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Home My WebLink AboutPermit Building 1987-11-04 (2)r, t COHBI APPL I CAI aa 4Legal Description Job Address Hea Ranqe EIIERGY SOURCES: l,later Heater Value of l,lorkfaza.& Sq. Ftc. I'lain_ Sq. Ftg. Access._ Sq. Ftq. 0ther_ l,lew Add Jl ter Rep. Use o'n"" ./Y/z-,/rzrry ./,<ure {oronr-yq Farni l c ra :e.r Build SingleAddress aga 9rxrg? 9r,Phone Construction Lender 6 W \ Dh,s Addre s s Phone DESIGN TEAI4 {naue address exo'i res ohone no. Structural Pri El ectri cal Mechanical IlaJ$e addres s I CS. nO.exDl res ohone no. El ectri cal It'lecha ni ca ! ELECTRI CAL MECHANICALPUfAITS FFF CHARGF NN FFF CHARGF NO FFF Each si16le f,!-xture Residence of furnace/burner to BTU. s ./New circuits alts U*PTLzfra ?.P Floor furnace and vent Re located fuildr'ng (new fir- addit.imal) Recessed wall Snarp he:tpr:nd vcnt S.F. Residence ( l bath)SERV I CES Duplex (l bath) eactr Temporary Construction Apol iance vent seDa rateAdditional batir ge in existing dencp Chan rec i Stationary evap. cooi erWater service Tndrrctria l multifamily, corrn. or Vent fan with sinole ductSewer 0f amps.apart from .c. Vent systern heatinq or AStorm Saer Mechanical exhaust hnnd and ductcoMr.r./IND. FEEDERS Instal I /al ter/rel ocate di stri b. fpcders }lood stove/heater 0f -amps. ISSUANCE OF PFRIIIT TOTAL CHARGESQ2-5->TOTAL CHARGESTOTAL CHARGES WHERE STATE l-1\l REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit shall not be ratil until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVECAREFUI-LY EIAMINED the completed application for permit, and do hereby certify that all information hereon is true and correct, and I further certify that any and all work oerformed sha]l be done in accordance with the 0rdinances of the City of Springfield and t}le !-aws of the State of 0regon oertaining to the work described herein, and that NC 0CCUPANCY wi'l'l be made of any strircture yitrhout the permission of the Building Division. I further certify that my registration with the Builder's Board is in full force and effect as required by ORS 70i.055, that if exempt the basis for exemption is noted hereon, and that only subcomtractors and empioyees who are in comoliance with ORS 701.055 wi]l be used on this project. l{Al'lE(please pri L I Ftg. l'lain Ftg. Acce Ftg. Othe ss x Val ue ",6-T ,-rutr"-@- Tone l/? ,/ tyoe/const. -{-: '. Uni tc 'I GroFlood Plain Sto ries / TOTAL VALUATI Fire Zone Eedrooms Occy Loa fD 7.rr# /afzq d--sq. upEZ-sq. terils Deve opmentiqe (i.sZtn:I )7f,*'Plan Ck. CoWInd 65%/Bldo Per Fee v=- a7.//<ra: Plan Ck. Res 30%/Bldo Per Fee BUILDING PERNIT Charges andSurcharoes 1'6 _*.-Sq- FencePLUI.IBING PERMIT Charges and Surcha rges Dgmo Sldewal k Total Comb. PermitA/C Paving ELECTRICAL PERIIIT Charoes andsurciarges L/\ Q--577 Curb Cut /s% 77TOTAL T,IECHANICAL PERMIT Charges and Surcha rges au^ onF sQ. FT. (r CONBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal DescriptionI. example- Tax Lot 100, Lane County Hap Reference 17 03 432. example- Lot 1. Block 3, 2nd Addition to Spiin--g-Fi el d EstatesC. Name, etc. of owner and construction lenderD. Energy Sources PERMIT VALIDATION ' l.,2.E. Squal. 2. example- heat exafril-e- wate re footage or /e\ceili forced air oas ,o lareec tr ca or5 vaiuation exampl e-1250 sqif new foot se, 500 sq. foot gair rage examp i e- afeEl--add project, check new - if add ion,, etc II F. Building permit information:1. example - construct singl.e family house with an attached garage2. example - remodel existing garage into family room3. examEle - convert single iailiiy-resiaence iniorestaurant (change of use)G. Va'lue 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 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 Schedulesare available at the Building Division1. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be insta'lled are not covered onthe abbreviated schedules you should consult theful l schedu lesC. BUILDING DIVISION STAFF l.lILL 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 general contractor is.not authorizedto sign the electricai label.Applicant to sign and date l,lhenever possible, the initial application wilI be used asa.worksheet only. Where possible, Building 0ivision Staffwill prepare a type written copy and return it to theapplicant at the time the actual permit is issued for his.signature. Fees and Charges Plan check fees are due and payable at the time of theappiication, and no plans will be processed until thesefees are paid. Ail other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY