HomeMy WebLinkAboutPermit Building 1989-02-28ilEL CITY OF SPRINGFIELD
COI,IBI NATI ON APPL I CAT I ON/PERMIT 726-37
Job Address uc ,,o
Legal Description /
e
EIIERGY SOIJRCES:Heat qrlf
i{ater Hearer &ee-7a e
Sq. Ftg. Access
Sq. Ftg. Other_
_llew_Add!*ttaF-Til-
_Fence_Demo_Cha nge/ U se
0ther
Ftg
Owner 114 j a.Val ur of l,lork: a{/f'rc
; Builriino Permit Info: Describe Work('Farnilv Residence l,lith Attached Garaoe
e., Build SingleAddressPhone-t
erenrr A/? ?7(i/
Construction Lender /tTl*\, * I C b s?.
l*
T
0
s
Address Phone
DESIGN TEAII name ics. no.exDl res ohone no-
a
Structura l
Pri ma
El ectrical
Hec han i ca l
name I CS. nO.exDr res ohone no.
{ttt
S\ ooE lec 1 ,7e
PLUIlB I NG ELECTR I CAL 14ECHAN I CAL
N0.FEE CHARGE NN FFF C HARGF NO FFF NHARGF
Each single fixture Residence of
FTSQ
furnace/burner to
BTU' s
4.P,
Relocated building
(new fix. additional)
-lfew circuits alts.
or extensions2-a.3/2?,8€
Floor furnace
and vent
S . F. Res i dence(1 bath)SERV I CE5 Recessed wal I
SDace heater and vpnt
Duplex (l bath) each
Temporary Constructi onAdditional bath Apol iance vent
se Da ra te
Change in existing
rps i dpnrcHater service Staticnary evap.
cool er
Sewer I ndus t-ri a I
multifamily, corm. or -a-Vent fan with
sinole duct
Storm Sewer 0f amps.Vent systeen apart from
heatino or A.C.
cor{.r./IND. FEEDERS
Mechanical exhaust
hood and duct
Instal I /al ter/rel ocatedistrib. feeders l,Jood stove/heauer
0f amps
ISSUANCE OF PFRIlIT
TOTAL CHARGES TOTAL CHARGES 2z-so T0TAL CHARGES lb,rry. /S 4
WHERE STATE LAl.l REQU
sha l I not be va l i'l unti l
IRES that the Electrical work
the label has been signed by
be done by an E1
an Electrical Su
ectrica'l Contractor, the e'lectrical portion of this permit
pervisor and returned to the Building Division
and correct, and I further certify that any and all work performed sha'll be done in accordance with the 0rdinances of the Cityof Springfield and the Laws of the State of 0regon oertaining to the work described herein, and that l.l0 0CCUPAI,ICY wilI be madeof any structure without the permission of the Building Division. I fLrther
Board is in full force and effect as required by ORS 701.055, that if exempt
only subcontractors and employees who are in comp'liance with ORS 701.055 will
llAl''lE(please print ICNATURE Tr?4
ion hereon s trueYEI inINED the completed apnl cation for Dermit, and do hereb.y certify that a
that my registration urith the Builder's
s for exemption is noted hereon, and that
on this Droject.
cert i fy
the sl
Ftg
Ftg
Ftg
zone Lh,/v
x u"_-/rW:-Load_____Sq/1e
I
Val
const. 34,/ units
Group
ValueBedrooms
Stories
ToTAL VALUATI0N_
FI ood Pl ai n
Fire Zone
l'la i n
. Access
0ther
i) ?zer. lr/qe
opment ,v.4 .Pl an Ck. Conrn/In-d
65%/B1do Per Fee 7/,*3 2 4-.?Svstems Deve'
Charqe (1.51'BUILDING PERI'IIT
Charges andSurcharges )
_//€._*___
Plan Ck. Res
30%/Bldq Per Fee
FencePLUi4BING PERMIT
rges and
ha rges Dgmo
Sidewal k
Total Cornb. Permit
ELECTRICAL PERI|IT
Charoes and
Surcfiarges v\__z?={o
A/C Paving
Curb Cut /{c q/TOTAL
I,IECHANICAL PERMIT/
Charges and (
Surcharges \--/-{@---.?5
:-
:I0R5
I
Pl rrmhi no
(
COI4BINATION 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 1. Block 3, 2nd Addition toSIffilTield EstatesC, Name, etc. of owner and construction lenderD, Energy Sources
PERMIT VALIDATION
1. examp l e-2, exampl e-
Square foota
heat,/electrica l cei I in or forced air qas
wa
ge
ter,e ec tr ca or soiar
E or valuati Ofl,
l. example- 1250 sq. foot house, 500 sq. foot garage2. example- if new project, check new - if addition,EI6I'-add, etc.
