HomeMy WebLinkAboutPermit Building 1988-05-24--_
TTTY OF SPRINGFIELD -_
COHBI IIAiiON -
APPL I CATION/ PERMIT 726-1753
Job Address EIIERGY SOURCES
Heat
llater Heater
Ranqe
n
Sq. Ftg.accesl@
Legal Description
7
,1
-A Value of l.lork:{?s?r.'oOwner
Addres s f (,]u t scrr '€., Build Single
(
Construction Lender
Addres s Phone
DESIGN TEA'J naII€tcs_ no.exni res
Pr
Structural
E l ectri caI
Hechanical
nrarTe I ics. no.pxnl rpq (ohonp no-
I .I
P!-I.JI.IIBING ELECTRI CAL MECHAN ICAL
FFF CHARGF NN FFF CHARGF NO FFF CHARGF
Each single fixture Residence of
sQ FT
furnace/burner to
BTU' s
Rel ocated h.rildinE
(new f,ir- affiitioral]
New circuits alts.
or extensions
Fl oor furnace
and vent
S. F. fies'idence(l hath)SERV I CES
Recessed wal I
Snacp heatpr and vent
Duplex (l bath) each
Additional bath Temporary Constructi on Apol iance vent
seoarate
[,later service Chan
res i
qe in existing
dence
Stati onar-v evap.
cool er
Sewer multifamily, corm. or
I ndrrs t-r'i a I
Vent fan with
sinole duct
Storm Sewer 0f amps,
Vent system apart from
heatino or A.C.
COMI.I./IND. FEEDERS
Mechanical exhaust
hood and duct
Instal I /al ter/rel ocate
di stri b. feeders ['lood stove/heater
0f
ISSUANCE OF PFRI1IT
TOTAL CHARGf,S TOTAL CHARGES TOTAL CHARGES
WHERE STATE I-{Id
shalI not be valii '
I REQUIRES that the Electrical wo'until the label has been signed
rk be done by an Electrical Contractor, the electrical portion of this permit
by an Electrical Supervisor and returned to the Building Division
EXAI1 I N ED the comp letedt anyte of
appl
and
ca on r t and do hereb.y ce rt 'I fy tha +a I I I n I on reon I true
Ci ty
made
r's
that
a nd correct,arnd I furthe r ce rt I fy tha a I I work rmed s ha 'I I be done .I n acco rdance wl th the 0rd 'I na nce s of thetSpri
anyrdiysu
ngfield and the Laws of the
structure uittput the permis
s in full force and effect a
Sta 0regon
the Buil
oe rta 'I 'I g to the wo rk d es crl bed he re 'I n and tha t NC 0c CUPAI.ICY wl 'I '|be
f s 'I on of di ng Divis
701.055,
,l on I fu rt her cert 'I fy tha t my reg I s tra t I on 1,r'l th the Bu I I de
Boa s requ '|red by ORS that i f exemp
0l?S 701.055 wi
+ba s ,l s for ex emp t 'I o n 'I s noted he reon and
n I bcontractor"s and ernp oyees who a re 1 n comD I 'I ance wl th us Proj ect
I'lAl'lE ( pl ease print)RoLF Jt:+{,osoll SI DAqE h.u.{,$
FON {TFI : USE 0ll
zon"_&,/_Jyoe!Const. !fz! Un 'i ts Fto. l4ain
Fire Zone Eedrooms 0ccy Load Sq. FtC. Access4<? sfu:Va.? Ya
Flood Plain Stories / Occy Grouplfu!-sq. Ftg. Otner @lr4>az-:a------Va
r l) s-> (-( 6 ror^L ,ALUAT
'&
'tue #7-ercNfr?/::_
BUILDING PER,\IIT
Charges and ^Surcharges A--@.f,e--/- 03
Plan Ck. Corm/Ind
65%/B1dq Per Fee t/q^* tl5gA Svs
Cha
tems Deverqe (1.57 oomext
Plan Ck. Res
30%/81dq Per Fee 7r,ro Teuzau.
PLUi4BING PERMIT
Charges and
Surcha rges
Fence {r S-^,&zusr 3r ^.,4 7-*
Demo \U
ELECTRICAL PERI'IT
Charges and
Surcha rges
Sidewal k
A/C PauinolryVp,-/;--'Tota'l Comb. Permi t /o?.53
HECHANICAL PERMIT
Charges and
Surcha rges
Curb Cut
TOTAL 240-70
- /{8.=z
*-*?-xz,>.2,
--::--
COMBINATION APPLI CATION/PERMIT ( CAP)
I. Applicant to furnishA. Job AddressB. Legal Description
l. glample- Tax Lot 100, Lane County Map Reference
17 03 43?. example- Lot 1. Block 3, 2nd Addition toSpringfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sourcesl. examp'l e-2, examol e-E. squaiET66-tas
heat/el ectrical I I or forced air gas
wa e or solar
e or valuat on, etc
F
I example- 1?50 sq. foot house, 500 sq. foot garagez. example- if new project, check new - if addition,
check add, etc.
Build ing permit information :1. example - construct singie family house with anattached garage
?. examp_le - remodel existing garage into fami)y roomJ. examote - convert single fam.ily residence intorestaurant (change of use)
Value of work as defined in Section 303 (a) of theStructural Specialty Code
OESIGN TEAII AND CONTRACTORS
G
H
II.
To avoid design or construction delays, BuildingDivision Staff must be able to contait appropriitepersons regarding design information or job sitecorrections, etc.
Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes adjaientto the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedu'lesare available at the Building Dlvis.ion1. 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 consuit 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 generai contractor ii not authorizedto sign the electrical labelApplicant to sign and date
lJhenever possibie, the initial application will be used asa.worksheet only. Where possible, Building Division Staffwill prepare a type written copy and returi it to theapplicant at the time the actual permit is issued for his
s i gna ture.
