The URL can be used to link to this page

Home My WebLink AboutPermit Building 1989-4-6 fJJ'~ !~5d4 , ItI<PECTIO;/ LllIE 1126-3769 - CI1Y OF SPMl"GFIELD CmlBIlIATlON APPLICATION/PERMIT E!IERGY_ SOURCES: Job Address 6100 Thurston Road. Suringf:i.eld 97L,78 Heat N/A l~ater Heater N/ A Legal Description 17 02 34 2 1, Tax Lot 1200 RanQe___~/ A ValUE of Work.: $3539.60 INfOR/1ATlO~ Uilt. 726-3753 SQ. Ftq. "lain N/A ~q. H!l. Access. Sq. Ftq. Other flew Add Alter P.ep. - _Fence_Demo_Change/Use _Other ~ C\) <:::) <:s- ~ I, (ohone no.) OwnerWillamalane Park and Recreation Address 151 North Fourth St. Sprin?field. Oregon 97477 Construct;nn Lender Non~ District Ph 1 BUilr:'.'no Permit Info: Describe h'ork(i'.e.. Build Single one726-43 5Far.1ilv rlesidence \'Iith /lttached r.araoe) Construct wall and install lighting for future Lively Park Swim Center Address Phone sil"n, [1E5!(;~J TE'\" (name) (address) (lics. no,) Primary Robertson/ShervJOod/ Architects 96 E. Broad,vay, Eugene 2415 (emi res) 6/89 3L'2-8077 Structural Electrical Interface Engrg. 6542 SE Lake Rd., Hilvlaukie 97222 8338 659-639L: r~echani ca 1 CONTRACTORS (name) (address) General John Hyland Canst., P.O. Box 7867, ,Eugene 97401 (l ics. no.) (exoires) (ohonp no. \ 345-8100 Plumbino Electrical L.E.. Brabham, Inc. 12 West "Q" St., Suite D, 20-87C 747-=-6638 f"echani ca 1 Springfield 97477 PLurlB WG ELECTRICAL MECHANICAL 1;0. I FEE CHARGE NO I ~H 'rHAPr" 110.' '~H 'rHAPt:, Each Single fixture Residence of SQ. FT. furnace/burner to BTU's Relocated building (new fix. additional) S.F. Residence (l bath) Duplex (1 bath) each IAdditional bath I~!ater service I Sewer I Storm Sewer I I I I I I New circuits alts. or extensions Floor furnace and vent TOTAL CHARGES WHEP.E STATE LAW REQUIRES shall not be vali1 until thi I I I I,,,,,,,,,y C"""";,, I I I I'Change in existing ", ,- rp~iQPnrp I multifami ly, COrm1: or I I lndustriill I Of amps.1 I I ICOr"I-I./IND. FEEDERS I I I Install/alter/relocate I distrib. fpprlpr~ I 10f amps.1 I I I I I I I I I I ISSUANCF OF PFRrm J TOTAL CHARGES I TOTAL CHARGES that the Electrical work be done by an Electrical Contractor, the electrical portion of this pelTo1it label has been signed by an Electrical Supervisor and returned to the Building Division SERVICES I Recessed wall , Soace heatpr ~nd vpnt I I Apol iance vent seoarate I Stationary evap. cooler I Vent fan wi th sinole duct I Vent systeM apart from, heatino or A,C. ' I Mechanica I exhaust I hood ilnd dllrt. Il'JOOd stove/heater I I ,I I I I HAVE CAREFULLY EXAIIINED the completed application for ~ermit, 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 oJ Oregon Dertaining to the work described herein; and that lie OCCl!PArlCY will be made of any structure without the permission of the Buil,din!l Division. I fur er certify that my reQistration with the Builder's Board is in full force and effect as reQuired by ons 701.055, that if exem t the basis fo exemPtion is noted hereon, and that only subcontractors and employees who are in comoliance with OP.S 7nl.055 wi 1 be used on t is pro ct. IWIE (p 1 ease pri nt) Ned Nabeta S Il~:l^ TURF. FU~ OFFICE l!S~ OflL Y ;41 t. _V_T)'" ,,"'. ,';- ------- D/I,TE 4/6/89 Zone Fire Zone Flood Plain TYDe/Const. Bedrooms, Stories Units Occy load Occy Group Sq. Ft!l. t1ain SQ. Ft!l. Access Sq. Ftg. Other Ii' 'II II Value Value Value " TOTAL VALUATION BUILDlUG PERI-lIT Charges an:: Surcharges 4/ . 