HomeMy WebLinkAboutPermit Building 1988-03-01I NSPECT I
726-37 69
CITY OF SPRINGFIELD
COHEI I{ATI ON APPL ICATION/PERMIT 7?6-3753
Job Address I a 1NcuL /EIIERGY SOURCES
Hea t
l,later Heater
Ranqe
Sq. Ftg
Sq. Ftg
Hai n-
Access._
0ther
_l'lew_Add_Af ter--Eep. -
_Fence_Demo Change/Use
0ther
k6)
s
Leoal Description /?O
Value of ldork
io,657>Owner
Address n n scr l.Jo rk :e., Bu SingletacGa ra
Rtt"r,oort o? tnrSTtry6 ?Ap-uacy
Construction Lender (
^lo
rt- Sfft.ucTuea L
Address Phone
)
name address exDi res lone n0.
Primary
Structura I
E l ectri cal
Mechan i ca I
name address'1 ics. no-( exoi res ohone no-')
Genera I OzoeL( Gr.rsrr LIC ,,rJ O, ?<oo /)nL^n,n w t/9;-4t r I
lumbin 6 l,ll 2o-76 za '9-r'
l
Itlec ha n i ca I
PLUI.,IB I NG ELECTR I CAL MECHAN I CAL
FEE CHARGE NO FFF I^I.,IA PAF NO FFF CHARGF
I
Each single fixture 2r2 Residence of
SQ. FT
furnace/burner to
BTU' s
Relocated buildinq
(new fix. additioial ),/I'lew c i rcu i ts al ts .or extensions2 4,8.uaBc
FIoor furnace
and vent
S.F. Residence(1 bath)SERV I CES Recessed wal l
Soace heatpr and vcnt
Duplex (l bath) each
Additional bath Temporary Constructi on Apol iance vent
sepa rate
[,later service C hang
resid
e in existing
ence
Stationary evap
cool er
Sewer mu1tifamily, comm. or
I ndus tri a I
Vent fan with
sinole duct
Storm Sewer 0f amps.Vent system
heatinq or A
apart from
,. c.
COMI.I./IND. FEEDERS Mechanical exhaust
hood and duct
Instai I /al ter/re1 ocatedistrib- feeders l'Jood stove/heater
0f s.
ISSUANCE OF PFRI|IT
TOTAL CHARGEStoI*rr>rrrr-z ,/< aa TOTAL CHARGES 7?-Sa TOTAL CHARGES
WHERE STATE LAl,l REQUIRES that the Electricat work be doshall not be valiC until the label has been signed by an E1
ne by an Electrical Contractor, the electrica) portion of this permitectrical Supervisor and returned to the Building Division
CARE D the compl eted a p!r ca t n fo r Derm l t a hereb.y certi fy tha t a t I o n he reon I t ru eand correct,and I further cer ti fy that any and all work oerformed shall beState of 0regon oertaining to the work d,ssion of the Building Division. I furthe
do ne I n ac corda nc e 1 t h the 0rd 'I na nce s of the ci tyofspr'I ng fi e I d and the Laws of the
re without the permi
I I force and effect
e s c rl bed herei n and tha +NC 0c CUPANCY wl I I be madeofanystructurcertIfythatm.y regi s tra t 'I on V'I th the Bu '|I de r SBoard'I I n fu a s req ut red by 0Rs 701 055 tha t 'I f exemp f th ba s 1 s for exempti on
tr i;2,,,,,,,,,,,,,aX j ec t
I oted he and t ha t0nIvsubcontractorsdIwho'I
s n re0nanemp0yeesarencom0I'I a nce wl th 0t?s 7ot 0s5 ed 0n t
llAl.lE(please print 6- \Arab S I GNATURE DATE I.KU
Zone TyoelConst. Un its Sn Ftg
Ftg
Ftg
l'la i n alXFire Zone Bedrooms Load Acces s x Value
Flood Plain Stories eroup-F1?0the r lue-b.&n
TOTAL VALUAT IOII. /
BUILDING PERI'IIT
Charges and
Surcharges
__&=*__
-a 3
Plan Ck. Conrn/Ind
65%/B1dq Per Fee €2-zz 4-)-fP Svs
Cha
terns Deverqe ( 1.52
opmmt
Plan Ck. REI-
308/Blds Per Fee
PLUI.4BING PERMIT
Charges and
Surc ha rges
___/6=__Fence
Dgmo
ELECTRICAL PERI,IIT
Charges and
Surcha rges
5d Sidewal k
A/C Pavi ng
Curb Cut
Total Comb. Permit
IiIECHANICAL PERMIT
Charges and
Surc harges TOTAL /-.7/
s
COMBINATION APPLICATION/PERMIT (CAP)PERMIT VALIDATION
I Applicant to furnish
A. Job Address
B. Legal Description
1. example- Tax Lot 100, Lane County Map Reference
17 03 43
2. example- Lot 1. Block 3, Znd Addition to
SFrlnETield Estates
C. Name, etc. of owner and construction lenderD. Energy Sources
