HomeMy WebLinkAboutPermit Electrical 1983-12-15oil LIilE
ELECTRICAL PERI1IT
Charges and
Surcharges
I1ECHANICAL PERHIT
lharges and
urc ha rges
.
CITY OF SPRINGFIELD
COMBI NATI ON APPL I CATION/PERMIT
Job Address
Legal Description llater Heater
Ranqe.
EIIERGY SOURCES
Heat
)\l-
Sq. Ftg. Access....--
Sq. Ftg. 0ther_
_J,lew Add Aller-flep.
_Fence_Demo_C h a n g e / U s e
-other-
Sq. Ftg. l.la n
""q41qq.@Ds*o I ko-.,Owner
ngletIe
At hed
Desc rPhone)rorrrrnc
,t$nConstructi on
Ier
q)
^L)
U
ff--r
Addres s Phone
ohone no-'I ics. no.exoires)addre s sDESIGN TEAI4 name
Pri mary
Structura I
El ectri cal
l"lec ha n i ca I
address'lics. no.name
El ectrical
Itlechanical
ELECTRI CAL MECHAN I CALPLUI{B I NG
FFF CHARGF NN FFF CHARGF NO FFF CHARGF
Residence of
FTSQ
furnace/burner to
BTU' sEach single fixture
\
New circuits alts.
or extensb?+ N.\n-rt lqcD
Floor furnace
and vent
Relocated building
(new fix. additional)
SERV I CES
Recessed wal l
Soace heater and vent-
S. F. Residence
( l bath)
Duplex (1 bath) each
Temporary Constructi on Apol iance vent
seDa rateAdditional bath
Change in existing
reqi dpncp
Stationary evap.
cool erllater service
Vent fan with
sinole ductSewermultifami'ly, corm. or
I ndus tri a I
0f amps.Vent system apart from
heatino or A.C.Storm Sewer
COMH./IND. FEEDERS
Mechan ical exhaust
hood and duct
Instal l /al ter/re l ocatedistrib. feeders tJood stove/heater
.amps.0f
ISSUANCF OF PFRIIIT
TOTAL CHARGES TOTAL CHARGES 15o TOTAL CHARGES
WHERE STATE LAN RE
shall not be valil unt
QUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this perr,ritil the label has been signed by an Electrical Supervisor and returned to the Building Division
I HAVE CAREFULLY EXAIIINED the completed application for oermit, and do here
n oertaining to the work described herein, and that NC 0CCUPANCY will beDivision. I further certify that my registration vrith the Builder's
.055, that if exempt the basis for exemption is noted hereon, and that
llAtlE(please print)S I GNATURE D,IIE R.i933
Ci ty
madengfie
struc
0rego
the Bu ng
701
l'
b.v certify that all information hereon is trueand correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of theof Spri ]d and the Laws of the State ofof any
Board i
ture without the permission of ildis in full force and effect as required by ORSonly subcontractors and ernployees who are in comc l i ance wi th 0l?S 701.055 vli l used on this ect.
Uni ts
Load
TOTAL VALUATI
Sq
aa
x
x
lue
Group Val ueFlood Plain Stories
Val ue
Zone_______Tyoe/ Con s t.
Ftg. Acces
Ftg.0ther
. Ftg. t'lain
Fire Zone Bedrooms Occy
Plan Ck. Conrn/lnd
65%/Bldq Per Fee
Svs
Cha
tems Deve'
rqe (1.5%'
opmentBUILDING PERI'IIT
Charges and
Su rcha rges
m
Plan Ck. Res
30%/81dq Per Fee N6rnn Nrrft/,4S.o
Fence Qrrrno C'4E" (.@PLUI,,IBING PERMIT
Charges and
Surcha rges Dgmo
Si dewa I k
3to co Tota'l Comb. Permi tA/C Pavi
Curb Cut
TOTAL t5t bb
--
\nt
|ui Ii r n{
'amr Iv I\Addres s
I -;, - -u
InORS
Pl umhi no
firSrrr
COMBINATION APPLICATION/PERMIT (CAP)
I. Applicant to furnishA. Job AddressB. Legal Descriptionl. ggggl9-: Tax Lot 100, Lane County Map Reference17 03 432. gxample- Lot l. Block 3, Znd Addition toSpringfield Estatesq. Name, etc. of owner and construction lenderD. Energy Sources
PERMIT VALiDATION
1. examol e-^+z. examo I e-+L. 5quare toota
heat/el 'I ceili Igrced air gas
wa ter r e ec tr ca or soTar-ge or valuation,I examo I e-1250 sq. foif new proj
ot house, 500 sq. foot garageect, check new - if add.ition,
ion:
L examp I e-
check add , etcF. Building perm it informat
II
1. example - construct single family house with anattached garage
?. examp_le - remodel existing garage into family roomr, exampte - convert singie family residence intorestaurant (change of use)G. Value of work as defined in Section 303 (a) of the.. Structurai Specialty CodeH. DESIGN TEAI4 AND CON1RACTORS
To avoid design or construction de)ays, Bui)dingDivision Staff must be able to contait appropriite- persons.regarding design information or job i.itecorrections, etc.
Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Lxcept y{here blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes adjicent_ to-the appropriate item(s) to 6e instaliedB. Full Plumbing, Mechanical, and Electricai Schedulesare available at the Buitding Div.ision1. To conserve space on the-permit form the scheduleshave been abbreviated?. If the item(s) to be installed are not covered onthe abbreviated schedules you shoutd consult thefulI schedulesC. BUILDING DIVISiON STAFF t.lILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULESD. As noted on the CAp, the Iabel must be de.livered to theelectrical contractor for s.ignature by his electricai -
supervisor. The general contractor ii not authorizedto sign the electrical jabej
Applicant to sign and date
Whenever possible, the initial app)ication wi.ll be used asa.worksheet only. l,Jhere possible, Build.ing Oiv.ision-iiaiiwil'l_prepare a qype written copy and returi it to theapplicant at the time the actual permit is issued for his
s i gna tu re.
Fees and Charges
Plan check fees are due and payable at the time of theapplication, and no plans wiil be processed until thesefees are paid. Ail other fees and charges are due andpayable when the permit is issued.
FOR OFFICE USE ONLY
III.
IV.
V Permit Clerk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAIICY:
Permit applicant exempt from registration with the Builder's Board because:
Add'itional Project Information :
PLANS REVIEWED BY:
name s'l g nature date
\.n- 15, t3
(o&l9Z
"P"ilk
SPRIl{GFIELD
Cr T OF SPRINGFIELD
Department of Public Works
I, Dan Foster, have borrowed the building plans for the completion of the building
located at 105 North 37th Street, Springfield, Oregon, City Job #852299.
I will return the plans to the Building Safety Division no later than 5:00 p.m.
on Itlonday, December 19, 1983.
l2-l( -e3
ster Date
er, Bui ng v S on Cl
th
225 North 5th Street . Springfield, Oregon 97477 . 503/726-3753
\
w
SPM'GFELf,'a quired ln spec I lls ..
PROCEDLIRE FOR RIiQUESTING ].}ISPECTIONS :job address, type of inspection reque
or owners name and phone number. Req
received after 7:00 am',ri11 be:rade the following work dav
Your City DesignaEed Job Number Is 85 ""?2Jcb Address /d.f A/arzr*st 7>7a f*aary^
Owner 7y*236ia
Contractor: _owgG:*Phone
SITE INSPECTION: To be made
after excavation, but prior
to setup cf fcrns.
IT IS IHE RESPONSIBILITY OF TIIE PER!4IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TliE PROPER TI}.{E,
THAT EACII ADDRESS 15 READABLE FRO}{ T}iE STREET, AND THAT T}IE PER}IIT CARD IS LOCATED AT TIIE FRONT OF THE
PROPERTY, BUILDING DIVISION APPP.OVED PLANS MUST BE ON JOB SITE AT ALL TI}IES.
reccrder) state you CITY DESIGNAIED JOB NIIMBER,
will be ready for the inspection. Contractors
uests received before 7:00 am will be n.ade the sarne day, requests
INSPECTIONS:
on o
In accordance h'ith
lding Code a special
m
m
m
IJNDERSLAB PLUMBING, EIECTRICA!
& IIIECHANICAL: Tc be rnade befcre
any r*ork is covered,
CONCRETE SLAB IIJSPECTI0N: Tc be
inade after all inslab building
service equipment, conduit, piping,
accessories and other anci-11ary
equipment items are in place but
before any concrete is poured.
FO0TINGS & FOUNDATICNS: To be made
after trenches are excavated and
forms are erected, all steel in
place, but prior to pouring concrete
UNDERGROUND Plumbing, Electrical,
Gas, Sanitary Sewer, Storm Sewer,
Water and Drainage lines. To be
rnade prior to coveri.ng or fi.Iling
trenches.
LTNDERFLOoR:, Plumbing, Electrical,
Mechanical. To be made prior to
installation of floor insulation,
decking or floor sheathing.
POST 6 BE/tl'l: To be made prior 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 beams
gromIig or verticals in accordance
with U.B.C. Secticn 2415.
