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Home My WebLink AboutPermit Building 1986-01-26ECTION LI 37 69 CITY OF SPRINGFIELD COMBI I{ATI ON APPL ICATION/PERMIT 726-37s3 oLegal Descri ption Job Address liater Heater Range EIIERGY SOURCES: Hea t Owne r Value of l.lork: /D. ooo,'a Sq. Ftg. Access._ Sq. Ftg. Other_ _t'l ew_Ad d-A I te r_Re p . _Fence_Demo Change/Use 0ther Ftg n_ Address /// <l-r) STH,#-2?fl Phone QuiT(ing Permit Info: Describe l^lork(i,e., Build Single Fami l y Residence l,li th Attached Garaqe) Tel\.a-nt D^arn, Dn rt t / /i,4r'1 Constructi on Lender Addres s Phone &oC q) q DES I GN TEAI.I name addre s s I ics . no.exot rPs phone no. Primary Da .4r>tu-rua-&sa<.. Zaa' 5, .t?tt<( 9t7,. SP/t<2. "?Z.gz=fStructura l 77 7 El ectri cal l''lec ha n i ca I CONTRACTORS n ame add res s 'I i cs. no.'exni res )ohone no. -/Genera I 6L- o-3Jb sy's-=crs/zri cal ,bc-4 I'lec ha n i PLUIlB I NG ELECTR I CAL MECHAN I CAL I FEE CHARGF NN FFF I^HA PAF NO FFF CHARG F 3 Each single fixture zto ?z.,& Res idence of FTSQ furnace/burner to BTU' S Relocated bui1ding (new fix. additional ) New ci rcui ts al ts. "2";..H'o)*oae zz3 Fl oor furnace and vent S . F. R.es i dence(l uatn)SERV I CES Recessed wal I Soace heater and vpnt Duplex (l bath) each Additional bath Tempora ry Constructi on Apol iance vent separate [,later servi ce Change i n exi sti ng resi dence Stationary evap cool er //o't Sewer fu.-Jndustrial multifamily, comm. or I Vent fan with sinole duct ?. o' Storm Sewer 0f Vent systern apart from heatino or A.C. c0t4t1./IND. FEEDERS Mechanical exhaust hood and duct- Instal I /al ter/rel ocatedistrih- feeders [,Jood stove/heater /0f aa s. "".6 , ISSUANCF OF PFRI1IT work be done by an Electrical contractor, the electrical portion of this permit ed by an Ejectrical Supervisor and returned to the Buildjng Division l,lAl'lE(please print)S IGiIA I WHERE STATE LAl,l REQUIRES that the Electr.icalshall not be valij until the label has been sign oermi t rfo rmed f exempt .055 wi l L aeted I c'I ta I ncompp l-)an d do he rtce I t tha Ia 'II forman 'IL nreb.y Ireon ts ru.icorre a Ind fu hert certr 'I t ha t nda Ia WOI krfyany DE s Iha 'I I nedonbe a cco anrd wlce theth I0rd na snce o cthe 'I tyrtIfIdandtheoLawsthfSeLdDngte0reofn'I n'Iqon to th kwor 'Idescr bedDe rta q he 'Ire n dan hat t,tct CUPAHCY0c Iwl beI made5rUtuctwlrehottheutrmrs1peSofnButheII'Id 'I I cfurther 'IDIson'I rte ,l t tra Ingrn.y on thvn Buthe II der sreqny d s'I n'I Ifu I force nda aeffect 5 red SOR 'Irequi070155 the 1t 'Ion nforbyexemps heoted 0nre a tnd thastrubcontoacarsndIempawho'Ire n 'Iioyees cean thwlcomD I be s'I tecproj TOTAL CHARGES TOTAL CHARGES -eTOTAL CHARGES and ofS ofa Boar only TOTAL VALUATION other,/d-raopA_x .9t ccvutue ,/ar&.a Del Cons t .frrY SrKu. Acces s Val ue Fire Zone Bedrooms Zone )U Load Sq. Ft! eroup E'Z sq. Fts x Value Flood Plain Stories its So. Ftg. t,lai 4.93 ,Qrel t"-aiualPlan Ck. Conrn/Ind 65%/B1dq Per Fee f2.572aet';!ysteris Deveharqe ( i.5q opment /v./.BUILDING PERI'IIT Charges and Surcharges __,9_a&__ zz Fee Plan Ck. Res 30%/Bldq Per FencePLUI4BING PERMIT Charges and Surc ha rges --Sz=€o--2.o Dgmo Sidewal k ELECTRICAL PERI,:IT Charges and Surcha rges a@ b A/C Paving Total Comb. Permit Curb Cut I,IECHANICAL PERMIT Charges and Surc harges ---/'f-?