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Home My WebLink AboutPermit 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. tr tr tr E tr