HomeMy WebLinkAboutPermit Building 1986-03-10TION LINE
69 coilBI TI 726-3753
Job Address e.<
legal Description
EIIERGY SOURCES:
llater Heater
Owner
Va l ue of l/ork:&
Sq. Ftg. Access._
Ftg &lain
Address Phone l,li th
Single
Construction Lender
Address
N
st1
N
Structura I
El ectri ca I
Mechani ca I
PLUt{BING ELECTRICAL MECHANICAL
FEE NO FFF CHARGF NO FFF CHARGF
Each single fixture Residence of
SQ. FT
furnace/burner to
BTU, s
Relocated buildino
(new fix. additioial)v New circuits alts.or extensions -ZaR*t&E 7s Floor furnace
and vent
i.F. ResidenceI bath)SERV ICES Recessed wal l
Space heater and vent
Duplex (l bath) each
Additional bath Temporary Construction Apol iance vent
seDarateUater service ge in existing
dence
Chan
res i Stati onar-v evap.
cool er
Sewer multifamily, corm. or
Industria I
Vent fan
Storm Sewer 0f amps.Vent systern apart from
heatinq or A.C.
coMl.l./IND. FEEDERS Mechanical exhaust
hood and duct
I nsta I I /a I ter,/ rel ocatedistrib. fpeders Ilood stove/heater
t?a0fs.
ISSUANCE OF PFRIIIT
TOTAL CHARGES TOTAL CHARGES ??-sa TOTAL CHARGES ts:,6
,I.IHERE STATE L.,lI,J REQUIRESshall not be valiC untit the
that the Electrical work belabel has been signed by an
done Ean ecI triby ca ContraI rcto the e ecI tri ca I on'|ofport thi s trmlpe
E1 caectri sI '|ands0ruperv toreturned Buithe d'I I Di vl I 0nng
llAl.lE(please print A C
any
of Ci ty
made
t he comp tca napp t anpermi cert ttha ahereb.y n rmat on s trueandcorrectandfurthercerttha t a rkwoandfy rformedDE sha be done n ac t{lcordance ht 0rdthe nan ofces thefiofeandldSprin9LawstheoftheteSta0regonrtantopegthedescriworkhebednreiandthatNOwlOCCUPAI,ICY bestofructwluretanyhouthetpermssofonButhedislDi vi on certfurther tthafy ts tra 0nreg imy thvn Buithe I derrd8oasfulaforceeffectndasred0Rsreqby
ng
70L ftha055 t hetexempt ba s fors on sexempt no hereonted a thand tsubcovntractorsandemparewhooyeesnc0mpancel{I th 0t?s 7ot 055 be u sed s proj ect,ho
Y
ToTAL VALUATI0N_
Flood Plain Stori es Group So. Fto . 0ther 'lue
st.ts Ftg. l,laire Zone Bedrooms. 06sy Load Sq. Ftg. Access
Val
Val
Fee65%/81 do
Plan Ck. CormTZ-4,D Systerns Deve
Charqe fl.57 opment 1y'.4.
BUILDING PERIIIT
Charges and
Surcharges
ea.2
an
Per
FencePLUI,IEING PERHIT
Charges and
Surcha rges Derp
Sldewal k
ELECTRICAL PER',IIT
Charges and
Surcharges 6
1
A/C Paving Total Comb. permit
Curb Cut
HECHANICAL PERHIT
Charges and
Surc ha rges 6o
_t_____4,
TOTAL {v?3
l
I
. Other. Ftg
a ddrpc c (nhone nn
Yazr 2tvtr
L,.
t
I
II.
III.
IV.
