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
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Legal Description /-O2-3 -//llater Heater
Sq.
Sq.
Access._
0ther
Ranqe
Owner 4
Va I ue of tlork :fu.*
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$Address -fa*c.zW."4z2*Builciir
Fami I y
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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
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4f,,o(
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Amount Received
()()
O,L
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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
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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
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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
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SToFt Es