HomeMy WebLinkAboutPermit Mechanical 1985-10-02I
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COHEI IIATION APPLICATION/PERJ'{IT
Job Address
Legal 0escription
EIIERGY SOURCES:
Hea
l,,ater Heater
Ranqe
Sq. Ftg. I'lain_
Sq. Ftg. Access._
Sq. Ftq . 0therIteE[ep.-
hange/Use $
N
Va l ue of llork:/B@, noOwner
Address e Builciinq Permit Info: IFamiIy Residence tJith A.
lescribe Work('
.tached Garaqe
.e., Euild Single
I
hs.o.. Gnz< fu^ /2r*
Constructi on
Address Phone
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GN TEAI.I name address lcs. no.res ohone no.
Structura l
El ectrical
Hechani cal
:TORS name address 'I ics- no.'FYN rFq ohone no-
PLUIIBING ELECTR I CAL
FEE CHAR6E NN FFF CHARGF NO FFF CHAR qF
Each single fixture Residence of
sQ FT
furnace/burner to
BTU's
Relocated buildino
(new fix. additioiat)I New circuits alts.
or extensions /o.*
Floor furnace
and vent
S.F. Residence(l bath)SERV ICES Recessed wal l
Soace heatpr end vant
Ouplex ('l bath) each
Addi ti ona'l bath Temporary Constructi on Apol iance vent
sepa rate
llater service Chan
res i
ge in existing
dence
Stati onar.v evap.
cool er
Sewer muitifamiiy, corm. or
I ndustri a I
Vent fan with
sinole duct
Storm Sewer 0f amps.Vent system apart from
heatinq or A.C.
COI,II.I./IND. FEEDERS /Mechanical exhaust
hood and duct
I ns ta I I /a I ter/ rel ocatedistrib. feeders tlood stove/heater
0f ampr
ISSUANCE OF PFRTIIT
TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES lYl/,Y. /O, n
WHERE STATE L{I.JshalI not be vali.J
REQUIRES that the Electricai work be done by an Electricalunti l the label has been signed by an Electrical Supervisor
Contractor, the electrical portion of this pernit
and returned to the Building Division
D t he comp ap r)I 'I ca ti on rmt t and do hereby certi fy tha t a i I '|'|on hereo n S trueandc0rrec+and I further cert 1 fy tha t any and allof Oregon
work rmed sha 1
'|be done '|n accorda wl th the 0rdi f theof Spri
of any
Board i
only su
ngfield and the Laws of the State nce nances o c 'I ty
DE rtai
ngD
701.
nt ng to the work des
furtherf exempt
.055 wi l l
crl bed here i n a nd that NO OCCUPAI.ICY t{l I t be madestructurewlthout the permissi
and effect as
employees who
on of the Bui I d I I 'I S 'I on I cert 1 fy tha t 'I stra t 'I v|l t h the Bu I 1 der I
s 'I fU I I force my re g o n snreclutredby0Rs0s5thatthebaS.I s for exempt I 'I ted hereon andbcontractorsandare in comcliance with
t n s no tha t
0Rs 7n7 be used 0 n thi s proj ec t.
llAl.lE(please print)s IGNATURE
Zone-[pelconst. un its Ftg. l,lain.lueFire Zone Bedro
Flood Plain Stori
omq Ftg. Access x Valuees____0ccy Group Ftg. Other x Val
ToTAL VALUATIoil_
BUILDING PERf.IIT
Charges and
Surcha rges ---/O-.
<ro
/2--
Plan Ck. ConrnTlnZ-
55%1Bldq Per Fee Z.f,o ster,rs opment *rt .PIan Ck. Res
30%/B1dq Per Fee
PLUUEING PERI'IIT
Charges and
Surcha rges
Fence
Dgmo
ELECTRICAL PERI,:IT
Charges and
Surcha rges - tlo
Sldewal k
A,/C Pavi ng Total Comb. Permit 7/.7aHECHANICAL PERHIT
Charges and
Surcharges
aG
/o
Curb Cut
TOTAL v7.%
//r\k^r--J-
Primary /V.X*F ./ttz Pz.
r,techani ca l Fp*Vfg,,/x <.- fur-evt<-(r/
MECHANICAL
-.,-^/-Q=
t
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Address
C'TY OF SPRINGFIELE .
