HomeMy WebLinkAboutPermit Building 1988-2-10
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1 ~n~~,go:nlrjE COtlBIrIAH6NQ~p~r~~~~~M7~ERMIT
EllERGY SOURCES:
· Job Address 6100 Thurston Rd., Sprinf,field 97478 Heat Gas
. ' 4 l~ater Heater Gas
~ Legal De;cf'ipt,on Hap 17 02 34 21 ,Tax Lot 00, . ,
Ranqe
Man 17' 02'27. Tax Lo'ts 1004. 1101. ,& part of ValUE of Hork:
Owner Willainalane Park & Rec. District 1002 $:;'- t?..o'~ ~,_~. .
Add"ress 151 North 4th S,treet," ".c~" Phone726 4')')5Buil(;in~ Pennit Info: Describe l~ork ')',.e..
' , -' ..'" - ,J- Far:1i1 v I\es i dence \-lith /lttached (;a raae
Springfield, Oregon 97477
Constructinn Lender
NQm~
Address Phone
t'E5!G:: TE,Ii" (name) (address)
~(irnary Robertson/Sherwood/Arch. 96 East Broad~vay,
'I
NF0R11ATlON ll,.t.
726-3753
Sa. ftg. "lain 37.838
~q. ftg. Access.
Sq. Ftg. Other
~~ew_Add_Alter !'ep.
~Fence_DemO_Change/Use
_Other
'~
ex)
C)
~
'"
Build Single
Construct a covered swimming pool with
associated dressing, shoyer, and toilet
f"l,cilities.
( I i cs, no,)
Eugene 2415
(exniresl
6/88
,
(ohone no. )
342-8077
687-0129
p59-6394
(643-6761
V (ohone no. )
y
?4/5"-:8/C::>~
,
I
Structural John Herrick 1684 Willamette St., Eugene 97L~01
Electrical Interface Engrg. 6542 SE Lake Rd., Hihmukie 97222 8338
11echanical Timmer Assoc. 10700 SW Beaverton Ewv.. Beaverton/ LI916
CONTRACTOi<S (name) (address) (lics. no.)
General ..hH/Y &:?f/YD 6'dS'T'. 19ev/~4LAe-PR.Al _ ~...r='<:;") o,;?
/ / /
Plumbino
Electrical
',lecha n i ca 1
PLUrlBIrIG
r;o.
Each single fixture
/:21/
Relocated building
(new fix. additional)
IS.F. Residence
(1 bath)
Duplex (1 bath) each
Additional bath
5742
(exaires)
~IQI -V100
't...'l.. I
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ELECTRICAL
MECHANICAL
FEE
fm I
Residence of
CH/\RGE
, r~APr;. 1 tlO
...
i ...
r~ARr:.
furnace/burner to ,
7 BTlI's.., :!f!!'>, tOo.
. /}~~.7 J,,:,'4f.; H.Rtt.J/~ 2;./.'SO ~2.;#V
Fl ""I "rur'na'ce
;7. 5'.0 ?4;'.~
SQ. FT.
New circuits alts.
or extensions
-:rs~~
" '
I Recessed wall I
Saaep heater and vent
/ 17J61t. Ejf{' 7Y-:J..II??
,
I Apo 1 i ance vent
seaarate
I Stationary evap.
cooler
I Vent fan with
sinole duct
I Vent syst~r:1 apart from
heatina or A.C.
I Mecnanical exhaust
hood and ~1,Jc:t
I
(;.cilS
I
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I~~
1&ca~1
9,.
?-SZ>
I I Install/alter/relocate
distrib. fpeders
. LJ~ /&;c1J
I " '"2~ 4-
I ?2:fS-~
ISERVICES
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11..v
I
/
Temporary Construction
IChange in existing
residenc:e
Imultifamily, comm. or
Industrial
/~~4' I
Of ;<-AaA5';..............amps,
I I
1"7"G.~1 Z
~..st>
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1:?5'I~!ater service
~3i Sewer
"",S'~ Storm Sewer
"/RA~bP~/ .s~~rG~
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TOTAL CH,o,RGES I '??2. S""e> TOTAL CHARGES
WHERE STATE L'\H REQUIRES that tile Electrical work be done by an
shall not be val i'j until the label has been signed by an Electrical
I
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i.)~ /1. ,.p
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ks:-~12 ~ ;qP/~ ,I IZ,61tjJ
I~~.~I 'i I /IE~eX~k'A~el,".dl.I:?~~:,
137.~14t2.~1 J 14A1~. PJf.rhr;-. I, . I '" lH='
I I I - I SSUANCF OF PFR~1IT
. t{~y. ~l TOTAL CHARGES I/O, S&J
Electrical Contractor, the electrical rortion of this permit
Surervisor and returned to the Building Division
CDr1r,,, II ND. FEEDERS
I
I
Wood' stove/heater
amp s.
