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Home My WebLink AboutPermit Mechanical 1981-12-09CITY OF SPRINGFIELD COMBi NATI ON APPL I CATION/PERMIT Pri ma Sti'uc lr-ri'a I Job Address l-ega1 Description -2 Sq. Fto. l'lai n_ Sq. Ftg. Access._ Sq. Ftq. Other__ _f,lew_Add A1 ter_Rep. _Fence_Demo Change/Use 0ther l,later Heater Value of l,lork: Range_ EI]ERGY SOURCES Hea t Owner tI o: Des Gara lnlo .e., Build SingleAddres s Phonetr Cons truct i h, d {s .-{ Addres s Phone lics. no.(elnires phone no.DES I GN TEAI4 name ( addre s s n NO C HA Ri; L NO NO PLUI,iB I i.IG . Res dence lacir single fixture (new fix. aciditional) : elocatrd buildino I Duplex (1 bath) each SERV i CES Temporary Constructi on Apol iance vent serrarate I--r- l IAdditional bath rps i dpncc Change in existing cool er Stationar.v evap. il^Jater servi ce Sewer Industrial multifamily, conrn. or tVent fan with sinole duct .amps.0f 181., t'"1',Vent systern heat-ino or AStorm Sewer c0Mr.1./IND. FEEDERS Mechani cal exhaust hond and drrct Instal I /al ter/re1 ocate dist-rib. feeders l,Jood stove/heater I iI i 0f amps )"aD TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES Pl an Ck . Cornm/ I nd 65%/Bldq Per Fee Svsl:erns Deve Charqe (1.51 opmentBUILDiNG PERIiJIT Charges and Surcha rges Plan Ck. Res 31%/Bldq Per Fee Fence ISSUANCF OF T s) l^lH ERE ST,ATE LAN REQU I nti I RE S tha +th e r ectr ca wo rk be do ne by eCtri r a n E ectri ca Con tractor the e ectr c a p0 rt o n this permit s ha not be VA t u th a be ha s been s gned by an El Superv s0r a nd retu rned to the Bu di ng Di vl s E CARE FUL L E XAMI N ED the comp e ted a p!:)c dL 0 n t an do here b.y cert i fy tha t a nfo rmat on s true a nd rrec t an d fu rthe r ce rt fy t ha t a ny of a nd a wo r k pe s ha be done accorda nc f t he a tyfSprinsfiedandtheLawsoftheState0regon the Bui pe rta nl ng to the work d crl bed herei n a be madefany rd s L ructu re WI t ho ut the perm i ss n of d ng 70 D s on furt he r cer ti fy tha t m.y ul de r s Boa s n fu fo rce a nd effe ct as req red by ORS 05 5 tha +f exemp t bas s f o r and t ha t o n v s u bcontrac tors a nd ernp 0yees who n c0m0 a nce wl t h 0t?s 701 055 wl u ed 0n t'lAl'lE(please print /t<-IGNA Zone___Tyoe/Con s t.Ftg Ftg Ftg l'la i n x Va'l ue Fire Zone Bedrooms Load . Access. . 0ther lue i Flood Plain Stories Grou x Va lue TOTAL VALUATION PLUI4BING PERMIT Charges and Surcha rges Demo Sidewal kELECTRICP,L PERIlIT Charges and Surcha rges Total Comb. PermitA/C Paving Curb CutI,IECHANICAL PERMIT Charges and Surc ha rges ---7,17,fi /6.r4TOTAL El ectri c:a l l'icchan i ca l El ectri ca l .:(5[&-rD tlffi T; ECTNICAI I.iECHAN ICAL Residence of furnace/brrrner to -lJgtS,-@rt''sQ. F'l' New circuits alts or extensions F I oor i'u rirace and vent Recessed wal I I I FFF FFF F-- I I I i \ COMBINATION APPLICATION/PERMIT (CAP) I. Appiicant to furnishA. Job AddressB. Legal Descriptionl. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Block 3, Znd Addition toSffingTieta EstatesC. Name, etc. of owner and construction lenderD. Energy Sources 1. example- hea2, example- pat E. Squane footage o PERMIT VALIDATION /\ac H s))3 air qas l. example- 1250 sq. foot house, 500 sq. foot garage2. example: iinew project, check-i-ew - .if addjtion, check add, etc.F. Building permit information:- construct single family house with an gara ge2, example - remodel exist'ing garage into family room3, exampie - convert single family residence intorestaurant (change of use)G. Value of work as defined in Section 303 (a) of the. Structural Specialty CodeH. DESIGN TEA},I 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.II. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blink spaces occur in the descriptionportion of the Mechanical and Electrical Schedulgs,the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Ful l Piumbing, Mechanicdl, and Electrical Schedules are available at the Building Div.isionl. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be installed are not covered on. the abbreviated schedules you should consult theful l 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 general contractor is not authorizedto sign the electrical iabel.III. Applicant to sign and date Whenever possible, the initial appl'ication wilI be used asa worksheet only. Where possibie, Building Division Staff- will prepare a type written copy and return it to theapplicant at the time the actual 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 will 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 1 exampl e a tta c hed { Permi t Cl erk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI.ICY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: I PLANS REVIEWED BY: datename.sig nature P.ECEIPT I-- RESIDEN1 ,-- -- COI,IBINATION/APPLICATION PERMIT SPRINGFIELD CI?? O9 SPRIIICFIELD 225 !|1P.TH irr S!3.EE| sPRrilcPrELD, 1REColl 97477 tsuildi,n4 Diuisioll 726-3753 P U\il' Agent Job Location: Subdi,visicn: ?@bt#-a-ssessore llag # Anne" Phare #Addtese Deaeribe llotk Ng'tn Adll:tionn RqtodaL #L Coitraeto"s ll@E scil # Eleetriql t'techoical Conatnteti,on Eendet Page 1 of 2 REQUXRED INSPECTIOIIS !t is th6 responsibiUty of the pe!,tiit holdar to see th3t all iespections are rmde at the proper ti$e, that each addness is readable frern the street, and that the pernit card is located at the fr:ont of the plroPerty. * .{I1 rnanho.Les and cLeanouts are tc be adjusted at no eost to the City SITE I}ISPEC?ICN:;G;iiffi;rEc;To be made after yrior to set uP of FIREPTACE:;ffi Pri.on to ptacing faeing HOoDSToVES: After installation, ffi-rnptercaand beforc fraring fotms.tion. U!{DF.SLAB PLUMBING, ELSCT.D.IEAL 6 UECHANICAL: To be nrade before anyffii'ered. @' apps.oval l{ust be requested after C[,RB E APPROACII APP.ON@ concrete. After forrns to pcuringof nough plunbing, FO0TIIIG 6 F0UIIDATI0N: To be nadc after tronches are excavated a:rd forras are erectsd, but pricr:. to pouning @ncletc. cal I mechanical. AlI !.ocflng, bracing 6 chinaeys, etc. must be conpleted. No work is to be con- cealed until this inspectioa has been made and approved. SIDEWALK I DRIVFYIAY: For all con- ffihfr st:reet right- of-way, te be E:ade after all exca- vating ccmplete 6 forr! work t sub- base tnaterial. in p1ace. I,INDERGROUTID PLUUBING, SEI{ER, HATER, BIi!49, To be made prior to fil- ling trenches. , To be rnade after all iusulation and nequired vapor bariers are iu place but before any 1ath, gypsun board or IJ}IDERFLOOR PL'JI,IBING E I,IECHANTCAL:ffior wal,l covering is applied, and b any iasulation is coneealed.OTHER INSPECTIONS:ffih to be ildicated in tice frorn BuiJding may be required Building Code, ;Ians or by no- Inspector. floon insulstlon or decking. POST 6 BEAM:GAffi;To be reade pnior to of floor insulation DRYI{AI,L INSPECTION:@.s To be made ia place, or but pr:ion to .rny taping. unt these have been I{ASONRY: Ste€I location, bond Effigruting cr venti.cals in accordance'rith U.B.C. Seetion 2415.rnade