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Home My WebLink AboutPermit Building 1987-12-22NL m COMBI NATION APPL ICATION/PERMIT -3 Job Address =2 E<L EIIERGY SOURCES Heat llater Heater Ranqe Ftg. I'lain_ Sq. Ftg. Access._ sq. rtg. otn""-T6T l,lew Add Al ter Rep. -f ence Oerno Change/Use Zother_.A226;a<.tu \ N N m l-ega 1 Descri p t: on,/ Z.o Z- Z ?.2a, OgSDa qlagae owner Val ue of l,lork: Addres s Builciinq Pernrit Info: Describe tJork( Farnily Residence trlith Attached Garaqd .e., Build Single Construction Lender Addre s s Phone DESIGN TEAI.{name address 'I i cs. no.exDt res ohone no. Primary Structura I <.2 E I ectri ca I Hechani cal ACTORS n ame a ddres s 'lics- no-)(exnirps)(nhone no- ) Genera l / I I I'lechanical PLUI.{BI NG ELECTRI CAL I,,IECHAN I CAL FEE CHARGE NO FFF CHARGF NO FFF CHARGE 6 Each single fixture 7.ro lS^Residence of SQ FT furnace/burner to BTU' s Relocated building (new fix. additional) New ci rcui ts al ts or extensions Floor furnace and vent S. F. Residence(l bath)SERV I CES Recessed wal I SDace heater and vent Duplex (1 bath) each Additional bath Temporary Constructi on Apol iance vent seDa rate [,later servi ce C hange res i de in existing naP Stati onar.v evap coo I er Sewer multifamily, comn. or Indrrctrial Vent fan with sinole duct Storm Sewer 0f Vent systern apart from heatinq or A.C. c0t"1t1./IND. FEEDERS Mechani cal exhaust hood and duct Instal I /a l ter/rel ocate distrih- fepders l,Jood stove/heater 0f amps ISSUANCF OF PFRI,IIT TOTAL CHARGES /f,.ar-d TOTAL CHARGES TOTAL CHARGES WHERE STATE LAI,I REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit shall not be vali'l until the Iabel has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFULLY EXAMINED the completed application for oermit, and do hereb.y certify that all information hereon is true and correct, and I further certify that a ny of and all work performed shall be done in accordance with the Ordinances of the Cityof Springof any st field and the Laws of the State 0regon the Bui oertaining to the work described herein, and that NC OCCUPAI,ICY will be made ructure without the permi ffect ssion of tdi ng 70t Division. I further certify that my registration urith the Builder's Board is in full force and e as required by ORS 055, that if exempt 055 wi] I the basis for ex emption is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701 be used on .R I a2tl,,lAt'lE( pl ease print (\,lr.ir{}\ Zone 1*?/const. SVri%?lmts Ftg l,la i n x Value Fire Zone Bedrooms Load Grou lSq pF-2 J/*3,1 . Ftg. Acces . Ftg. 0ther I Flood Plain S tori es ./Value /YafE i V4< ue a5,z1ar'/@ 01?,2*72y875 Vk <"€- zzF ,7.ffS 4ee.rzza-*.f< I7 rcINt VALUATION- BUILDING PERI.IIT Charges and Surcharges Plan Ck. Corrn/Ind 65"/"/81rlo Ppr Fpe 5Z opment PIan Ck. Res 30%/B1dq Per Fee ril PLUI4BING PERMIT Surcharges r 5O { Fence Dgmo ELECTRICA.L PERTIIT Charges and Surcha rges Sidewal k A/C Paving Tota'l Comb. Permit /7.25: I,IECHANICAL PERHIT Charges and Surcharges Curb Cut TOTAL / {"-2{ V4 V//r l/o+>.aZ (:b->e.52€Be /. ) t4<€'|Zo/2fK.3g? l:;zs -6 I COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description 1. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot l. Block 3, 2nd Addition toS[Fiffiie1d EstatesC. Name, etc. of owner and construction lenderD. Energy Sources 1. examp]e- heat/electricgl ceiling/or forced air gasZ. example- waterheater/electrical/or soTarE. Square footage or valuation, etc. 1. example- 1250 sq. foot house, 500 sq. foot garage?. exampie- if new project, check new - if addition, Efiecl-add, etc.F. Building permit information:1. exampie - construct singie family house with an attached garage2. example - remodel existing garage .into fam.ily room3. example - convert single family residence intorestaurant (change of use)G. Vaiue of work as defined in Section 303 (a) of theStructural 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 Electrical Schedules,the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Eiectrical 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 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 thee'lectrical contractor for signature by his electricalsupervisor. The general contractor is.not authorizedto sign the electrical jabel. III. Applicant to sign and date Hhenever possible, the initial application will be used asa worksheet on1y. lrJhere poss.ible, Building D.ivision Staffwili prepare a type written copy and return it to the appl icant at the time the actual permit is issued for his s i gna ture.IV. Fees and Charges Plan check fees are due and payable at the t.ime of theapplication, and no plans will be processed until thesefees are paid. Ail other fees and charges are due andpayable when the permit is issued. V. FOR OFFICE USE ONLY PERMIT VALIDATION /07)/ f 7- >211 CUPermi t Cl erk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information:2 