I HAVE CAREFULLY EXA'1INED the comr1eted apnlication for ~ermit, and do hereby certify that all information hereon is true
and correct. and I further certifv that any and all work oerformed shall be done in accordance with the Ordinances of the City
of Soringfield and the Laws of the State of Ore~on oertaining to the work described herein, and that rw OCCUPAflCY will be made
of any structure without the permission of the Building Division. I further certify that my registration ~lith the Builder's
Board is in full force and effect as required by ons 701.055. that if exempt the basis for exemotion is noted hereon, and that
only subcontractors and employees who are in comoliance with OP.S 7nl.05~11 be used~n--~his project.
" /)~
) - ,/ / '
IlArlE(please print). Ned Nabeta srr;11ATVRE h~ff ,_' D/lTE2/10/88
---- FO~ OFFICE _LIS~ orH.. y '--T-~;.~ -. --- I: --, ...
.Zone PL .
Fire Zone
Flood Plain
Tyoe/Const. "../M-{>9?? .uni ts
, , r
Bedrooms Occy Load ~<l./ .
Stories / Occy Group A 2. /
SQ.
SQ.
Va 1 UE ::35'~aBo/.-"
I, .
Ft!). Access x Value
Ftg. Other..@V/N~~C /MP Value ~-::?8_7S'7
TOTAL VALUATION ~L/// ../t3'/..:=t:;
~.". ??V,? _
Systems Development, I~. ",~~...o.o ~cf7;:1/T
Cha roe (1. 5'-) . 'z:.'9-7'1;-J.l7 .
lA/-lIeU '~.;I:' A.55cl~-S.:V-n~h'7'
I.,c"HtAR~~ I 2-5'5l3/. /J5
;PY0H.oJC&~ O~~ ~/7;t5':T?'
~N Zt#h ~E~ -<?~../t5
Irota 1 ~ol'1b. rermi t I 9r' 8 7. 't /
LOT ..
'I "L
I
rD K4Pr#-/<:J<9;;7
Plan Ck. CO\Tlll/lna'" I ':4~/8-:a.<g - - ,
65%/Bldo Per Fee 1$.8/.1,/5
Plan Ck. Res I
30%/Bldo Per Fee
I Fence I
t6~ # ~J> I Demo I
_ _ _.f. 2'1:':..~__..:. Sidewa 1k
"<I. 7t:J f~reP~~ving':"'- 'Q I
_...:_jl~:.~t2~_,1 Curb Cut 89) \)-1
'2- '5":~ I I
BUILDIrlG PERf'lIT S:<J.~~'~~'
Charges an~ ""\. __~"-..H''"-. _,,_;;..____
SurCharges r:7- :-:J;t:l.,..,'~'~;o!"";
',..-r> TLI ~ ~ 'Q.;:" .
__L2~~"",~-
PLU'1B ING PERMIT
Charges and
Surcharges
s
[LECTRIUL P[RI~IT
Charges and \j
Surcharges "1
NECHANICAL PERMIT
Charges and
SurCharges
lJ
So. Ftg. tlain ",:?~'g=3$. .
x
/17~. 25"'
23.3~
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COMBINATION APPLICATION/PERMIT (CAP)
I. Applicant to furnish
A. Job Address
B. . Legal Description
1. examole- Tax Lot -100, Lane County Map Reference
Ii' 03 43
2. examole- Lot 1. Block 3, 2nd Addition to
Springfield Estates
C. Name, etc. of owner and construction lender
C. . Energy Sources
1. examole- heat/electrical ceiling/or forced air gas
2. examole- waterheater/electrical/or solar
E. Square footage or valuation, etc.
1. examole- 1250 sq. foot house, 500 sq.'foot garage
2.. e~:=~;lle- if new project, checkliew - if addition,
check add, etc.
F. . Building permit information:
1. examole - construct single family house with an-.
attached garage '
2. examole - remodel existing garage into fa.mily room
3. examole - convert single family res~dence into
restaurant (change of use)
G. Value of work as defined in Section 303 (a) of the
- . Struct~ral 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
correctinns, 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 scnedules,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 i~ 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
wi 11 prepa re a type wri ttencopy 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
payab 1 e when the pel'mi tis issued.
,
.',.
II.
IlL
IV.
.V. FOR OFFICE USE ONLY
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
~',~~,
1
PERMIT VALIDATION
I (d-3 :)-
'7 (-~g
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Permit Clerk
cC-
P~rmit applicant exempt from registration with the Builder1s Board because~
Additional ProJect Information:
~-PtANS""RE VtE'WE[j'<S Y;::"~:' ". -:::",.. . :.:'~ '~\
.
',,--~ .
