HomeMy WebLinkAboutPermit Building 1987-11-4
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CITY UC SPH1NGflE~D
COMBINATION APPLICATION/PERMIT
EIIERGY SOURCES:
Heat
Hater Heater
v.~
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rhIL
INFORf1ATIDN LINt
726-3753
Sq. Ftg. 1.lain
~q. Ftg. Access.
Sq. Ftg. Other
New Add Alter Rep.
-Fence Demo Change/Use
Other- -
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OO
] INSPECTION LINE
726-3769
v
'-1 Lt. to. ,\ A." ~.
G:'M..G~LO
G"""-P\ Q.E A'RT ~ ~ ~\I U J.-J
Owner' ~~ ~~ ~1U}.J I ~ 6-
~'S-\~"bO
Job Address
Legal De5cription
Address
Phone
Range
ValUE of l-Iork:1J ~'l q ~
BuildinQ Permit Info: Describe Work{i.e.. Build Single
Familv nesidence With Attached Garaae)
Tt~ orPa.-~OP :L'isOO It?
\..01 Tl..d ~ -PL--'i OWGIUs...1Co~I~
~~~ 'SlJ~.(~;W Wt-L)
Construction lender
Address
Ul:.~luN ItAr.,
lnameJ
Phone
{address I
(l;es.no.)
(exo;res)
(ohone no. )
Primary
Structural
Q/ g ,t::1l.f.OI/
-~I\/
VU'7V
Electrical
Mechanical
CONTRACTORS (name)
General \ Ql~ f?...'""O~\i'.)&
{address' (lies. nn. \
(exo; res)
(ohone no.)
Plumbino
L'isOILl C;Row RID. ~ \ClCl '<,
GlJG€\..J1:::. ~'14DL
\\14\<i:1
~4-01UoG
Electrical
~1echan;cal
PLUI,IBING
ELECTRICAL
MECHANICAL
NO.
FFF tHARr,F NO
FFF tHARr,F NO.
FFF tHARr,F
SQ. FT.
furnace/burner to
BTUt S
Each Single fixture
Res i dence of
Relocated building
(new fix. additional)
New circuits alts.
or extensions
Floor furnace
and vent
S.F. Residence
(1 bath)
Duplex (1 bath) each
SERVICES
Recessed wa 11
SOn~P ~Pritpr ~nrl vpnt
Storm Sewer
Of
amps,
Appliance vent
seoaratf'
Stationary evap.
cooler
Vent fan with
sino 1 educt
Vent system apart from
heatina or A.C.
Mechanical exhaust
hood and duct
Additional bath
Sewer
Temporary Construction
Change in existing
rpc;jdr!'Cf'
multifamily, COITlTl. or
TnnlJc;trial
~Ia ter servi ce
COMM./IND. FEEDERS
Install/alter/relocate
distrib. fppdprc;
Wood stove/heater
Of
amps.
~ I....
ISSUANC, OF PFR!1IT
TOTAL CHARGES
WHERE STATE L~I-I REQUIRES
shall not be vali1 until the
I TOTAL CHARGES I TOTAL CHARGES
that the Electrical work be done by an.'Electrical Contractor, the electrical portion of this permit
label has been signed by an Electrical Supervisor and returned to the Building Division
I HAVE CAREFUllY EXmlINED the completed aprlication for 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 1m OCCUPArKY 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 ORS 701.055 will be used on this project.
G?-.. r;:,...l'I )
IlAI-1E(please print) ~\M. R..O '5 '3. SIGNATURE ~1Il.
FO~ OFFICE USE DIlLY IJ
Zone Type/Const. IJnits So. Ftg. r in
Fire Zone Bedrooms Occy load Sq. Ftg. Access
Flood Plain Stories Occy Group Sq. Ftg. Other
DATE ~'-I'4-0')J"q
x
Value
Value
Value
x
x
TOTAL VALUATION
BUILDING PERflIT
Charges and """\
Surcharges t:::?"-
. II./ 0<11'1 . Plan Ck.
___-:r::r-'-_~__ 65%/Blda
Plan Ck.
''2... 2 3 3D%/Bl do
Fence
CommlInd
Per Fpe
Res
Per Fee
'Systems Development I
Charqe 0.5%)
PLU11BING PERMIT
Charges and
Surcharges
D/1R1o
ELECTRICAL PERI~ITS1 dewa 1 k
Charges and ------------
Surcharges A/C Pavi ng
Total Comb. Permit
MECHANICAL PERMIT
Charges and
Surcharges
Curb Cut
TOTAL
4~73
c
.
COMBINATION APPLICATION/PERMIT (CAP)
I. Applicant to furnish
A. Job Address
B. Legal Description
1. example- Tax Lot 100. Lane County Map Reference
17 uj 43
2. exam2le- lot 1. Block 3. 2nd Addition to
Sprlngtield Estates
C. Name. etc. of owner and construction lender
D. Energy Sources
1. example- heat/electrical ceilinqlor forced air Qas
2. examole- waterheater;electrical/or solar
E. Square footage or valuation, etc. -----
1. examole- 1250 sq. foot house, 500 sq. foot garage
2. example- if new project. check-new - if addition,
check add, etc.