R00F SIIEATIIII:G A\D NA.ILING: Pri.or
to installing any roofing
ered
FINAL PLUI\IB iNC
FINAL ELECTRICAL
FINAL TIECH,^NICAL
FINAL FIRE DEPARTIIE}IT
S I CNA'
FIREPLACE: Prior to placing facing
materials and before framing
inspect ion .
INSUL}.TION & VAPOR BARRIE&: To be
rnade aftcr all insulation and
required vapor barriers are in place
but before any lath or gypsum board
interior wal1 covering is applied.
To be made after the roof,
.g, fire blocking and
inspector sha11 be employed by the Orrner/
ntractor during constructi.on of the
fcllowing work. A copy of the special
reports sha11 be furnished to the
lding Division
STRUCTURAL C0NCRETE: In excess of 3001P.S.I. (306 a.1)
ETRUCTUR{L llrELDS: Preformed on thejob. (2722 f)
HIGH STRENGTH BOLTING: During all -EolE-inlTal fiiI6n. iiA tighting
operaticns (306 a.5)
SPRAYED ON FIREPR0oFING: (U.B.C
Stand.ards 43,8)
SPECIAL GRADING, EXCAVATION .\ND
FILLINC: During earthwork. (306 a.11
6 Chapter 29)
GLU-LAM BEA}{S Inspection Certiflcate,
by an approved agency, furnisheC to
the Cityrs Building Division before
beams are placed. (2S01-U,B.C. STDS
2s-10,11) .
*In addition to the inspections
specified hereon, the Building
0fficial may make or require other
inspections of any construction
wor.k to ascertain conpliance with
the Building, City or Zoning Codes
FRAMI}JG:
aTt- framin
bracing are in place and all pipes,
chinneys and vents ar:e conplete and
the rough electrical, plurnbing and
heating wires, pipes and ducts are
approved.
FIRE G SEPARATION IIIALL: LOCAIEd G
ccnstructeC according to plans
LATH AND/OR GYPSTIM BOARD INSPECTION
To be made after a1I lathing and
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.
WOODSTO\tES: After installation is
conp 1 et ed .
SIDEWALK 6 DRI\TEWAY Required for
all concrete paving withj.n stt:eet
right-of-way, to be made after all
excavating complete & form work &
sub-base material in pl.ace.
CURB AND APPROACH APRON: After forms
are erected but prior to pouring
concrete.
PARKIN.C LOT: After gravel is in
place but prior to placing asphalt
or concrete.
T{7 RoUGH PLUlarNG, ELECTRTcAL 6tl)(JfficoYuntil these inspectio;rs have been
made and approved.
A CITYTS SITE PLAN REVIEI^I B0ARD INSPECTIoI.I: Must be requesteC 2 days in advance of the date ycu
wish inspection. Al1 project conCitions such as landscaping, parking lot striping etc. must
be completed befcre requesting this inspection.
FINAL BUILDINC: Must be r equested after the final Plumbing, Electrical, l,lechanical and Fire
made and approved. No Occupancy of the premises can be made untilDepartment i.nspections are
a Certificate of 0ccupancy has been issued b1' the Building Divisicn and pcsted on the premises
DATE
L 726-376
K
*AI,L I'U*^IJOLES AND CI,EANOUTS }IUST BE ACCESSIBLE, ADJUSTI.IENT TO BE I,IADE AT NO COST TO THE CITY
tr ATTIC DRAFT S1OPS & CURTAIII WALLS
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MINOR SUBOTVTSTON
\To. L97
Scale l" = lOCt Draiun Bv D. H.August l, L967
This plat has not been surveyed and is a paper location onl-y, developed
from deecl records, fiied July ?7, 1953, Page 529, Book 4L9, of Lane County
Oregon Deed R,ecorcis, in Lane CounEy, Oregon, and an unreccrded assiBnment of
conEract fro:n Edgar P. Lor^re an<i iularie Lowe, husband and wife, to John A.Wytoski and Mary l,iytoski, irusband and wife, to-v.riE:
l-this property shailfor tsuiiding, ZonLng
Signatures of Cwners of R.ecords
, J t'. .J,:.ry
conform to the applicable Cicy of
and Local Improvements
Atbeing the north 60t, lottB'being the south'co'of the north
1oE 'c' being the souEil 2'c7.5' of the above described proDerty.
Deed Restrictions
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Accepteci by the of ngf:-e I Oregonv
{-/ec. Plann g Coiirniss ion
The above si3natures
SEate of Oregon.
of Iinarrce ity Engineer
attesteci Eo before ine., a Notary pubLic for Lane count.7,
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i'io t 7't't7
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),1y Commiss.ion E r_re 3 y ?ublic
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