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HomeMy WebLinkAboutPermit Building 1988-01-07L _-_TTTY-O COHBI NATION T 726-3753 Job Address (EIIERGY SOURCES: Heat llater Heater Ra Ftg.n_ S<1. Ftg. Access._ Sq. Ftc. Other_ _l'lew__3d6-ll ter_Pep. _Fence_Demo_Chan gel U se -other- h, V s ut N Legal Description Value of l,lork/6.mOwner/ .//. fZamrrz s F-F<7 Address t/g= 5 ra. z c-7 -S<Phone Buildi.ng Permit Info: Describe l^lork( Farnily Residence llith Attached Garage :e., Build Single <?FL>2R Construction Lender 'd,r*. f.+B'^- e',hi&. Address Phone UL5IGN TEA}I NA'IAE address lics. no.exDt res ohone no. Pri ma ry Structural Mechani cal ACTORS nafle address 'I ics- no-)( pxn'rpq ohone no. General E4<>e * 6,Aze* -44q,2O ;AGB<rza, ^Zn.4afzV-l a PI umbi nq El ectr i cal t'lechani cal PLIJIAII{6 ELECTRI CAL MECHAN ICAL NO F[F CHARGF NN FFF .HA ANF NO FFF CHARGF Each sirqle f,ixture Residence of sQ FT furnace/burner to BTU' S Relocated tuilding (ner f,ir- a&itionall New circuits alts. or extensions Floor furnace and vent S. F. Pes'idence(l bath)SERV ICES Recessed wal l Soace heater and vent Duplex (l bath) each Additional bath Temporary Constructi on Apol iance vent separate l.later service Change in existing rpc i dpnre Stationary evap. cool er Sewer multifamily, corm or I ndu stri a I Vent fan with sinole drrct /zd Storm Ser*er 1{e 0f amps.Vent systern apart from heatino or A.C. COMI'I./IND. FEEDERS Mechanical exhaust hood and ducf. InstaI I /ai ter/re l ocatedistrih- fceders ['lood stove/heater 0f amps ISSUANCT OF PFRIIIT TOTAL CHARGES 59/"TOTAL CHARGES TOTAL CHARGES WHERE STATE l-llJ REQUIRES that the Electrical workshall not be vall'C untiI the label has been signed by be done by an Electri ' an Electrical Contractor, the electrical portion of this permit ca1 Supervisor and returned to the Building Division I D the comp I e ted apr)I c a f t do hereb,y certi fy tha t a I 'I 'I fo rmat 'I 0n n i s true the City be made I der' s and that a nd co mect.aad I further certi fy that any and al l State of Oreoon ssion of the Buil wo rk DE sha 'l I be do ne 'I accorda nce w'l th t he 0rdi nances 0 fofSpringfield arnd the La any struature vjthout WS of the oe rta '|n I ng to the wor k de 5C rl bed here i n a nd that NC 0ccuPAr,rcY w1 I IofthePermidIngD'I 'I s '|0n I furtherf exempt .055 wi l I certi fy tha t my reg 'I s trat 'I on vn th the Bui Boa rd I f,ul! force and effect as required by ORS 701 0s5 th at t the bas I s for exemr)ti on I s noted hereon o I subcontractor:and 1 who ,|n v emp oye a re n comc I 'I an ce WI th 0tls 7 0 us ed on th 'I S p roj ec + r,rAr.rE(please pant)/ort/*l/'E L- TerlK,n S s IGNATU /-z-ao Zone tLffT-T -{welconst.Uni t q. Ftg.t'lain x Value_ Fire Zone Bedrooms Occy Load Sq. Ftg Access Val ue Flood Plain Stories Occ.y Group Ftg n:tn""4A;-;', rOTAL VALUATI ue,/4,-.e>.^ 0N-- BUILOING PERI{IT Charges and Surcharges PIan Ck. Conrn/Ind 65%/B1do Per Fee -a.75 Svs Cha terns DerVe 51rqe (1 opment Q/0.oa Plan Ck. Res 30%/Bldq Per Fee PLUI,4BING PERMIT Charges and Surcha rges ___76.-i>Fence Demo ELECTRICAL PERI,IIT Charges and Surcha rges Sidewal k 3 r'tf.z{ A/C Paving //6. f,o Total Comb. Permit 18 V.7.f HECHANICAL PERMIT Charges and Surc harges Curb cut /-15//;.29 TOTAL //?z.r- El ectri ca! -i!, I. example- heat/electrical ceilinq/o2. example- waterheaGFleTectrJci' r Square footage or valuation,-ETil- l. example- 1250 sq. foot house, 500'2. exampie- if new project, checklEwcheck add, etc.F. Building permit information:1. exampie - construct single family house with anattached garage ?. example - remodel ex.isting garage into family roomJ. exampte - convert singie family residence .into . restaurant (change of use)G. Value of work ai defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construct.ion delays, Bu.ildingDivision Staff must be able to contact appropriitepersons.regarding des.ign information or job iitecorrections, etc. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Lxcept where blank spaces occur in the descriptionportion of the Mechanical and Electr.ical Schedules,the applicant need fill-in only the No. Boxes iajiient _ to the appropriate item(s) to be installedB. Full PIumbing, Mechanical, and Electrical Schedulesare available at the Buiid.ing Division1. To conserve space on the permit form the scheduleshave been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult theful I schedulesC. BUILDING DIVISiON STAFF WILL 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 generai contractor is not author.izedto sign the electricai label.Applicant to sign and date Whenever possible, the initial application will be. used asa.worksheet only. Where possible, Building Division Staffwil) prepare a type 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 andpayab)e when the permit is issued. FOR OFFICE USE ONLY COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal DescriptionL gglglg.: Tax Lot 100, Lane County Map Reference17 03 432. example- Lot l. Block 3, Znd Addition toSpringfield Estatesq. Name, etc. of owner and construction IenderD. Energy Sources II III IV V r forced air qas' solar sq. foot garage - if addition, E PERMIT VALIDATION t0r8 7 'n.-a-'tr Idr Permit Clerk tu PROJECT CoNDITIoNS TO BE SATISFIED BEFoRE oGCUP\NCY : f<-.r,zz7 /,=4r'.2-a.' 2-7-?B Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: s i gnaturename date /z-?Z:e2_ SPf,NTGiFIELD .. F.guired ln spec t?-n s .. 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 TROM T}JE STREET, AND THAT TIIE PERI.{IT CARD IS LOCATED AT TIIE FRONT OF THE PROPERTY. BUILDING DIVISION APPP.OVED PLANS MUST BE ON JOB SITE AT ALL TI}IES. PROCEDLTRE FOR. REQUESTING IIISPECTIONS: CaIl- 726-3769 (recorder) state you CITY DESIGNATED JOB NIMBER,job address, type of inspection requested and vrhen you will be reedy for the inspection. Contractorsor owners name and rrhone nunber. Requests received before 7:00 am will be rnade the sarne day, requestsreceived after 7:00-am will be nade the fo1-lowing work day. Your City Designated Job Number Is Job Address: qg3 €**C ,920?.f7 LE7 Owner: Contractor SITE INSPECTION: To be madeefter exceradon, but priorto setup cf forms. TJNDERSLAB PL'J},IBING, ELECTRICAL & IIECHANICAL: To be :nade befcre any rvork is covered. CONCRETE SLAB I}ISPECTION: To beffiraing service equipnent, conduit, piping, accessories and other ancillary equipment i.tems are in place but before any ccncrete is poured. FO0TINGS & FOUNDATICNS: To be made after trenches are excavated and forms are erected, all steel inplace, but prior to pouring concrete : Plumbing, Electrical, Storm Sewer, Phone: Phone: 447'?/7,f ATTIC DRAFT STOPS & CURTAI}I WALLS FIREPLACE: Prior to placing facing materials and before framing inspect ion . INSULA.TION 6 V/\POR BARRIER: To be made aftcr all insulation and required vapor barriers are in place but before any lath or gypsun board interior wa11 covering is applied. To be made after the roof, .g, fire blocki.ng and In accordance s'ith 306 o Building Code a special inspector shall be employed by the Owner/ ractor during construction of the fcllowing work. A ccpy cf the special stfug reports sha1l be furniShed to the Building Division STRUCTURAL CONCRETE: In excess of 3000 P.S.I. (306 a.1l STRUCTUR{L lttELDS: Preforned on thefi. rnnTlTtar HIGH STRENGTH BOLTING: During all 601t-ffi fi11atld;;a tight ing operaticns (306 a.s) /F4/t- SPRAYED ON FIREPROOFING: (U.B.C.ffi SPECIAL GRADING, EXCAVATION .AND FILLING: During earthwork. (306 a.11 & Chapter 29) GLU-LAM BEAI'IS: Inspection Certificate, by an approved agency, furnished to the Cityrs Building Division before beams are placed. (2501-U.B.C. STDS. 25-10,11) . * In addition to the inspectj.ons speci.fied hereon, the Building Official nay nake or require other inspections of any construction work to ascertain compliance with the Building, City or Zoning Codes. la w FRAMING: i]Frarnin llat er nade trenches. LJNDERFLoCR:, Plumbing, Electrical, l,lechanical, To be made prior to installaticn of floor insulation, decking or floor sheathiirg. POST E BEAM: To be made pricr to installation of