1. exampl e-2, example-
E. Square footag
air gas
exampl e-
exampl e-
check add
1250 sqif new
foot house, 500 sq.foot garagef addition,2.project, check new - i
, etcF. Building permit information:
1. example - construct single family house with an
atia;fed garage
2. example - remodel existing garage into family room
3. example - convert single family residence into
restaurant (change of use)G. Value of work as defined in Section 303 (a) of the
Structural Specialty CodeH. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, Building
Division Staff must be able to contact appropriate
persons regarding design information or iob site
corrections, etc.II. Abbreviated Plumbing, Mechanica'1, & Electrical SchedulesA. Except where blank spaces occur in the description
portion of the Mechanical and Electrical Schedules,
the applicant need fill-in only the No. Boxes adjacent
to the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedules
are available at the BuiIding Division
1. To conserve space on the permit form the schedules
have been abbreviated2. If the item(s) to be installed are not covered on
the abbreviated schedules you should consult thefulI schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND. CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to the
electrical contractor for signature by his electrical
supervisor. The general contractoris.not authorized
to sign the eiectrical label.III. Appiicant to sign and date
Hhenever possibie, the initial application will be used as
a worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to the
applicant at the time the actual permit is issued for his
s i gnature.
IV. Fees and Charges
Plan check fees are due and payable at the time of the
application, and no plans will be processed until these
fees are paid. All other fees and charges are due and
payable when the permit is issued.
V. FOR OFFICE USE ONLY
/l 0
c(g
t
?
q3
Permi t Cl erk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
permit applicant exempt from reg'istration with the Builder's Board because:
Addit'ional Proiect Information :
PLANS REVIEWED BY:
name S'I g nature date V-?-€*
PECTION LiNE
-37 69
CiTY OF SPRINGFIELD
COMBI NATI ON APPLICATION/PERHIT 726-3753
Job Address t tL4o t0p /-EIIERGY SOURCES
Heat
l,later Heater
Ran
n_
Sq. Ftg. Access.--
Sq. Ftg. 0ther_
_l,l ew-_-1Ad d_A I te r_Pe p .
_Fence_Demo_C ha n ge / U s e
0ther
oa
aoO
$
Legal Description
Value of l.lork:
lo,6ft>Owner
Addres s 1joo Ol,L+Aonrr NrAv Ynone(61{ll u t o: Descri
F
,e., Build Single
Rcr,*rct o? gltSTtN6 ?HA't-ruacy
Construction Lender ( ,lo nt- Sfl. acTuea L
Addres s Phone
.)
DESIGN TEAI,I name address lics. no.exD res Dhone no.
Pri ma ry
Structura I I
E'lectri ca'l \t
Mechan i cal
name add ress (licq, nn exor res (nhone no- )
r rdcTnrl Ct,. ?..3oo Afuaur w,a)r/95-4t rl
PI 6 t,ll /o'76 za r'
Itlechani ca I
PLU14BI NG ELECTR I CAL MECHAN ICAL
FEE CHARGE NN FFF CHARGF FFF CHARGF
I
Each single fixture Zse
Residence of
sQ FT
furnace/burner to
BTLI' S
Relocated buildino
(new fix. additional),/flew circuits alts.
or extensions2 4Z -ranc
Floor furnace
and vent
S.F. P.esidence
( I bath)SERV I CES Recessed wal I
Soace heater and vent
Duplex (1 bath) each
Additional bath Temporary Constructi on Apol iance vent
seoa rat-e
tlater service C han
res i
ge in existing
dpnce
Stati onar.v evap.
cool er
Sewer multifamily, conrn. or
I ndus tri a l Vent fan with
sinole duct
Storm Sewer 0f amps.Vent systern apart from
heatinq or A.C.
