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HomeMy WebLinkAboutPermit Building 1987-9-18 CITY UF SPRJr/GFIELD COIIBJr/ATION APPlICATION/PERMIT ~l' <:" r- j' ..,......... EiIERr,y ~URCES..;, , .".)lV!) t't2sr- / F Ja i VI Heat~yq \oJa ter Hea ter € ir- iV"'-l~ c 17-0"2-- s'3-""3'2..-0J9"O HISPECTIO/l lIilE 726-3Cj;9 . Job Address I.el]a 1 Oe~cri pt ion Ran(le IlFORlIAT: ;:1 L'", I 726.37;3 . So. FtQ, i.;ain 722 I (\~ i ~CJ. H!:J. Access. W I SQ, Ftg. Other \.J /leI< Add ~.1ter ~eD, (\ I -Fence Demo Change/Use V , Other - - \J\ I Oescribe Hork(l.e., BUlld Slngle I ~ I (l,ttached r.araoe) ~ VI"<;rJ...Aot.L-e) -.k IIJ~"-",,,~ ~ 1 I Valu€ of Hark: O.-z:, Bui ltiino Perm; t Info: Phon "?y,-t,'I' F.~ilv Residence Ilith I/c~" iI / O....ner ana~a. VI.~ ,'"dress .3t>7D YIl 'eu" J.. , ~ SDv,\....t A<:./ ,L Con~truction'lender Address U,SIGrI r,m Phone (address) " I I namE' I Primary Structural ~ -1/ ~, Electrical !lechanical CONTRACTORS _(n:,~ (address) Mechanical PLUllBIrlG EtECTRICAL j:O. ~ I Each single fi;tu;~ -----/Relocatedlbuilding (new fix. additional) -----IS,F. Residence (I bathl IDuPlex (1 bath) each jAddltional bath SQ. FT. HARGE Residence of .New circuits alts. ~ or extensions , '2 ""~ l'n4i&?E SERVICES ~!ater service ITemporary Construction IChange in existing rp~iq~n("'~ [mul tifami 1y, camm. or Tnrlllc;.trifll Sewer Storm Se1,o/er amps.1 BU ItD IIIG PERI.lI T Charges an'::: , Surcharges ,.., Plan Ck. 6SVBlrlo I Plan 0. 30t/Bldn PlUI~BING PERMIT . /2: ~t:> I Fence ~~~~g:~g:~d ~ ---- ---'-75--, Demo . ELECTRIU.L PERI:IT ?-=? -:5(~ I Sidewalk Charqes and _ __ Surcharges y - -- /.-; =:3-1 A/C ;avi-ng 11ECHANICAL PERI11T I Curb Cut Charges and ____________ Surcharges I ____?:...'3::.::>-e> /./B COrml/lnd Ppr Fpe R'es Per Fep. I~~( (1 ics. no.l ,. I, no, I -! (exn~n"si (ohanp ----- ,- ( (./ ~~DO \Y --"Q'}./ ( I , J ..J:EL fl in. no.) /:n I I I I I I I (Pxn; r-;~"l - flJhnnp nt)) MECHANICAL ! I I .llL ..QffiRGL . General .c>N/Y'e:-....;>" Plvmbinn ~ '1/;,\ Electrical I I I , -~I I I I I I I IDf I T. IIC0I111.(lND. FEEDERS I I I I IInstarl/alter/relocate I dic;.trih fpprlpr, I I IOf amps,l I I I I I I I I -Ll. I I I ISSUANCf OF PFRr1lT TOTAL CHARGES -. ,.-.- , [5':~L CHARGES ?'2-SR TOTAt CHARGES 1.1fIERE STATE L'l.J REQUIRES that the Electrical work be done by an Electrical Cont~~ctor. the electrical rortion of this permit shall not be valiJ until the Jabel has been signed by an Electrica] Su~ervisor .ndii;turned to the Building Div;sion I HAVE CAREFUllY EXNlINED the completed apfllication for !:lermit. and do hereby c~rtify that all information hereon is true and correct. and r further certify that any and all work nerformed shall be done in~accordance with the Ordinances of the City of Sori ng fi e 1 d and the laws of the S ta te of Drenon De rta i oi og to the work descr i bed'~here in. and tha t liD OCCUPA1KY wi 11 be made of any structure without the permission of the ~uilding Division. I further certify that my re9;stration ~lith the Builder's Board is in full force and effect as required by ons 701.055, that if exempt the basis for exemntion is noted hereon. and that only subcontractors and employees \...ho are in comoliance with OP.S 7f)l.D55 I.lill be used on this nroject. 1/AiIE(pl""e print-;)ea.i'1.1"---rt... JSro s:h 1'1'1 k... SIGIMTURE.t!},...,. .7?:tJ::, ,;{< ~ /~..l,,,.d FOn OfFICE USElDuty LI Zone L: ~ Type/Const. 5"-# Units <iC'!.vFtg. 11ain x Fire lone Bedrooms Dccy Load SQ. Ft!J. Access x Flood Plain Stories ( Occ.v Groupff -<. Sq. Ftg. Other it? _;+ _/;?~<'i.. I I I \1 I I 4S9'.~ I I I I II , furnace/burner to BTlI's Floor furnace and vent I I I I I / I I I I I I Recessed wa 1 1 ~~~rp hp~tp~ ~nrl vpnt Apoliance vent ~eo_a ra tp Stationarv evao. cooler ~ . Vent fan I'o'i th sinal!:' durt. Vent systeM apart from I heiltino or A.C i'lechanical exhaust hood and durt, Wood stove/heater DATE_ <j /I'll/Sf? VilluE' Value Value /q.c>c::> _ ....... TOTAL VALUATION Syste~s Development CharQe (1.5") /v -4 .