HomeMy WebLinkAboutPermit Building 1988-10-28 --.. I INSPECTION LINE 726-3769 Jfio Addr/!'ss ~ CITY Uf SPRINGfIELD COMBINATION APPLICATION/PERMIT ElIERGY SOURCES: Heat l~ater Hea ter -?'3Y~~1"'//Y 57 Legal Description /7-c?2-3~. ~/ (!:".<;:~ 16_~;:> Owner'. ~/kx~H">"",c=.~'"7:::-/,/ ~ i/r/_=., Address _~=3 ~'7" ~/..(/ -6r Phone Construction lender. Address DESIGN TEAr1 1 Primary ! Structura 1 j ! Electrical i , Mechanical 1 CONTRACTORS (namel Phone (address \ (name) (address) Range ValuE of Hork: 7Iz~ ....-0 . BuildinQ Permit Info: Describe Work{i.e., Familv nesidence With Attached Garaoel INfORllATION LlNL 726-3753 Sq. Ftg. I.lain ~q. Ftg. Access. Sq. Ftg. Other New Add A.ter Rep. --Fence Oemo Change/Use Other- - ~ \) ~ \l ~ (lies. no.) General /)""'A/E:z:? P1umbinal1..,unr:."..h7E""-# q:2/;;::/ ~J""'__~~ :l?T:> ~~. , - ~ ~ E1ectrica1/'::'h"~ V/~ /N" EL Fe:.7, ~~~ #;1i'/..o;...; ji?~ .<)P~D . 'lechanic'a1~'" /5-'7.-,.. r(,,/~~q~.- 52p.<:" 6?~~~~,c: ,5j>,Q:.p. . , I PLUMBING ELECTRICAL NO. Z Each single fixture Relocated building (new fix. additional) S. F. Residence 11 bath) i Ouplex (1 bath) each , i Additional bath I I Water service , : '. Sewer Storm Sewer ./ ~ do/' /~;Z> Build Single C"'$AP<~TEJIJl=/7/~'/ OvC:.l""7.>/~ . - o;Q. . -,,-p., ,-<: /7.?ECA""',,"" "c., E,C~.c;r. ~.....~___....... ..z..,.......--*:::<i...ol.-- '#_7? k~~"::"r";;;'-...." ~ h"Y~' (lies. no.) (exo;res) (ohone no.: ':1.... I , \j'- ~ f A <'::1,00 .,..-'i\ _..~ y~ (pxoi res.' (ohone nn 9:;1 3-'2ZC:> 7 h&7~/292 7qb -.is'?7' / MECHANICAL FFF rH~.JJn FFF r4AB.IiE. NO I Residence of furnace/burner to 7.~ /5"--'" SQ. FT. BTU's ,~ New circuits alts. c",.r or exteJl.Sions ----:;?<:> 1"f ~/-?~ SERVICES Temporary Construction Change in existing rpsj(i..rJ1re multifamily, COI1ll1. or Tnrlll"t.rial Of ,..-'j.- COMfI./IND. FEEDERS Install/alter/relocate ~;~trin fpprlpr~ I HAVE CAREFULLY EXAMINED the completed application for permit. and do hereby certify that all information hereon ;s true and correct. and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPA[~CY will be made of any structure without the permission of the Building Division. I further certify that my registration with the Builder's Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted hereon. and that only subcontractors and employees who are in complian~e with ORS 701.055 will be used on this project. 1lAr-IE(please print) W,II/at11 W,~ tyc..1':- SIGNATURE 11f~~....tj()./~ FOr. OFFICE USE DlII.Y Sq. Ftg. Sq. Ftg. Sq. Ftg. I Of ?cC> Zone ,,-; .,- Fire Zone Flood Plain Type/Const. ~-~ Bedrooms Units Occy Load ~ 9'$ Occy Group A-3 Stories 2. BUILDING PERmT Charges and Surcharges n) &> Plan Ck. ColTlirtrnd _2~7~~_______ 65%/Blda P.rr Fee Plan Ck. Res 30%/Blda Per Fee '). .' 4"??"5 PLU!1BING PERMIT "..' -<LCJ """'" Fence ~~~~~:~g:~d/ ~- -- __.L -/ S-;? -- D~o ELECTRICAL PERIHT t..,t$: - I'Sidewa1k Charges and \J. ----1:..;...------ Surcharges 1 -:2. -zS I AIC Paving ~~~~~~;C:~/ERMIIT^ ___L~:...~~J CU;b Cut Surcharges ~ ~ ~ 1_ I I I I I I I ITota, Comb. Permi t ~ ...253.~ .1 ~ I I TOTAL ge3.gs:- amps. amps. b.