLICATION/PERMIT EIIERGY SOURCES: Hea~ #~ Water Heate~~~ Range ValuE of Hor'r I' ( r!2. dZ:>V . Portland Phone 289-11 JN~~11~n~e~~~~~/nf~~ A~~~~h~~eG~~~~~l,e.. Build Single ~1:'~ ~ Phone (address) flies. no.) (~xn;rf~s) (Dhon~ no. I 12200 N Jantzen Dr. 450 Portland or 97217 285-2256 . {\J~ ~~1 n0(j {address 1 (exo;res) {ohone no.l flies.no.\ General McKenzie Commercial Plumbino Twi n Ri vers Pl umb~lnQ<I Electrical L R 8rabham ELECtri c ~lechanical Harvev & Pri ce P 865 West Second Ave. EUQene OR 97402 45539 7/89 343-7143 2050 W Broadway Eunene OR 97402 20-96PB 6(89 683-1414 12-C W "c" St,','Sorinafield OR 97477 20-87C 10/88 747-6638 o lox 1910 Euaene OR 97440 77 10/88 746-16?1 PLUIIBIIIG NO. '2 Each single fixture Relocated building (new fix. additional) S.F. Residence (I bathl Duplex (1 bath) each Additional bath ~Jater serv; ce Sewer Storm Sewer ELECTRICAL MECHANICAL fFE CHARGE NO I ':EL..l:JJAR6f. NO eee rlJAllliE. Residence of furnace/burner to ~ I5.dO SQ. FT. / BTU's 6-- ~V~ /H!i< ~ ~ New circuits alts. Floor furnace or extWions ~52> and vent ~ /" ,M'6o#i'&o SERVICES Recessed wall Snace h~ater and vent Temporary Construction Appliance vent "PDar~tp Change in existing Stationary evap. res i qe.nce cooler multifamily. comm. or / Vent fan with y-e- Indu<;.trial sinole duct / Of /~ amps. 1.<- Vent system apart from heatina or A.C. COMH./IND. FEEDERS Mechanical exhaust hond and duct Install/alter/relocate Wood stove/heater distrih. feeder.. Of amps. y' r' 73'~~ :;?-.az<: ~/.J ISSUANCE OF PFR~IT TOTAL CHARGES 1:):&0 TOTAL CHARGES -q'7.--~ TOTAL CHARGES ~/"/. /,"!).- WHERE STATE L'W REQUIRES that the Electrical work be done by an Electrical Contractor. the electrical portion of this penolt shall not be vali1 until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFULLY EXM1INEO 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 oerfonmed 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 rw 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 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 7Ql.055 will be used on this project. SIGNATURE~ ~ FO~ OFFICE USE OIIL Y Sq. Ftg. ria;n Sq. Ft~. Access Sq. Ftg. Other./r1s.6-~t IWIE(please print) c:.,^"..\~.. \'-:,n\),~,^",",^ Zone~~ Fire Zone Flood Plain DA.TE tl"J-j..S A Type/Const~ ~...!-Uni ts Bedrooms Occy Load '7 Stories / Occy Group B-:z BUILDING PERIIIT Charges and "'" Surcharges "J. PLUHBING PERMIT Charges and P-' Surcharges ) ELECTRICAL PERI~IT Cha rges and U Surcharg~s -I I1ECHANICAL PERMIT Charges and Surcha rges f.t, m \lG,<6-<1 (;,0, \-:, '7-Z'6-SC x Value x Value ;;;;- ~alue /2.............-" TOTAL VALUATION syste, ms Development .").~...... A u-" Charoe (J,5~)~ ? v' i"..... ___./5..~___ Fence . 75" D~mo _ _ _ _"32::.-.f!fE'_ _ S i dewa 1 k I. &8 A/C Paving ___./.$...~___ Curb Cut -??" Total Comb. Permit /6&,C>1 2/a 7';l TOTAL . . I 'II ~ --.. " t " '" COMBINATION APPLICATION/PERMIT (CAP) PERMIT _VALIDATION I I I. I. Applicant to furnish A. Job Address B. Legal Description 1. example- Tax Lot 100, lane County Map Reference II 03 43 2, example- Lot I. Block 3, 2nd Addition to >pr,ngtield Estates C. Name. etc. of owner and construction lender D. Energy Sources 1. example- heat/electrical ce;l;~Q/or forced air Qas 2. exa~le- waterheater/electrlcaJ/or solar E. Square footage or valuation, etc. I. examole- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project. check-n€w - if addition, check add. etc. F. Bu i1 ding pennit ; nforma t; on: 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 (a) of the Structural Specialty Code H. DESIGN TEN1 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. BOILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDOLES D. As noted on the CAP, the label must be delivered to the elect~ical 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. r~o {0 ~/ ~/rt , V. FOR OFFICE OSE ONLY Permit Cl erk Cc- PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit appl icant exempt from registration with the Builder's Board because': Additional Project Information: PLANS REVIEWED BY: . Signature~~ ~~ '" "'_ -r---c '" date 5?