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HomeMy WebLinkAboutPermit Mechanical 1983-02-14ON LINE.ON5COMB I TI APPL I ,TI RMIT Job Address 6G tA a.?J,fa*EIIERGY SOURCES: Hea t Ftg Ftg Ftg n Legal Description /-O2-3 -//llater Heater Sq. Sq. Access._ 0ther Ranqe Owner 4 Va I ue of tlork :fu.* s \, D!t $Address -fa*c.zW."4z2*Builciir Fami I y nq Re Pe si rrntit Info: Describe Work(, dence llith Attached Garaqe .e., Build Single /rysz.< ,iberr*a - Va*rt..rr/rs- Construction Lender Address Phone -{a*,ry* CZ;;i@ E;**. name address exoi res phone no. Pri ma E< Structura I El ectri ca l l'lechan i ca l name address lics- no,pYn I rpq ohone no- era l Pl umbi El ectri ca l flechanical PLUIIB I NG ELECTRI CAL MECHANICAL FFF CHARGE N0.FFF CHARGF NO FFF CHARG F 5 Each single fixture {4*Residence of SQ FT furnace/burner to BTLI' S Relocated building (new fix. additional) New circuits alts. %.:H,:T A6G /(2-.|t(). Floor furnace and vent S. F. Res idence(l bath)SERV I CES Recessed wal I SDace heater and vent Duplex (1 bath) each Additional bath Temporary Constructi on Apoliance vent sPDa ra tp [,later servi ce Change in existing res i dencp Stationary evap. cool pr Sewer mu1 ti fami 1y,comn. or Indrrstrial 2 Vent fan with s inole duct ta rtaJ.2.,' Storm Sewer 0f S. Vent system apart from heatino or A.C. coMr.r./rND. FEEDERS Mechanical exhaust hood and duct- I nsta'l I /a I ter/ rel ocate distrib. feeders tlood stove/heater 0f amps. ISSUANCE 0F pFRrlrT 10.G TOTAL CHARGES ?i*TOTAL CHARGES tql*TOTAL CHARGES /7,o' },HERE STATE LAI,I REQU shal l not be val i'l unti'l IRES that the Electrical work be the label has been signed by an done by an Electrical Contractor, the electrical portion of this.pernitElectrical Supervisor and returned to the Building Division I HAVE CAREFULLY EXAI1INED the completed application for oermit, and do hereb.y certify that all information hereon is true and correct, and I further cert'ify that any and all work Derformed shall be done-jn accordance with the Qrdinances of the Cityof Springfield and the Laws of the State of 0regon oertaining to the work described herein, and that NC OCCUPANCY will be madLof any structure without the permission of the Building Division. I further certify that my registration vlith the Builder's Board is in full force and effect as required by ORS 701.055, that if exempt the baiis for Lxemption is noted hereon, and thatonly subcontractors and ernployees who are in comcliance with Ol?S 701.055 will be used on this oroject. llAt"lE(piease print d ,L tuc ic S IGiIATURE rEC -/'?lrs zon"E.L/__Cg.Z ryee/con*.Jr/1?)R .units so. Fts. r,tai Valu Fire Zone Bedrooms Occy Load Ftg. Ftg. Access x Val uen.n".@--E;.r.-' T0TAL VALUATIoN_ Flood Plain S tories ?0c cy eroup 4 ?. / Sn BUILDING PERNIT Charges and 5u rcha rges v7.-o 26 Plan Ck. Conrn/Ind 65%lBldo Per Fep ?o. ga Svs Cha terxs Deve rqe (1.52 opmen t Plan Ck. Re 30%/Bldq Pe srF ee PLUi4BING PERMIT Charges and Surcha rges 2 oa qd Fence Dgmo ELECTRICP.L PERI,IIT Charges and Surcha rges ____/fr_:_,(e Sidewalk A/C Paving Tota'l Comb. Permit I,IECHAIIICAL PERHIT Charges and Surc harges At; I 7e Curb Cut Tl]TAL //f- q{ H :TOR S COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Descriptionl. example- Tax Lot 100, Lane County l,tap Reference 17 03 43 ^ITY OF SPRINGFIELD Cily Hall Springlield, Oregon Department ol public liyorks OFFICIAL RECEIPT No. B 314C3 Date ,)19 Rec'd From Shtn ,) /rt n (l.i,t,tt oh,n uTh Lot l. Block 3, ?nd Addition to eld Estates C. Name, etc. of owner and construction lenderD. Energy Sources 2 examp l e- Spri ngfi Address Received For:1. example- heat,/electrical cei ling/or forced air ga2. example- waterheater/electrical/or solarE. Square footage or valuation, etc.v* Clu 30 K l. example- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project, check new - if addition, check add, etc.F. Buiiding permit information:l. example - construct single family house with an attached garage 2. example - remodel existing garage 'into family rot3. example - convert single family residence into iEsTEIFant (change of-use)G. Value of work as defined in Section 303 (a) of the Structura'l Specialty CodeH. DESIGN TEAI4 AND CONTRACTORS To avoid design or construction delays, Build'ing Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc.II. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occur in the descriptionportion of the Mechanical and E'lectrical Schedu.les, the applicant need fill-in only the No. Boxes adjacerto the appropriate item(s) to be installedB. Full Plumbing, Mechanical, and Electrical Schedules are available at the Building Division1. To conserve space on the permit form the schedul, have been abbreviated2- If the item(s) to be installed are not covered o, the abbreviated schedules you should consult the ful l schedu'l esC. BUILDING DIVISION STAFF l,llLL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the'labe'l must be de'livered to theelectrical contractor for signature by his electricalsupervisor. The general contractor is not authorizedto sign the electrica'l 'label III. Applicant to sign and date I'lhenever possible, the initial appl ication wil'l be used as a worksheet only. lihere possible, Building Division Staffwill prepare a type written copy and return it to theapplicant at the time the actuai permit is issued for his s i gna ture-IV. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans wiII be processed until these fees are paid. All other fees and charges are due andpayable when the permit is issued. V. fOR OFFICE USE ONLY PLANS REVIEWED BY: SIGNATURE ARIG65 PRINTERS/LITHOGRAPHERS. EUGENE, OREGON Permit Clerk &tt(1C)4!,tlla 4f,, ( 4f,,o( ( Amount Received ()() O,L c r PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY: Permit applicant exempt from regjstration with the Builder's Board because: Additional Project Information : name s i gnatur date ? -/?€t = ( ( ( t. SPFII'CFU Orsner _Congctor: .. r(equired lnspecr rorls .. IT IS THE RESPONS]BILITY OF TIIR PER},IIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TI{E ?ROPER TI}IE,THAT EACII ADDR,ESS IS READABLE FRO}I T}iE STREET, AND THAT TIIE PER}III CARD IS LOCATED AT TIIE FRONT OF THEPROPERTY. BUILDING DIVISION APPP.OVED PIANS MUST BE ON JOB SITE.AT ALL TIITES. PPOCEDLTRE FOR REQUESTING IIISPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB NIIMBER,job address, EyPe of inspeccion requested and vrhen yorr will be reedy fbr the inspection. Conrractorior ouners nanne and ohone nurnber. Requests-received before 7:00 am will be rnade the sarne day, requestsreceived after 7:00 am will be nade the fo1-1or,ring work day. Your City Designated Job }lumber Is 83azea Jcb Acdress: 668a V*arFSfa* P> 4c,zs r* {Afrrszll,r. (er*<* pn""7?e- q?? r Phone SITE INSPECTION: To be rnade ;?ter=ca\r3tlAn, but prior to setup cf forms. U}|DERSLAB PL'J}IBI:(G, ELECTRI C.lL € IIICHI\ICAL: Tc be nade befcre any t'ork fcovered. CONCRETE SL.\B ISSPECTION: Tc be made after all inslab building service equipment, conduit, piping, accessories and othcr ancillary equiprnent items are in place but before any ccncrete is poured. FOCTINGS E F0Ur-D,\TICr*S: To be made after trenches are excavatcd and forns are erected, all steel in place, but prior to pouring concrete ATTIC DRAFT STOPS 6 CURTAI}I hIALLS FIREPLACE: Prior to placing facing materials and before franing inspection. INSULATION 6 VAPOR BARRIER: To be made aftcr all insulation and required vapor barriers are in place but before any lath or gypsur:r board interior wall