F. Building permit information:
1. example - construct single family house with an
attached garage
2. examele - 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 CONTRACTORS
To avoid design or construction delays, Building
Division Staff must be able to contact appropr.iate
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. BUII.OING DIVISION STAFF WILL FILL OUT ALL FEES ANO
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. ---
111. 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
signa ture.
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.
V. FOR OFFICE USE ONLY
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
.
PERMIT VALIDATION
~
16--no' ('1" ~ /OD7tf-
Permit Clerk ~
.
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information:
PLANS REVIEWED BY:
name
signature'
.
date
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NAILABLE
CEMENTlTIOUS. r .
WOOO PLANK OR
PLYWOOD DECK
Sld"rap Nail, fi~ -9" O.C.
'"j",
lnl.,meodl.le Inlenets
12"-1S"O,C.
R'!'1:,
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. : ,l"d''''
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t
;,. 36"
:ii
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.IE a.
j ~ 2" 0
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3,"
18" t-
2"~~ap
~ Perms Cap
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Specification Notes
Spec. No.
Mineral Surface
320-WMD
320-WM
320-WM
'Noncombustlble declt~ only
Slope
UL Class
To 1f2"
112"-2" .
17"-6"
A
- A'-.
-B-
'Nail able decks include: wood plank. plywood. or
gypsum and lightweight concrete (poured-in-place or
precast planks); prestressed cOl)crete "T's" with
1ll1fl111111111 2" li9htweight lill. .
. "Mineral surfaced rools perform better and retain their
reflectivity longer when positive water drainage is
provided.
,~
tPerma Cap should not be installed when ambient
temperature falls below SooF since cracking, non-
adhesion and fishmouths are more likely to occur
during low temperature application, Surlace appli-
cation may )Je delayed for Up to six (6) months, No
glazing is required during "the interim period..
Asphalt grade recommendations: '.
Interply' Asphalt . 'Steep (Type III)
Surfacing Asphalt
To 2" Slope .' Steep (Type III)
~......u '~"......Io.. . ....~~...;'\l'''sJ_.":"',I~.dI..~..'.~;_.:
-F1atllYO"1:) 'il,.de uphill is p'elerled 101 ,nte'ply willEl,prOOI'09 b'lu""'eo
when .~a';<l!:lIe When Il., tlYP4111l0'llde uphall 's uSfld 10' ,";'e,plymopo,ngs,_. ,.
1111 grade uphalt should a150 be us.ed lor 5un.cin!iJ on slope, up 10 lR. . . ..
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.. Asphalt s.t-Up, .
Roofing Specifications
Nailable Deck" - Mineral Surface"
320-WMD
320-WM
Area III (Limited locations)
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.. Mat""ials required per 100 sq. fl. of roof area: nC:'
, ,I.
.. Perma Ply No, 11 - Base Ply
MechCUlical Fasteners
Perma P1v No. 11 - One Ply
. Asphalt - Ply
Asphalt - Surf8ce (Steep)
Perma Cap
Accessories and Flashing MatI's,
11 Ibs. :,'
As required
11 Ibs,
32 Ibs. 1"/'"'
25 Ibs,.
781bs.
As required
\
Total Average Weight of
Built-Up Roofing Membrane/Sq, FI.
1,57
Application of Built-up Roofing System
Application of Base Ply
. Mechanically secure one ply Perma Ply No, 11. 2"
sidelaps. 6".9" o.c. at sidelaps and 12"-18" on two
lines 12" from each edge of the Perma Ply; Fasteners
should be of a type recommended by the deck"
manufacturer. The Berryfast Tape(asti!!l or the Bostich,
Disc-Q-M8:tic@ systems are acceptable for securement t.
of the base pl~. to wood decks. only.
A pplication of Plies'
Embed starter'ply" ot Pi",nn Ply no, 11." 27", Wide.
in a uniform. solid mopping of hot stoep (Typo III)
grade asphalt applied at a nominal rate of 30 IbS.!
100 sq, f(Lap full width 36" Perm a Ply No. 11 2" ..,..
onto starter ply. Continue all subsequent full width ply. '.
sheets lappi ng 2", . '
Application of Surfacingt :
Embed starter ply of Perma Cap 18" wide into a
solid. uniform mopping of hot steep asphalt applied at
a nominal rate of 25 Ibs.!100 sq, fl. All subsequent
sheets shall be installed full widlh (36") 10 preclude
coincident sidelaps to Perma Ply. , .1.
Perma Cap shall be unrolled and c~t into" 12' or 18'
lengths for appTication, Loosely re-roll Perma Cap .
sections and roll into uniform, solid mopping of hot
, steep asphalt applied at a nomina,l rate of 25 Ibs.!
100 sq, ft.. lapping 2" on selvage edge and 2" at
endlaps. Endlaps shall be otfset 3'.
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