17-.. . PlanCk. COIl1TI/lnd . LJ\ . r.,-/ 65'.t/Bldo Per Fee ------------ Plan Ck. Res 30'.t/Bldo Per Fee _ I Fence ------------, DeRlo 1_ -_JE2 ~QV~_-' Sidewalk 1 A/C PavinQ \ . Systems Development Charoe (1.5~) PLUI1BlNG PERMIT Charges and Surcharges ELECTR I Ct.L PERI~IT Charges and Surcharges t1ECHANICAL PERMIT Charges and Surcharges ITotal COMb. rermit TOTAL 0214D' COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATION II. I. Applicant to furnish A. Job Address B. legal Description , 1. example- Tax lot '100, lane County Hap Reference Ii' OJ 43 2. example- Lot 1. Block 3, 2nd Addition to 5prlngtjeld Est'ates . . ..' C. Name, etc. of owner and construction lender ::. 'Energy Source.s ' . 1. examole- heat/electrical ceilinQ/or forced air Qas 2. examole- waterheater/electrical/or solar E. SQuare footaqe or valuation, etc. .1. examole-, 1250 sq. foot house, 500 sq. foo.t ,garage 2. ~~=~~1e- if new project, check new - if addition, check add, etc. F. Building permit information: ,1. example - construct single family. house with,an . at taChed garage 2.' examole - remodel existing garage into family room 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. DESIGN TEM~ 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. . ,. 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. --- 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 appli~ant 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. " III. IV. V. FOR OFFICE USE ONLY Pennit Clerk 5Yh()Ju~ PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: \ Permit applicant exempt from registration with the Builder's Board because: Additional Project Infonnation: PLANS REVIEWED BY: name signature date ""~:G'~ ~ ..I?"-quired I n spec tj~.n s .. IT IS THE RESPONS IIlIUTY OF TIlE PEroUT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER Tum, THAT EACH ADDRESS IS READABLE FROH THE STREET, AND THAT THE PF.RHIT CARD IS LOCATED AT THE FRONT OF THE PROPERTY. BUILDING ,DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIt1ES. PROCEDURE FOR REQUESTING INSPECTIO~S: Call 726-3709 (recorder) state you CITY DESIGNATED JOB NUMBER, job address, type of inspection re~uested and when you will be re3dy for the i~spection, Contractors or owners name and phone number. Requests, received before 7:00 am,will be reade the same day, requests received after 7:00 am will be made the followinh work day, Your City Desi?,nated Job Number Is :~9e::>< ~ Job Address :~/c:n:!:> TAZ-~R,,:;rd>A- ~ . owner:M<4~~~?~~~- - - Phone: _contractor:_~-?,~ _~Yr-~-!,> ~~r-=-- Phone: 3~5'-.S5./e::;c> D SITE INSPECTION: To be made after excavation, hut prior to setup e f fe rms, UNDERS LMI PLUM!J ING, ELECTRICAL n ~IECIIAN I CAL: Te he :nade be fere any work is covered, D D CONcnETE SLAB INSPECTION: To he made after a1.l ins lab bui lding service equipment, conduit, piping, accessories and other ancillary equipment items arc in place hut hefore any concrete is poured. o lKJ D I'OOTINGS n I'OUNDATIONS: To be made after trenches arc excavated and forms arc erected, all steel in pl:1ce, !JtIt prior to pouring concrete. D lINDERGROllNO: Plumhing, Ele<;trical, Gas, Sanitary Sewer, Storm Sewer, Water and Drainage lines. To he made prior to covering or fill ing trenches. D