-I~ot~l Comb. re~m~-~-' h. TOTAL 7&.8/ - . . c '.....=:-", " COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. legal Description 1. example- Tax lot 100. lane County Map Reference 1I oj 43 2. examole- lot 1. Block 3, 2nd Addition to Springfield Estates C. Name, etc. of owner and construction lender D. Energy Sources . 1. example- heat/electrical ceil;nq/or forced air Qas 2. examole- waterheater/electrlcal/or solar E. Square footage or valuation. etc. - 1. examole- 1250 sq. foot hause, 500 sQ. foot garage 2. examole- if new project. check-new _ if addition, check add, etc. F. Building permit information: 1. example - construct single family house with an attached garage 2. examole - remodel existing garage into family room 3. examole - convert single family residence into restaurant (change of use) G. Value of work as defined in Section 303 (a) of the Structural Specialty Code H. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or jab site corrections, etc. Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except where blank spaces Occur in the description portion of the Mechanical and Electrical Schedules. the applicant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be installed B. Full Plumbing. Mechanical, and Electrical Schedules are available at the Building Division 1. To conserve space on the permit form the schedules have been abbreviated 2. If the item(s) to be installed are not covered on the abbreviated schedules you Should consult the full schedules C. BUILDING DIVISION STAFF WILL FILt OUT AtL FEES AND CHARGES ON THE SCHEDULES D. As noted on the CAP, the label must be delivered to the electrical contractor for signature by his electrical supervisor. The general contractor is not authorized to sign the electrical label. - Applicant to sign and date Whenever possible, the initial application will be used as a worksheet only. Where possible, Building Division Staff will prepare a type written copy and return it to the applicant at the time the actual permit is issued for his signature. Fees and Charges Plan check fees are due and payable at the time of the application, and no plans will be processed until these fees are paid. All other fees and charges are due and payable when the permit is issued. PERMIT VALIDATION '.. ! , If) :2 tjO 9-16~f/ II. I II. IV. V. FOR OFFICE USE ONLY Permit Cl erk ('(/ /' PROJECT CONOITIONS TO BE SATISFIED BEFORE OCCUPMlCY: j Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: . !' name PLANS REVIEWEO BY: L~,q'ij~ /~~~signature 4.,.. .~--:; date J 9-/gg-:> / ~ .. tequired Inspect"s .. IT IS THE RESPONSIBILITY OF TilE PER!lIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TrUE. THAT EACII ADDRESS IS READABLE FROU TilE STREET, AND THAT THE PERl'lIT CARD IS LOCATED AT TilE FRONT OF THE PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIUES, PROCEDURE FOR REQUESTING INSPECTIONS, ~ll 726-?7~reCorder) state you CITY DESIGNATED JOB NUMBER, job address, type of inspection requested ana vnlen you will be ready. for the inspection. Contractors.~ or owners name and phone number. Requests received before 7:00 amrw~11 be ~~de the .same day, requests received after 7:00-am will be made the following work d~y. Your City Designated Job Number Is, ~ i7G'~~~ Job Address, 5/ G" D c~ ~/h'" . Owner"k~TrtF'.lkA7e>(E ~.N'~..K Phone, 7<'/";-.r: y/-=? o FOOTINGS & FOUNDATIONS, To be made after trenches are excavated and forms are erected, all steel in place, but prior to pouring concrete. ~DERGROUND: Plumbing, Electrical, Gas. Sanitary Sewer, Storm Sewer, Water and Drainage lines. To be made prior to covering or filling trenches. . FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheating. ~~SONRY: Steel location, bond beams