HomeMy WebLinkAboutPermit Building 1985-11-04v
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IIISPECTION LI
726-37 69 '2or //. zz,ryD APPLI 726-3753c0r1BI
l-egal Description
Job Address
Hea
Rancle
EIIERGY SOURCES:
l(ater Heater
Value of l,lork d3ae
Sq. Fto. l.lain 53 2ESq. Ftg. Access.--
Sq. Ftg. 0ther_
J,lewgAddJlIet[ep._
_Fence_Demo Change/Use
-other-Owner
Bui I cii
Farni lv no Pernit Info: Descr' Residence [,lith Attachr
.€., Buiid SingleAddresl ni,' Z ./'c pru€ll ,q-qJ enon'7Nflvil
Construction Lender
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s
rh
Addres s Phone
name address lcs. no.exD l res ohone no.
Pri mary
Structura I
E l ectri caI
Hechan icaI
name addres s "l i cs. no. 'exD l res ohone no.
General TQDDA,
P'l umb inq
El ectri ca l
I'techani ca l
PLUI{B I NG ELECTR I CAL MECHAN I CAL
FFF CHARGFN0.NO FFF CHARGF NO FFF CHARGF
Each single fixture Residence of
SQ. FT
furnace/burner to
BTU' s
Relocated building
(new fix. additional)
New circuits alts.
or extensions
Floor furnace
and vent
S.F. Residence(l bath)SERVICES Recessed wal l
Snace hp:tpr and vent
Duplex (l bath) each
Additional bath Temporary Constructi on Apol iance vent
seDa rate
[.later service Change in existing
res i dence
Stati onar.v evap
cool er
Sewer multifamily, comn. or
I ndu stri a I
Vent fan with
sinole duct
Storm Sewer 0f amps.apart from
.c.
Vent system
heatinq or A
coMtt./IND. FEEDERS
Mechanica.l exhaust
hood and duct
I nsta I I /a I ter/rei ocate
di st-ri h. fepders l'lood stove/heater
0f amps
ISSUANCE OF PFRNIT
TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES
I'IHERE STATE LII'I REQUIRES that tlte Electrica] work be done by an Electricai Contractor, the electrical portion of this permitshall not be valij until the label has been signed by an Electrical Supervisor and returned to the Building Division
I HAVE CAREFULLY EXAHINED the completed apolication for oermit, and do hereb.y certify that all 'information hereon is true
and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the Cityof Springfield and the Laws of the State of Oreqron oertaining to the work described herein, and that NO 0CCUPAI,ICY will be madeof any structure without the permission of the Building Division. I further certify that my reqistration r,rith the Bui'lder'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 employees who are in comcliance with 0l?S 701.055 wili be used on this oroject.
oarc /t/-tFIGNllAtlE ( p1 ease pri nt
Ftg
Ftg
Ft9
TOTAL VALUATION--7€
up
Tone__,4,L___IyoelConst. Y-Al Uni ts
Fire Zone Bedrooms 0ccy Load
'I
Val
lue
A a;s
0therFlood Plain Stori es
l'la i n
Access
Group Sq
+
PIan Ck. Corm/Ind
55%/81dq Per Fee 6,5t)Svstems Deve'
charqe (1.52'opmentBUILDING PERNIT
Charges and
Surcha rges
/o oo
Plan Ck. Res
30%/81dq Per Fee
FencePLUI4BING PERMIT
Charges and
Surcha rges Dgmo
Sidewal kELECTRICAL PERI:IT
Charges and
Surcha rges A/C Paving Total Comb. Permit
Curb CutHECHANICAL PERMIT
Charges and
Surcharge s TOTAL 4,ru
)e l,lo rk (I Garaoe
ht ltrbed h)hea l^uJf^yN
Ifr
ILAI4
ACTORS
coMEtNATI0N AppLICATION/pERilIT (CAp)
I. Applicant to furnishA. Job AddressB. Legal Descriotionl. gluTplg: Tax Lot 100, Lane County Map Reference17 03 43
2
c
D
gxample- Lot 1. BIock 3, Znd Addition toSpringfield Estates
Name, etc. of owner and construction IenderEnergy Sources
r gas
E squ
2
I
2
ra ge
ion,
II.