covering is applied. FRAMING: To be made after the roof, Ell-Traming, fire blocking and bracing are in place and al1 pipes, chimneys and vents are complete and the rough electrical, plumbing and heating wires, pipes and ducts are approved. FIRE E SEPARATIoN lr,ALL: Located G ccnstructec according to plans, LATH AND/OR GYPSIJT,I BOARD INSPECTION -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. .UooDSTovES: After irstallation is ;omplil;a. SIDEI{ALK & DRIVEIItAY: Required for all concrete pavinf within street right-of-way, to be made after aIl excavating conplete 6 forn work 6 sub-base material in place. CURB AND APPROACH APRON: AftCT fOTMS are erected but prior to pouring concrete. PAR[lq-lltft After gravel is in place but prior to placing asphalt or concrete. IAL INSPECTIONS In accordance rr'ith lding Code a specialon inspector sha11 be employed by the Osner/ Ccntractor during construction of the fcllowing work. A ccpy of the speci.al testilrg reports shall be furnished to the Building Division. STRUCTURAL CONCRETE: F-=-Go6 a.1)- STRUCTUR{L IVELDS: 1;F.. @ri-il- In excess of 300-l Prefonned on the HIGH STRENG-TH B0LTING: During all -EoiT-ffi?ar1III6;=a tight ing operations (306 a.5) I.JNDERGROUND Gl,-sa;ita: TNDERFLOCR r FiechanLiT .: Plumbing, Electrical, ry Sewcr, Storm Sewer, :, Plumbing, Electrical, . To be made prior to SPRAYED ON FIREPROOFING: (U.B.C. SGnCarCs 43+)Weter anC Drainage lines. To be made prior to covering or filling trenches. SPECIAL GRADING, EXCAVATION .qND FILLINC: D.rring earth$ork, (306 a.11 & Chapter 29)x installstion of floor insulation, decking or floor sheathing. POST E BE,^,[t: To be made pricr to installation of flocr jnsul.ation, decking or floor sheating.. FLOCR INSULATION 6 VAPOR BARRIERS: To be made prior to installction of decking or flcor sheating. I.I\SONRY: Steel location, bond beans gro"ting or verticals in acccrdance with U.B.C. Secticn 2415. ROCF SIIEATII}:G A\:D NAILING: PTiOT to installing any root'ing ROUCII PI-U}IBING. EI,ECTP.ICAL & t-lEcllA.\*CI.\1.: No worl( is to be until these inspectio;rs have rnade and approved FINAL PLU}IBING FINAL ELECTRIC.{L FIN-,\L:tlEclLL\ICAL r COvered been GLU-LA}| BEAI{S: Inspection Certificate, by an approved agency, furnished to the City's Building Division before beans are placed. (2501-U.B,C. STDS. 2s-r0,11). *In addition to the inspections specified hereon, the Building Official nay nake or require other inspections of any construction work to ascertain compliance with the Building, CitY or Zoning Codes. tr clTyrs SITE PLAN REVIEII BOARD INSPECTIoII: Must be requestec 2 days in advance of the date ycu suchas1andscaping,parkinglotstri?i'n8etc.must be conrpleted hefcre requesting this insPection. FINAL BIIILDING: I'lust be reque steC after the final Plumbing, Electrical, ltechanical anC Fire Dcpartment rnspec tions are mad e and approvcd. No occupancy of the premises can be made until x X t ^ E FINAL FIRE DEPART}IEI.IT SICNA a ificate of occupancy has been issued b)' thc Building Divisicn ar:d postcd on the premises trr tr ' '{, .i ,:l Ii l!, 'i;tri.; lr{ t ilis, rl' i;,."1 I.t i.';l,! , :.I,I I Il., jr ' It n 't. :B aa ''i,.,.'. ril b ,^ft t1, ,,.' ;/' 'r i..-r.',i .. ri.t ,.':, ;i', : r.r;t.' ,r,'i.1 ,.1 i:idilllr,. |v I1.,.,,.\ l\J ., , j rt. tt -_; "J r;;"-.- r . i' , I I \l ..!- II I . r:, :r' ) Dare REcteveo ./a3 I BNo (at Occu iL}.gl- cnoue r/. 2./_*.ZoN UNrTE OccupaNcv l_cao ?, rYPE coNsr. { 1//R . _t':tr-oEscRrPrroN /7.a ?-3 ?'// - A2>a6 AooREss 6 CV.INER THE coNr.eNTs HERE oF HAVE EEEI{ REvtEWED. wrrH ALTERATiONS TNDIC]ITED lN COLOFIEg PENCiL. .::j it,lcEsOR ALTERATIONS MADE AFT:-R D.lT:i eEt-OW SHALL BEAr,pFovED By rHE ButLDlN.f oFFtclAL. CITY C)F SPRIi..IGFIET-D, OR[GOhI APPRoVED BY TE ) SToFt Es