'." :..- ~ ,-~: '~,\'.}. '~'--"',-.>"-. .~....
name LC/7f/Y~ P ( cCi-' e.'/~
signature ~
//
~............--
.~
. / ~~ date "9...-;:j/-8g
r. /" \-
. ..'-''lII!'
..
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. s. ~;.."~:;""LD. ~ ...,~
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.. .uired
In sp'ec t"s ..
IT IS THE RESPONSIBILITY OF THE PEID1IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TIME,
THAT EACH ADDRESS IS READABLE FROM THE STREET, AND THAT THE PERHIT CARD IS LOCATED AT THE FRONT OF THE.
PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TI~1ES.
PROCEDURE. FOR REQUESTING INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUMBER,
job address. type of inspection requested and 'i7hen you will be ready for the inspection" Contractors
or owners name and phone number, Requests received before 7:00 am/will be made the same day, requests
received after 7:00 am will be made the following work day. .
Your City Designated Job Number Is: ~~~~/
Job Address: 6/ot? '/ji-o~5;7?::>N ??V,
chmer :jA//L.LA-~AI- LA--H&??-tf2- p/sr
Contractor:_~h'/Y' /j4-~)1IyD 4~7:
- - - -
SITE INSPECTION: To be made
after excavation, but prior
to setup of forms. ,,}h4\
UNDERSLAB PLUMBING, ELECTRICAL
& MECHANICAL: To be made before
any Iwrk is -covered.
u
[ZJ
rp CONCRETE SLAB INSPECTION: To be
LLJ made after all ins lab building
'~\ service equipment, conduit, piping;
accessories and other ancillary
equipment items are in place but ' L,
d. before any concrete is poured, [Z]
I XI F~TINGS & FOUNDATIONS: To be made
I' after trenches are excavated and
forms are erected, all steel in
place, but prior to pouring concr~te,
I ~I UNDERGROUND: Plumbing, Electrical,
~ Gas, Sanitary Sewer, Storm Sewer, D
} Water and Drainage lines,' To be
~, made prior to covering or 'filling
')V I J.,s'rn~Js~ . L:J
O UNDElfFLOvR:) Plumbing, Electrical, 1/'-
Mechanical, To be made prior to ' ~
installation of floor insulation,
decking or floor sheathing,
U POST & BEAM: To be made prior to
installation of floor insulation,
decking or floor sheati~g~,
U
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9
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~
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FLOOR INSULATION & VAPOR BARRIERS:
To be made prior to installation
of decking or floor sheating.
~lASONRY: Steel location, bond beams Ct 0
grouting or verticals in accordance r\/l
with U.B.C. Section 2415" ' ~
ROOF SHEATHING AND NAILING: Prior
to installing any roofin.B.;z, 'J I ,-\of).I.x I
ROUGH PLUMBING. ELECTRICAL d
MECHANCIAL: No work is to be covered
until these inspections have been
made and approved.
?~ .'
1;(1 FINAL PLUMBING
~~l
[3]
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Phone: '?ZC- Y"'33S~
Phone: ~if~"B./tf)O
o
u
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.
!LJ
4 l<"y
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,
~
2J
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~TRUCTURAL WELDS: Preformed on the
job, (2722 f)
HIGH STRENGTH BOLTING: During all~'
bolt installation and tighting
operations (306 a.5)
STRUCTURAL CONCRETE: In excess of 300
P.S.!. (306 a,l)
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. ---l
LATH AND/OR GYPSUM BOARD INSPECTION: ~
To be made after all lathing and ---l
gypsum board, interior and exterior,
is in place but bef.ore any plastering ~
is applied or before gypsum board ~
joints and fasteners are taped and
finished.
SPRAYED ON FIREPROOFING: (U.B.C.
Standards 43c8)
SPECIAL GRADING, EXCAVATION AND
FILLING: During earthwork. (306 a.ll
& Chapter 29)
GLU-LAM BEA/iS: Inspection Certificate,
by an approved agency, furnished to
the City's Building Division before
beams are placed, (250l-U.B.C, STDS.
25-10,11) .
WOODSTOVES:, After installation is ~
completed. ---l
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.
PARKING LOT: After gravel is in
place but prior to placing asphalt
or concrete,
* 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.
CITY'S SITE PLAN REVIEW BOARD INSPECTION: Must be requested 2 days in advance of the date YOt
wish inspection. All project conditions such as landscaping, parking lot striping etc, must
be completed before requesting this inspection,
~
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FINAL ELECTRICAL
'!>~
FINAL ~IECHANICAL
FINAL BUILDING: Must be requested after the final Plumbing, Electrical, Mechanical and Fire
Department 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 premise'
\p\...t '
FINAL FIRE DEPARTMENT
SiGNATURE
DATE
*ALL MANHOLES .\ND CLEANOUTS MUST BE ACCESSIBLE, ADJUSlllENT TO BE ~IADE AT NO COST TO THE CITY.