-,I
Col'|BI NATIoil APPL I CATI 0N/PERI'|IT (CAp )
t. Applicant to furnishA. Job Address8. Legal Descriptionl. example- Tax Lot 100, Lane County Map Referencefmir-432. elalLple- Lot 1. Block 3, Znd Addition toffigField EstatesC. l{ame, etc. of'owner and construction lender0. Energy Sources
l. ex4pLC. - heat/e_lg!"ig!1Sq-t_U_!g/or forced air qaz. examp l e- wa terhffi/e-Ta jEffiE=-a l /or so-TiF-:E. Square footage or valuation, etc.1. example- 1250 sq. foot house, 500 sq. foot garage2. exarrple- j-f new project, cneik-i-ew.- if additio;,
check add, etc.F. Bui lding permit information:1. example - construct single fami'ly house with an
attached garage2. example - remodel existing garage into family roor3. qxa-ElE - convert single iaiily-resioence inio
FET-a urant ( c hange of -use
)G. Value of work as defined in Section 303 (a) of the
Structural Specialty CodeH. OESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, Building' 0ivision Staff must be able to contact appropriate
persons regarding design information or job sitecorrections, etc.
Abbreviated Plumbing, Mechanical, & E'lectrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,
the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be installed8. FuIl PIumbing, Mechanical, and Electrical Schedules
are avai lable at the Building Divisionl. To conserve space on the permit form the scheddles
have been abbreviated2. If the item(s) to be installed are not covered on
the abbreviated schedules you should consu'lt theful I schedulesC. EUILDING DIVISION STAFF }JILL 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 electrical
supervisor. The general contractor is.not authorizedto sign the electrical label.
Applicant to sign and date
lJhenever possible, the initia'l application will be used as
a worksheet only. Where possible, Building Division Staffrill prepare a type written copy and return it to the
applicant at the time the actual permit is issued for his
si gnature.
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.
FOR OFFICE USE ONLY
lTY OF SPRINGFIELD
CllY Hdl
Sprlngicld, Orcgon
D.p.rlmcnl ol Publlc Workr
OFFICTAL RECEIPT
No. B 66092
I
(
(
(
(
Address
For:
a
(?z i7
@o
(
(
(
(
(
a
J
a
\-zEO TURE
(
v Permit Clerk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
Permit app'licant exempt from registration with the Builder's Board because:
Additional Project Information:
PLANS REVIEWED BY:
datei gnatuname Vz*g<
ap;naotrl-t
.. k.guired lnspect. -ns..
IT IS THE RESPONSIBILITY OF IIIE PER]VIIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TIIE PROPER TI}IE,
THAT EACII ADDR.ESS IS READABLE FRO}I T}iE STREET, AND THAT TIIE PER]'1IT CARD IS LOCATED AT TIIE FRONT OF THE
PROPERTY. BUILDING DIVISION APPB.OVED PI./\NS MUST BE ON JOB SITE AT ALL TI}TES.
PROCEDURE FOR REqUESTING IIISPECTIoNS: CaIl 726-3769 (recorder) state-you CITY DESIGNATED JoB NUMBER,
Job address, type of inspection requested and vrhen_yorr_will_be-ready.for the insp-ection. -Contractors6r orn"r" nime'ind phone'number. Iiequests received before 7:00 am will be nade the same day, requests
received after 7:00- am will be nade the following work day.
Your City Designated Job Number Is e6 z
Job Address:
Ourner:€?hone
PhoneContractor:
SITE INSPECTION: To be nade ATIIC DRAFT STOPS E CURTAIN WALLS NSP
Effii-lxEavitlon, but prior
to setup of forrns.
I'NDERSLAB PLT'I{!ING, IIEITBIIAL
o
@e
;ffiis coveted.
CONCRETE SLAB INSPECTION: To be
ffitaing
service equipnent, conduit, piping,
accessories and other ancillary
equipment items ate in place but
before any concrete is poured.
FO0TINGS 6 FOUNDATICNS: To be made
after trenches are excavated and
forms are erected, all steel in
place, but prior to pouring concrete.
WEBGBQSND' Plunbing, Electrical,
Gas, Sanitary Sewer, Storm Sewer,
Water and Drainage lines. To be
nade prior to covering or filling
trenches.
UNDERFLOCR:, Plurnbing, Electrical,
Mechanical. To be made prior to
installation of floor insulation,
decking or floor sheathing.
POST 6 BEAIq: To be made prior to
installaiion of flocr insulation,
decking or floor sheating.