~. I I I I I I \z:>.P I I I I ~n. I rl1ARG.E.. Floor furnace and vent Recessed wall Sn~rp np~tp~ ~nrl vpnt I Mt?'UE?7:'/:r:-r' Appliance vent ~eDaratp Stationary evap. cooler Vent fan with sinnlp nlJrt Vent system apart from heat.ina or A.C. Mechanical exhaust hnnti ~nrl tillrt / Wood stove/heater OATE/O-jr -:f8 r1ainx Value Access x Value Othe./'/1'7?P~~ Value q?,~.- TOTAL VALUATION ""'. - ;e.;>r,# /266 Y , Systems. Development /#'t'.5'~ AfJ-2t:..1U Charpe tJ.5~ '. - . C~. c:ro [~ COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal Description 1. ~xample. Tax Lot 100. lane County Map Reference 1/ 03 43 2. example- Lot 1. Block 3, 2nd Addition to sprlngtield Estates C. Name, etc. of owner and construction lender O. Energy Sources 1. examole- heat/electrical ceilinq/or forced air Qas 2. examole- waterheaterjelectrical/or solar E. Square footage or valuation, etc. - 1. example- 1250 sq. foot house. 500 sq. foot garage 2. examp.le- if new project. check-new - if addition, check add, etc. F. Building pennit information: 1. example - construct single family house with an attached garage 2. exam21e - remodel existing garage into family room 3. examyle - 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 job sHe';\-- - 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 fu 11 schedu 1 es C. BUILDING DIVISION STAFF WILL FILL OUT ALL 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. --- III. 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. 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. V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: i -- t. ~'I. PERMIT VALIDATION l~" r:~ ';..,__ ~Q/ri --~{'U' ~ . Permit Cl erk cU . 1 Permit applicant exempt from registration with the Builder's Board because: Additional Project. Information: -5ee r/oB #8Bo S/c b /2::.A? nJl'.?S7' &#5'e , '. PLANS REVIEWED BY: <. . name Lt9R/YC h CZ;;'afE? Signature~~>__~ p~.~ date/~-z:;::?-:B-8 //' ,<7 , , CITY UF SPRINGFIElD COMBINATION APPlICATION/PERMIT EIIERGY SOURCES: Heat !-later Heater #'.=:>. ~'f$7"3 :S?.A::'.o.-4~W.<!':~ #/A;'Y. I >>> I r"IIIl!>.JJllL...1 " . . I INSPECTION lINE 726.3769 . , . '. Job Address/5""3</LI MA//V ",:;r legal Description 17-<:72-"33'-3 / 6Pa6~ t::5'"o"? / . " Owner '0-~;zj'A'-.a<;: ~F- ~€/"""/Y' ~,c;>.~ Address /, 3f9"~ .o7....../A/ ~"". ,<P.F.<::D. ~. 97<r?~ ('nn~t..t,...t; . / - n_n_... .... """'L:A// h?/u,.r~_~~ C>~ Phone 7;'7-7::>-;"7 AdJ...... 1R/L.L71ER~ UI:~H:iN 1I:.A'(.I. (name J Phone (address) , Primary Structura 1 Electrical MechanicalftE~#Lc hE,.;::;:.., CONTRACTORS Inamel (addrpssl Genera 1 Plumbina Electrical ~lechanic'al "71~Ar 4L<f Plur.IBING ElECTRICAl NO. FEF rHIlF&L Nn Each single fixture Residence of Relocated building (new fix. additional) New circuits alts. or extensions S.F. Residence f1 bath) Duplex (1 bath) each Additional bath SERVICES . INFORllATlON llNl 726-3753 SQ. Ftg. 1.lain ~q. Ftg. Access. SQ. Ftg. Other New Add Alter Rep. -Fence Demo Change/Use Other - - ~ ~ ~ \J ~ Range_.-. ValuE of Hork: #,S-~ ....e. BuiloinQ Permit Info: Describe Work(i.eo. Familv nesidence With Attached Garaoel Build Single b~#/)#m.c; D~7"",~76 ~Z>7.7/Tfi.::r;'; :r /#'5'T.#LC. _/~& l?~~~ :r... ,~~~____n;;;..-?",",. . (lics. no.) (~xnir~s) (ohon~ no. (l ics. no.) 7j/7y.:;97.2 (ohnnp nn, ) (exnirpc:.) (; II~ V . 5 "l,OP 'X/?