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Home My WebLink AboutPermit Building 1988-09-29CITY OF SPRINGFIELD COI,IBI IiATI ON APPLICATION/PERMIT NSPECT.iON LINE ?6-37 69 725 Job Address I GA H.,E'IERGY SOURCES: Heat I'later Heater Ranqe n Sq. Ftg. Access.-- Sq. Ftg. Other_ _llew_.Add_A1 ter_Rep. _Fence_Demo_Cha nge/ U se 0ther oaof)oooN u) Legal Description Owner /Yl-r>'s Value of llork: 5.DDo. oo Address t SLS Ho [{l+urK- 'no"" ffift n t In Descri be Farni I s :e., Bui ld Single Constructi on Lender Addre s s Phone DESIGN TEAI.I name address 'I ics. no.exDl res phone no Primary Structura l El ectri cal $ Mechani cal CONTRACTORS name add res s 'I ics. no-)exol res ohone no- Genera I O.^ 5rllrr- o*" 3t:t6 Yur"14.55oq3 trlzTltr Qze -Ln t 'FAi lo+*-+L, OrZ- 4teZO F PI umbi nq El ectri ca l l'lec ha n i ca I PLUIIBI NG ELECTR I CAL MECHAN ICAL FFF CHARGF NN FFF CHARG F NO FFF CHAAGF Each single fixture Residence of SQ. FT furnace/burner to BTU' s Relocated building (new fix. additional) New circuits alts. or extensions2,aA ->;O.ZE =-& Floor furnace and vent S. F. Residence ( I bath)SERV I CES Recessed wal I Soace heater and vent Duplex (l bath) each Additional bath Temporary Constructi on Apol iance vent seDa rate ljater service Chan res i ge i n exi sti ng dence Stati onar-v evap cool er Sewer multifami)y,cornm. or I ndus tri a I Vent fan with sinole duct Storm Sewer 0f -amps. Vent systern apart from heatinq or A.C. coMr'r./rND. FEEDERS Mechanical exhaust hood and duct I n sta I I /a I ter/ rel ocate dictrib- feeders tlood stove/heater 0f amp s. ISSUANCF OF PFRIlIT TOTAL CHARGES TOTAL CHARGES 2?-.Sa TOTAL CHARGES WHERE STATE L/\I.I REQU shalI not be vali:l unti I IRES that the Electrical work be done by an Electrical the Iabel has been signed by an Electrical Supervisor Contractor, the electrical portion of this permit and returned to the Building Division I HAVE CAREFULLY EXAMINED the completed apnlication for oermit, and do hereb.y 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 Cityof Springfield and the Laws of the State of Oreoon pertaining to the work described herein, and that NC OCCUPANCY will be madeof any structure without the permission of the Building Division. I further certify that m.y registration vrith 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 comoliance with 0l1S 701.055 will be used on this nroject. llAtlE(please print)S IGNATURE ,rEu?fiv FOP. OFFICE USE OI{LY Zone Cons t.Units Ftg l'la i n x Val ue Fire Zone Bedrooms.Load x Val ue Flood Plain Stories Occ.y Group Ftg )2 3<4 ToTAL VALUATT0N_ BUILDING PERI'IIT _ __/_ ea c a nd S -5 Pl an Ck n t ga.8l d^oaL- ;v(terns Deve :fiarqe (1.57'opmeot t/,4. Plan Ck. Res \ 30%/Bldq Per Fee \- PLUIIBING PERMIT Charges and Surcha rges Fence \----// Demo ELECTRICAL PERIIIT <?-s3Charges and Surcha rges ,\t /-/3 Si dewal k ( A/C Paving zlry- Curb Cut /{ aa Total Cornb. Permit I,IECHANICAL PERMIT Charges and Surc harges TOTAL {/.fr COMBINATION APPLICATION/PERMIT (CAP) I. Appl icant to furnishA. Job AddressB. Legal Description 1. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, 2nd Addition toSpringfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources PERMIT VALIDATION 1. exampl e-2, exampl e- Square footag heat,/el ectrical 'I or iolced air gas wate r e or soTar E e or valuation, l. example- 1250 sq. foot house, 500 sq. foot garage2. 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 ?. example - remodel existing garage into family room3. example - convert single family residence intorestaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructurai Specia)ty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriite persons regarding design information or job sitecorrections, etc. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descript.ionportion of the Mechanical and Electrical Schedules,the appiicant need fill-in only the No. Boxes adjaientto 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 theful I schedu lesC. BUILDING DIVISION STAFF HILL 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 eiectricalsupervisor. The general contractor ii not authorizedto sign the ejectrical IabelAppiicant to sign and date lJhenever possible, the .in.i tial appl.ication w.i ll be used asa_worksheet only. t,lhere possible, Building Division Staffwill prepare a type written copy and return.it to theapplicant at the t'ime the actual permit is issued for hissignature. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans will be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY )#l Ll II III IV. V Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: Permi t applicant exempt from registration with the Builder's Board because: 'Additional Project Information : PLANS REVIEWED BY: name s't gnatu date 7-A4 U q.2\ .. Required ln spec tion s .. IT IS THE RESPONSIBILITY OF THE PER!,!IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TI{E PROPER TI}TE, THAT EACII ADDRESS IS READABLE FROM T}:E STREET, AND THAT TIIE PER}TIT CARD IS LOCATED AT TITE FRONT OF TIIE PROPERTY. BUILDING DIVISION APPROVED PIANS MUST BE ON JOB SITE AT ALL TIHES. PROCEDITRE FOR REQUESTING IIISPECTIONS: Cal1 726-3769 (recorder) state you CITY DESIGw\TED JOB NIMBER, Job address, type of inspection requested and wtren you will be ready for the inspecEicn. Contractorsor oq,ners name and phone nwrber. Requests received before 7:00 am,will be ra.de the same day, requests received after 7:00'am 'r'ill be nade the fo1-lowing work day. Your Clty Destgnated Job Nr:mber Is:? Job Ad,dress: Ormer:Phone: 7=4' 78€6 Contractor: SITE INSPECTION: To be nade PECIAL INSPECTIONS: Inafter excavation, but prior to setup of forns. T'NDERSI"A,B PII.'MBING, ELECTRICAL 6 MECHANICAL: To be nade before any work is covered. CONCRETE SLAB INSPECTION: To beffirding service equipnent, conduit, piping, accessories and other ancillary equipnent itens are in place but before any concrete is poured. FOOTINGS & F4JNDATI0NS: To be nadeafter trenches are excavated and forrns are erected, all steel in place, but prior to pouring concrete INDERGRoIND: Plunbin(@E> ,rat ,sanlEaly Jeuef , .a;A,ffi Water and Drainage 1ines. To be made prior to covering or filling trenches. IrNDERFL0CR:, Plurnbing, Electrical, Mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. lding Code a special sha1l be enployed by the Owner/ or during construction of the lding Division. STRUCTTR{L WELDS: Preforned on thejob. (2722 f) is in place but before any p FIREPLACE: Prior to placing facing naterials and before franing inspection. INSUI"A,TION & VAPOR BARRIER: To be nade after all insulation and required vapor barriers are in place but before any lath or gypsun board interior wal1 covering is applied. FR/\MING: To be made after the roof, Ffraning, fire blocking and bracing are in place and all pipes, chinneys and vents are conplete and the rough electrical, plunbing and heating wires, pipes and ducts are approved. FIRE 6 SEPARATION WALL: Located 6 ccnstructeC according to plans. I.ATII AND/OR GYPSTJM BOARD INSPECTION: To be nade after all lathing and g)?sun board, interior and exterior, is applied or before gypsun boardjcints and fasteners are taped and finished. HOODSTOVES: cornpletet After installation is fcllowing work. A copy of the special testing reports shall be furnished to the STRUCTURAL CONCRETE:EKr@,'6-;1j-In excess of 3000 HIGH STRENGTH BOLTING:EFGffiiffia'During all -tighting a v operations (306 a.5) SPRAYED ON FIREPR@FING: (U.B.C.ffi SPECIAL GNING, EXCNM FILLING: I).rring earthwork. (306 a.11 q Chapter 29) GLU-LAM BE/T}{S: E, an approved Inspection Certificate, agency, furnished to POST & BEAM: To be nade prior to installation of flocr insulation, decking or floor sheating.. FLOCR INSULATION 6 VAPOR BARRIERS: To be nade prior to installation of decking or flcor sheating. I'IASoNRY: Steel location, bond beans gii5ii-ing or verticats in accordance with U.B.C. Section 2415. ROOF SHEATHIIIG AllD NAILING: Prior@i,) lv RouGH PLr.rMBrNq/EiffiIDe = ili fficovere<i until E;e inspections have been nade and approved. ri.ght-of-way, to be made after all excavating conplete 6 form work E sub-base naterial in place. CURB .{ND .qPPRoACH APRoN: After forms are erected but prior to pouring concrete. PARKING LOT: After gravel is in place but prior to placing asphalt or concrete. the City's Building Division before beans are placed. (2S01-U.B.C. STDS 2s-10,11) . SIDEWALK G DRIVEWAY al.l concrete paving : Required for within street FIN.qL PLI'MBING ri4 FINAL ELECTRICAL FINAL T{ECHANICAL FINAL FIRE DEPARTN{E}IT CITYTS SITE PLAN REVIEW BOARD INSPECTION: l,lust be requested 2 days in advance of the date you nish inspectio:r. A11 project conCitions such as be conpleted hefcre requesting this inspection. Iandscaping, parking lot striping etc. must FINAL BIIILDING: l',lust be requesteC after the final Plunbing, Electrical, Mechanical and Fire Efi.rtndt-idpections are made and approved. No occupancy of the premises can be made until a Certificate of 0ccupancy has been issued by the Building Divisicn and posted on the premisesK *ALL r,,ur,rHolss AND cLEANours lrusr BE.{ccEssIBLE, ADJUSTMENT To BE MADE AT No cosr r0 TrtE CITY. ATTIC DRAFT STOPS E CURTAIN WALLS. u r8 *In addition to the inspections specified hereon, the Building Official nay nake or require other inspections of any construction rork to ascertain conpliance with the Building, City or Zoning Codes. SIGNATUREtr