\ Clty Hdl
Sprlngicld, Orrgon
Dcplrlment ol Publlc lYorkr
oFFtCtAL RECEIPT 't* ! :l' ]; ', j: '1 '
No. B 65396COMEINATION APPLICATION/PERMIT (CAP)
I. Applicant to furnishA. Job Address8. legal Description1. example- Tax Lot 100, Lane County Map ReferenceI7-oflr3: 2. example- Lot l. Block 3, Znd Addition toSEiTilField EstatesC. t{ane, etc] of owner and construction Iinder
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7a
D. Energy Sources
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2
eili Ir for.ced qir gi
sol ar
el
ea
vaIuation,
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For:
E Squa
1. example- l?50 sq. foot house, 500 sq. foot garage?. elample-.if hew project, check-iEw - if aaaitioi,check add, etc.F. Building permit information:l. example - construct single family house with anattached garage
?. examp_le - remodel existing garage into family roc3. example - convert single family residence inio_ restaurant (change of use)G. Value of work as defined in Siction 303 (a) of theStructural Specialty CodeH. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, BuildingDivision Staff must be able to contact appropriitepersons.regarding design information or job iitecorrections, etc.
Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Lxcept where blank spaces occur in the descriptionportion of the Mecha-n.ical and Electrica.l Schedulei,the applicant need fill-in only the No. Boxes iaiiien_ to the appropriate item(s) to Le installedB. Full Piumbing, Mechanical, and Electrical Schedu.lesare available at the Building Divisionl. To coriserve space on the-permit iorm the schedu.le:have been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult thefu'l I schedu'lesC. BUILDING DIVISION STAFF l.lILL 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 electricai -
supervisor. The general contractor ii not authorizedto sign the electrical labelApp'licant to sign and date
tlhenever possible, the initial application wil'l be used asa-worksheet only. Where possible, Building 0ivision Staffwill prepare a type written copy and return it to theapplicant at the time 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. Al l other fees and charges are due andpayable when the permit is issued.
FOR OFFICE USE ONLY
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?oAmounl Received
Permit Clerk
AUTHORIZEO TURE
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PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
Permit app'licant exempt from registration with the Builder's Board because:
Additional Project Information :
nane 1dfre 7<-q sisnatu
PLANS REVIEI^JED BY:
date /O-Z-#
fBa' -{O
fuhf o,'","."< FoeM( rN. lmtlur.al.e
.. Required ln spec -ch s ..
IT IS THE RESPONSIBILITY OF IdE PER}IIT HOLDER TO SEE THAT ALL INSICCTIONS ARE MADE AT TIIE PRoPER TI}.{E,THAT EACII ADDRESS IS READABLE FRO}{ TllE STREET, AND THAT TIIE PERI.(IT CARD IS LOCATED AT TIIE ERONT OF THEPROPERTY. BUILDING DIVISION APPP.OVED PI.ANS MUST BE ON JCB SITE AT ALL TI}IES.
PROCEDURE FOR. REQUESTING IIISPECTIONS: Call 7?6-3759 (reccrder) state you CITY DESIGNATED JOB NUMBER,job address, tyPe-of_inspection requested and when yoi will be reedy for the inspection, Contractorsor otrners name and phone number. Requests-received before 7:00 am i.ri1l Ue rnade the same day, requestsreceived after 7:00-am will be nade the foLlowing work day.
Your City Designated Job Number Is Ba?q4
Job Ad.dres s :
Owner 4 Phone
PhoneConEractor
SITE INSPECTION: To be made
after excavation, but pri.or
to setup cf forms.
UNDERSLAB PLIJMBING, ELECTRICAL
6 IIIECHANI$L: To be made before
any *"ork is covered.
CONCRETE SLAB INSPECTI0N: To be
made aftei a1l- irrstab-Eilding
service equipment, conduit, piping,
accessories and other ancillary
equipment items are in place but
before any concrete is poured.
