HomeMy WebLinkAboutPermit Building 1984-08-17I NSPECT I
726-37 69
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COMB I ON APPLICATION
LD
/PERMIT
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EIIERGY SOURCES:
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l-egal Description o /z
r?cr?r*rn AzzzraOwner
Value of l,lork:ffz, *Zc-D.@
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PhoneAddress ,-Wzq-
DES I GN TEAI{name addre s s no exoi res phone no.
ff-6Pri mary
Structura I
El ectri cal
l''lechani cal
CONTRACTORS name addres s I ics- no-exo i rps )(ohone no- )
General -t L.sH'DzL-t/ 9r*,(rf.a*Q 2,:.tt/
umbi n
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PLUIlB I NG ELECTR I CAL MECHAN I CAL
FEE CHARGF NN FFF CHARGF NO FFF CI-IARGF
?Each single fixture S ys*Residence of
FTSQ 1 &rdefurnace/burner to
BTU' s ?4b.
Relocated building
(new fix. additional ),/New circuits alts.
or extensions? o2 lv&a ltn Floor furnace
and vent
S. F. Residence(l bath)SERV I CES
Recessed wal I
Soace hpater and vcnt
Duplex (l bath) each
Temporary ConstructionAdd i ti onal bath Apol iance vent
sepa rate
tlater servi ce res i dence
Change in existing Stati onary evap
coo I er
Sewer
I ndu stri a I
multifamily, corm. or /Vent fan with
sinole duct v.*
Storm Sewer 0f Vent system apart from
heatino or A.C.
c0r4r.1./tND. FEEDERS /Mechan i cal exhaust
hood and duct-?.50
Instal I /al ter/re1 ocate
di <tri h fppdprs I'lood stove/heater
zsq/of ?aa )
l5€'tir{*etaffiff+iT
TOTAL CHARGES / 3.50TOTAL CHARGES /5.*TOTAL CHARGES qa,4
WHERE STATE LAI,I REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this perrnit
shall not be vali,l until the label has been signed by an Electrical Supervisor and returned to the Building Division
i HAVE CAREFULLY EXAMINED the completed application for permit, and do hereb.v certif.y that all information hereon is truer certify that any and ail work performed shall be done in accordance with the 0rdinances of the Cityof the State of 0reqon pertaining to the work described herein, and that t.l0 OCCUPAI'ICY will be made
ct red
p
-f RE
the
tors I
and correct, and I.of Soringfiel
ify that ny registration vrith the Builder'sof any stru re withou rmrssron the Building Division. I fu
Board is in l l force ati basis for exemption is noted hereon, and thatonly subcon tn 055 wilI used on thi
t{AtlE(please pri f-r
743 y a/
4
IJOttt,3rv a.',-BUILDING PERI'IIT
Charges and
Surc harges
__/_z_?_::_
6.aet
Plan Ck. Coiln/Ind
65%/8Idq Per Fee
Plan Ck. Res
30%/BIdq Per Fee
rqe (1.52
. /Y4.- BeP,
I
)
its So.
TOTAL VALUATION-
x
/
S qLoad
luel'la iConst.
Group E- 2 sq. Fts. 0th"r--/2!ZE-*- Vatue
Val ueFire Zone Bedrooms.
Flood Plain Stories
Access
Tone 2,1
FencePLUI4BING PERMIT
Charges and
Surcha rges
EO
D6mo
SidewaIkELECTRICAL PERI|IT
Charges and
Surcha rges
A.>
,6d A/C Pavi ng Total Comb. Permit z8/.3 z
Curb CutI,IECHANICAL PERHIT
Charges and
Surc ha rges
,
/3 a
TOTAL
wlcomol
t-c$ furna
CONBINATION APPLICATION/PERI.IIT (CAP)
I. Applicant to furnishA. Job AddressB. Legal Description
1. example- Tax Lot 100, Lane County Map Reference
17 03 432. example- Lot l. Biock 3, Znd Addition toSpn'nqfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources
PERMIT VALIDATION
R+ blq s-7
PJ r/rr/vu
1. examol e-2. exampl e-E. Square footag
heat/electrical ceil in r forced air gas
sol arwaeECca0r
e or valuation,e
II
1. example- 1250 sq. foot house, 500 sq. foot garage2. exampie- 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. example - remodel existing garage into fam.i1y room3. examilE - convert single iaiily-residence iniorestaurant (change of use)G. Value of work as defined in Sect'ion 303 (a) of theStructural Specialty CodeH. DESIGN TEAIVI AND CONTRACTORS
To avoid design or construction delays, Bui)ding
Division Staff must be able to contact appropriitepersons regarding design information or job s.itecorrections, etc.
Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedulesare available at the Building Division1. To conserve space on.the permit form the schedules
have been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult thefuI I schedu lesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to theelectrical contractor for signature by his electricalsupervisor. The general contractor is not authorizedto sign the electrical label.
Applicant to sign and date
lrlhenever possibie, the initial application will be used asa worksheet only. Where possible, Bu.ilding Division Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit is.issued for his
s ignature.
Fees and Charges
Plan check fees are due and payable at the time of theapplication, and no plans will be processed unt.il thesefees are paid. All other fees and charges are due andpayable when the permit is issued.
FOR OFFICE USE ONLY
III.
IV
V Permi t Cl erk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY
Permit applicant exempt from registrat'ion with the Builder's Board because:
Additional Project Information
PLANS REVIEWED BY:
nane/LaKtyE ZcA**n si I nature date 8 -Z 7e 7
CITY OF S?RINGFIELD
BUILDING DIVISION
PLAN CORRECTION SHEET
JOB ADDRESS:
OITTNER:
USE OF BUILDING:
Plans submitted for the proposed structure at the above location have been checked and the
following items require correction, cJ-arification, or additional detailing before they can
be approved:
/-
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4 cl
3-a-
O
Toilet facilities shall be located either in such building or conveniently in a
building adjacent thereto on the same property.
Such water closet rooms in connection with food establishments where food is
prepared, stored or served shall have a nonabsorbent interior finish as specified in
Section 5 l0 (b), shall have hand-washing facilities therein or adjacent thereto, and
shall be separated from food preparation or storage rooms as specified in Section
510 (a).
Toilet rooms shall be provided with a fully openable exterior window at least 3
square feet in area; or a vertical duct not less than 100 square inches in area for the
toilet facility, with 50 additional inches for each additional facility; or a mechan-
ically operated exhaust system capable of providing a complete change of air
every l5 minutes. Such systems shall be connected directly to the outside, and the
point of discharge shall be at least 5 feet from any openable window.
Sanitation
Sec. 510. (a) Water Ctoset Room Separation. A room in which a water closet
is located shall be separated from food PreParation or storage rooms by a tight-
fitting door.
See Table No. 5-E for minimum numkr of sanitary fixtures required for
each occupancy.
(b) Floors and Walls in Water Closet Compartment and Showers. In other
than dwelling units, toilet room floors shall have a smooth, hard, nonabsorbent
surface such as portland cement, concrete' ceramic tile orother approved material
which extends upward onto the walls at least 5 inches. Walls within water closet
compartments and walls within 2 feet of the front and sides of urinals shall be
similarly finished to a height of 4 feet and, except for structural elements, the
materials used in such walls shall be of a type which is not adversely affected by
moisture.4-1-Z.
L <)
Plans Checked by:
Rechecked and
Approved by:
I have made appropriate changes to the referenced plans:
Date
Date
Date Signature of Architect or Engineer
CITY OF S?RINGFIELD
BUILDING DIVISION
PLAN CORRECTION SHEET
JOB ADDRESS:
OI^JNER
USE OF BUILDING:
?1ans submitted for the proposed structure at the above location have been checked and the
following items require correction, clarification, or additional detailing before they can
be approved:
1G dqtr 4
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6-
Ol
2-€
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Plans Checked by:
Rechecked and
Approved by:
I have made appropriate changes to the referenced plans:
Date g -
Date
Date Signature of Architect or Engineer
I
q
IT IS THE RESPONSIBILITY OF TIIE PERMIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TIIE PROPER TI}IE,
THAT EACII ADDR,ESS IS READABLE I'ROI{ TliE STRNET, AND THAT TIIE PER}'IIT CARD IS LOCATED AT TIIE FRONT OF THE
PROPERTY. BUILDING DIVISION APPP.OVED PLANS MUST BE ON JOB SITE AT ALL TI}18S.