COI.II.I. /IND. FEEDERS Mechanical exhaust
hood and duct
Instal I /al ter/re1 ocate
di stri h- feeders l'Jood stove/heater
0f r
ISSUANCF OF PFRIlIT
ToTAL CHARGES lqfrgrr> r.rryz //<- 4 TOTAL CHARGES 7?-Sa TOTAL CHARGES
l^IHERE
shal I not
STATE LAl'l REQUIRES that tlre Electrical work be done by an Electrical Contractor, the electricabe vali'l until the label has been signed by an Electrical Supervisor and returned to the Build
1 portion of this permit'ing Division
the c0mp I eted ap p I c a t n 0erm I t and do here b.y cert 'I fy tha t a I I 1 fo rmat '|0n S trueandcorrectandifurthrcert'I fy t ha t any and allof 0recronof the Bui l
wo r k pe rformed s ha I I be done I n a cc ordance wl th t he 0rdi nances of the City'I be madeof Springof any st
Board is
fi e I d and the Laws of the
perm i sffect a
Sta te oe rta 'I nt ng to th e work descr I bed here .I n and th at NC OCCUPAHCY wl '|
ruct ure wl thou t t he I d ing Divi
701.0s5
s 0n s '|on I further c ert 'I fy tha t my reg 'I trat 1 0n vrt th the Bui 'i der s'I n ful I fo rce nde
empl
Ct\
s requ 'I red by ORS th at f t he ba S '|s fo r exempti 0n 'I s noted hereon a nd tha tonly subcontractors and oyees who are in comoliance with 0l?S 701.055 sed on th 'I ect
llAl'tE (p'lease pri nt raD I GNATURE DATE3- I-W
F
Zone s t Uni ts Sq.Ftg l'la i n Val uFire Zone Bedrooms 0ccy Load Sq. Ftg
Flood Plain Stories }ccy eroup_fi-Z__Sq. FtS
Acces
0ther
x Val
lue /)-145x
TOTAL VALUATTON. /
BUILDING PERNIT __&=*__Charges and
Surcha rges ,L a3
Plan Ck. CormTmf-
65%/81dq Per Fee €2-zz 4-)-tr3 Systems Deve
Charqe (l.sz opment
Plan Ck. Res
30%/Bldq Per Fee
PLUI4BING PERMIT
Charges and
Su rcha rges
___/6=__r Fence
D6mo
ELECTRICAL PERI|IT
Charges and r rSurcharges t", \
*_Sldewal k
A/C Paving Tota'l Comb. Permi t
HECHANICAL PERHIT
Charges and
Surcharges
Curb Cut
TOTAL /-.v
\CTORS
729
t\Y
//n<qn
{
t
coMBINATI0N AppLICATIoN/PERMIT (CAp)
I. Applicant to furnishA. Job AddressB. Legal Description1. example- Tax Lot 100, Lane County Map Reference
17 03 432. example- Lot 1. Block 3, Znd Addition to
Spn--i6f,ieta EstatesC. Name, etc. of owner and construction lenderD. Energy Sources
1. example- he2. example- waE. Square footage
a t/e tca or !94:qd air gas
e or sofar
or valuat on, etc
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 into
restaurant (change of use)G. Value of work as defined in Section 303 (a) of the
Structural Specialty CodeH. DESIGN 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 descriptionportion of the Mechanical and Electr.ical Schedules,
the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedu'les
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 schedulesC. 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,III. Applicant to sign and date
lJhenever possible, the initial application will be. used asa worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actuai permit is issued for his
signature.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. Al1 other fees and charges are due and
payable when the permit is issued.
V. FOR OFFICE USE ONLY
PER}4IT VALIDATION
,oll,
?,,
Permit Clerk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information:
PLANS REVIEWED BY:
name s'l gnature date V-,#a
I
)
it
.. f".guired ln spec t* n s ..
IT IS THE RESPONSIBILITY OF TIIE PER!,!IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TI}18,
THAT EACII ADDRESS IS READABLE FRO}{ TIiE STREET, AND THAT TIIE PER}IIT CAR.D IS LOCATED AT TIIE FRONT OF THE
PROPERTY. BUILDING DIVISION APPP.OVED PLANS I',I.IjST BE ON JOB SITE AT ALL TIIIES.
PROCEDURE FOR REQUESTING IIISPECIIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB NI}MBER,
Job address, type of LnspectJ-on requested and rrhen yorr wt1l be ready for the lnspectlon. Contractorsor owners name and rrhone number. Requests received before 7:00 amlwill be rnade the same day, requests
recelved after 7:00- arn wlll be rnade the following work day.