flocr insulation, decking or floor sheating. . FLOCR INSULATION & VAPOR BARRIERS To be made prior to installation of decking or flcor sheating. I'IASONRY: Steel location, bond beansgrout6g or verticals in accordance with U. B. C. Secti.cn 24 15. R00F SIlEA'iHIllG ArlD NA.ILING: Prior@ ROUGH PLUITIBING, ELECTP.ICLL & iIECIIANCIAL: No uork is to be until these inspecti.ons have made and approved FINAL PLUMBING 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 & SEPARATIoN WALL: Located c ccnstructeC according to plans, LATH A\D/OR GYPSI]M BOARD INSPECTION: To be made after all lathing and g)?sum board, interior and exterior, is in place but befote any plasteri is applied or before gypsum boardjcints and fasteners are taped and finished. WOODSTOTTES: After installation is conpGGa: SIDEWALK G DRIVEWAY Required for all concrete paving within street right-of-way, to be made after all excavating complete $ forn work 6 sub-base material in p1ace. CURB .{ND APPR0ACH APR0N: After forms are erected but prior to pouring concrete PARKINC LOT:After gravel is in place but prior to placing asphalt or concrete. prior to cov To be fil 1 ingOT covered been a CITYTS SITE PLAN REVIEIJ BOARD INSPECTION: Must be requested 2 days in advance of the date you suchas1andscaping,pu,ki,g1otstriPingetc.must be completed befcre requesting this inspection. FINAL BIIILDING: I'lust be requesteC after the final Plumbing, Electrical, Ilechanical and Fire bepartment-E+ecti.ons are made and approved. No occupancy-of the premi.ses can be made until a Certifi.cate of Occupancy has been issued by the Building Divisicn and posted on the prernises q FINAL ELECTRICAL FINAL IUECHANICAL FINAL FIRE DEPARTTIEI.IT M SICNATURE DATE x e1 *ALL I,tA,^'iHoLrs AND cLEANours lrusr BE ACCESSIBLE, ADJUSTT.TENT To BE MADE AT No cosr ro rrE cITy 5r. ) INSPECTION LINE 726-37 69 CITY OF SPRiNGFIELD COHBI IIATI ON APPLICATION/PERI.I IT INFOR}IATION LINE 726-3753 h, V 0 ut N Job Address qB3 ,9*f.< 6 ? {->ElIERGY SOURCES: Hea liater Heater Ranq Sq Sq Sq Fto. llai n_ Ftq. Access._ Ftg . 0therLegal Description Value of tlork:/6,m0wner/ .9. fZz.qBz s F<F<7 Addres s Phone rmit In Desc d Single Construction Lender 'd-rs,--. r;;?^_- e' -?m. Addres s Phone narne addres s 'I i cs. no.exoi res ohone no- Primary Structural lst C) nA E l ectri ca I Hechani cal narne addres s I i cs. no.exD l res Dhone no-' General TFAra;a' * d2agav 7le?o /AGZza,,z<, Azr.qEf>/-v-f -/'/e a 7 P I umbi nq El ectri cal I'techani cal PLUNBIIi6 ELECTR I CAL MECHAN ICAL FFF CHARGF NN FFF THAAGF I'10 FFF l.HAPGF Each single firture Residence of SQ FT furnace/burner to BTU' s Relocated bri!dinq (new fir. additimall New circuits alts. or extensions F'loor furnace and vent S. F. Resirihnce(l bath)SERV I CES Recessed walI Soace heat-er and vent Ouplex (l bath) each Additional bath Temporary Constructi on Apoliance vent seoa rat P [.later service Change in existing rpc i dpnce Stationary evap. cool er Sewer multifamily, corm. or Indrr<trial Vent fan with sinole duct /2d Storm Serrer 3{*0f Vent system apart from heatinq or A.C. c0Hr.1./rND. FEEDERS Mechanical exhaust hood and drrct I ns ta I I /a I terl rel ocate dist-rih- feeders llood stove/heater 0f amps ISSUANCF OF PFRIIIT TOTAL CHARGTS 55"TOTAL CHARGES TOTAL CHARGES WHERE STATE I-1lI TqUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this pernit shal'l not be valii until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVI CARIR]LI-Y EXAMINED the completed apolication for oermit, and do hereb.y certify that all information hereon is true oerformed shall be done in accordance with the 0rdinances of the Cityand correct, and tr further certify that anyof Springfietrd ard the Laws of the State of of any stru€tur€ rithout the permission of and all work 0regon the Buil pertaining to the work described herein, and that N0 0CCUPAHCY will be made di n9 701 Division. I further certify that my registration vrith the Builder's Board is in full 'force and effect as required by ORS .055, that if 'exempt 055 wilI the basis for exemption is noted hereon, and that only subcontractot= and employees who are in comcliance with 0l?S 701.used on this Droject r,rAt'rE(prease pant)/a4/*/t'E L re)/<th S sr /- z- an FoR 0F ZoneJDZ-tyoelConst. Units Sq. Ftg Fire Zone Bedroqns . Occy Load Sq. Ftg Flood Plain Stories 0cc.y Group Sq. FtS 1\ t'la i Value Access x Val ue nrn"r T rrr-+ r-----r. h"4= * TOTAL VALUATIOII,'A:l BUILDING PER''!IT Charges and Surcharges Plan Ck. Conrn/Ind 65"1/B111o Ppr Fpp I -a.75 Svs Cha ter,ls Deve rqe ( 1.57 opmdqt z 2/o3av PIan Ck. Res 30%/Bldq Per Fee PLUT,IBING PERMIT Charges and ( Surcharges )___35.