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Home My WebLink AboutPermit Building 1988-1-11 (2) .., ~'. ..J . ~. .. , f Job Address /CJ8c.j H,J7A L VVAt T-' CITY OF SPRINGFIElD COMBINATION APPlICATION/PERMIT EIIERGY SOURCES: Heat Hater Heater Ranqe ValuE of Hork: ~ ;:;;. O~. _0 BUilGina Penmit Info: Describe Work(i.e.. Build Single Familv nesidence With Attached Garaael 4~r"aAT/'::>,.c;. 6r:- 0'::: ;,;-:--oJ~ j?o.eorn ~ /7.~s==-/ A-r~,D - . ~ . . ~~/,~ of,>,/.. (lics. no_) (exniresl . I INSPECTION liNE 726-3769 IHFORlIATlON LINe 726-3753 Sq. Ftg. 1.la i n ~q. Ftg. Access. Sq. Ftg. Other lIew Add Alter Rep. Fence_Demo _Change/ Use _Other ~ \\~ () I~ 100 Legal Oescription 17vJ~ '~'?-<c. <::J:::>t:.a <;' Owner hTATE ~R/>?h7UTVA&: ~. Address Phone Construction Lender Address Phone Ut~luN ftAM {namel laddressl Primarv57Ar~ &~ 8~ /-~~/+A-' "4~.r (ohone no. I Structural ~L/ <2...1"1 Electrical / ) .... .It.) Mechanical CONTRACTORS (name) {addressl (1 ice;;. no. \ (~xoirp~l (nhnnp no Gener~l Plumbino Tvvr" ;zJ,V~~ A~.. -:?~'" ;y, E~p~~ Electrical ,(~M' -"'/R/~"",n,z::-~c=;r 'lechanic.al.u"'.Rn'/.... -9;;z::;, ~~"?-/'//f,/ PLUllB I NG ELECTRICAL MECHANICAl NO. . , FEF . rHARr,F N()___' Residence.of . ~~~ . r~~ Nn <<< Relocated building (new fix. additional) - SQ. FT. 2 New circuits alts. or extensions '2 o)ll 7'd>",n~ SERVICES ~ace/burner to .~ .-QMl'FtI'-5 ~.- 1'<..... Each single fixture '2'2$ Floor furnace and vent S.F. Residence (1 bath) Duplex (l bath) each / Recessed wa 11 ~Dace heate~ ~nrl v~nt &n;;;? p~r. Appliance vent 5eoar~tp Stationary evap. c.oo 1 er Vent fan with sinole duct Vent system apart from heatino or A.C. Mechanical exhaust hood and nurt 6.- Additional bath Sewer Temporary Construction Change in existing fP'i i deJIf'p multifamily. camm. or Industrial Water service Storm Sewer / Of ':2,PZ" amps '~ COMI1./lND. FEEDERS Install/alter/relocate r1;~trih fpprfprc;: Of amps. I HAVE CAREFUllY EXAMINED the completed application far 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 NO OCCUPAI~CY will be made of any structure without the permission of the Building Division. I further certify that my registration with the Builder1s 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. Uni ts Occy Load Occy Group /'5"- ~ SIGNATURE ,,(2.:;( ~ F'Of. ifFF I CE USE OI~U Sq. Ftg. 11ain x Value Sq. Ftg. Access x Value Sq. Ftg. Other"':;-~,Po~ ~_Value TOTAL VALUATION DATE 1-1/ -,r IWIE(please print).D, ",k. b<!.....t, e...... lane .c: L. Fire Zone Flood Plain Type/Canst. ~-/.S'. Bedrooms Stories I \ ~~~~~~~G a~~R'1IT d- _ _ __ _ J ~'_ ~_ Surcharges /lf11l. . ~O PlU1~B I NG PERM IT Charges and ------------ Surcharges (0 Plan Ck. Comm/lnd ~ syste.ms Development 65%/Bldo Ppr Fpp .1~,,!.5.P Charoe (1.5~) Plan Ck. Res " ~ fU~?) Ovy ~ ~= 30%/Bldo Per Fee "", E--tm '72ril?M'/75. 2S-_~. - , /,/,,,4. Fence Dero 'I ELECTRICAl PERIIIT Cha rges and U Surcharges -, ____,/:o. .,po 5.~ ____L$'-~_ '1~ I Side';a I k I A/C Paving I Curb Cut I Total Comb. Permit 9z .'1'0 MECHANICAl PERMIT Charges and I Surcharges (p TOTAL 1/1, "0 . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal Description I. example- Tax Lot 100, Lane County Map Reference II 03 43 2. example- Lot I. Block 3, 2nd Addition to ~prlngtield Estates C. Name, etc. of owner and construction lender O. Energy Sources . 1. example- heat/electrical ceilinq/or forced air Qas 2. example- waterheater/electrlcallor ~ E. Square footage or valuation. etc. I. examole- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project. check-new - if addition. cneck add I etc. F. Building permit information: 1. example - construct single family house with an attached garage 2. exam~le - 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 TEAM AND CONTRACTDRS 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. 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 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. '.' III. V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: , .' " PERMIT VALIDATION !bf:2~ r-;Zf-ofJ Permit Clerk C0 "Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: name Lb?J N€ 7L~~ Signature~.r~~, // -' ~~.~. ;' date /-/$-$,8 1"< '. '" . , I I \ , I ~~<, --~ ~ ~equired Inspe.ions .. IT IS THE RESPONSIBILITY OF TIm PE~~IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TIME, THAT EACH ADDRESS IS READABLE FROIl THE STRF.ET, AND THAT TIlE PERl"IT CARD IS LOCATED AT THE FRONT OF THE PROPERTY. 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 NUMBER, job .:J.ddress. type of inspection requested and lrmen you will be re.;:.dy for the inspection. Contractors or O\n1ers name and phone number. Requests received before 7:00 am will be ~Bde the same day, requests received after 7,00 am will be ~de the followin~ work day. Your City Designated Job Number Is, ~~:c?