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Home My WebLink AboutPermit Building 1984-06-28CIIY OF SPNINGTITLD COA{BINATION APPTICATION / PERMII INFORIAATION I,INE 72G3753INSPECTION tINE 72&3769 De scription Woter Heoler ENERGY SOURCES: Heot - -Fence-Demo-Chonge/ Usc ArL^ - -Rep.-New Sq. Ftg. Access. Sq. Ft9. Sq. ttg. ,r{oin cOwner of Work:PMO Voluet Phone Residence With Arto B ng Permit lnfo: Describe Work (i.e., Build Single Fomil a uction Lender o0 C h-c Address Phone DESIGN TEAM (nome)(oddress)(lics. no.)(expi re:)(phone no.) 'l:':!:':1-.- (nomr.)(odc;;:s)(lics. no.){ezpire s)(phcr; n...) "Qg.E"!-- _. r'1rrt9t ns_ - AL)& o_ *ZC<_l Btnr4 1) raoez<A.os--@|zo il Q - -Z&* d,( aqur My {.uaetLe- tl --_4t5:1zs- -I t I I JI I--1 I I Eie cirircl PLUMBING ELECTRIC.AT fiECHAFIiC}.1 I I ICtiARGENO.!.{o"CHARC..i:FEEFEEFEECHARGT Ecch single fixlure 5-(.oo Residenca of -sq. ft. Relocored building (new fix. odditionol) New cirruifs, olterotions or exlensions furnoce/burner io --BTU'rApplionce vont seporore S.F. Residence (l both)SERVICES Stolionory evop. ooler Duplex (l borh) eoch Temporory Conslruclion Vent fon with sirgle duct Amps, Venf syslem oport from heoting or A.C. Mechonicql exhoust hood ond duct Wood rtove/heoter Additionol bath Woter service FEEDERS Heot Pump Ampr. Air hondler to r0,000 cFM H\r\rt+,.rnQu,,rs \oc()Air hondler over 10,000 cfM TOTAT CHARGES WHERE.SIATE tAw SEOUIRES thot the Elecirical work be done by the Electr;Gql .Contrsctar, the clectricol .porlion,of thir permit rhsl! not, bo vqlid untit clobel hos beon rigae.d by on Electricrl Controcior ond ottochsd to the electricol ponel. I HAVE CAREFUILY EXAMINED .the completed opplicotion for permil, cnd do hereby certify |hot oll informotion hereon is true ond correcf, ond I furthercertify thot ony ond oll work performed sholl be done in occordonce wifh the Ordinonces of the City of Springfield ond the Lows of thc itsta crf Or"lonPertoininE to the work described herin, ond thot NO OCCUPANCY will be mode of ony structure witirout tie fermission or the au;tl;ng,Division. lfurtherertlfy thot my registroiion with the Builder's Boord is in full force ond effect os requirei by oRS 7ol,oss, thot if exempt the bosis for exemption is nofedheron, ond thot only subcontroctors ond employeel who ore in complionce wirh OhS 7Ol.Oi5 will be used on rhis proieci. TOTAT SIGNATURE DATE J ro /L7 / ISSUANCE OT PERATII TOTAI. CHARGES NAME (pleose prinr) Bosis for Builder's Boord exemption:AukR€QaeecTore FOR OFFICE USE ONI.Y Fire Zone - Bedrooms Occy Flood Ploin - Storie. Occy x Volue x -lqls6 I -fqlge MoinSo Group Ftg. Accels TOTAT VAI.UATION Zone TyP"l Consr. Sq. Ftg. Other---_-_ lg:Ll_ 6t-l (,4__ 9l.oo ( o3 olX(Systems Development Chorqe (,l.5%)$.NBUITDING PERMIT Plon Ck. Comm/lnd 2B 3?.-Per Fee Plon Ck- Res Chorges ond Surchorger Per Fee PLurt^BING PERMIT Chorges ond Surchorges \ Demo co qo Tolol Comb. PermitICAL PERMIT SidewolkChorges ond Surchorges MECHANICAL PERMIT Chorges ond Surchorges Curb Cut TOTAI.$r.GB '€ f7 S{e-zev Sf.Job Address \ ct: 2\ \(a- q\cn-*Ronqe Addre:s ZaaO 4ZZ.ttopf E-udetu{ de A/. I Primory =-S"Yst..-----.-.