III. IV v Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: Permit applicant exempt from registration with the Builder's,Board because: Additional Project Information : PLANS REVIEWED BY: name s'l g nature date {,.. Required lnspect. -J'Is.. IT IS THE RESPONSIBILITY OF TIIE PER],IIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TI{E PROPER TI}IE, THAT EACII ADDRESS IS READABLE FRO}{ TEE STRRET, AND THAT TIIE PER].fIT CARD IS LOCATED AT TIIE FRONT OE THE PROPERTY. BUILDING DIVISION APPROVED PIANS MUST BE ON JOB SITE AT ALL TI}'ES. PROCEDURE FOR. REQUESTING IIISPECTIONS: Cal1 726-3769 (recorder) srare you CITY DESIGNATED JOB NIMBER, Job address, type of inspection requested and vrhen you will be reedy for the inspection. Contractorsor orrners name and rrhone number. Requests received before 7:00 am will be made the same day, requestsreceived after 7:00 am will be nade che following work day. Your City Designated Job Nurnber tr, .Q7O* b rf Job Address Gsner: _Con=ctor: SITE INSPECTION: To be made ffi;, but prior i .to setup of forms. ITNDERSLAB PLU{BING, ELECTRICAL 6 MECHANICAL: To be nade before any r*ork is covered. C0NCRETE SLAB INSPECTION: To beffiraing FOOTINGS 6 F0IINDATI0NS: 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, l{ster and Drainage lines, To be nade prior to covering or filling trenches. I,INDERFLOCR:, Plumbing, Electrical, Mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. Za Phone: Phone: ATTIC DRAFT STOPS E CURTAIN WALIS. 2 accordance rr'ith 306 o lding Code a special loyed by the Oh'ner/shall be emptor during construction of the following uork. A copy of the special testing reports shall be furnished to the Building Division. STRUCTURAL CONCRETE: In excess of 3000ffi:i.lme;.i)- STRUCTUR{L $IELDS: Preforned on theT;E;@17r- HIGH STRENGTH BOLTING:During all :-bolt installation and tighting operations (306 a.5) SPRAYED ON FIREPROOFING: (U.B.C.ffiaiia-a=8)-- SPECIAL GRADING, EXCAVATION .qND FILLING: During earthwork. (306 a.11 & Chapter 29) CLU-LAM BEA}IS Inspection Certificate, by an approved agency, furnished to the Cityrs Building Division before beans are placed. (2501-U.B,C. STDS 25-10,11) * 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 Buildingj., o' ,"T .:. FIREPLACE;ffiI;: Prior to placing facing and before framing : To be made prior to of floor insulation, ,,,- ,._.. decking or floor sheating FLOOR INSULATION & VAPOR BARRIERS To be made prior to installetion of decking or flcor sheating. ITIASONRY: Steel location, bond beamsgrdtlig or verticals in accordance with U.B.C. Secticn 2415. R00F SIIEATHIIIG AllD NAILING: Prior to installing any roofing, RO UGH P I,UIIIB I NC 1fiE**:-r@ -/ ffis to be cover until ttlese inspections have been made and approved. inspection. fi r !' INSULATION 6 VAPOR BARRIER: To be made after all insulation and required vapor barriers are in place but before any lath or gypsun board interior wal1 covering is applied. FR MING: To be nade after the roof, iEErning, fire blocking and bracing are in place and all pipes, chirnneys and vents are complete and the rough electrical, plurnbing and heating wires, pipes and ducts are approved, FIRE 6 SEPARATION WALL: Located 6 ccnstructeC according to plans. g)?sun board, interior and exterior, is in place but before any plasteri is applied or before gypsum boardjoints and fasteners are taped and finished. WOoDSTOVES: After installation is conplEGa. SIDEWALK & DRIVEWAY:Requi thinall concrete paving wi right-of-way, to be made after all E tr l"o fvl LATH AND/oR Gypst M BoARD rNspEcrroNt,4 r0 I I POSTEBEAM: I I installation .red for street excavating complet sub-base material e & forrn work 6in place. 8 CURB AND .{PPROACH APRON: After forns ed are erected but prior to pouring concrete, PARKING LoT: After gravel is in place but prior to placing asphalt or concrete. CITYTS SITE PLAN REVIEI{ BOARD INSPECTION: Must be requested 2 days in advance of the date you suchas1andscaping,parking1otstripi.ngetc.must be cornpleted befcre requesting this inspection. FINAL BUILDING:Must be requested after the final Plumbing, Electrical, Itlechanical and Fire Department inspections are made and approved. No 0ccupancy of the premises can be rnade until a Certificate of 0ccupancy has been issued by the Building Divisicn and posted on the premises SICNATURE DATE FIN.{L PTUMBING l ulfll FINAL ELECTRICAL i w FINAL iTECHANICAL FINAL FIRE DEPARTME}IT tr *ALL MNHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTII{ENT TO BE MADE AT NO COST TO THE CITY. T I