---'6o TOTAL Z&-72 t COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description 1. exampie- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, Znd Addition to Springfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources L example-2. examp.l e-E. Square foota air gas s 2 example- 1250 sq. foot house, 500 sq. foot g example- if new project, check new - if addi check add, etc. arage ti on, F. Building permit information:1. example - construct single family house with an attached garage 2. 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 Structura l SH. DESIGN TEAM pecialty Cocie AND CONTRACTORS II 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 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 Electrical Schedules are avai lable 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 on the abbreviated schedules you should consult thefull schedulesC. BUiLDING OIVISION STAFF t^llLL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be de'livered to theelectrical contractor for signature by his electricalsupervisor. The general contractor is not authorizedto sign the electrical label Applicant to sign and date Whenever 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 appiicant at the time the actual permit is issued for his s i gna tu re. Fees and Charges Plan check fees are due and payable at the time of the appi ication, 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. III, IV. V. FOR OFFICE USE ONLY PERMIT VALIDATION tfr ^t\f Permi t Cl erk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit applicant exempt from registrat'ion with the Builder's Board because: Additional Project Information : PLANS REVIEI^IED BY : name s i gnatu da te / -" r*G (d ,((p ( Sg. Ftg. Access._ Sq. Ftg. Othef_ _llew__lAdd_Al ter_Rep. _Fence Demo_Change/Use -other- COHBI ts 726-37 D l/\ eOwner Hea Ftg. ICAI EIIERGY SOURCES: ilater HeaLegal Description Job Address Va'lue of Hork:;i cr? Address ,,a <, Z .fiu /io z >j Phone s i dence :De .€., Build Single (4 4t4 c<6.\ Construction Lender Address Phone N & q Ut5I GN TEAT.I name (address'lics. no-exot res Dhone no. Primary Structura I El ectri ca l Hechani cal S name ( addre 'I ics. no-exo I res ohone no- {ln^n ELECTR ICAL MECHAN I CAL Each single fixture Res idence of FTsQ I furnace/burner to,ioGtq Bru's /*b.Relocated bui ldino (new fix. additioial)New circuits alts.or extensions Floor furnace and vent S.F. Residence ( l bath)SERV ICES Recessed wal I Duplex (l bath) each Additional bath Temporary Constructi on ance ventApp llater service Change in existing res i dence Stationar-v evap. coo l er Sewer multifamily, corm. orfldustria I Vent fan with sinole duct Storm Sewer Vent systern apart from heating or A.C, COMI.I./IND. FEEDERS Mechanicai exhaust hood and duct I nsta I I /a I ter/rel ocatedistrib. feeders $lood stove/heater 0f S 6r^Prtr^ -- ISSUANCE OF PFRI,IIT CHARGETOTAL S LTOTA CHARGES 6bCHARGESTOTAL sT,I,JHERE TE Ll\r,r RESIREQU ttha Ethe I ectr ca'|workI dobe ne a E ectrit Ica Con tractor the e ecI ctri Ia rt 0 f '|thhaS'II p0 s tbenot,|va ct permi'Iunt I the aI Ibe has been s 'I bytrianEIec Ica sorgnedbySupervi and returned to Buthe II di v'lDi onslng r_22-(Jl.lAl.1E(please pri Ci ty made 0regon the Bui of Spriof any Board i the permi nd effect Y het e ted ca fo roncompapp t nda do rtceby atha t t onand hereon s truetcorrecandrtherfucertithataandfyworknysharmeddonebeaccWIordanceththena0rdiofthencesandefidLawsofthengthetaSoftertathetoworkpeningdesbedcr'l nherei ands ttha NCtwlructure OCCUPANCY wl behoLutssofdDnngs0Ihefurtcertirtha+fy tratis onfulmyreg l.r'l theth Bu raforcede sasredrequ i 0Rs 70t thatby055 f theexempt sba s for on svrssubcontractoexempti noted hereon andand thatwhoaempioyeesrenanWIcecomp0r?sth 7A 05 5 wl onused thi s ectproj its Ftg Ftg Ftg Y an an 1 0c lue Fi re x lue c.y Group Sq Const. Load . l'lai Flood Plain Stories ToTAL VALUATI0N_ ,ve 5/, opment BUILDING PERI.IIT Charges and Surcharges . Access . 