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Home My WebLink AboutPermit Sewer Connection Record 1988-9-19 '. I!NSPECTION LINE l2.26-3769 Job Address ~'=<' /~ ~~? -;; Legal Description / ;J-o-z-~ -~ 1 , , . CITY Uf SPRINGFIELD COMB IllATION APPLICATION/PERMIT E!IERGY SOURCES: Meat Hater Heater . I NFORltATION LI Nt 726-3753 Sq. Ftg. 1,lain ~q. Ftg. Access. Sq. Ftg. Other New Add Alter Rep. -Fence Demo Change/Use Other- - ~ ~ ~ (:\; ~ c:;;7'. c>q,/~ Address ~. ~~ ~~.~C<? ./.. /~/~- ... fJ.i1.~~ p,-~ <=;'"'fC ~7 Phone Cf74'5/ T?.-'-?~~ Range ValuE of Work.: Owner Address DESIGN TEAI1 (name) Phone (address) BUlldinQ Permit Info: Describe Work.(i.e'f Build Single Familv nesidence With Attached Garaae) /""~A,.,,-Lc r~(~-:/~. ~-;c=-~..~~ ~A'T..v~ ~ ~~...:-~ - . ., . .. -, ~ ~/~ d"~/P~/.:..../' ~ ~/--:/<.c-"\ - (1 i CS. no _ ) (exn; rps ) (ohane no. -1 F:L~/-r-~- Construction Lender Primary _ .If VI C1",1 ~ Structural Electrical Mechanical CONTRACTORS (name) (address) (l;~<;,. M.) (pmi rps' (I)hnnp nn ) General P11)1Y1hino q'i~ Electrical ~'echanical PLUI.IBING ELECTRICAL MECHANICAL Each single fixture I FEF CHARGE NO I FFF I CIJARIiE NO. I Residence of furnace/burner to SQ. FT. BTU's 1 ~n' I rl-lARG.E. NO. I Relocated building (new fix. additional) IS.F. Residence (] bath 1 IDuPlex (1 bath) each IAdditional bath ~Tt5f?Jater service ~~ewer ~~orm Sewer I / 1~"""'''Jo,.o /~y-~ I I I I I I New circuits a1t5. or extensions Floor furnace and vent SERVICES Recessed wall So~rp np~tpr ~nrl ~pnt ;t:P. -0 ~.~ 3!-r.- 7. ;5?> !TempOrary Construction IChange in existing rp~.i rtpnrp Imultifamily, corrm. or Induc;trhl IOf amps.1 ICO~~./INO. FEEDERS I IInstall/alter/relocate I rl;<;.tr;h. fpprlpr" I Of amps.1 Appliance vent seOilri'ltj:l Stationary evap. cooler Vent fan with sinolp r111ct Vent system apart heatinq nr A r Mechanical exhaust hood and r1urt Wood stove/heater from I I I I I ul I TOTAL CHARGES /~"2 _ SO TOTAL CHARGES WHERE STATE L'H REQUIRES that the Electrical work be done by an shall not be vali1 until the label has been signed by an Electrical ISSUANCE OF PFR!IIT TOTAL CHARGES "Electrical Contractor, the electrical portion of this permit Supervisor and returned to the Building Division I HAVE CAREFULLY EXAMINED the completed application for permit. and do hereby certify that all information hereon is true and correct. and I further certify that any and all work Derformed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPAI~C{ will be made of any structure without the permission of the Building Division. I fu~ther certify that my registration with the Builder1s Board is in full force and effect as required by ons 701.055. that if exe~e.basis for exemption is noted hereon. and that only subcontractors and employees who are in compliance with OP.S 7~1.055 will be used on this project. IW.IE(please print) CSi>/.l.RJJ VOl;; Wf,f IT(;; SIGUATURE ~O-. I/J~ FOr. OFFICE USE miL Y Sq. Ftg. Sq. Ft9. Sq. Ftg. OATE!f:../9- lf8' Zone c.e- Fire Zone Flood Plain Tvpe/Const. Bedrooms _Units Occy Load Occy Group m r1ain x .value Access x Value Other .,a-"'-~~~~".{~Value TOT(L VALUATION Stories BUILDING PERftIT Charges and Surcharges PLU!1BING PERMIT .. Charges arid......- cS Surcharges ELECTRICAL PER!HT Cha rges and Surcharges ,., MECHANICAL PERMIT Charges and Surcharges Plan Ck. Comm/Ind - 65%/Bldn PAr Fp~ ------------ Plan Ck. Res 30%/Blda Per Fee Fence -:z-'f'['3 Isystems, Development Charae (1.5~) . ,.... -S1dewalk 1/3/ -----------:-1 A/C Paving I Curb Cut' I -::<(;.95" I I I I _ml Comb. Permi t I /?q.. ~~ 16iP,Z(-- .1 ~___L~_s.:?_ :):/"'3 DeRlo ITotal I I TOTAL . . 1\ COMBINATION APPLICATION/PERMIT (CAP) , PERMIT VALIDATION I. Applicant to furnish A. Job Address B. Legal Description 1. example- Tax Lot 100, lane County Map Reference II oj 43 2. exam~le- Lot 1. Block 3, 2nd Addition to ~prlngtield Estates C. Name. etc. of owner and construction lender D. Energy Sources 1. examele- heat/electrical ceiling/or forced air qas 2. exameJe- waterheater/electrical/or solar ....E. Square footage or valuation, etc. I. exam~le- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project, check new - if addition, check add. etc. F. Building permit information: 1. exam~le - construct single family house with an attached garage 2. exam~le - remodel existing garage into family room 3. examele - convert single family residence into restaurant (change of use) G. Value of work as defined in Section 303 (al of the Structural Specialty Code H. DESIGN TEAH AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc. II. 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 FILL OUT ALL FEE5 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. --- Ill. Applicant to Sign and date Whenever possible, the initial application will b~ 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. IV. 