FTOOR INSULATION 6 VAPOR BARRIERS
of decking or floor sheating.
ROOF SHEATHIIIG AllD NAILING: Prior
to installing any roofing.
ROUGH PLUITIBING, ELEC:TRICAL 6
FINAL PLIJMBING
FINAL ELECTRICAL
FIR,EPLACE:
naG;Ials
Prior to placing facing
and before framing
inspect ion .
INSULATION & VAPOR BARRIER: To beffind
required vapor barriers are in place
but before any lath or gypsum board
interior wal1 covering is applied.
FRAMING: To be nade after the roof,
illE,ning, fire blocking and
bracing are in place and all pipes,
chimneys and vents are cornplete and
the rough electrical, plunbing and
heating wires, pipes and ducts are
approved.
FIRE & SEPARATIoN WALL: Located E
ccnstructeC according to plans.
LArH AND/oR GYPIIJM EQA8qlN!!!! N:
To be nade after all lathing and
g)?sum board, interiol and exterior,
is in place but before any plasteri
is applied or before gypsun board
joints and fasteners are taped and
finished.
WoODST0VES: After installation is
compGGa:
SIDEWALK & DRIVEWAY: Required for
aIl concrete paving vrithin street
right-of-way, to be made after all
excavating ccnplete 6 forrn work 6'sub-base material in placa'
CURB AND APPROACH APRON: After forms
@pouring
concrete.
PARKING LOT After gravel is in
place but prior to placing asphalt
or concrete.
In accordance with
lding Code a special
inspector shall be employed by the or+ner/
ractor during construction of the
fcllowi.ng work. A copy of the special
ing reports shall be furnished to the
ding Division.Bui I
STRUCTURAL CONCRETE:FSi:-G6m.1r-In excess of 3000
Preformed on the
;
tr
tr
STRUCTUR{L h'ELDS:jfi:-@n-{-
HIGH STRENGTH BOLTING: During all -
E6-it filtal Gtifi-A;A tisht ins
operations (306 a.5)
SPRAYED ON FIREPROOFING: (U.B.C.
Standards 43-8)
SPECIALG@
@6a.11
& Chapter 29)
GLU-LAM BEA}IS Inspection Certificate,
fi anEFvea agency, furnisheC to
the City's Building Division before
beams are placed. (2501-U.B.C, STDS
2s-10,1r) .
* In addition to the inspections
specified hereon, the Building
0fficial nay make or require other
inspections of any construction
.work to ascertain compliance with
the Building, City or Zoning Codes.
g
w m
IIECHANCIAL: No work is to be covered
"nffiGe inspections have been-
nade and .pptorld.
CITYIS SITE PLAN REVIEW BOARD INSPECTION: . MuSt be requested 2 days in advance of the date you
wish inspect.ion. AI1 project conditions such as landscaping,parking lot striping etc. must
be completed befcre requesting'this inspection,
FINAL BUILDING: Must be requesteC after the final Plumbing, Electrical, ltlechanical and Fire
Department-E'+ections are made and approved. No Occupancy of the premises can be nade until
a Certificate of 0c has been issued by the Building Divisicn and posted on the prenisesFINAL I.IECHANICAL
FII.IAL FIRE DEPARTME}IT
DATE
2U lul '6[SICNA'
w
*Ar,L unuoLES,rND cLEANours lrusr BE.c,ccEssIBLE, ADJUSTMENT T0 BE MADE AT N0 cosr ro rtlE CITY.
2u/ -////
tr
u
tr
IIASONRY: Steel location, bond beams
ll grou-tlry or verticals in accordancc
. with U.B.C. Section 2415.
73;1, schcthu -
/y' a i/, D.
;0
I
// 'x //' A tY, O.
F-z
25,
walor
I /2':r i4'o//2
\7
il,b+? sozzo \7
/y' A ,rl, O,
25,
tsoo w't*+ w\tL
t+Enr&*
//'x /?' O.// A
10
FACTCJ F-z
5 /att i4'o/2
!
I'
I