HomeMy WebLinkAboutPermit Mechanical 1985-09-10INS
726
CITY OF
COMBINATION AP
SPRINGFI ELD
PL I CAII ON/ PERM IT 37
Job Address
r-esa1 Descriptlon /VO?./6-)1, 6#l,later Heater
EIIERGY SOURCES:
Heat Sq. Ftg. Access.--
Sq. Ftg. Other_
l,lew Add Al ter P.eP.
_-ience-Oemo Chan ge/Use
0ther
tg . l'1a i
Value of l,lork:SS@,-'-BmTiilq-FErmit Info: Describe Work(i
Farlilv lles'idence l,lith Attached Garaqe)
,e., Build Single
Address /2BZ /yq S:{L >IAPW€
Construction Le
$
$
h
Addre s s Phone
ohone no.I ics . no.addre s sname
Pri ma ry
Structura I
El ectri cal
Mechani cal 'lics- no.exDt res (phone no.addressnameCONTRACTORS
Genera I
Plumbin
El ectri cal tu a'r/rv
MECHANICALELECTR I CALPLUI{B I NG
FFF CHARGFMFFFCHARGEFFFCHARGEN0.
furnace/burner to
BTU' s
Resi dence of
FTSQEach single fixture
Floor furnace
and vent
New circuits alts.
or extensions
Relocated building
(new fix. additional)
Recessed wal I
Snace heater and ventSERV I C ESS,F. P.esidence(l bath)
Duplex (l bath) each
Apol iance vent
spDa ra t-eTemporary Constructi onAdditional bath
Stati onar,v evap
cool erChange in existing
res i dencel^later servi ce
Vent fan with
sinole ductTndrrstrial
multifami ly, cornm, or
Sewer
Vent systern apart from
heatino or A.C.0f amps.Storm Sewer (5a/Mechan i cal exhaust
hood and ductc0Mr'1./IND. FEEDERS
l'Jood stove/heaterInstal I /al ter/re1 ocate
dist-rib. feeders Itm.2'.r.a*/0f
ISSUANCE OF PFRI1IT
TOTAL CHARGES aTOTAL CHARGESTOTAL CHARGES
WHERE STATE LAN REQUIRES that the Electrical wo
shall not be valiC until the label has been signed
rk be
by an
done by an Electrical Contractor, the electrical portion of this perriit
Electrical Supervisor and returned to the Building Division
of any structure without the permission of the Building
Board is in full force and effect as required by ORS 701
only subcontractors and ernployees who are in comcliance
for oermit, and do hereb.y certify that all information hereon'is true
performed shall be done in accordance with the 0rdinances of the City
ining to the work described herein, and that NC 0CCUPANCY will be made
Division. I further certify that my registration r,rith the Builder's
.055, that if exempt the basis for exemption is noted hereon, and that
with ORS 701.055 wilI be used on this proiect.
t'lAl'!E (pl ease print)S I GNATURE
I ica ti onapp
andany
of
I HAVE CAREFULLY EXAI1INED the completed
al I work
Oreqon oerta
and correct, and I further certify that
of Spningfield and the Laws of the State
Fire Zone Bedrooms Occy Load Sq
Zone xst'i ts Sq. Ftg . l'lai n
.0ther
. Ftg. Access.
1
al
Group Sq. Ftg
Val ue
TOTAL VALUATION-
q-Flood Plain Stories
Plan Ck. Comm/Ind
65%/B1do Ppr Fee 6,.f,a Svstems Deve'
Charqe f1.57'
opment ,/r'/- .BUILDING PERI'IIT
Charges and
Surc ha rges ./a Plan Ck. Res
30%/81dq Per Fee
FencePLUI4BING PERMIT
Charges and
Surcha rges Demo
Sidewal kELECTRICP.L PERI,IIT
Charges and
Surcharges Tota'l Comb. Permi t 2/,72A/C Pavi ng
Curb Cut14ECHANICAL PERMIT
Charges and
Surc ha rges /z
<'6 2-7.81TOTAL
n_.-_
0wner
-a
COMBINATION APPLICATION/PERMIT (CAP)
I. Appiicant to furnishA. Job AddressB. Legal Description
l. 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 IenderD. Energy Sources
l. examp_le- heat/eleqtr'!!ql ceil!19/or forced air gas2. ExamFTA waterfiETEr/effi-f/or soTa-i--E, Square footage or valuation, eTc.
l. example- i250 sq. foot house, 500 sq. foot garage2. example- if new project, check new - if addition,
ElecR*add, etc.F. Building permit information:1. example - construct single family house with an
attached garage2. example - remodel existing garage into family room3. example - convert single family residence into
iE-staurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Speciaity Code ,H. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, Bu.i)ding
Division Staff must be able to contact appropriitepersons 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 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 WILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULESD. As noted on the CAP, the labei must be delivered to theelectrical contractor for signature by his electricalsupervisor. The general contractor is not authorizedto sign the electrical label.III. Applicant to sign and date
lJhenever possible, the initial appl.ication will be used asa worksheet oniy. Where possible, Building D.ivis.ion Staffwill prepare a type written copy and return it to theapplicant at the time the actuai permit is issued for hissignature.IV. Fees and Charges
PIan 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.
V. FOR OFFICE USE ONLY
PERMIT VALIDATION
,0
ry\u
QhV
Permi t Cl erk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
Permit appf icant exempt from registration with the Builder's Board because:
Additional Project Informat'ion:
PLANS REVIEWED BY:
name i gna tu date 2zo t*'s^
v
.40*
hcd -equired IlnSpgCrlOJ'lS"
IT IS THE RESPONSIBIL]TY OF TT{E PER],IIT HOLDER TO SEE THAT ALL INSIITCTIONS ARE MADE
THAT EACII ADDR,ESS IS READABLE FRO}{ T}'iE STREET, AI.ID THAT TIIE PERI.{IT CARD IS LOCATEDPROPERTY. BUILDING DIVISION APPF.OVED PI,ANS MUST BE ON JOB SITE AI ALL TI}IES.