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. 1<< yO ltPl \ (r~ V. FOR OFFICE USE ONLY Permit Cl erk . PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: " PLANS REVIEWED BY: Lt77?'~n~-;"~ignature ~~~date ~/ /' ~" c;;.-/5-ErB- '. . name '- ~ .. .quired Inspec.ns .. IT IS THE RESPONSIBILITY OF TilE PER-'lIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TIllE, THAT EACH ADDRESS IS READABLE FROM THE STREET, AND THAT TilE PER"IT CARD IS LOCATED AT TilE FRONT OF THE PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIllES. PROCEDURE FOR REQUESTING INSPECTIO~S, Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUMBER, job address, type of inspection requested and \-men you will be ready for the inspection. Contractors or owners name and phone number. Requests received before 7:00 amlwill be w~de the same day, requests received after 7:00 am will be made the followin~ work day. Your City Designated Job Number Is, Z3 ~c>B "5' ~ Job Address: ?,-:::</C> /7?1'-/"Y17r Owner:~""-~ ~H"T~ Phone: ~.=i', '8".7 -~';' . . ,. -' ,7 Contractor: /5/',;t';"~ Phone: ~ D D o SITE INSPECTION: To be made after excavation, but prior to setup of forms. UNDERSLAB PLUMBING, ELECTRICA~ 6 ~reCHANlCAL: 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. D o D D ?1': '-II ~ o FOOTINGS &- FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to pouring concrete. o o D o D o UNDERGROUND: Plumbing, Electrical, Gas, Sanitary Sewer, Storm Sewer, Water and Drainage lines. To be made prior to covering or filling trenches. UNDERFLOCR.:. Plumbing, Electrical, Mechanical. To be 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.'. FLOOR INSULATION & VAPOR BARRIERS, To be made prior to installation of decking or floor sheating. MASONRY: Steel location, bond beams grouting or verticals in accordance with U.B.C. Section 2415. ROOF SHEATHING ~~D NAILING: Prior to installing any roofing. ROUCJl PLUMBING. ELECTRICAL & MECHANCIAL: No ~ork is to be covered until these inspections have been made and approved. Ix I ~ PLUMBING ~ FINAL ELECTRICAL o FINAL MECHANICAL o FINAL FIRE DEPAR~ffiNT o o o D ~ o D 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. FRAMING: 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, ---, To be made after all lathing and ~ g)~sum board, interior and exterior. is in place but before any plastering--, is applied or before gypsum board ---l joints and fasteners are taped and finished. FIRE & SEPARATION WALL: Located & constructed according to plans. WOODSTOVES: After installation is completed. QO q I SIDEWALK &- DRIVEWAf: Required for all concrete paving within street right-of-way, to be made after all excavating complete & form work & 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. asphalt 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. =:J =:J =:J STRUCTURAL CONCRETE: In excess of 3000 P.S.I. (306 a.l) STRUCTURAL \qELDS: Preformed on the job. (2722 f) HIGH STRENGTH BOLTING: During all bolt installation and tighting operations (306 a.5) SPRAYED ON PIREPROOFING: Standards 43~8) - SPECIAL GRADING. EXCAVATION AND FILLING: O....lring earthwork. (306 &- Chapter 29) (U.B.C. a.ll =:J GLU-LAM BENts: Inspection Certificate, by an approved agency, furnished to the City's Building Division before beams are placed. (2S01-U.8.C. STOS. 25-10,11) . * 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. 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 landscnping, parking lot striping etc. must be com~leted before requesting this inspection. o FINAL BUILDING: Must be requested after the final Plumbing, Electrical, ~1echanical and Fire Department inspections are made and approved. No Occupancy of the premises can be made until a Certificate of Occupancy has been issued by the Building Oivisicn and posted on the premises SIGNATURE~/1A)U W~ ( l DATE '1' - , q - 'n 'if " ALL '~HOLES AND CLEANOUTS 'IDST BE ACCESSIBLE, ADJUS~ffiNT TO BE MADE AT NO COST TO THE CITY. ',' . CI'lY OF SPRINGFIELD BUIIDING SAFETY DIVISION PLAN wlUill.:1ION SHEET . '. JOO Auu=S: 5'2../t:? ~./h/V?7 . o.VNER/APPLICANl': ~~Y ~/~t!!F CI'lY JOO#: G'B ~e ~S. PHONE: '7S?- =$.s;;? '7 PHONE : roNrRACI'OR: Plans subnitted for the !,LUp.JSed construction at the above location have been checked and the following items require correction, clarification, or additional detailing before they can be approved; ,.liJ /..c -5'~n~ 5-"""&?? 4x; .~--::_ _..,.'- .,; 0:- #?: ~ ',:.'~ 41"'?/PE~.?';;; 7:5--2C>~_~?:a*'-_~ ~2> c:,-? , ,'~:13,#2E' ~ ~__,,'-~ ~ v;:Z> ~ ~/_.e:;/~ ::;&>.r-:r-~ ..., ."1. .. '. . ,. . 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