0ther FencePLUI.IEING PERMIT Charges and Surcha rges Demo Sldewal k ELECTRICAL PERIIIT Charges and Surcharges A/C Paving tal Comb. Permit Curb Cut I,IECHANICAL PERHIT Charges and Surcharges d-\4tf?2a, TOTAL /f €a ot Snarp hpatan enr{ rran} seoa ra tp gp amps PER}4IT VALIDATION Permi t Cl erk L? :6r- prL\1 3 7'72' COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description l. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot l. Block 3, 2nd Addition to SIiingfield Estates C. Name, etc. of owner and construction lenderD. Energy Sources l. example- heat/electrical ceiling/or forced air gas 2. -examp I e- wa te rheaTeF/e-fE trJZITor s oli r- E. Square footage or valuation, etc.1. example- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project, check new.- if addition, check add, etc.F. Builciing permit information: 1. example - construct single family house with an attached garage 2. example - remodel existing garage into fam'i1y room 3. example - convert singie 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 deiays, Building Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc. II. Abbreviated Plumbing, Mechanical, & Electrical Schedules A. 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 installed B. Full Plumbing, Mechanical, and E'lectrical Schedules are available at the Building 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 the full schedulesC. BUILDING DIVISION STAFF I.IILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES D. As noted on the CAP, the label must be delivered to the electrical contractor for signature by his electrical supervisor. The generai contractor is.no'! authorized to sign the electrical iabel.III. Applicant to sign and date llhenever possible, the initial application wilI 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 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 PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: Permit applicant exempt from registration with the Builder's Boa rd because: Additionat Proiect Informat'ion : PLANS REVIEWED BY: rc7->?4fnames't gnatur IT IS THE RESPONSIBILITY OF THE PERIVTIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TIIE PROPER TDfE' THAT EACII ADDRESS IS READABLE FRO},I TIIE STREET, A\ID THAT T}IE PER}{IT CARD IS LOCATED AT TIIE FRONT OF TI{E PROPRRTY. BUILDING DIVISION APPROVED PI.ANS MUST BE ON JOB SITE AT ALL TI}{ES. PROCEDSRE FOR REQUESTINc IIISPECTIONS: Cal1 726-3769 (recorder) state you CITY DESIGNATED JOB NUMBER, job address, type of inspection requested and trhen you_will be,ready for the insp_ection. -Contractors6r orrners name-ind phone number. Iiequests received before 7:00 am will be r.F.ade the same day, requests received after 7:00- am will be nade the following work day. Your City Designated Job Number Is: Job ACdress: Orrner Phone Contractor:Phone: SITE INSPECTION: To be made INSP In accordance witEEter-excavat , but prior to setup of forns. I,'NDERSI..AB PLI.NBING, ELECTRICAL E ICCHANICII: To be nade before any work is covered. CONCRETE SLAB INSPECTION: To be Building Code a special inspector shall be employed by the Ouner/ ractor during construction of the following work. A ccpy of the special