F Building perm
l. example -
a ttac hed
rit information:
construct single family house with an
9arage2. example - remodel existing garage into fami)y room3. example - convert single family residence into
restaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specia lty CodeH. DESIGN TEAI4 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.
Abbreviated Plumbing, Mechanicai, & 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. Ful I 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 onthe abbreviated schedules you should consult theful I schedulesC. BUILDING DIVISION STAFF HILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be del.ivered to theelectrical contractor for signature by his electricalsupervisor. The generai contractor is not authorized
t?7 trrII.
r7
61/
III.to sign the electrical label
Applicant to sign and date
IV
Hhenever possibie, the initial application will be used asa worksheet oniy. Where possible, Building Division Staffwill prepare a qype written copy and return it to theapplicant 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 theapplication, and no plans will be processed until thesefees are paid. All other fees and charges are due andpayable when the permit 'is issued.
FOR OFFICE USE ONLYv Permit Clerk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
Permit app'licant exempt from registration with the Builder's Board because:
Additional Project Information :
PLANS REVIEWED BY:
name S1 gnatu date 2- Z?- A>
-, Required ln spectron s ..
IT IS THE RESPONSIBILITY OE TIIE PNR]4IT HOLDER TO SEE TIIAT ALL INSPECTIONS ARE },IADE AT TI{E PROPER TI}'18,
THAT EACII ADDRESS IS READABLE FROTT TTII1 STRNET, AND TUAT TI]IE PERMIT CAND IS LOCATED AT TIIE FRONT OT THE
PROPI1RTY. RUILDINC DIVTSION APPIIOVED PLANS MUST RE ON JOB SITI1 AT ALL TIIIES.
PROCIiDURIi TOn REQURSTING LIISPECTIONS: Call 726-1769 (recorder) state you CITY DESIGNATITD JOB NUMBIiR,
job addrcss, typc of inspcction requesfed and vrhen-yorr_wi1l_be_reedy.for the inspection. .ContracEors
6r o,r.r"r" name-ind nhone'number. Iicqucsts received-before 7:00 am will be rnade the sarne day, requests
:ceceivcd afrer 7:00 am will be nade thc fo).lowing work day.
Your City Designated Job }trumber Is e?aa ?/
Owner Phone /os- /7
Contractor hDE-zL Phone :
SI'I'E INSPF.CTION: To bc madc A'ITIC DRAFT S'IOPS Ii CI'RTAIN I1'AI,I,S I NSP ONS: In t
aftct cxcovation, llut prior'
to sctup cf forms.
IJNI)NRSI,AI} PI,I'I,IRING, I]I,IIC'IRICAI,
f, IlllcllANICAl.: Tc bc madc bcfcrc
t,ny "'or*-C-covctcd.
CONCRETU Sl,All Il'lsl'licl'ION: Tc bc
on o ilding Codc a spcciul
nadc aEtcr ull inslab buil di ng
scr'vicc crquipnrcnt, concluit, piping,
lcccssolics and othcr ar.cillary
cqrripurcnt itcms arc in placc but
llc forc i.u1y concrct c i s poutctl .
'troot'r Nc# ti riotrNl)A'l'I oNS : 't'o bc nurdc
l'orns:rrc crcctcd, all stccl in
placc, l)trt ptior to Pouting concrctc
tlNnl:RcllotlND: Pl,.rml:ing, Illcctrical,
Ccs, Slnit;rry Scwcr, Stornr Scwcr,
l\,:rtcr an,J Dluinlgc lincs. To hc
nurdc priot to covcling or filling
ttcnchcs.
t)NDliRl:l.oOlt:, l'ltunbirrg, Illcctrical,
l4cchanical. To trc nradc prior to
instllllticn of floor insulation,
rlccking or floor shcathing.
l)OS'l'ti lltiAl.'l: 'l'o l>e nr:rdc Frior to
in:;tnll:rtion ofl t'locr it:sulntiotl,
dccking or floor :;hcating.