grouting or verticals in accordance D with U.B.C. Section 2415. Contractor: o o o SITE INSPECTION: To be made 'after excavation, but prior to setup of forms. UNDERSLAB PLUMBING, ELECTRICAL & ~ECHANICAL: To be made before any work is covered. CONCRETE SLAB INSPECTION: To be made after all ins lab building service equipment. conduit, piping, accessories and other ancillary equipment items are in place but before any concrete is poured. o o o UNDERFLOCR: } Plumbing, Electrical, Mechanical. To he made prior to installation of floor insulation, decking or floor sheathing. POST & BEAM: To be made prior to installation of floor insulation, decking or floor sheating~: o o o o [Xl D D D D D D ~ ROOF SHEATHING k~D NAILING: Prior to installing any 'n. ~ D ROUr,~RIC^L ? '-Ii MECHANCIAL: -No work-1S to be co~ered until these inspections have been made and approved. Phone: ATTIC DRAFT STOPS & CURTAIN WALLS, FIREPLACE: Prior to placing facing materials and before framing .' inspection. INSULATION & VAPOR 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. FRAMIN~ To be made after the roof. all framing, fire blocking and bracing are in place and all pipes, chimneys and vents are complete and the rough electrical, plumbing and heating wires, pipes and ducts are approved. ::J LATH AND/OR GYPSUM BOARD INSPECTION, ::J To be made after all lathing and g)~sum board, interior and exterior, is in place but befOre any plastering ::J is applied or befOre gypsum board joints and fasteners are taped and finished. .' .' FIRE & SEPARATION WALL, Located & constructed according to plans. WOODSTO\~S: After installation is completed. "r) "'1/ SIDEWALK & DRIVEWAY: Required for all concrete paving within street right-of-way, to be made after all excavating complete & fOrm ~~rk & sub-base material in place. CURB AND APPROACH APRON: After forms are erected but prior to pouring concrete. PARKING LOT: After gravel place but prior to placing or concrete. is in asphal t SPECIAL INSPECTIONS: In accordance with Section 306 of the Building Code a special inspector shall be employed by the ~~er/ Contractor during construction of the following work. A copy of the special )': testing reports shall be furnished to the . Building Division. _.'. . ..! l. ::J ::J ::J STRUCTURAL CONCRETE: r.S.I, (306 a.I) ,.' .. In excess of 3000 Preformed on. the '~" . --r;..( I STRUCTURAL WELDS, job. (2722 f) HIGH STRENGTH BOLTING, During bolt installation and tighting operations (306 a.5) all :"'1 t': ,j .::~ .~. SPRAYED ON FI REPROOFING: (U. 8. C. y~ " Standards 43~8) ~PECIAL GRADING! EXCAVATION AND FILLING: ~Jring earthwork. (306 a.l~ & Chapter 29) ::J GLU-LAM BEAHS: Inspection Certificate', by an approved agency, furnished to the City's Building Division before ~:;~ beams are placed. (2S~~;U.B.C. STDS:~. 25-IO,ll)..~ ~. =","". . ~ :~~.~ }'....r ).;~\ ,. ': ~iIJ' . _'. ~,. .... " 'i:~;;_ ~.. .' ",;\.. :" ..' *In addition to the inspections specified hereon, the Building Official may make or require other inspections of any construction work to ascertain compliance with the Building, City or Zoning Codes. o rv1 W') ~ FINAL ELECTRICAL c.ov.r-- CITY'S SITE PLAN REVIEW BOARD INSPECTION: Must be requested 2 days in advance of the date you wish inspection. All project conditions such as landscaping. parking lot striping etc. must .be com-pleted before requesting this inspection.' \~ rj(1 FINAL BUILD!N~: ~st be requested after the final Plumbing, Electrical, Mechanical and Fire ~ Department 1nspectlons are made and approved. No Occupancy of the premises can be made until a Certificate of Occupancy has been issued by the Building Division and posted on the premises SICNATU~~~ &/._,../....;,L * ALL '''''''HOLES AND CLEANOUTS 'lUST BE ACCESSIBLE, ADJUSTMENT TO BE MADE AT NO COST TO TIlE CITY. ~ FINAL PLUMBING ~ o o FINAL ,mCHANICAL FINAL FIRE DEPARllmNT DATE 9- /)"- '?7