- 9'-B...B name LoRNG ;;q ~ Gi!? ~' ._.~~ .. .quired Inspec.ns .. IT IS THE RESPONSIBILITY OF TIlE PER~IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TIlm, THAT EACH ADDRESS IS READABLE FROH THE STREET, AND THAT TIlE PERl"IT CARD IS LOCATED AT TilE FRO~T OF THE PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIHES. PROCEDURE FOR REQUESTING INSPECTIONS, Call 726-3769 (recorder) state you CITY DESIGNATED JOB Nu}ffiER. job address, type of inspection requested and when you will be re~dy for the inspection. Contracto~s 0= owners name and phone number. Requests received before 7:00 am will be ~~de the same day, requests received after 7,00 am will be ~de the followin~ work day. Your City Designated Job Number Is, 8BC>a!>2 Job Addres", /87/ ~"N,e:~,2 ~~.v,-,~ &~.... Owner: IhLL.MA-.;I;1 J??'OP=-'"...../_." $~' Phone, 2~/n~ Contractor:~~:7k""/"~~.c:/~~ Phone, ";/<J3'-?/4I'"3 ,- o ~J o 1..\ o D D o o D o IT] o [21 [ZJ [I] SITE INSPECTION: To be made after excavation, but prior to setup of forms. :> , UNDERSLAB PLUllBING. ELECTRICAL '6 ~IECHA.'HCAL: To be :nade before any ~ork is covered. CONCRETE SLAB INSPECTION, To be 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. ~ FOOTINGS a FOUNDATIC~S: 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 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 & VAPOR BARRIERS: To be made prior to install~tion- of decking or floor sheating. ~~SONRY: Steel location. bond beams grouting or verticals in accordance with U.B.C. Section 2415. D D ILJ D o Il D D ROOF SHEAnn~!G MlD NAILING: Prior to installing any roofing. '~/!I D ROUr.H PLL~IBING. ELECTRICAL & 1.f). ~IECHA."':CIAL: No ~ork is to be: covered until these inspections have been made and approved. 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. :).11 FIN.'L PLUMBING D 1~ [Z] 1./"1 FI~AL ELECTRICAL :J tArn ANn/OR c,yPSln-1 BOARD INSPECTION: :J To be made after all lathing and g)~sum board, interior and exterior, ~s in p~ace but before any Plasterill6:J GLU.LAJ.1 BE~!S: Inspection Certificate, ~s.appI1ed or before gypsum board by an approved agency, furnished to J01nts and fasteners are taped and 'the City's Building Division before finished. beams are placed. (2S01-U.B.C. STDS. WOODSTOVES: After installation is ---, 25-10,11). completed. ---.J SIDEWALK a 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 fonns are erected but prior to pouring concrete. ATTIC DRAFT STOPS & CURTAIN WALLS. FIREPLACE: Prior to placing facing materials and before framing inspection. 4 I ~ INSULATION a VAPOR BARR!ER: To be made after all insulation and required vapor barriers are in place but before any lath or gypsum b03rd 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 & SEPARATION WALL: Located & constructed according to plans. D PARKING LOT: After gravel place but prior to placing or concrete. is in asphal t SPECIAL INSPECTIO~S: In accordance ~ith Se=tion 306 of the Building Code a special inspector shall be employed by the Ok~erl Contractor during construction of the following work. A cepy of the special testing reports shall be furnished to the' Build!ng Division. :J :J ~ STRUCTURAL CO~CRETE: In excess of 300: P.S.I. (306 a.l) STRUCTUR\L WELDS: Preformed on the job. (2722 f) HIGH STRENGTH BOLTI~G: During all : bolt installation and tighting oper3tions (306 a.5) SPRAYED ON FIREPROOFING: Standards 43-8) SPECIAL GRADING. FILLI~G: During & Chapter 29) {U.B.C. EXCAVATION .\.'\0 ear~hwork. (306 a.II *In addition to the inspections specified hereon. the Building Official may make or require other inspections of any construction work to ascertain coopliance with the Building. City or Zoning Codes. ~t:j FINAL MEOlANICAL FINAL 9tJIUHNG: ~1ust be requested after the final Plumbing, Electrical, Hechaniclll and Fi:re Department inspections are made and approved. No Occupan=y of the premises can be made until a Certificate of Occupancy has been issued by the Building Division and postcd on the premises ~(.,/ FINAL FIRE DEPARntE~rr SICNATIJRE DATJ: * ALL llANHOlES AND CLEANOUTS 'lUST BE .\CCESSIBLE, ADJUSlllENT TO BE MADE AT NO COST TO TIlE CITY.