~ Job Address, /"tJ&71 P6SrAL ~ ~ Owner, :)TA-~~'_ /77~c. /~.. Phone, Contracto..,_lW/..... Jf/'~< ?"c.~ /-c:. Phone, 6if?3-/Y/7/ o o o o o o o o o o [EJ o Q] [] SITE INSPECTION: To be made after excav3tion. but prior to setup of forms. ~DERSLAB PLUMBING, ELECTRICAL 6 ~IECHANICAL: To be made 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. D FOOTINGS & FOUNDATIONS: 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. UNDERFLOCR: } Plumbing. Electrical. Mechanical. To be made prior to installation of floor insulation. decking or floor sheathing. POST fi BEAM: To be made prior to installation of floor insulation. decking or floor sheating.. FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheating. ~~SONRY: Steel location. bond beams grouting or verticals in accordance D with U.B.C. Section 2415. ROOF SHEATHI~G R~D NAILING: Prior to installing any roofing. D ROUr.H n,MIIB1ll6. ELECTRICAL & LId- ~IECHANCIAL: No work is to be c~Lred until these inspections have been made and approved. FINAL PLUMBING D CITY'S SITE rLA~ REVIEW BOARD INSrECTIO~: Must be requested 2 days in advance of the date you wish inspection. All project conditions such as landscaping, parkin~ lot striping etc. must be com~leted hefore requesting this inspection. l.t"l FINAL ELECTRICAL '4 [KJ FINAL BUILDING: Hust be requested after the final Plumbing. Electrical, ~fechanic3l 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 tho Building Oivision and posted on the premises ?fi FINAL MECHANICAL o FINAL FIRE DEP^R~IE~IT SICNATURE o D D o D o o ATTIC DRAFT STOPS 6 CURTAIN WALLS. FIREPLACE: Prior to placing facing materials and before framing inspection. INSULATION 6 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 arc approved. :J LATH AND/OR GYPSUM BOARD INSPECTION, :J To be made after all lathing and g)~sum board. interior and exterior, is in place byt before any Plastering:J is applied or before gypsum board joints and fasteners are taped and finished. FIRE 6 SEPARATION WALL: Located & constructed according to plans. WOODSTO\~S: After installation is ---, completed. -.J 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. 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. ~ ~ :J STRUCTURAL CO~CRETE: In excess of 3000 P.S.I. (306 a.I) STRUCTUR~L WELDS: Preformed on the job. (2722 f) HIGH STRENGTH BOLTING, During all bolt installation and tighting operations (306 a.5) SPRAYED ON FIREPROOFING, (U.B.C. Standards 43..,8) SPECIAL GRADING. EXCAVATION .~D FILLING: During earthwork. (306 a.ll 6 Chapter 29) GLU-LAM BEMIS: Inspection Certificate. by an approved agency, furnished to the City's Building Division before beams are placed. (2S0l-U.B.C. STDS. 2S-IO,11) . *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. DATE *ALL ~~HOLES AND CLEANOUTS ~rusT BE ACCESSIBLE. AOJUS~reNT TO BE ~~DF. AT NO COST 10 nfE CITY. . . ~~~~~~~~~~~~~~g)~~~~~~"Cj"~K"JIDt.,,~J'I I (:crtificatt of ~ccupat1Q' . @I ~ CITY OF SPRINGFIELD ~, BUILDING DEPARTMENT @, m @i ~i .':': Occ. GroupJ? @: ~! Owner of Buildin: State Fann Insurance ~: <>'; Building Addr~" 1084 Postal Wav <>. . This Certificate issued pursuant to the requiremellts of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the van'ous ordinances of the City regulating building construction or use. For the foffowing: Type Construction 5N C 4 @ @ m ~~~~~~~~~~@~~~~~~~~~~~~~~~~~ Fire Zonp I ~se ZonA !>.ddrw1 State Farm Plaza. Bloominqton.Ill "ldg. Permit Nf 810248 Bu. ~ff;~ POST IN A CONSPICUOUS PLACE . ~ '. SPRINGFIELD liur OF SPRINGFIELD Department of Public Works April 29, 1982 Mr: Don Tenbrook 3580 West 1st Street Eugene, Oregon 97402 RE: 1084 Postal way, Springfield, Oregon :;' "Dear Don, On October 29, 1981, I was "requested to do the final inspection of the building located at the..above referenced address. The" building was found to be in compliance with the Codes and provisions enforced by the Springfield Building Division except for three items. Those items were: ." --. '1) The exit corridors .shall be of one-hour fire resistive construction with door openings being pr.otected by a door assembly having a fire-protection rating of not less than 20.minutes and be self closing. . 2) Carpeting used as interior wall coverings shall have a maximum flame-spread classification of 25. 3) The finish grading and exterior landscaping required as part of Site Plan Re- view had not been completed. It was assured to me at the time of the inspection that the above items would be cor- rected and/or completed as expediently as possible."" ..Subsequently, I issued a Tempor- ." ary' Certificate of Occupancy. ., 'll , Since that time, all items have been completed and a Certificate of Occupancy has been issued. . Sincerely, " Q<;- ~:.:\.V'--"- Building Inspector DJP/lh '. 225 North 5th Street . Springfield. Oregon 97477 . 503/726-3753