and apProved. FINAI PLUMBING All project conditi,ons, such as the installation of st?eet trees, coBpletion of the requined lanCscaping, etc., must be satisfied before the BUILDING FINAL can be requested. HIIIAt BUILDIIIG: The Final Building Inspection nrust be requested after the Final P!.umbing Electrieal, and Meehanidal. Inspections have been made and apprcved llo occupancy of the premises can be made until the Final Buildj.ng fnspection has been made and approved, and a CERTIFICATE 0f oCCUPANCY HAS BEEII ISSUED BY THE BUILDIIIG DIVI- SICN AND POSTED ON THE PREHISES. FIIAL ELECTRIC.CL PROCEDURE FOR INSPECTION REQUEST: CaIl 726-3769 (recorder)state your City designated job number, job adCress' type of inspection requested and when you r,rill be ready fon inspec- tiont Contractors or osners name and phone numbers. Requests received before 7:00 a.rd.nill be nade the sane day, requests illade after 7:00 dav' youR crry DESTGNATED JOB NUMBER. IS: FINAL MECHA}TICT.L made next working n GenaraL Page 2 REFERENCE NITV{BERS L-Coc .-, OCCLTPANCY CROUP IYPE/ CONSTRI'CTIOIiZONE BEDROO}!S Lo! Facee: Df ilouae a1.?a.O€Lceess lfa?th South tleat JOB. \ITJ}IEEA Setbacks Other Lot TypeLot'Squate ?tg. i cf Lot Cooeted # of'Sturtee ?otal Height !cpogrqh4 Intertor Corqer Sq. itg" Corage Ftg. Caeo?t rcTAL CE RCES t/alue lj, e ydlue Thls penmt is gzotted, on the qEptess c.ndiiaon thctthe said constnot;.on shall, i.n all "elaecte, eonfontu *e Atdinoteea adopteci by the Ci=1 o--' Spz-:ng7ibki,incluiing the Zotting -otdin&"e, r"qr:iorl:ni =7.e-bcn-etruction otd uee of i*iHin4s, ori tat4 be steoz-rd.ed,ot revoked al ory tine upon oiolaticn ci' ari -ona,si-dions of eaid Ct&ittotces. BUTLDTilG VALUE/PERIITI Pl.ot CTteek lee # 1ate Paid PLUABING PffiM$ Satti No pereon slnlL constmtct, inetall, alter ct cltorye dry na, ot eatstitrg phnbing o" d"c--?age sge:att in uhcle o" in pat, Lotlese such persol ie :he legal poaaeaeo? of a oalid pl*trbetts Licerae, 2ac€.t that a peteon mdy dc phnbing utotk to p"r?e"tt ui::ch ig ouned, Leased o" opeated by the qiiicant. swTct.4L State Sutchatoe ?ATAL CWRGES ELEryETCAL PERilI? !t0. lJhere State La.t tequirea th4t the eiec*icai uotk be done bg an Elaetyical Ccntractor, t'na elecL*)cal pot- tiott of tlnls permtt elall not be ual,id untii the la-bel has been signed bg the Electyical Ccnt?c:to?. The Electzical Safetg La't does not rcqt-)te . ?e?sonto obtai,n a Licetzse as dt elect?tciaz d/ot elec-Lriu,! contreetct tc nnke an, electtical ina;:Llation otl pto?e"trl which is cwted by hineeil or a r,-nbet ofhis *rnedicte jartly ukich ie not irteaded ;':t sale, Lea,se ct rent. Cqts*uetion sa9t@AL rilAL I1ECaA^TIC.4L P'RTLIT ErIlaBt Vant Fot State I WW C.4REPALLY EXAMINED the conpleted qplication for pernrtt, otd dphereby cettifg tlat aLL inforna*toi heyeon is ttae otd. correct,- old. Iftzthet ee*tify that oty awi aLL wrk perfonned shall be done in aceor- d.ance utih the 1rdinaneee of tle Ci,ty of Springfield, and, tlp La,te of theState of O"egat pe"taining tc the tntk described, hetein, d. tl@t ilO OC- qUP4NCy viLL be mde of o1A struca&e utithout penrisaicn of tlg BuildingD.i,sieion. I f,ttther certifg tlut onlg .ont?dcto"s otd. e*plogeeE ulo aiein catpliance utith oRS ?01.bss diLL b-e used on this project.- PLot Erantnet A!'IOATT D!lE 5ideaalk Dioision qprosed plan sltall tenein on the Building'icl.4L AttoultT DUE EltcR2AcHMEil! 5eq,td Dlte tznes ,o i'laincnatce PentrLt Fencz llectrieal Label at aLL Otuzes