FI,OCR INSI.II,A'I'ION Ii VAPOR BARRII:RS:
t
ol: dccking or floor:;lrcating.
t'lASONllY: Stccl locltion, bond bcams
g*ritfrg or velticals itr accoLdancc
r,,ith U.l).C, Sccticn 24 15.
ll00I; Sll[A'l'llI ]lC A]ln NAI l,l NC: Prior
to inst:rlling :rny roofing' -,-yB@rll.ll:C!IANCIAl,: No tiolk is to bc covcr'
FIRI;l,l,ACIl: Prior to placing facing
nratcria I s and bcforc ['r;rning
inspect ion.
INSt,l^^.TION tt VAPOR BAIIRIt;llr To bcffina
requircd vapor barlict's arc in placc
but bcforc any lath or gypsum board
intcrior wall covering is applicd.
ljtlAMll{c: To bc matlc aftcr thc roof ,
ffi:Filming, firc blocking and
bracing:rLc in place and all pipcs,
chinncys :rnd vcnts ilrc complctc and
thc rough clcctricul, plunrbing and
hcating uircs, pipcs and ducts al'c
appr:ovcd.
FIRI; {i SnpAnATION ltAl.l,: Locatcd [i
@toplans.
OR CYPSTII',I ROARN TNSPIICI'ION
lo ot lt ll
inspcctor shal l bc crnploycd l>y thc Ov.'ncr/
Ccntlactor dtrring construccion of thc
fcllowing wotk, A ccpy of thc spcci.al
tcsting rcports shall bc fur:nishctl to thc
tluilding Division.
STntJCTUllAl, COllCltllTIi: ln cxccss of 300'lF3.r--@6?$-
STRIICTIJRAI, Nl:l,DS: Prcformcil on tltc
1d6:-@n n
ItIGll STnfNC'Tll BOLTING: Duting all
Eolt instatt:rtion and tighting
opcrations (306 a.5)
SPRAYED ON I:I RIIPROOI..II.IGffi (u.r].c
,@
E
a
SI'I:CIAI, GRADING, I]XCAVATION ANI)ffio,,.tt
6 Chilptcr 29)
rl g)'psum board, intclio: und cxtcrior,
is in place but bcforc $ny plastcri
is applicd or bcforc gypsurn board
jcints and fastcncrs arc tapcd and
firrishcd.
$loODSTOvf.S: Aftcf installation is
conlplcted.
SIDEI'IA|,K li DRIVEWAY: Rcquirerl for
;Tf concrcte paffi'[ within strcct
right-of-vay, to bc madc aftcr all
cxcavating complctc li form work G'
sub-basc material in placc.
CURn AND ApPRoACll APRON: Aftcr forms
arc crcctcd but Prior to pouring
concrctc
PARKINC I,O1'Aftcr gravcl is in
fllicc but prior to placing asphalt
or concrctc.
cl,t,-LAM]]!41!S: Inspcctior) Ccrtificatc'
Ey al aplrrcvcd agcncy, furnishcd to
thc Cityrs tluilding Division bcforc
bcams are placcd. (2501-U.B.C. STDS
25-10,11) .
x In addition to thc inspcctions
spccificd hcrcon, thc lluilding
Off icial :niry :r:akc or rcquir'o othcr
inspcctions of any constluction
r,,ork to asccl.tain cor:rpliancc rv.ith
thc Builtling, CitY or Zoning Codcstrr:ti I thcsc insi)cct io:rs havc bccn
cd
CITYIS SITE III,ANFINAL PI.UTII}INC
\,trl
I:INAL EI,I]SI'RICAL
bq
l;lNAI. l.lllcllANI CAl,
\n-l
FINAL TIRE DIPARTI.II}TT
BOAIID INSPIICTIOI.I: Must bc rcqucstcC 2 days in advancc of thc datc yot
All cct conCi such as landscaping, parking lot striping ctc. must
bc conrplctcd befcrc rcqucst ing this inspcction
$
FINAI, Bt,ILDING: Must be rcqucstc<l aftcr thc final Plunbing, Iilcctrical, l'lcchilnical anC Fi::c
Ecpartmcn;-flspcctions arc madc and approvcd. No Occupancy of.tlrc prcmiscs can be madc until
1 Lcrtificat" Lf o..rponcy hcs bccn isiuc<l by thc Building Divisicn and postcd on thc prcmisc
SI DATE
X
x
Y
Jcb Address:
lrltlc and lpnlovcd.
K
tr
tr
tr
*ll.t. rrr^Nrrol.E.s ANn.t.n^NoltTs \fltsT nn lccTissTnt.r!. AD.IIlS'rNlENT To RF [lAnE AT No cos'f To Tl!l: CITY-