HomeMy WebLinkAboutPermit Building 1986-04-29ON
COHBI CATI 3753
Job Address
Legal Description l,later Heater
Hea tEIIERGY SOURCES
Owner ff:Zd#b *
Sq. Ftg. Access._
Sq. Ftg. Other_
J{ew_Add_AlIer-lml_
_Fence_Demo Change/Use
-other-
Sq. Ft9. I'lai
Address Descr
arni I
nq
Re S dence
:e., Build Singie
1
Construction t4taer , /
Addres s
\_7 Phone
co
Evo\
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DESIGN TEAI4 name tcs. no.exo l res
Structura I
E l ectri ca I
Hechan i ca I
ACTORS name Iics. no-exol res I ohone no- )
El ectri
rI.
u
1
l'lec ha n i ca I
PLUtlBI NG ELECTRI CAL MECHANICAL
FFF CHARGE NO FFF l.HAANF NO FFF (:HAAGF
Residence of
SQ. FT
furnace/burner to
BTU, s
Relocated buildinq
(new fix. additional)
New circuits alts
or extensions
Floor furnace
and vent
S. F. Residence(l bath)SERV I CES Recessed wal l
Snace hpafpr end vent
Duplex (1 bath) each
Additional bath Temporary Construction Apol iance vent
sepa rate
tlater service e in existing
encF
Chang
resid
Stati onar.v evap
cool er
Sewer multifamily, conrn. or
Tndrrstrial
Vent fan with
sinole duct
Storm Sewer 0f Vent systern apart from
heatino or A.C.
COMI'I./JND. FEEDERS Mechan ical exhaust
hood and duct
Instal I /al ter/re1 ocate
distrib. feeders tlood stove/heater
0f amps"
ISSUANCF OF PFRIIIT
TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES
WHERE STATE Llll REQUIRES that the Electrical work behall not be valiC until the label has been signed by an
done by an Electrical Contractor, the electrical portion of this permit
Electrical Supervisor and returned to the Building Divisions
cation for oermit, and do hereb.y certify that all information hereonll work performed shall be done in accordance with the Ordinances of
Oregon oertaining to the work described herein, and that tlO 0CCUPAI{CY will
llAl''lE(please print Sq.r rt IGNATURE DATE ,<-23^94
fy i s trueI HAVE CAREFULLY EXAIIINED the completed appli
and correct, and I further certi that any
State of
and a the City
be madeof Springfield and the Laws of the
I further certify that my registration r,rith the Builder'sthe permission of the Building Division.
nd effect as required by ORS 701.055, tha
of any structure without
Board is in full force a t if the basis for exemption is noted hereon, and thatonly subcontractors and employees who are in compliance with 0l?S 701.'l I be used on rs p ect.
Ftg
Ftg
Ftg
TOTAL VALUATION
ltp
. Other x VaI ile0c
tS
c.y Grou
Fire Zone Bedrooms 0ccy Load
Flood Plain tori
Zo ne_______Tyo e/ Co n s t.
Acces s Value
. l'lain _x Val
Plan Ck. Conrn/Ind
65%/Bldq Per Fee tt/e Svstems Deve
charqe tl.52
opmentBUILDING PERI{IT
Charges and
Surcharges
?2 f,o
t70 PIan Ck. Res
30%/Bldq Per Fee
FencePLUI,4BING PERMIT
Charges and
Surcha rges Demo
SldewalkELECTRICAL PERI|IT
Charges and
Surcha rges A/C Paving Total Comb. Permit
Curb CutI,IECHANICAL PERMIT
Charges and
Surc harges 33 ,80TOTAL
Each single fixture
COMBINATION APPLICATION/PERMIT (CAP)
I. Applicant to furnish
A. Job AddressB. Legal Description
l. example- Tax Lot 100, Lane County Map Reference
17 0r 43
2. example- Lot 1. Block 3, 2nd Addition to
Springfield Estates
C. Name, etc. of owner and construction lenderD. Energy Sources
PERMIT VALIDATION
1
2
s
I
2
example- he
example- wa
re footage
ir gas
E qua
example- 1250 sq. foot house, 500 sq. foot garage
example- if new project, check new.- if addition,
check add, etc.F. Building permit information:
1. example - construct singie family house with an
attached garage
2. example - remodel existing garage into family room3. example - convert singie family residence into
restaurant (change of use)G. Value of work as defined in Section 303 (a) of the
Structural Specialty CodeH. OESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, Building
Division Staff must be able to contact appropriate
persons regarding design information or job sitecorrections, etc.II. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descr.iptionportion 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 Schedules
are available at the Building Division1. To conserve space on the permit form the scheddles
have been abbreviated2. If the item(s) to be instal1ed are not covered onthe abbreviated schedules you should consult thefulI schedulesC. BUILDiNG DIVISION STAFF I,IILL 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 e.lectricalsupervisor. The general contractor is not authorizedto sign the electrical iabel.IIL Appl icant to sign and date
Hhenever possible, the initial application will be. used asa worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to theappiicant at the time the actual permit is issued for hissignature.IV. Fees and Charges
Plan check fees are due and payable at the time of theapplication, and no plans wiil be processed until these
. fees are paid. All other fees and charges are due andpayable when the permit is issued.