lINOERFLOCI(: , Plumbing, Electrical, ~~eehani ca I. To he made prior to installation of floor insulation, decking or floor sheathing, POST n Ilf:M1: To he made pdor tc installation of floor insulation, decking or floor sheGting. u u I' LOOI( INSULATION f, VAPOR !JARRIERS: To be made prior to instal12tion of decking or fleor sheating, lKJ MASONRY: Steel location, hond beams gt'outing or verticals in accord:lOcc 'vith U.B,C, Section 2~15, LJ D ROCF S!IEA'!'II)~!G A~lO NP.lLING: Prior to installing any roofing. ROUGH p I.u~m I NG. E LECTIU CAl. f, ~lEC!!i\NCI^I.: No \\'Ork is to be co\'ered until these inspections have been made and approved, u U I I D CITY'S SITE PI.AN REVIEW !JO.'\RD INSPECTION: Must be requested 2 days in advance of the date you wish iqspection. All project conditions such as landscaping, parking lot striping ete, must __. be completed hefore requesting this inspection. f'INAL pl.U~mlNG I'INAL ELECTItICAL ~. D D D ATTIC DRAFT STOPS f, CURTAIN WALLS, SPECIAL INSPECTIONS: In accordance 1\'1 th ,Section 306 of the Building Code a special inspector shall be employed by the Owner/ Contractor during construction of the fellowing work. A copy of the special testing reports shall be furnished to the Building Division, I'IREPLACE: Prior tc placing facing materials and before framing inspection. INSUI.ATION n VAPOR !JARRIER: 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. STRUCTURAL CONCRETE: I n excess of 30(Hl 'P.S.1. (306 a,l) ~ ~ ~ STRUCTURAL WELDS: ,Preformed on the job, (2722 f) HIGH STRENGTH !JOLTING: During all bolt installation and tighting operations (306 a.5) D D FRAMING: To be made after the roof, all framing, fire blocking and bracing arc in place and all pipes, chimneys and \'ents arc complete and the rough electrical, plumhing and heating wires, pipes and ducts arc approved, FIRE n SEPARATION WALL: Located n "I constructed according to plans. ~ LAlli ANO/OR GYPSU~1 BOARD INSPECTION: "I To he made after all lathing and ~ gypsum hoard, interior and exterior, is in place but hefore any plastering "I is applied or before gypsum board ~ joints and fasteners are taped and finished, GLlJ-LAM BEM1S: 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) . SPRAYED ON I'IREPROOI'ING: (U.B.C. Standards 43,8) SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.ll f, Chapter 29) D D WOODSTOVES: After installation is "I completed, ~ SIDEWALK n DRIVEWAY: Required for all concrete paving within street right-of-way, to he made after all excavating complete & form work n sub-base material in place. cUlm AND APPROACH APRON: After forms arc erected but prior to pouring concrete. D PARKING LOT: After gravel is in place but prior to placing asphalt or concrete. *In addition to the inspections spec~fied hereon, the Building Official :nay make or require other inspections of any construction work to ascertain compliance with the Building, City or Zoning Codes. ,,.-' 7 ,/ FINAL BlIILDING: Must he requested after the final Plumbing, Electric:.:l, ~lechanical and I'ire Department inspections arc 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 1'1 NAL ~fECI !ANI CAL u I'INAL I'IRE DEPARnfENT SICNATURE DATE .;.i-" I I ~f^~!Iln' r.C" ").In f"T 1~^"I"llrrC' UIIC"l' or. ^rrt:C'CTIl, C ^nlllC'T'lI.n:lI.l'T' '1"''' I)': "t,\nr. ^'T' f..'" rnc'T' 'T't"\ 'T'IH"'; rT'T'V