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HomeMy WebLinkAboutPermit Building 1984-11-20ffi COI,IBI NATI ON APPL I CATION/P ERMIT -37 Job Address fs Lesal Description\\ Oa ?\ \O ?qCO tjater Heater Ranqe EIIERGY SOURCES Hea t onn"')4s) J)r sr?t}t)fr8.s Du Va#iue of l,lork: J5, aoo Fto. tlain_ Sq. Ftg. Access._ Sq. Ftg. Other_ _l{ ew_Add_A I te r_Re p . _Fence_Demo Change/Use 0ther Address PhoneJn^, z Quilging Permit Info: Describe tlork(Farnily Residence llith Attached Garage i'e., BuiId Single I 4 I /1 0 n-/^ a-,1Construction Lender ru/*(//,) Addres s Phone 113 .laso c)\r(X DES I GN TEAI.,I name address I ics . no./exo i$es phone no. Primary Struc tura l Electrical l4ec han i ca I c0NTRACT0RS n ame add res s lics- no.exo I res (phone no. Ge tr\, (c-zq l8{ tvA 4 -/Jetr n + PLUIlB I NG rl ELECTR I CAL MECHAN I CAL NO FEE CHARGF NN FFF NO FFF l^HA PG F Z Each single fixture 5 \5p Residence of FTsQ furnace/burner to BTU, s Relocated buildinq (new fix. additional)\ New circuits alts or extensions S:s.ae Floor furnace and vent S. F. Residence(l bath)SERV I CES Recessed wal I Space heater and vent Duplex (l bath) each Additional bath Temporary Constructi on Apol iance vent s eDa ra te l.Jater serv ice Cha e in existing res ng id ence Stationary evap coo I er Sewer multifamily, conrn I ndustri a l or t\Vent fan with sinole duct 5 \D@ Storm Sewer -amp s.0f Vent systenr apart from heatino or A.C. c0Ml.1./IND. FEEDERS Mechanical exhaust hood and duct I n sta I I /a I ter/ rel ocatedistrib. feeders !'Jood stove/heater 0f amp s. ISSUANCF OF PFRIIIT TOTAL CHARGES \Dso TOTAL CHARGES Gp-TOTAL CHARGES \L-- llAl"lE(ptease print)O 1.., A LD I Gi,IATU R E,\ DATE ) permi ffect e fyLYthe comp apnl ication r Dermit, and do hereb.y certi t all information hereon is trueand correct, and I further ce rtify that any and ail workf the State of Oreqon oerta performed shall be done in a ccordanc e with the 0rdinances of the City nd that NC 0CCUPANCY wiil be madL of Springfield and the Laws o ining to the work described herein, aof any structure without the ssion of the Buildi ng Division. I further certify 701.055, that if exempt the bai t m,y registration with the Builder,sthaBoard is in full force and e as required by ORS 'ls for exemption is noted hereon, and thatonly subcontractors and ernpl oyees who are in comolia nce with 0l?S 70i.055 'I I be used o n this Droject. WHERE STATE L.II.J REQUIRES thAtshall not be valiC unt.il the Iabe het IE e 'I ndobectrcIarkw0nea E ecI rtt Ica e ItracContorthe ec ctri Ia rt on'I fo sthi rmt tp0peIhasbeenslEIanbygnedI bytri ca Su vtr r50ecPe )uan urneret tod Buthe I1 'Id Di '|'IS 0nng TOTAL V x x Valu Flood Plain- S dSo upl-B:2 sq . Ftg. Acces . Ftg. 0ther Type,/Cons Val Uni cy Loa tories\ -t Gro Val ue Zone Fi re drooms t 63tto ts So . Ftg. t,ta i n Plan Ck. ConmTIn?I 651lB1dq Per Fee Systenrs Deve Charge (1.57 opmentBUILDING PERNIT Charges and 5u rcha rges qg Fee Plan Ck. Res 30%/Bldg Per FencePLUI4BING PERMIT Charges and Surcha rges .\o co___\o D6mo Sidewal k ELECTRICAL PERI1IT Charges and S u-rcha rges \t Tota'l Comb. PermitA/C Pavi ng Curb Cut I,IECHANICAL PERHIT Charges and Surc ha rges ___rL._=__ . \tv TOTAL 5L\ qb I auADnE -6- PERMIT VALIDATION ,l Permit Clerk il, 67x 7? l*lra COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description1. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot l. Block 3, 2nd Addition to SIFii-sField EstatesC. Name, etc. of owner and construction IenderD. Energy Sources1. example- heat/2. EIE66Ie- waterE. SquaiE-766:tase or air gas 1. example- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project, check new - if addition, ifiecE-add, etc.F. Building permit information:1. example - construct singie family house with an attached garage 2. exampie - remodel existing garage into family room3. example - convert single family residence into rEtaurant (change of use)G. Value of work as defined in Section 303 (a) of the Structural Specia)ty 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 site corrections, etc. Abbreviated Plumbing, Mechanical, & 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. Ful'l Plumbing, Mechanical, and Electrical Schedules are available at the Building Divisioni. 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 the ful I schedul esC. 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 contractor is not authorized to sign the electrical label. Applicant to sign and date Whenever possible, the initial application will be. used as a worksheet oniy. Where possible, Building Division Staff will prepare a type written copy and return it to the applicant at the time the actual permit is issued for his s i gna ture. 