V. FOR OFFICE USE ONLY Permit Clerk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY:
Permit app'licant exempt from registration with the Builder's Board because:
Additional Project Information:
PLANS REVIEWED BY:
name s'l I nature date
.PEI(''D5
IT IS THE RESPONSIBILITY OF THE PERMIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TIIE PROPER TIHE,
THAT EACII ADDRESS IS READABLE FROM T}iE STREET, AND THAT THE PER]'fIT CARD IS LOCATED AI TIIE FRONT OF THE
PROPERTY. BUILDING DIVISION APPP.OVED PLANS MUST BE ON JOB SITE AT ALL TIMES.
PROCEDURE FOR REQUESTING IIISPECTIONS: Cal,1 726-3769 (recorder) state you CITY DESIGNATED JOB NIIMBER,
Job address, type of inspection requested and vrhen yorr_wi1l be ready for the inspection. -Contractorsor owners name-and phone number. Requests received before 7:00 am will be rnade the same day, requests
received after 7:00-am will be nade the following work day.
Your City Designated Job Number Is 42"o2-A 4
Job Address:944 *,, t
Ormer:Jo*+rS 4a&x
.. R-guired lnspect ls..
aAG -A?77
Jrccz) 59t#t4- (t\T 4e,r4tzz?hone
PhoneContractor:
SITE INSPECTI0N: To be nadeaItEiffi;Aifun, but prior
to setup of forms.
I,NDERSl.A,B PLI.'MBING, ELECTRICAL
6 I{ECHANICAL: To be nade befcre
any work is covered.
CONCRETE SLAB INSPECTION: To beffitaing
service equipnent, conduit, piping,
accessories and other ancillary
equiprnent itens are in place but
before any concrete is poured.
FOOTINGS G FOUNDATIONS: To
after trenches are excavated
be nade
and
forms are erected, all steel inplace, but prior to pouring concrete
dNofRcnouuor Plunbing, Etectrical,
Gas, Sanitary Sewer, Storrn Sewer,
Water and Drainage lines. To be
nade prior to coveri.ng or filling
trenches.
UNDERFLOCR:, Plumbing, Electrical,
Mechanical. To be rnade prior to
installation of floor insulation,
decking or floor sheathing.
POST 6 BEAM: To be made prior to
installati.on of floor insulation,
decking or floor sheating.
FLOOR INSULATION GI VAPOR BARRIERS
To be made prior to installstion
of decking or floor sheating.
I'IASONRY: Steel location, bond beamsgrouting or verticals in accordance
with U,B.C. Section 2415.
ROOF SHEATHING AllD NAILING: Priorto installing any roofing.
ROUGH PLI.ffBING, ELECTRICAL GI
ITIECHANCIAL: No work is to beuntil these inspectiois have
nade and approved.
ATTIC DRAFT STOPS & CURTAIN WALLS.PEC I AL
ec on
FIREPLACE: Pri.or to placing facing
naterials and before framing l
inspection.
INSULATION 6 VAPOR BARRIER: To be
hl
e Building Code a speci.al
inspector shall be employed by the Or*ner/
Contractor during construction of thefcllowing work. A copy of the special
testing reports shall be furnished to the
Building Division.nade aftcr all insulation and
required vapor barriers are in place
but before any lath or gypsum board
interior wal1 covering is applied.
FRAMING: To be nade after the roof,
all framing, fire blocking and
bracing are in place and all pipes,
chinneys and vents are complete and
the rough electrical, plunbi.ng and
heating wires, pipes and ducts are
approved.
FIRE & SEPARATIoN WALL: Located &
STRUCTURAL CONCRETE: In excess of 3000
P.S.I. (306 a.1)
STRUCTURqL II'ELDS Preformed on thejob. (2722 f)
HIGH STRENGTH BOLTING: During all -E6it-ffi11rt ifi=;a ti ght ing
operations (306 a.5)
SPRAYED ON FIREPROOFING@ (u.B.c
sllqrA! tB4pllq, ExcAVArroN .AND
FILLING: During earthwork
& Chapter 29)
(306 a.11
GLU-LAM BEA]'IS: Inspection Certificate,
by an approved agency, furnished to
the Cityrs Building Division before
beans are placed. (2501-U.B,C. STDS
25-10,1r) .
*In addition to the inspections
specified hereon, the Building
Official nay nake or require other
inspections of any construction
.work to ascertain compliance with
the Building, City or Zoning Codes
ccnstructeC according to plans,
LATI] AND/OR GYPSIjM BOARD INSPECTION
To be made after all lathing and
g)?sum board, interior and exterior,
is in place but before any plasteri
is applied or before gypsun boardjoints and fasteners are taped and
finished.
WOoDSTOVES: After installation is
compG?;A
SIDEWALK & DRIVEWAY Required for
all concrete paving within street
right-of-way, to be rnade after all
excavating conplete 6 forrn work 6
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.covered
been
FINAL I{ECHANICAL
FINAL FIRE DEPARTME}JT
CITYIS SITE REVIEW BOARD INSPECTION: Must be requested 2 days i.n advance of the date you
A11 ect such as landscaping, parking lot striping etc, must
ection.be conpleted befcre requesting'this insp
FINAL BUILDING: Must be requested after the final Plumb ing, Electrical, Mechanical and FireDepartnent inspections are nade and approved. No Oc of the premises can be nade untila Certificate of cupancy
i 1d ingissued by the Bu Divisicn and posted on the prenises
SIGNA'
*ALt uetHolgs AND cLEANours rirusr BE ACCESSIBLE, ADJUSTMENT To BE MADE AT No cosr ro rHE cITy
trl
n FrN.qL pLr.rMBrNGll
tr FINAL ELECTRICAL x has