HomeMy WebLinkAboutPermit Building 1981-6-25
INS.PECTIOH LINE
726-.J769
,
CITY Of SPRINGFielD
COM8INA.T1CN APPlICATION/PERMIf
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INFORMA TlON LINE
726-.J7S3
O_"e. !1";.,, /1'1,'
Add.eu i J J '1 .<)r
S M',Na .JI,j/J
I TF
....f?nu.uC!;o" lender
L.atM,r1I1Nii
A(fl-~<J f
, ()~P9ff'-
,
Phone
7"l/,-JQ7/
I' ENERGY SOURCES: i Sq. h.g. Main
Heat Sq. ftg. Acceu.
I WOIf!tr Hl!'aler I Sq. ftg. Other ~/?
Ran'le _ , _Nl!'.... ~Add _Alter _Rep.
l Voluf!t of Work: ", ,,' 1_._fence_oema_Change/Use
I IC?,,.()()D~' ,u_~o"" ~_
Building Pl!'rmit Info, Df!ts~.jbe WOrk {i.e., Build Sing I.
Fomilv Resid~n~e With AttQched Goroae)
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Job Addr~u
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11.St~-r
mAp
1'71'J2~r
le'1al Destription
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Addr."
DESIGN TEAM
(n.m,; JJW1ff d
if lAel'. htliu./l.jJ"i' K fl ,,, ,\
~h 'DM V~ of ~,~
Ph.n. [.." ~~ '1-1, 1)1 1< C. "J",,,, ~
tON (!J.1It' hlrl{oddreul.f!f.2...$/I{ ~.? ':> (liu. no.)....1t2iJ.n'l. Cexpiresl
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(phone no.) b1? ~- -lY'd
Prima.y
Structural
Electrical
Gel\IIHol
flu C;"i;. f
tflB", '2 xr
">Qf2D"},
(expires)
qlZ4~j
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(phoMe no.l' ,
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l/(?~-~
Me~honi~ol
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(l7IJ.{ !-0,,1 / o).}
(address)
(' "1M /7/1, N 1/
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flies. no.)
CONTRACTO~S
(nome)
plumbi"q
Electrical
~.,~
MechcI\icol
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I NO.!
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I TOT At CHARGES
I
PLUMBING
ELECTRICAL
MECHANICAL
fEE
I CHARGE I NO. I
feE
i CHARGE I NO.
FEE
!CHARGE
~q: ft.
New circuits. olteretions
or extensions
furnace/burner to
!:l.TU's
Applionce vent
separolo
Stationary evap.
cooler
Vent fan with
s;nllle duct
Vent system aport from
heotil\q or A.C.
Mechanical exhaust
hood and duct
.1 E::::~n sinqle fixture
IIl:oIl0COled building
(n6w lix. add;rionolJ
I S.F. Residence
(l barh)
i
Residence of
SERVICES
DUDI.-.:. (\ bothl .oen.
Temporary Construction
....dditional balh
Amps.
WOlerser...ice
Sewer
Wood stolf.1 heater
Stor.m Sew.r
fEEDERS
Heot Puma
Air handler to
TO.OOf) CFM
Air hondler 0....'
10.000 CFM
Amos.
lirA
I v I I
/! / ,/I
/{/ IT
;11/1
/!/Ir
TOTAL CHARGES
ISSUANCE 'Of#PERMIT
I TOT At CHARGES
WHEKE STAlE LAW REQUIRES ,hot the Eletrricol work be clone by the EI.rtrieol Conlrotl07, the electrical portiou of this permit shldl not b. valid until a
lab.1 hOI b_n signed by Qn f].,tricol Contractor and attached to the electrical panel.
I HAVE CAREfULLY EXAMINfD Ihe completed application for permit, and do hereby certify thot 011 information hereon is true and correct, and I further
certify that any and 011 work performed shall be done in actOrdc:",ce with the Ordinances of the City of Springfield and the laws gf the State of Oreggn
pertoining tg the work dl!5Crii:>ed herin, and Ihat NO OCCUPANCY will be mode of any structure without tho permiuion of the Building Civision. t further
certify that my registration with the Builder's Boord is in full force and effect os required by ORS 701.055, t jf ex.empt the basis for exemption is noted'
heron, ol\d thot only subcontractors and employees who are in comPIiOsn'G~NWA~ith.~O'_N'05p5:: n I'; p..j.d,
80sis for Builder's Soard u:emptionl . / J
NAME (pl.... p,;nl) 'Dr> .1" ."., 1], ,AI< A,y ",A.,,, OATE &./"1 'flU-
FOR OffiCE USE ONLY '7
Zone N\..... ~Type/Const.
fire Zone ~drooms
Flood Plain
<:torie-
IJnih
Occy load
nccy Group
<:;q. fig. Main
<:;q; Ftg. Accos'
Sq. Ftg. Othf!tf
x Value
JC Vallole
JC Vollole -
TOTAL VALUATlON~~
.:- U /_ I Syslems Development
~ r"fDO Chorq" (1..5~~1
BUilDING P!:RMIT
Charges and
Slolr~harges
"::n' j P'.n Ck, C.mm/lnd
07.{J("') 6.5~o/Bld(l Pet fee
Plan CX. hs
~f ~ :Jo~ol Blda Per F(,1l
PLUM RING PERMIT
Charges and
Surcharges
Fl!nce
Demo
I ,
. Total Comb. PermIt
ElECTRICAL PERMIT
Charges and
Slolrchorges
Sidewolk
lie:: P,:,vi.,t1
MECHANICA.l PERMIT
Charges and
Sute;,orges
I
---------,
Clolrb Cut
TOTAL
/'II,c/~
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".';:."'--'-...~-..:..;". .....