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 II. III. IV. V. PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: permit appljcant exempt from registration wjth the Builder's Board because: Additional Proiect Information: PLANS REVIEWED BY: na -rqs i gnatu da te\\-\G t /-tc ,l SPltl,r'GFI€LT' Job Address: ignated 555 aa equired lnspec Jns.. IT IS THE RESPONSIBILITY OF IIIE PER]VIIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TI{E PROPER TI}.TE, IHAT EACII ADDR,ESS IS READABLE FROI{ T}iE. STREET, AND THAT TIIE PERI.IIT CARD IS LOCATED AT TI{E FRONT OF THE PROPERTY. BUILDING DIVISION APPP.OVED PI.ANS MUST BE ON JOB SITE AT ALL TI}IES. PROCEDURE FOR. REQUESTING IIISPECTIONS: CaI1 726-3769 (reccrder) srare CITY DESIGNATED JOB NU}EER, Job address, type of inspection requested and vrhen yorr will be re edy youfor the inspeccicn. ConEracEorso= orrners name and phone number. Requests received be fore 7:00 am will be nade the sarne day, requests i received after 7:00 am will be nade the foLlors ing work day Your City Des Job Number Is 7 (\0802 t\trur\ Sv Ovrner: Contractor: SITE INSPECTION: To be nade ffir exca\ratlon, but prior setup cf forms. T'NDERST"AB PLI,XIBING, ELECTRICAL 6 IIECHANIg\L: To be nade before any trlork is covered. CONCRETE SLAB INSPECTI0N: To be nade after all inslab building service equipment, conduit, piping, accessories and other ancillary equipnent items are in place but before any concrete is poured. FOOTINGS 6 FOUNDATI0NS: To be 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, Waler anC Drainage lines. To be nade prior to covering or filling trenches. TNDERFLOCR:, Plumbing, Electrical, Mechanical. To be made prior to installaticn of floor insulation, decking or floor sheathing. PoST 6 BEAM: To be made prior toinstallati.on of flocr insulation, decking or floor sheating.. FLOOR INSULATION G VAPOR BARRIERS: To bc made prior to installation of decking or flcor sheating. IIIASONRY: Steel locarion, bond beamsgrouting or verticals in acccrdance tcith U.B.C. Section 2415. SI.IEAfiING Prior ATTIC DRAFT STOPS E CURTAIN WALLS.IAL INSPECTIONS: on t lding Code a special inspector shall be enployed by the Or"ner/ or during construction of thefcllowing work. A ccpy of the special ting reports shall be furnisheC to the Building Division. STRUCTURAL CONCRETE: In excess of 30C.' P.S. I. (306 a.1) STRUCTUR{L IIELDS: Preformed on thejobJzru r) HIGH STRENGTH BCLTING:During all -bolt installaticn and tighting operations (306 a.5) SPRAYED ON FIREPROOFING: StanCarCs 43-8) (u.B.c SPECIAL GRADING, EXCAVATION ;\\D FILLING: During earthuolk. (506 a.1l 6 Chapter 29) GLU-LAI'{ BEA}IS Inspection Certificate, FIREPLACE: Prior to placing facing materials and before framing : inspection. INSUT-a.TION G VAPOR BARRIER: To be nade after all insulation and required vapor barriers are in place but before any lath or gypsum boardinterior wall cover 'ing is applied. NUG: To be nade after the roof, all framing, fire blocking and bracing are in place and all pipes, chimneys and vents are complete and the rough electrical, plumbing and heating wires, pipes and ducts are approved. FIRE & SEPARATION IVALL: Located & ccnstructec according to plans. - LATH AND/OR 6YPSLI! BOARD INSPECTION To be made after aII 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. WOODST0\tES: After installation is conpl eted. SIDEIVALK & DRIVEWAY: Required foral1 concrete paving within streetright-of-way, to be rnade after all excavating ccnplete I form work 6sub-base material in place, CURB .{ND APPROACH APRON: After forms are erected but prior to pouring concrete. PARKING LOT:After gravel is in place but prior to placing asphaltor concrete. after the ed Oc cupancy by by an approved agency,'the City's Building Di. furnisheC to vision before I beams are placed. (2S01-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 withthe Building, City or Zoning Codes. final Plumbing, Electrical, llechanical anC Fire No Occupancy of the premises can be mede untilthe Building Divisicn ar:d posted on the prenises any roo ROUGH PLU}'BING, ELECTRICAL 6 IIIECHANCIAL: No worl< is to be covereduntil these inspections have been made and approved. FIN.qL PLI,'M8ING t CITYTS SITE PLAN REVIEI{ B0ARD INSPECTION: ltust be requested 2 days j.n advance of the date yousuchaslandicaping,parkint1otstriPin8etc.nust be compLeted befcre lequesting this inspection. FINAL BUILDING: Must be requesteCCparfi;t-6+ections are made and FINAL ELECTRICAL FINAL I.IECHANICAL FINAL FIRE DEPARTIIE}IT a Certifi S ICNA o *eLL uq,lHoLrs.tND cLEANours IIUsr BE.tccESsIBLE, ADJUSTI\IENT To BE r,ldDE AT No cosr ro rHE clfi. a e Ia