PROCEDURE FOR REQUESTING IIISPECTIONS: Ca11 726-3769 (recorder) state you CITY DESIGNATED JOB NIMBER,
job address, type of inspection requested and vrhen yorr will be ready for the inspection. ,ConEractorsor orrners name'and phone nunber. Requests received before 7:00 am will be nade the sarne day, requests
received after 7:00 am will be nade the fo1-lowing work day.
Your Ci:y Designated Job Number Is 8?o€9>
Jcb Address:
Owner:
SPRilIGFTETI'
Contractor
SITE INSPECTION: To be made
;ffi, exca"atfu", but prior
to setup cf fcrms.
IjNDERSLAB PLINIBINGT ELECTRICAL
6 IIECHANICAL: To be nade befcre
any t'dI-E-covered.
CONCRETE SLAB INSPECTION: To be
made after aIl inslab building
service equipment, conduit, piping,
accessories and other ancillary
equipnent items are in place but
before any ccncrete is poured,
FOOTINGS 6 FOUNDATICNS: To be nade
after trenches are excavated and
forms are erected, all steel in
place, but prior to pouring concrete
$!E!@ND: Plumbing, Electrical ,
Gas, Sanitary Sewer, Storm Sewer,
Water anC Drainage lines. To be
made prior to covering or filling
trenches.
TNDERFLOCR:, Plumbing, Electrical,
Mechanical, To be nade prior to
installaticn of floor insulation,
decking or floor sheathing.
rquired ln spec i ,hs.-
/8f,-6762Phone
FIREPLACE: Prior to placing facing
rnaterials and before framing
inspection.
INSULP.TION 6 -VAPOR BARRIER: To be
nade after all insulation and
required vapor bariers are in place
but before any lath or gypsurn board
interior wall covering is applied.
FRAMIIJG: To be nade after the roof,
a=ff-F,ning, fire blocking and
bracing are in place and all pipes,
chinneys and vents are complete and
the rough electrical, plunbing and
heating wires, pipes and ducts are
approved.
FIRE 6 SEPARATION MLL: Located &
ccnstructeC according to plans,
LATH AND/OR GYPSIjM BOARD INSPECTION
To be nade after all lathing and
g)?sum board, interior and exterior,
is in place but before any.plast
is applied or before gypsun board
jcints and fasteners are taped and
finished.
WOODSTo\,ES: After installation is
corTrpieT?a,
SIDEWALK E DRIVEWAY: Required for
all concrete paving within street
right-of-way, to be made after all
excavating ccnplete I form work &
sub-base rnaterial in place.
CURB AND APPROACH APRON: After forns
are erected but prior to pouring
concret e .
PARKING LOT: After gravel is in
place but prior to placing asphalt
or concrete.
IAL INSPECTIONS:In accordance h'ith
lding Code a specialec
inspector shal1 be employed by the Ornner/
Ccntractor during construction of the
fcllowing work. A ccpy of the special
testing reports shall be furnished to the
Building Division.
STRUCTURAL CO}ICRETEE3:1.-130il:[-fn excess of 3001
STRUCTUR{L IVELDS: Preformed on thejob. (2722 f)
HIGH STRENGTH BOLTING: During a1
bolt installati.cn and tighting
operations (306 a.5)
SPRAYED ON FIREPROOFING@ (u.B.c
SPECIAL CRADING, EXCAVATION .AND
FILLINC: During earthwork. (306 a.11
& Chapter 29)
GLU-LAM BEAIIS: Inspection Certificate,
by an approved agency, furnisheC to
the Cityrs Building Division before
beams are placed. (2501-U.B.C. STDS.
2s-10,11) .
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POST & BEA}I:
installation
To be made prior to
of floor insulati.on,
decking or floor sheating.
FLOCR INSULATION 6 VAPOR BARRIERS
To be made prior to installstion
of decking or flcor sheating.
IIASONRY: Steel location, bond beams
groutmg or verticals in accordance
nith U.B.C. Section 2415.