- -,- 5torm Sewer \o oo COMBINATION APPLICATION/PERAftr' (CAP) l. Applicont t9 furnish A. Job Address B. Legol DescriptionI. exomple-tox lot I00, tone County Mop Reference I7 03 432. exomple-Lot I. Block 3, 2nd Addition to Springfield Estotes C. Nome, etc. of owner ond construction lender D. Energy Sources -PERMIT VALIDATION fr Permit Clerk 4- b "/rQ ,/ ,"lu { 2 E. Squore footoge or voluofion, etc.l. exomple-.l250 sq. foot house,500 sq. foot goroge 2. exEEEjE-iTTew proiect, checki&-if oddition, check odd, etc. F. Building permil informolion:l. exomple-conslruct single fomily house with on otloched goroge 2. exomple-rernodel existing goroge irrlo fomily room 3. dAmife-converl single fomily residence into rritollr:nt (r:honge of use) G. Vclue of vrork os defined in Section 303 (o) of the Struciurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or conslruction deloys, Building Division Stoff must be oble lo contoct oppropricte Persons regording design informotion or iob site correclions, etc. !r. ,A,bbrevioted Plumbing, Mechonicol & Electricol Schedules A. Except where blonk spoces occur in the description portion of the Mechonicol ond Electricol Schedules, the opplicont need fill-in only the No. Boxes odiocent to the oppropriote item(s) to be instolled B. Full Plumbing, Mechonicol, ond Elecfricol Schedules ore ovoiloble ot the Building Division l. To conserve spoce on the permil form the schedules hove been ohbrevioted 2. lf rhe item(s) lo be instolled ore nol covered on the obbrevi- oted schedules you should consult rhe full schedules C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES lll. Applicont to sign ond dole Whenever possible, the initiol opplicotion will be used os o worksheet only. Where possible, Building Division Sioff will prepore o typewrilten coPy ond return it to the opplicont ot the time the octuol permit is issued for his signoture. lV. Fees ond Chorges Plon check fees ore due ond poyoble qt the time of the opplicotion, ond no plons will be processed until lhese fees ore poid. All other fees ond chorges ore due ond poyoble when the permit is issued. V. FOR OFFICE USE ONLY exomple-heot/electricol ceiling.r'or forced oir gos e xEfr-FIE - w o t e r TEE IEI/EI e c t r i c o 1,.' o r-i oIET- PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Additionol Proiect lnformolion: PLANS REVIEWED BY signoture ( no dole (o-Zt-tL\ SPR!,I'GFELO aa rquired Ilnspec Jns.. IT IS THE RESPONSIBILITY OF TIIE PER!4IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TIIE PROPER II}IE, TIAT EACII ADDR.ESS IS READABLE TRO}T I}iE STREET, AND THAT TIIE PERMIT CARD IS LOCATED AT TIIE FRONT OF THEPRoPERry. BUTLDTNC DrvrsroN Appp.ovED ptaNs MUST BE oN JoB sr.TE AT ALL TrlIES. PROCEDURE FOR REQUESTING IIISPECTIONS: Ca1l 726-3769 (reccrder) state you CITY DESIGNATED JOB NtMBER,job address, type of inspection requested and vrhen yorr will be ready for the inspecticn. Contractorsor otrners name and phone nurnber. Requests received before 7:00 am will be nade the same day, requestsreceived after 7:00-am will be nade the folloruing work day. Your City Designated Job Number Is qqr\r\L\n Job Address SR\ S\\\x a.G6(.L Ot'rner !..