Your Clty Deslgna ted Job Number Is: 9BO/ X
Job Address:2
Orrner:Phone. /9f,'A2ll
Contractor,&ruc Zorrsf {2.Phone:
SITE INSPECTION: To be made ATTIC DRAFT 6 CURTAIN WALLS.PEC IAL li'aftet excavation, but prior
to setup of forrns.
ilding Code a special
IJNDERSLAB PLTJMBING, ELECTRICAL
G IIECHANICAT: To be rnade before
any l'orkE-covered.
CONCRETE SL B INSPECTI0N: To be
ffiilding
service equipment, conduit, piping,
accessories and other ancilLary
equipment items are in place but
before any concrete is poured.
FOOTINGS & FOUNDATIONS: To bc made
after trenches are excavated and
forms are erected, all steel in
place, but prior to pouring concrete.
TNDERGROUND: Plumbing, Electrical,
Gas, Sanitary Sewer, Storm Sewer,
Water and Drainage lines. To be
made prior to covering or filling
trenches.
TNDERFLOOR:, Plunbing, Electrical,
Mechanical. To be made prior to
installation of floor insulation,
decking or floor sheathing.
POST 6 BEAM: To be nade prior to
irnstal latlon of floor insulation,
decking or floor sheatings.
FLOOR INSULATION G VAPOR BARRIERS:
To be made prior to installetion
of decking or floor sheating.
MASONRY: Steel location, bond beans
grdtfig or verticals in accordance
with U.B.C. Section 2415.
ROOF SHEATHI}IG AND NAILING: PTioT
to installing any roofin
INSULATION 6 VAP0R BARRIER: To be
nade aftcr all insulation and
required vapor barriers are in place
but before any lath or gypsun board
lnterior wall covering is applied.
FRAMING: To be made after the roof,
EITEaming, fire blocking and
bracing are in place and al1 pipes,
chinneys and vents are complete and
the rough electrical, plurnbing and
heating wires, pipes and ducts are
approved.
FIRE 6 SEPARATION WALL: Located 6
ccnstructed according to plans.
LATH ANT'/OR GYPSTJM 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 gypsum boardjoints and fasteners are taped and
finished.
WOoDSTOVES: After installation is
;ompreGa.
SIDEWALK 6 DRIVEWAY:Required for
al1 concrete paving within street
right-of-way, to be made after all
excavating complete I forrn work G
sub-base naterial in place.
CURB AND APPR0ACH APRON: After forns
are erected but prior to pouring
concrete.
PARKING LOT: After gravel is in
place but prior to placing asphalt
or concrete.
o
ector shall be'employed by the Owner/
during construction of the
llowing work. A copy of the special
t est ing reports shall be furnished to the
Div is ion.
STRUCTUR,{L CONCRETE:
tr.S.i.1366=:U
In excess of 300
STRUCTURAL I{ELDS: Preformed on thejob. (2722 f)
During all -tighting
HIGH STRENGTH BOLTING:
E6lT-in.;tIllatlon;;A
FIREPLACE: Prior to;iffiiats and before
inspection.
placing facing
framing :
V
w
w
SPRAYED 0N FIREPROOFING: (U.B.C.@
SPECIAL GRADING, EXCAVATION AND
FILLING: During earthwork. (306 a.11
6 Chapter 29)
operations (306 a.5)
GLU-tA}-I BEA},|S Inspection Certificate
by an approved agency, furnished to
the Cityrs Building Division before
beans are placed. (2S01-U.B.C, STDS.
2S-10, r1) .
* In addition to the inspections
specified hereon, the Building
Official may nake or require other
inspections of any construction
work to ascertain compliance with
the Building, City or Zoning Codes.
)D
c
ROUGH
Gtir-IIEe inspections have been
made and approved.
>qKFIN.{L PLUMBING
v4
FINAL ELECTRICAL
FINAL TIECHANICAL
FINAL FIRE DEPARTME}TT
CITYTS SITE PLAN RE\,IEW BOARD INSPECTION: Must be requested 2 days in advance of the date yor
suchas1andscaping,parkinglotstripin8etc.!ttust
be completed before requesting this inspection.
\A
l?1 FINAL BUILDING: Must be requested after the final Plumbing, Electrical, llechanical and Fire
l-t I Department inspections are made and approved. No occupancy of the prernises can be made until
a Certificate of Occupancy has been issued by the Building Division and posted on the premise:
SIGNATURE DATE
x
*ALL t*taNHotES AND cLEANours MUST BE AccEssIBLE, ADJUSTTuENT To BE MADE AT No cosr ro rHE cITy.
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