ROOF SI{EATHI}IG A\D NAILING: PTioT
to installing any roofing.
ered
FINAL PLTJMBING
x FINAL ELECTRICAL
fA RoUGH PLUTTBING, ELECTnTcAL &ldlfficovuntil these i.nspections have been
made and approved.
w CITYiS SITE PLAN REVIEI{ BOARD INSPECTION
* In addition to the inspections
specified hereon, the Building
Official may nake or require other
inspections of any construction
work to ascertain conpliance with
the Building, City or Zoning Codes.
Must be requested 2 days in advance of the date you
such as landscaping, parking lot striping etc. nust
be conpleted befcre requesting this insrection
FINAL BIIILDING Ifust be requesteC after the final Plunbing, Electrical, llechanical and File
Dcpartment inspec
a Certi.ficatq-of
tions a made and approved. No Occupancy of the premises can be rnade until
s been issued by thc Building Divisicn and posted on the prenises
8
FINAL IIECHAI\ICAL
FINAL FIRE DEPARTTIE}IT
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*ALL I'TANHoLES .\ND cLEANours lrrusr BE AccEssI USTI\IENT T0 BE t'|,{DE AT NO COST T0 TIIE CIfi
trtr
ATTIC DRAFT STOPS & CURTAIN WALLS.
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FORTLANTI' OREGCII.I
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FRII"I.SLATTERY
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FUILnING ITMSIOI'I Jotr,l' t 593
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PLAII REV I EI.] NOT I CE
(This 'is not a bujlding pei"nrit )
Date Received Date Re'ri eiled o
The subnritted plans have been rerlier,red for conforn'ity vrith fire protection statutes
and
ch ec
pr0v
reg u
egulat'ions of 0regon aclministered by this office. Items i{o
ed on the enclosed I jst are appl icable. These 'itenrs and anlr special iy noteci
s'ions must be incorporateC jnto the project to meet current fire protect'ion
r
k
i
I ati ons ro'ral of subni tted lans is not an annrcval of omissions or
oveI s r hts b SO!
L ce or of noncon liance r,ritn an ai)CA 0ca ren u a t'l cns .
LI
Re
I t
Exanri ned by
ESTIT.IATE SHEET
Job Name: tlttle Caeserts Pizza
Location:
Estimator r
Contracto r:
Architect:
Checked By:
Job Descrlptlon: Interior Renodel Date: Aug 16, 1984
Descrlptlon quantity material labor sub-cont total
t'fobil Lzatlon/Prep 16 hours 320.00 320.00
Permit,/Plan CheckMove-ln,/out 16 hours L00.00 264.00 364.00
Clean-Up/Dump Run 16 hours 100.00 264.00 364.00
Punch tlst
Equlpment Renta1 65.00 75.00 L4L.00
f.urnber tlst 1000.00 ' 1000.00
Concrete 1900.0 1900.00
llasonry Cut 410.00 410.00
Build Pallete 8 hours 132.00 132.00
Fur out wall.s 40 hours 660.00 650.00
Add stud waLls 80 hours L320.00 1320.00
Sheetrock, ceil ingineulatlon 2700.0 2700.00
Relocate G1assetorefront 750.00 750.00
Cablnete 5400.0 5400.00
InetaLl cablnets 48 houre 864.00 864.00
Flnlsh Work 72 hours 1450.00 2546.00 3996.00Itlarllte panela 48 hours 2150.00 864.00 3014.00
EIeCtflCal ****************tt**************'i*****************************
Plumbing 3785.0 3785.00H.V.A.C. 4150.0 4150.00
Install cooLer 1000.0 1000.00Install equlpment 792.00 792.0CI
Roof repair 24 hours 396.00 150.00 545.00
Tlle in cooler 140 sq,/ft 700.00 700.00Doors 8 hours L030.00 144.00 IL74.00
Slgn lnstallatlonPalnting e wallcovering 700.00 700.00Vlnyl walnscoatr/FJ.oorlng 1310.00
Temp tolLet 90.00 90.00Sepervision/edmin 80 hours 1600.00 1600.00
Misc Labor, etc.
Extra to run 400 amp circult 1500.0 1500.00
suB TorAL 5830.00 L0,232. 24t620. 401682.00
10t MARK UP 4,068.00
TOTAL $441750.00
*No wall or ceillng lnsulation included
** Add ln for electrical ad fixtures
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