=_Fence Dgmo ELECTRICAL PERI!IT Charges and Surcha rges Sldewal k 3t't.)tf.z{ A/C Pavins ce //6. f,o Tota'l Comb. lermit /.a v.7s HECHANICAL PERHIT Charges and Surcha rges curb cut /-95//s-29 TOTAL //?z.roP a COMBINATION APPLICATION/PERMIT ( CAP) l. Applicant to furnishA. Job AddressB. Legal Description l. _Ctqp.l_q.: Tax Lot 100, Lane County Map Reference17 03 432. example- Lot l. Block 3, 2nd Addition toSEifilTield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources 1. examol e-^+t. examo I e-E. squaiE-T66-ta PERMIT VALIDATION I 2 example- 1250 s, example-. if new EIEEk'-l-dd, etc. heat/el ectrical i I in or forced air qas water ter e or solarge or valuation , etc. house, 500 sq. foot garage, check new - if addition, q. foot proj ec t F. Building permit information:1. exampie - construct s.ingle family house with anattached garage ?. gx?mo]e - remodel existing garage into family roomJ. exam,ote - convert single family residence .inio ^ resfiurant (change of-use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAI.I AND CONTRACTORS To avoid design or construction delays, BuildingDivision Staff must be abie to contalt appropriitepersons.regard.ing design information or job sitecorrections, etc. Abbreviated Plumbing, Mechanical, & Electrica.l SchedulesA. Except where blank spaces ociur in ihe aescr.iption--portion of the Mechanical and Electrical Schedulei,the applicant need fill-in only the No. Boxes adjaient_ to the appropriate item(s) to be installedB. Full PIumbing, Mechanical, ana Electrical Schedulesare available at the Building Division1. To conserve space on the-permit form the scheduleshave been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult iheful I schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES0. As noted on the CAP, the label must be delivered to theelectrical contractor for signature by his electriiai - supervisor. The general coniractor is not authorizedto sign the electrical iabelAppiicant to sign and date llhenever possible, the .initial application will be used asa.worksheet only. l.Jhere possible, Build.ing Oivislon S[aiiwill.prepare a type written copy and returi it to theapplicant at the time the actuai permit is isiueJ io. nls. s i gna ture. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans wiil be processed until thesetees are paid. All other fees and charges are due andpayable when the permit is .issued. FOR OFFICE USE ONLY II III IV ftt b( l- 't- g{ v Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: cant exempt from registration with the Builder,s Board because:Permit appl i Additional Project Information : PLANS REVIEWED BY: s ignaturenameZ date ? I - g rna<HL D Req u ire d lnspe ""ions.. IT ]S THE RESPONSIBILITY OF TIIE PER}4IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TI{E PROPER TI}.IE, THAT EACII ADDR.ESS IS READABLE EROI{ TTJE STREET, AND THAT TIIE PERI.,fIT CARD IS LOCATED AT TIIE FRONT OF THE PROPE,RTY. BUILDING DIVISION APPB.OVED PLANS MUST BE ON JOB SI,TE AT ALL TI}IES. PROCEDURE FOR REQUESTING INSPECTIONS: Ca11 726-3769 (recorder) state you CITY DESIGNATED JOB NIIMBER,job address, type of inspection requested and vrhen yorr will be reedy for the inspecticn. Contractorsor otrners name and phone nunber. Requests received before 7:00 am will be nade the sarne day, requestsreceived after 7:00-am will be nade the foLlorving work day. Your City Designated Job Number Is c?D.a7D Job Address Owner =Phone: conrractor,4,4z 5*.rp / €Aeya< ph.one 7a{-/9/S SITE INSPECTI0N: To be made ffi; e*c-avat6n, but prior to setup cf forms. TJNDERSLAB PLtn{BING, ELECTRICAL 6 :IIECHANICAL: To be nade befcre anfi;I-Iicovered. C0NCRETE SLAB INSPECTION: Tc be made after all inslab building service equipment, conduit, piping, accessories and other ancillary equipment items are in place but before any concrete is poured. FOOTINGS 6 F0UNDATI0NS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to pouring concrete LNDERGROUND: Plumbing, Electrical, Gas, Sanitary Sewer,zdtorm SeweD Water and Drainage 1ines. To be made prior to covering or filling UNDERFLOoR:, Plunbing, Electrical, Mechanical. To be made prior to installaticn of floor insulation, decking or floor sheathing. POST 6 BEAM: To be made prior to installatj.on of flocr insulation, decking or floor sheating. FLOCR INSULATION E VAPOR BARRIERS To bc made prior to installetion of decking or floor sheating. I'IASONRY: Steel location, bond beams grouting or verticals in acccrdance with U. B. C. Secticn 24 15. ROCF SIIEATHIIIG A\D NAILING: Prior to installing any roofing. ROUGH PLUtrlBINGT ELECTP.ICAL 6 IIECIIANCIAL: No worl( is to be covered until these inspections have been made and approved. >4 FIREPLACE: Prior to placing facing materials and before framing inspection. INSUT-a,TION & VAPOR BARRIER: To be made after all insulation and required vapor barriers are in place but before any lath or gypsun board interior wa11 covering is applied. IAL INSPECTIONS: In accordance r.,ith on 306 lding Code a special inspector shal1 be employed by the Owner/ Ccntractor during construction of the fcllowing work. A ccpy of the special testing reports shal1 be furnished to the Building Division. STRUCTURAL CO}JCRETEF.sr-13I6-lt--In excess of 3001 STRUCTUR{L }/ELDS: Preformed on the )ob. (2722 f) HIGH STRENGTH BOLTING:During all bolt installati.cn and tighting operaticns (306 a.5) SPRAYED 0N FIREPROOFING: (U.B.C StanCarCs 43-8) SPECIAL GRADING, EXCAVATION AND FiLLiNG: During earthwork. (306 a.11 fi Chapter 29) GLU-LAI,I BEAI1S Inspect ion Certificate, by an approved agency, furnisheC to the City's Building Division before beams are placed. (2501-U.B.C. STDS. 25-10,11) . FRAMIIIG: alf-Tramin To be made after the roof, .g, fire blocking and FINAL PLU}IBING FINAL ELECTRICAL tl bracing are in place and all pipes, chirnneys and vents a:'e complete and the rough electrical, plurnbing and heating wires, pipes and ducts are approved. FIRE 6 SEPARATION IVALL: Located & ccnstructeC accorCing to p1ans. LATII AND/OR GYPSUIvI B0ARD INSPECTION: To be made after all lathing and g)?sum board, inte:'ior and exterior, is in place but before any plasteri is applied or before gypsun boardjcints and fasteners are taped and finished. WOODSToVES: After installation is conpl et ea. SIDEWALK & DRIVEWAY:Required for all concrete paving within street right-of-way, to be made after all excavating complete & form work & sub-base material in place. CURB AND APPROACH APRON: After forms are erected but prior to pouring concrete. PARKING LOT: After gravel is in place but prior to placing asphalt or concrete.40, a t BOARD I on. A11 project ons * In addition to the inspections specified hereon, the Building Official nay make or require other inspections of any construction work to ascertai.n conpliance with the Building, City or Zoning Codes Irlust be requested 2 days in advance of the date you such as landscaping, parking lot striping etc. must tr K tr CITYIS SITE tr be conraleted befcre requesting this inspection. FINAL BIIILDING: Must be requesteC after the final Plumbing, ElectricaI, llechanical and Fire Dcpartmcnt inspections are made and approved. No Occupancy of the premises can be made until a Certi.ficate of Occupancy has been issued b)' the Building Divisicn and posted on the premisesFINAL I\{ECHANICAL FII.IAL FIRE DEPARTITIEI'IT SICNATURE DATE x tr *ALL TT NHoLES ANII cLEANours luusr BE ACCESSIBLE, ADJUSTIUENT To BE IiTADE AT No cosr ro rHE cITy tr trr AITIC DRAFT STOPS & CURTAIII WALLS.