sting reports shall be furnished to the ding Division nade after all inslab building service equipnent, conduit, piping, accessories and other ancillary equipnent items are in place but before any concrete is poured. )ob. (2722 t) FOOTINGS & FOUNDATICNS: To be nade .P']'I''ILD aa after trenches are excavated and forns are erected, all steel in place, but prior to pouri.ng concrete TNDERGROUND: Plumbing, Electrical, Gas, Sanitary Sewer, Storm Sewer, Weter and Drainage lines. To be nade prior to covering or filling trenches. IJNDERFL0CR:, Plunbing, Electrical, Mechanical.. To be made prior to installation of floor insulation, decking or floor sheathing. POST E BEAM: To be made prior to installation of flocr insulation, decking or floor sheating. FLOOR INSULATION 6 VAPOR BARRIERS To be nade prior to installation of decking or floor sheating. I,!ASoNRY: Steel location, bond beams groutfig or verticals in accordance with U.B.C. Section 2415. ROOF SHEATIIIIJG A\D NAILING: Priorffi ROUGH PLM,IBING, ELECTRICAL GI @cove,until these inspections have been made and approved. FINAL PLI.,[MBING FINAL ELECTRICAL FINAL I\{ECHANICAL FINAL FIRE DEPARTME}IT I quired ln spec t, ft s .. o FIREPLACE: Prior to placing facing naterials and before franing inspection. INSUI.A.TION 6 VAPOR BARRIER: To be nade after all insulation and 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, EITEi,ning, fire blocking and bracing are in place and all pipes, chimneys and vents are complete and the rough electrical, plunbing and heating wires, pipes and ducts are approved. FIRE G SEPARATION WALL: Located G ccnstructeC according to plans, LAITI AND/OR CYPSUM BOARD INSPECTION To be rnade after all lathing and g)?sun board, interior and exterior, is in place but before any plas is applied or before gypsum boardjcints and fasteners are taped and finished. WOODSToVES: After installation is STRUCTUR{L htELDS: Preformed on the STRUCTURAL CONCRETEF:3i-l3o6;ll-- HIGH STRENGTH BOLTING: EoiT-fi;tall?tio;-ana In excess of 3000 During all -tighting conp 1 et ed . SIDEWALK 6 DRIVEWAY:Required for all concrete paving within street right-of-way, to be made after all excavating conplete $ forn work & sub-base material in place. CURB .qND .{PPROACH APRON: After forrns are erected but prior to pouring concrete. ed WIN_!9Ir After gravel is in place but prior to placing asphalt or concrete. CITYTS SITE PLAN RE\IIEI'J BOARD INSPECTI0N: Must be requested 2 days in advance of the date you suchas1andscaping,p..iing1otstripingetc.IDuSt be completed befcre requestihg'this inspection. FINAL BUILDING: Must be requesteC after the final Plumbing, Electrical, Mechanical and Fire Departnent inspections are nade and approved. No Occupancy of the prenises can be made untila Certifica Occupancy has been is by the Building Divisicn and posted on the premises operations (306 a.5) SPRAYED ON FIREPROOFING@ (u.B.c SPECIAL GRADING, EXCAVATION .{ND FILLINC: During earthwork. (306 6 Chapter 29) a.11 GLU-LAM BEA}.,IS Inspection Certificate, by an approved agency, furnished to the Cityrs Building Division before beans are placed. (2501-U.B.C. STDS. 25-r0,11) . * In addition to the inspections specified hereon, the Building Official :nay make or require other inspections of any construction -lrork to ascertain conpliance with the Building, City or Zoning Codes W J-*r'-€DATE W *ALL MANHOLES AND CLEANOUTS I''UST BE ACCESsIBLE, ADJUSTMENT To BE MADE AT No cosT To THE CITY ATTIC DRAFT STOPS & CURTAIN WALLS