FOOTINGS & FOUNDATIONS: To be rnade
aftef trenctre-s are excavated and
forrns are erected, all steel inplace, but prior to pouring concrete
MIDERGROUND Plunbing, Electrical,
Gas, Sanitary Sewer, Storm Sewer,
Water and Drainage lines. To be
made prior to covering or filling
trenches.
t.NDERFLOCR:, Plumbing, Electrical,
Mechanical. To be made prior to
installaticn of floor insulation,
decking or floor sheathing.
POST E BEAJ,I: To be rnade prior toinstallation of flocr insulation,
decking or floor sheating.
FLOOR INSULATION E VAPOR BARRIERS
To be made prior to installs.tion
of decking or flcor sheating.
}!ASoNRY: Steel location, bond beamsgro"tlng or verticals in acccrd.ance
with U.B.C. Secticn 2415.
ROOF SI{EATHIIIG A}lD NAILiNG: Prior
to installing any roofi.ng.
FINAL PLUMBING
FINAL ELECTRICAL
ATTIC DRAFT STOP & CURTAIN WALLS PECIAL INSPECTIoNS: In ac
306 o t th
STRUCTURAL CONCRETE: In excess of 3001
P.S. I. (306 a.1)
FIRE & SEPARATION wALL: Located SPRAYED ON FIREPROOFINGffi (u. B. c
ccnstructeC aciording to plans
SPECIAL GRADING, EXCAVATION A\D
FILLING: During earthwork. (306 a.11
& Chapte! 29)
is i.n place but before any plasteri
is applled or before gypsun boardjcints and fasteners are taped and
finished.
WOoDSToVES: After installation is
conpid;a:
GLU-LAM BEAIIS: Ins pection Certificate,
SIDEWALK 6 DRIVEWAY Required for
all concrete paving wj.thin street
right-of-way, to be made after all
excavating ccmplete E forrn work &
sub-base naterial in. place.
CURB .{ND APPROACH APRON: After forms
are erected but prior to pouring
concret e .
ed
PARKING LOT: After gravel is in
place but pri.or to placing asphalt
or concrete.
CITY'S SITE PLAN REvIEw B0ARD INSPECTI0N: Must be requested 2 days in advance of the date you
suchaslandscaping,pa'Ling1otstripingetc.Eust
be completed befcre requesting this inspection.
FINAL BUILDIN6: Must b e requesteC after the final Plumbing, Electrical, !,lechanical and. Fireare made and approved. No Occupancy of the premises can be made untilDepartment inspections
a Certificate of 0ccupa_nc y has been issued by the Building Divisicn and posted on the premises
f\-7 LATH AND/oR aypsuM BoARD TNSpECTToN:l{t
g)?sum board, interior and exteri.or,
FIREPLACE: Prior to placing facingnaterials and before framing r
inspection.
INSULATION E VAPOR BARRIER: To beffind
required vapor barriers are in place
but before any lath or gypsul board
interior wa11 covering is applied,
FRAMING: To be made after the roof,all framing, fire blocking and
bracing are in place and all pipes,
chinneys and vents are complete and
the rough electrical, plumbing and
heating wires, pipes and ducts are
approved.
lding Code a special
inspector shall be enployed by the Or.ner/
Ccntractor during construction of thefcllowing work. A ccpy of the specialtesting reports shall be furnished to the
Building Division.
STRUCTURq.L I'IELDS:
)ob. (2722 f.)
Preforned on the
HIGH STRENGTH BCLTING: During atI
E61E-1i; 6il;tlon-Aa t i sht in;
operations (306 a.5)
by an approved agency, furnisheC to'the City's Building Division before
beams are placed. (2S01-U.B.C. STDS
2S-10,11) .
* In addition to the inspections
specified hereon, the Building
0fficial nay :nake or tequire other
inspections of any construction
work to ascertain compliance withthe Building, City or Zoning Codes
T\/ RoucH PLur.rBI*a.@G-
"o"u.till WPTa ectio;1s have been
made and approved.
KtrFINAL I'IECHANICAL
FINAL FI RE DEPARTII,TE}IT
SICNA L DATE eLlrr/7-M
*l,tl luMloLEs,{ND cLEANours rtrusr BE AccEssIBLE, ADJUSTilENT To BE MADE AT No cosr ro rHE cITy.
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