F. Building permit information:l. exampie - construct single family house with an
- attached garage
1. glglpl. - remodet existing garage .into fami)y roomJ. exampte - convert single family residence intorestaurant (change of use)G. Value of work ai defined in Section 303 (a) of the. Structural Specialty CodeH. DESIGN TEAI.| AND CON1RACTORS
I:::::d 9:rlgn or construction delays, Build.ingulvlston Staff must be able to contatt appropriitepersons.regarding design information or jbO iltecorrections, etc.
Abbreviated Plumbing, Mechanical, & Electrica.l SchedulesA. r.xcept tvhere blank spaces occur in the descriptionportion of the Hechanical and Electrical Sctreiujei,the applicant need fill_.in onty the No. Boxes iajii"nt_ to the appropriate item(s) to 6e installedB. Full plumbing, Mechanicji, i.a-Ef"liiicat Schedutesare available at the guiiding Division1. To conserve space on the-permit form the scheduleshave been abbreviated2. lI thg item(s) to be installed are not covered onthe abbreviated schedules you shouid consult theful 1 schedulesC. BUILDING DIVISION STAFF t.lILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULESD. As noted on the CAp, the label must be delivered to theelectrical contractor for signatur" ui ni, "iuii"ii.i'-supervisor. The general conlractor i-s.not authorized
Applicant to sign and date
lJhenever possible, the initial application wil.l be used asa-worksheet only. tJhere possibtb, euiiuing Division-iiaiirvr I t-prepare 9 type written copy and return it to theapptlcant at the time the actual permit is issued toi trtss i gna ture.
Fees and Charges
Plan.check fees are due and payable at the time of theapplication, and no plans wiit-oe proieilio until thesefees. are paid. All other rees anO'cii.S"i-u." due andpayable when the permit is issued.
FOR OFFICE USE ONLY
III
IV.
V
PERMIT VALIDATION
Permit Clerk
b55 7b
Tr
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY:
exempt from registration with the Builder,s Board because:Permit app) icant
Additional Project Information :
PLANS REVIEWED BY:
name si g nature date
6
DAfE RECIEVED
Zot{E
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STCEtr'5 I
LESAL DESCA:P-TICTI
AtrDitESS
OccuPAl:c'
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O\VNER Ev.,ED, WITH
TnF, c'or':-r }:TS HT'TiE OF lllr\''E gltp RF-.!l a::IANG€s
ol-a n
AL-J ER ATl l)N .! TNDICAAT AFT":Ti Ti: ItEt-aW
ApirR av ELa
DATE
D rl.l (,.U t,-!'t.-lL'SiIALL BE
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IT IS THE RESPONSIBILITY OF TIIE PERMIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TI{E PROPER TIIIE,THAT EACII ADDRESS IS READABLE FRO}{ T}IE STRF.ET, AND THAT THE PERI"TIT CARD IS LOCATED AT IIIE FRONT OF THEPROPERTY. BUILDING DIVISION APPROVED PT,ANS MUST BE ON JOB SITE AT ALL TI}IES.
PROCEDURE FOR REQUESTING IIISPECTIONS: Ca11 726-3769 (recorder) state you CITY DESIGNATED JOB NyMBER,job address, type-of- inspection requested and vrhen yorr will be ready for the inspection. Contractorsor oluners name and phone number. Request_s received-before 7:00 am iuilt Ue rnade ^the same day, requestsreceived after 7:00 am'rill be nade the following work day.
Your City Designated Job Number Is
Owner Phone 224-e=p/6
Contractor. 6 Phone
SITE INSPECTION: To be nade PECIAL INSP e tr,ith
Rr uired lnspectic
after excavation, but prior
to setup cf forms.
T,INDERSLAB PLIJ}.IBING, ELECTRICAL
& MECHANICAL: Tc be nade befcre
any rvork is covered.
C0NCRETE SLAB INSPECTION: Tc be
made after all inslab building
service equipment, conduit, piping,
accessories and other ancillary
equipment itens are in place but
before any concrete is poured.