~REQUIRED
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INS PEe T Ion S -
ItISPECTlON LINE
726-3769
YOJR C l1Y DES IG1~ffiJ JOB NlrulER IS:
INSPECTlOII PROCEDURE FOR THE CITY OF SPRINGFIELO
BUILDING OIVISION 346 MAIN STREET
'X. I () L/ /'"!
INFORMATION LINE
726-3753
The following indicated inspections are required for your construction at /! /7 ~o 'A
It is the responsibility of the permit holder to see that all inspections are made at the proper
readable from the street~ and that the permit card is located at the front of the property.
~ SITE INSPECTION, To be made'
atter excavatlon~ but prior to set- ~
up of forms
r--l UNDERSLAB PLUMBING, ELECTRICAL &
MECHANICAL: To be made before any
work lS covered
/'
~ FOOTING & FOUNDATION: Tobe
made after trenches.are excavated ~
and forms are erected. but prior to
pouring concrete
r--l UNOERFLOOR PLUMBING & MECHANICAL: D
fa be maQe prlor to lnstal latlan of
floor ins~lat1on or decking
c==J 'POST & BEAM: To be made prior to
lnstallatlon of floor insulation
or decld og
c==J ROUGH PLUMBING, ELECTRICAL & MECH-
ANICAL: NO work 1$ to be coverea
until these inspections have been
made and approved
c==J FIREPLACE: Prior to placing fac-
In; ;;\au::ria1s and before fraf:'ling
inspection
/
lTI'mAMING INSPECTION: Must be re-
quested arter approval of rough
plumbing, electrical & mechanical.
All roofing. bracing & chimneys. etc.
must be completed. No work is to be 0
concealed until this inspection has
been made and aooroveg _ _
B[J[LDING lNSPECTIOILS:
c==J FINAL PLUMBING
INSULATION/VAPOR BARRIER INSPEC-
TIUN: ro be made atter al r lnsula-
tion and required vapor barriers are
in place but before any lath. gypsum
-board or wall covering is applied.
and before any insulation is con-
cea 1 ed
DRYWALL INSPECTION: To be made
after all drywall is in place. but
prior to any taping
MASONRY: Steel location, bond
beams. grouting or verticals in ac-
cordance with U.B.C. Section 2415
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~
D
FIRE & SEPARATION WALL: Located
& constructe& according to plans
ATTIC DRAFT STOPS:
ROOF SHEATHIIIG AND NAILING: Prior
to installing any roofing
SIOEHALK & ORIVEHAY: Required for
al I concrete paving within street
right-of-way, to be ~ade after all
excavating complete & form work &
sub-base material in place
~
CURB AND APPROACH APRON: After
forms are erected but prior to pour-
ing concrete
~ FINAL ELECTRICAL
SEHER, HATER & DRAINAGE LINES:
Prlor to tillinQ lfi trenches
D FINAL MECHANICAL
c==J FINAL FIRE DEPARTMENT
>./
time, that each address is
c==J
WOOOSTOVES: After installation is
completed
D
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,SPECIAL INSPECTIOMS: Hhen re-
~qulred by BUlldlng Code, special
inspector to be present when work
is in progress. A copy of the
special testing report to be
furnished to the Building Division
Structural Concrete: In excess of
3000 P,S,L,
Structural Welds: Performed on
the job
c==J
Glu-lam Beams: Inspection certificate
(by approved a~ency) supplied,to Build-
ing Division before beams. are placed
Fire Retardant Roofing: Before Instal-
lation
'OTHER INSPECTIONS: May be required
-in accordance with Building Code. to
be indicated in plans or by notice
fro~ Bui1ding Inspector
All project conditions. such as the installation of street trees. completion of the required landscaping, etc..
must be satisfied before the BUILDING FINAL can be requested.
r==J Construction projects that required approval by the City's Site Plan Review Board shall be inspected by the Review Board
before requesting a final bUilding inspection. Requests for inspection by the Site Plan Review Board must be made 2 days
in, advance of the date you wish inspection.
~'~NAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing. Electrical~ and Mechanical
Inspections have been made and approved.
I1JBlLE HClES-Your Job # is:
r==J Blocking/Setu~
r==J Plumbing. Connections
Sewer and Water
r==J Electrical Connection
From Service to Mobile Home
c==J Electrical se"rvice
Pedistal
r==J Accessory Building - May require
Inspection as Buildings - See Build-
inc' Insoections Above .
r==J Final - After Porches. Skirting. Decks.
etc, are completed
:)lgnature
Date
SIGt,S-Your Job # is:
D
D
~
o
Site/Location
Footing or Method of Atta'chment
Electrical
ORoU9h OFinal
Final - After Installation is com-
pleted
OTHER-Your Job # is:
D
o
,
~lgl)ature
Date
Fence - When Completed
Demolition - When Completed
~19nature
Oate
BUILDING DIVISIOrl APPROVED PLANS SHALL REHAIN ON THE BUILDIIIG SITE AT ALL TIMES, AND ALL HORK flUST BE COMPLETED IN
ACCORDANCE HITH THOSE APPROVED PLANS,
NOTE: All manholes and cleanouts are to be adjusted at no cost to the City.
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17:1/
L::J PROCEDURE FOR INSPECTION REOUEST - Call 726-3769 (recorder) state your City designated job number, jOb address, type
Of inspection requested and \~hen you will be ready for inspection, Contractors or- Owners name and phone numbers.
Requests received before 7:00 a.m. will be made the same day. requests made a'fter 7:00 a.m. will be made the next
working day.