Fees and Charges
P'lan check fees are due and payable at the time of theappiication, and no plans will be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is issued.
FOR OFFICE USE ONLY
III.
IV
v
PERMIT VALIDATION
\?{?(
?1
8t
q
Permi t Cl erk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
Permit applicant exempt from registration with the Builder's Board because:
Additf onal Project Information :
PLANS REVIEWED BY:
name s1 g nature date /. ?4';5'=
SPFi.(:FEll'
" Peguired lnspecl'?ns..
IT IS THE RESPONSIBILITY OF TI{E PER]"IIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TI}IE,
THAT EACII ADDRESS IS READABLE TRO}{ Tl:E STREET, AND THAT TIIE PER}{IT CARD IS LOCATED AT TIIE FRONT OF THE
PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AI ALL TI}TES.
pROCEDURE FOR REeUESTING IIISPECTIONS: Call- 726-3769 (recorder) state_you CITY DESIGNATED JOB NUMBER,
iob address, tr/pe of inspection requested and trhen yorr will be ready for the inspecticn. -Contractorsii-ot*.i" nime'ina rrhone-number. Itequests received-before 7:00 am,will be rnade the same day, requests
received after 7:00 am',ri11 be nade the following work day.
Your City Designated Job Nr:mber Is 83o r
Job Address: I Y{<€? 5z
SITE INSPECTION: To be made ATTIC DRAFT STOPS & CURTAIN WALLS.IAL INSPECTIONS ac
after excavation, but prior ection e Building Code a special
L
to setup of forms.
IJNDERSI.AB PLI,I},IBING. ELECTRICAL
& ltfCUnNfCll: To be nade befcre
any 'r* =-covered,CONCRETE SLAB INSPECTION: TO bCffiraing
service equipnent, conduit, piping,
accessories and other ancillary
equipnent items are in place but
before any concrete is poured.
.i
FOOTN(GS E FOUNDATIONS: To be made
after trenches are excavated and
forms are erected, all steel in
place, but prior to pouring concrete
UNDERGROUND: Plunbing, Electrical,
Gas, Sanitary Sewer, Storn Sewer,
Water and Drainage lines. To be
made 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 BEAM: To be nade prior to
installation of floor insulation,
decking or floor sheating..
FLOCR INSULATION 6 VAPOR BARRIERS
6-Ea rnaael;ioi to instattetion
of decking or floor sheating.
I,IASONRY: Steel location, bond beams
gro"tfig or verticals in accordance
with U.B.C. Secticn 2415.
ROOF STIEATHING AllD NAILING: Prior
to installing any roofing.
Roull PLLryBINC, ELECTRIC
FIREPLACE: Prior to placing facing
#teri'als and before frarning
inspection.
INSULATION & VAPOR BARRIER: TO bE
inspector shall be employed by the ouner/
Contractor during construction of the
fcllowing work. A copy of the special
testing reports shall be furnished to the
ding Division
STRUCTURAL CoNCRETE: In excess of 3000F.5:111366T:r
STRUC'nRqL ItELDS: Preforned on theTri:-O1DT-
b
w
nade after all insulation and
required vapor barriers are in place
but before any lath or gypsun board
interior wal1 coyering is applied.
FRAMING: To be made after the roof,
EffEfrning, 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,
FIRE 6 SEPARATIoN WALL: Located &
constructeC according to plans.
LATT{ AND/OR GYPSIJM BOARD INSPECilON:
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.
WO0DSToVES: After installation is
conp:'E;A
SIDEWALK G DRIVEWAY: Required for
all concrete paving within street
right-of-way, to be made after al1
excavating complete 6 form work &
sub-base naterial in place.
CURB .qND APPRoACH APRoN: After forms
are erected but prior to pouring
concrete,
LOT: After gravel is in
ace prior to pl acing asphalt
,/ ot concrete
HIGH STRENGTH BOLTING:
Eo]?-EstEifilon ana
During all -tight ing
CITYIS SITE PLAN REVIEW BOARD INSPECTION:
oper'ations (306 a.5)j-7",oR 4-y7o
SPRAYED ON FIREPROOFINGI@ (u.B.c
SPECIAL GRADING, EXCAVATION .A,ND
FILLINC: During earthwork. (306 a.11
E-ffip-ter zs;
GLU-L1tl"l BEAI{S:Inspection -Certificate,
by an approved agency,furnished to
the City's Building Division before
beams are placed. (2501-U.B.C. STDS.
25-10,11) .
*In addition to the inspections
specified hereon, the Building
Official nay :nake or require other
inspections of any construction
work to ascertain conpliance with
the Building, City or Zoning Codes
Must be requested 2 days i.n advance of the date you
MECHANCIAL: No work
GtIl=fr-ese inspectio
nade and approved.
FIN.qL PLUMBING
FINAL ELECTRICAL
FINAL }IECHANICAL
FINAL FIRE DEPART}IE}IT
is to be
ns have been,4
wish inspection. A11 project conCitions such as landscaping, parking lot striping etc. nust
be conpleted befcre requesting this inspection.
FINAL BUILDING: Irtust be requesteC after the final Plunbing, Electrical, l,|echanical and Fire
Department inspections are nade and approved. No 0ccupancy of the premises can be made untj.l
a Certificate of Occupancy has been issued by the Building Divisicn and posted on the premises
SIGNATURE DATE
v
*ALL I'IAI.IHOLES AND CLEANOUTS I'ruST BE ACCESSIBLE, ADJUSTUENT TO BE MADE AT NO COST TO THE CIfi.
owner, (brecZt>rl> €<<72< phone. ??6^/?*/
Contractor. 2Wzv<B Phonet-
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