\ \ \Xf C-q 'vr* Phone \\\ Contractor: SITE INSPECTION: To be made after excavation, but prior to setup cf forms. I'NDERSLAB PLIN{BING, ELECTRICAL € IIECHANI$L: To be nade befcre any Nork is covered. CONCRETE SLAB INSPECTION: To be nade after all inslab building service equipnent, conduit, piping, accessories and other ancillary equipment items are in place but before any concrete is poured. FO0TINGS G FOUNDATI0NS: To be made after trenches are excavated and forms are erected, all steel inplace, but prior to pouring concrete. LNDERGROUND: P lurnb ing, Electrical, Gas, Sanitary Sewer, Storrn Sewer, Water and Drainage lines. To be nade prior to covering or filling trenches. LJNDERFLOCR:, Plumbing, Electrical, Mechanical. To be made prior to installaticn of floor insulation, decking or floor sheathing. POST E BEAM: To be made prior to installation of flocr insulation, decking or floor sheating. FLSJR INSULATION & VAPOR BARSIERS: To bc made prior to installation of decking or floor sheating. IIASONRY: Steel location, bond beams grouting or verticals in acccrdance with U.B.C. Section 2415. ROOF SIIEA'IIII}]G AllD NAILING: Prior to installing any po{ilg.i- _- ROUGH PLUTfBING, ELECTRICAL 6 . l.lECHA.r,lCIAL: No work is to be cov fitll-TEese inspections have been made and approved. FIN.{L PLI'MBING FINAL ELECTRICAL ATTIC DRAFT STOPS E CURTAIN WALLS ECIAL INSPECTIONS: In on L\qt -c\q \ \ Prior to placing facing and before framing ce lding Code a special inspector shall be employed by the 0rrner/ntractor during construction of thefcllowing work. A ccpy of the special ng reports shall be furnisheC to the lding Division STRUCTURAL CONCRETE: In excess of 3001 P.S. I. (306 a.1) STRUCTURc,L hTELDS: Preformed on thej.b. @rr7) HIGH STRENGTH BOLTING: During all. _ bo_ft iiltallatlcn and tighting operations (306 a.5) SPRAYED ON FIREPROOFING: (U.B.C.@ SPECIAL GRADING, EXCAVATION .d\D FILLINC: During earthwork. (306 a.11 G Chapter 29) GLU-LAII BEAIIS: Inspection Certificate, by an approved agency, furnisheC to'the Cityrs 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 FIR.EPLACE: ;aterial s v FRAI'IING: Eff-Tr., inspection. INSUTA.TION E VAPOR BARRIER: To be nade aftcr all insulation and required vapor barriers are in place but before any lath or gypsurn board interior wall covering is applied. To be nade after the roof, ing, fire blocking and bracing are in place and all pipes, chinneys and vents are conplete and the rough electrical, plumbing and heating wires, pipes and ducts are approved. FIRE 6 SEPARATI0N ltrALL: Located 6 rl ccnstructec according to plans. I.ATH AND/OR GYPSIJM BOARD INSPECTION: 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 boardjcints and fasteners are taped and finished. WOODSTOVES: After installation is conpiEtla: SIDEWALK & DRIVEWAY Required for al1 concrete paving within street right-of-way, to be made after all excavating complete 6 form work G sub-base material in place. CURB AND APPRoACH APRON: After forns are erected but prior to pouring concrete. PARKING LOT: After gravel is in place but prior to placing asphalt or concrete.l./ered CITYTS SITE PLAN REVIEW BOARD INSPECTI0N: Must be requested 2 days in advance of the date ycu wish inspection. All project conCitions such as landscaping, parki.nt lot striping etc. nust be completed befcre requesting this inspection. FINAL BUILDING: Must be requesteC after the final Plumbing, Electrical, llechanical and Fire Department inspections are made and approved. No Occupancy of the premises can be msde until a Certificate of Occupancy has been issued by the Building Divisicn and posted on the premisesFINAL I'IECHANICAL FINAL FIRE DEPARTIIE}IT 7-/ Pp/DATE *ALL I'IANHoLES.\ND cLEANours lrusr BE AccEssIBLE, ADJUSTT'IENT To BE IT,ADE AT No cosr ro rHE cITy -!'-.- tr u tl