FOOTINGS & F0UNDATIONS: To be nade
after trenches are excavated and
forms are erected, all steel in
p1ace, but prior to pouring concrete
TTNDERGROUND: Plumbin g, Electrical,
Gas, Sanitary Sewer, Storn Sewer,
Water and Drainage lines. To be
made prior to covering or filling
trenches.
UNDERFLOOR:, Plunbing, Electrical,
Mechanical, To be made prior to
installation of floor insulation,
decking or floor sheathing.
POST G BEAM: To be made prior toinstallation of flocr insulation,
decking or floor sheating.
FLOOR INSULATION & VAPOR BARRIERS
To be made prior to installation
of decking or floor sheating.
II'IAS0NRY: Steel location, bond beans
grouting or verticals in accordance
with U.B.C. Section 2415.
R00F SHEATHING AllD NAILING: Prior
to installing any roofing.
ROUGH PLUMBING,. ELECTRICAL 6
unt i these inspections have been
nade and approved
FIREPLACE: Prior to placing facing
naterials and before framing
inspect ion .
INSUI"A,TIoN & yAPoR BARRIER: To be
made after all insulation and
required vapor barriers are in place
but before any lath or gypsum board
interior wall covering is applied.
FRAMING: To be nade after the roof,
all framing, fire blocking and
bracing are in place and all pipes,
chirnneys and vents are cornplete and
the rough electrical, plunbing and
heating wires, pipes and ducts are
approved.
FIRE & SEPARATION WALL: Located &
ccnstructeC according to p1ans.
LATH AND/OR GYPSUII,I BOARD INSPECTION:
To be made after all lathing and
g)?sum board, interior and exterior,
is in place but before any plasteri
is applied or before gypsum boardjoints and fasteners are taped and
finished.
WoODSTo\tES: After installation is
compleGa:
SIDEWALK & DRIVEWAY:Required for
all concrete paving within street
right-of-way, to be nade after all
excavating complete & forrn work &
sub-base material in p1ace.
CURB AND .qPPROACH APRoN: After forms
are erected but prior to pouring
concret e ,
t Building Code a special
inspector shall be employed by the Or,mer/
Contractor during construction of thefcllowing work. A copy of the special
testing reports shall be furnished to the
Building Division.
STRUCTURAL CONCRETE:
tr-S:T:-lm6 a.1)-In excess of 300t1
STRUCTUR{L I{ELDS:job. (2722 f)
Preformed on the
HIGH STRENGTH BOLTING: During all6AtlEfimloil;a tighting
operations (306 a.5)
SPRAYED ON FIREPROOFING (u.B.c
Standards 43-8)
SPECIAL GRADING, EXCAVATION .{ND
FILLING: During earthwork. (306 a.11
G Chapter 29)
GLU-LAM BEAI{S: I nspection Certificate,
by an approved agency, furnished to
the Cityrs Building Division before
beams are placed. (2501-U.B.C. STDS
2s-10,11) .
* In addition to the inspections
specified hereon, the Building
Official nay :nake or requi.re other
inspections of any construction
work to ascertain cornpliance with
the Building, City or Zoning Codes
a
PAR(IN6 LOT After gravel is in
I'IECHANCIAL: No work is to be covered
place but prior to placing asphalt
or concrete.
FIN.{L PLTJMBING CITYTS SITE PLAN REVIEI{ BOARD INSPECTION: Must be requested 2 days in advance of the date you
suchas1andscaping,pariing1otstripingetc.must
be completed befcre requesting this inspection,
FINAL ELECTRICAL E FINAL BUILDING Must be requested after the final plumbing, Electrical, l,lechanical and Fireections are made and approved, No occupancy of the premises can be made untilf 0ccupancy has been issued by the Building Divisicn and posted on the premises
Depart
a Cert
ment inspificate oFINAL I'{ECHANICAL
FINAL FIRE DEPARTtrIE}IT
SICNATI'RE DATE
*ALL MANgOLES ,AND CLEANOUTS MUST BE .A,CCESSIBLE, ADJUSTMENT To BE MADE AT No coST To THE CITY
Job Address:
ATTIC-DRAFT STOPS G CURTAIN WALLS.
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