Job Address
1-Phone:
actor:o"", 7/6'#7/
AT
AT
Tl{E PROPER TI}IE,
IITE FRONT OF TH5
PROCEDLIRE FOR REQUESTING IIISPECTIONS: Call 726-3769 (recorder) staEe you CITY DESIGNATED JOB NUMBER,job address, type.of. insoecEion requested and when you will be reedy f6r the inspecticn. Contractorsor owners name and rrhone number. Requests,received before 7:00 am irilt Ue rr.ade the same day, requesEsreceived after 7:00- am ',ril1 be nade ihe fo)-lorving work day
Your City Designared Job Number Is: 8SA82A
Owner
Contr
f*<)
SITE INSPECTION: To be made;fier excafiA;n, but priorto setup cf forms.
T NDERSLAB PLrJr',tBrNG, ELEqIRICAL
& ITECHANICAL: To be nade before
any uork is covered.
CONCRETE SLAB INSPECTION: To beffiiraing
service equipment, conduit, piping,
accessories and other ancillary
equipment items are in place but
before any concrete is poured.
FOOTINGS & FOUNDATI0NS: To be nade
ffivatedand
forms are erected, all steel inplace, but prior to pouring concrete
TNDERGRO[IND: Plumbing, Electrical,
Gas, Sanitary Sewer, Storm Sewer,
Water and Drainage lines. To be
nade prior to covering or filling
trenches.
UNDERFL0CR:, Plumbing, Electricat,
Mechanical. To be made prior toinstallaticn of floor insulation,
decking or floor sheathing.
POST E BEA.t"l: To be made prior toinstallation of flocr insulation,
decking or floor sheating,.
FLOOR INSULATION BARRIERS
To be made pr or to stal lationof decking or floor sheating.
I'IASONRY: Steet location, bond beamsgrouting or verticals in acccrdancewith U.B.C. Section 2415.
ATrIC pRAFT SJOPS 6 CURTATU WALLS.
FIR,EPLACE: Prior to placing facing
materials and before framing
inspection.
INSULATION & VAP0R BARRIER: To be
ect on
.: In accordance r<ith
Building Code a special
inspector shall be employed by the 0r.rrer/
Ccntractor during construction of thefcllowing work. A ccpy of the specral
testing reports shall be furnished to the
Building Di.vision.
tr
ffind
required vapor bartiers are in place
but before any lath or gypsum boerdinterior wa11 covering is applied.
FRAMIN6: To be nade after the roof,all framing, fire blocking and
bracing are in place and all pipes,
chimneys and vents are complete andthe rough electrical, plunbing and
heating wires, pipes and ducts are
approved.
FIRE & SE?ARATIoN IVALL: Located 6
@oplans.
LATH AND/OR GYPSI.JM BOARD INSPECTION:
STRUCTURAL CoIiCRETE: In excess of iOClP.S.I. (306 a.1)
STRUCTUR{L IVELDS: Preformed on thejob. (272? f)
HIGH STRENGTH BOLTINGu6iTE;iIlfiticn ,"d
operaticns (306 a.5)
SPRAYED ON FIREPROOFING:ffi (u.B.c
Duri.ng al1 -
t i ght ing
E To be made after all lathing and
g)?sum board, interior and exteri.or,
is in place but before any plastis applied or before gypsun boardjcints and fasteners are taped and
finished.
WOODST0VES: After installation is
;ompteEa:
SIDEWALK & DRIVEWAY Required foral1 concrete paving within streetright-of-way, to be made after al.l
excavatj.ng conplete & forrn work &
sub-base material in place.
REVI E[./
GLU-LA,I'{ BEA}IS Inspect ion Certificate,
SPECIAL GRADING, EXCAVATION .I\D
FILLINC: During earthwork. (306 a.11
€ Chapter 29)
by an approved agency, furnisheC to'the City's Building Division before
beams are placed. (2501-U.B.C. STDS
2s-10,11).
* In addition to the inspections
specified hereon, the Building
Official nay :nake or require other
inspections of any construction
work to ascertain cornpliance withthe BuiIding, City or Zoning Codes
ROOF S!"IEAfiI}IG A\D NAILING@
ELE
No
unt inspections have been
CURB .AND APPROACH APRoN: After forms
Prior
are erected but prior to pouring
concrete.
PARTING LOT After gravel is in
to be covered
place but prior to placing asphaltor concrete.
P
e
made and approved
FIN.{L PLI.JMBING
FINAL ELECTRICAL
FINAL I'TECHANICAL
FINAL FI RE DEPARTI"IE}IT
CITY I S INSPECTION: Must be requested 2 days in advance of the date you
Pro ect conCi ons such as landscaping, parking tot striping etc. Eustbe completed befcre requesting this inspection
lv1 FINAL BUILDING: Must be requestec after the final Plumbing, Etectrical, l,lechanical and FireCJ DePartmcn;E+ections are made ana-approvea. No occupancy of the premises can be made untila certifi.cate of Occupancy has been iisued by the auiliing'Divisicn and posted on the premises
SI DATE
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*nlt lu-t'tHoLes,'\ND cLEANours lirusr BE ACCESSIBLE, ADJUSTT.{ENT To BE uADE AT No cosr ro rnE cITy.
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CITY OF SPRI i-LD. OREGON
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