PLANS REVIEWED BY: date /Z-?2^*2nameS'I g nature HIE Req u ire d lnspeclions.. IT IS THE RESPONSIBILITY OF TIIE PER},!IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TIIE PROPER TII.IE, THAT EAC1I ADDRESS IS READABLE FRO}{ T}iE STREEI, A}ID THAT TIIE PER}. IT CARD IS LOCATED AT TI{E FRONT OF THE PROPERTY. BUILDING DIVISION APPP.OVED PI.ANS MUST BE ON JOB SITE AT ALL TI}{ES. PROCEDURE FOR REQUESTING IITSPECTIONS: CaIl 726-3769 (recorder) state you CITY DESIGNAIED JOB NIJMBER,job address, type of inspection requested and vrhen you will be ready for the inspecticn. Contractors or oirners name and phone nr::nber. Requests received before 7:00 am will be rnade the sarne day, requests received after 7:00-arn will be nade the following work day. Your City Designated Job Number Is:8zo %a Job Address Z! 7Z Ssz<:z<.€? 52. Owner:Phone: Contractor:Phone SITE INSPECTION: To be made ac t(after excavation, but prior to setup cf forms. I'NDERSLAB PLUMBING, ELECTRICAL 6 IIECHANICAL: To be :'oade befcre any r*ork is covered. CONCRETE SLAB INSPECTION: Tc beffiraing service equipnent, conduit, piping, accessories and other ancillary equipment itens are in place but before any ccncrete is poured. ri( FOOfiNGS E FOUNDAfICNS: To be nade aIEe" Ete"cnes are excavaleo ano forms are erected, all steel in place, but prior to pouring concrete. IrNDERGROUND: Plunbing, Electrical, Gas, Sanitary Sewer, Storn Sewer, Itlater and Drainage lines. To be made prior to covering or filling trenches. LJNDERFLOCR:, Plumbing, Electrical, l,lechanical. To be nade prior to installstion of floor insulation, decking or floor sheathing. FIREPLACE: Prior to placing facing naterials and before franing inspect ion . r::iI /<a- INSULATION 6 VAPOR BARRIER: To be nade aftcr all i.nsulation and required vapor barriers are in place but before any lath or gypsun board interior wal1 covering is applied. FRAMING: To be nade after the roof, iTE"-raming, fire blocking and bracing are in place and all pipes, chimneys and vents are conplete and the rough electrical, plunbing and heating uires, pipes and ducts are approved. FIRE 6 SEPARATI0N I{ALL: Located & ccnstructed according to plans. LA1]{ AND/OR GYPSTJM BOARD INSPECTION To be nade after all lathing and g)?sun board, interior and exteri.or,is in place but before any plasteri is applied or before gypsum boardjcints and fasteners are taped and finished. WooDSTo\,ES: After installation isco@eil SIDEWALK 6 DRIVEWAY Required for all concrete paving within street right-of-way, to be made after all excavating complete & form work & sub-base material in place. CURB .{ND APPRoACH APRON: After forrns are erected but prior to pouring concrete. PARKING LoT: After gravel is in place but prior to placing asphalt or concrete. 306 Building Code a special inspector shal1 be ernployed by the Oxner/ Ccntractor during construction of the fcllowing work. A copy of the special testing reports shall be furnished to the Building Division. STRUCTURAL CONCRETE: F.SlTl-'(so6 ar)-In excess of 300! tr E Preformed on theg E STRUCTUR{L hIELDS: - )oo, ll/zz t) HIGH STRENGTH BOLTING: During all 561t fiffi;Ion-ia tighting operations (306 a.5) SPRAYED ON FIREPROOFING]ffi (u.B.c. SPECIAL GRADING, EXCAVATION .AND F!LLING: During earthwork. (306 a.11E@er 2s1 GLU-LAM BEA},IS Inspection Certi.ficate, by an approved agency,furnished to the City's Building Di.vision before beans are placed. (2501-U.B.C. STDS. 2s-10,11) . POST 6 BEAMI ffitat lation To be made prior to of flocr insulati.on, decking or floor sheating. FLOCR INSULATION & VAPOR BARRIERS To be made prior to installation of decking or flcor sheating. I-IAS0NRY: Steel location, bond beams grouting or verticals in acccrdance with U.B.C. Secticn 2415. ROOF SI{EATHI}IG A}lD NAILING: Prior to installing any roofing. ROUGH PL$IBING, ELECTRICAL & I',IECHANCIAL: No work is to be until these inspectio:rs have b made and approved. )ct FINAL PLUMBING u"Lr -) CITYIS SITE PLAN REVIEW BOARD INSPECTIOI{ * In addition to the inspections specified hereon, the Building Official may nake or require other inspections of any construction work to ascertain conpliance with the Building, City or Zoning Codes. Must be requested 2 days in advance of the date you such as landscaping, parking lot striping etc. must LL \? tr FINAL ELECTRICAL \q FINAL TIECHANICAL ! r-1 be conpleted befcre requesting this inspection. FINAL BIIILDING: Must be requesteC after the final Plunbing, Electrical, l'lechanical and Fire Department inspections are made and approved. No Occupancy of the premises can be made until a Certificate of Occupancy has been issued by the Building Divisicn and posted on the premisesE c A rkir rrou DEPARTMEITT SICNA DATE / vx *ALL r'inNHoLES AND cLEANours uusr BE .\ccEss , ADJUSTI{ENT TO BE I!{,ADE AT NO COST TO THE CITY ATTIC DRAFT STOPS & CURTAI}I WALLS. t] trtr Z