-C?.2 :2 MECHANICAl I s:s:s: I ru SQ. FT. furnace/burner to BTU's Floor furnace and vent Recessed wall So~rp hp~tpr ~nrl vpnt amps. ./' Q/~io ~t+~.K h. Appliance vent S~DaratF! Stationary evap. cno 1f~ r ~ Vent fan with """ 5in~l1e duct Vent system apart from heatino or A.C. Mechanical exhaust hood "nd durt. Water servi ce Temporary Construction Change in existing rps i rlJ'Jlrp multifamily. comm. or Tnrluc:.tri"l Sewer Storm Sewer Of 1:..... ,b. COMfI./IND. FEEDERS Install/alter/relocate dic:.trih. fppdpr, Of Wood stove/heater amps. ISSUANC, OF PFR!IIT TOTAl CHARGES TOTAL CHARGES TOTAL CHARGES /1'7/Ar. / -s: - WHERE STATE L\l/ REQUIRES that the Electrical work be done by an.Electrical Contractor, the electrical portion of this pennit shall not be valid until the label has been signed by an Electrical 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 performed 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~CY will be made of any structure without the permission of the Building Division. I further certify that my registration with the Builder1s Board ;s in full force and effect as required by ORS 701.055. that if exempt the basis for exemption is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. NAlIE(please print) 'vv,/f,o...... YV.Ite.Y'C-i SIGrIATUREW~ 11),f41.(' FOR OFFICE USE DilLY Sq. Ftg. riain )C Value Sq. Ftg. Access x Value SQ. Ftg. Other~~ ~P//. Value ~ -- = .... TOTAl VAlUATION ffC.;!>;r.'T-~ ~ystems Development ~6..,.-?::J /o--zf' r harae (J.5~ . Zone c::.L... Fi re Zone Flood Plain Tyoe/Const. ~~ Units Occy load Q4/R Occy Group ~--~ Bedrooms Stories -;> BUilDING PER~IIT Charges and Surcharges Plan Ck. 65%/Blda Plan Ck. 30%/Bldo COIl1l1/lnd Ppr Ff!f! R-es Per Fee PlU!1BING PERMIT Charges and.."- Surcha rges Fence D/lRlo' I'Sidewalk I AIC Paving /c- - I Curb Cut ----I-c.>-:-~-1 . <. ELECTRICAl PERr~IT Cha rges and Surcharges MECNANICAl PERMIT Charges and Surcharges \.., DATE /0-).. ?-f!? I I I ITotal I I TOTAl Comb. Permit /5:75 . . it. '- " 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 03 43 2. example- Lot 1. Block 3, 2nd Addition to ..~pr1rigtield Estates ~ C. Name, etc. of owner and construction lender D. Energy Sources 1. examole. heat/electrical ceilinQ/or forced air Qas 2. examole- waterheater/eJectrica(/or solar E. Square footage or valuation, etc. - 1. exam~le- 1250 sq. foot house, 500 sq. foot garage 2. exam~le- 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. examele - remodel existing garage into family room 3. examjple - 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 TEM4 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. 11. 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 OIVISION STAFF WILL FILL OUT ALL 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. --- III. 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 signa ture. 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. .' ~J ~& Sf lo-~-g( V. FOR OFFICE USE ONLY Permit Clerk ~Q// . 1 PROJECT .CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: .6c-~ /ks,7?#8Bc>&/hb ~R n/Zs;r #~-::--::~ .. . ........ PLANS REVIEWED BY: .. . name /~He ?L~'~ Signatura~~ --" // P' ' . date /~-'2.;>-&8 .,~ ..,equired Inspe.ons .. ", IT IS THE RESPONSIBILITY OF TilE PER.'lIT HOLDER TO SEE THAT ALL INSPECTIONS ARE l-'.ADE AT TP.E PROPER TUlE, THAT EACH ADDRESS IS READABLE FRotl TEE STREET. AND THAT TllE PERl'1IT CARD IS LOCATED AT TilE FRONT OF THE PROPERTY. BUILDING PIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIllES. PROCEDURE FOR REQUESTING INSPECTIONS, Call 726-3769 (recorder) state you CITY PESIGNATEP JOB NU}:BER, ..job <lQdress, type of inspection requested and \<lhen you will be re~dy for the inspection. Contracto:"s or Q\mers name and phone n~~ber. Requests received before 7:00 am will be ~ade the sa~e day, requests received after 7:00 am will be ~de the followinh work day. Your City Pesignated Job Number Is: ~BC:> "7/'7 Job Address: ~ ~ y V. ~'l"'/ -::::7 Owner, 1/ F W. Phone: o o o o o o o o o o ~ [lJ [X] [X] m Contractor: SITE INSPECTION: To be made after excav~tion, but prior to setup of forms. UNDERSLAB PLUHBING, ELECTRICAL &- ~IECHANlCAL: To be made before any work is covered. CONCRETE SLAB INSPECTION: To be made after all inslab building service equipment, conduit. piping, accessories and other ancillary equipment items are in place but before any concrete is poured. f.:? ~ FOOTINGS & FOU~DATIONS, 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. UNDERFLOCR:. Plumbing. Electrical, Mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. POST 6 BEAM: To be made prior to installation of floor insulation. decking or floor she&ting.". o D lZ] FLOOR INSULATION & VAPOR BARRIERS, To be made prior to inst311~tion of decking or floor sheating. ~"SONRY: Steel location, bond beams' grouting or verticals in accordance D with U.B.C. Section 2415. RoeF SHEATHIXG k~O NAILING: Prior to installing any roofing'~~I;'1 D ROUGH PLU~mING, ELECTRICAL & ..., ~IECHANCIAL: No ",'ork is to be co\'ered until these inspections have been made and approved. ?-~ FINAL PLU~19ING [Xl CITY'S SITE rLA~ REVIEW BOARD INSPECTION: Must be reGuested 2 days in advance of the date you wish inspec!io~. All project conditions such as landscaping, parkinb lot striping etc. must b~ com~leted hefore requesting this ir.spection. '1~ FISAL ELECTRICAL IPj [Z] .FINAL SUILDI!\G: ~fust be requested after the final Plumbing, Electric:!.l, ~lcch:lnical and Fi:-e Dcpartm~nt inspections are made and approved. No Occupancy of the premises can be m3de until a Certificate cf Occupancy has been issued by the Building Divisicn ar.d postcd on the premises 2.,~ FINAL ~n:CHA.~ICAL 1?'-1 FI}:'\L FIRE DEPARnIE~:T SIC'ATURF Phone, ATTIC DRAFT STOPS & CURTAIN WALLS. FIREPLACE: Prior to placing facing materials and beforelaming "" inspection. 4 I ~ INSULATION & VAPOR B RR!ER: To be made ~ftcr all insulation and required vapor barriers are in place but before any lath or gypsum b03rd 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. D ~ ~ LATH AND/OR GYPSijfl BOARD INSPECTION, ---, To be made after all lathing and ~ g)~sum board. interior and exterior, is in place but before any plastering I is applied or before gypsum board ---3 joints and fasteners are taped and finished. SPECIAL INSPECTIO~S: In accordance with Section 306 of the Building Code a special inspector shall be employed by the O~~er/ Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. ~ ~ ~ STRUCTURAL CO~CRETE: In excess of 3000 P.S.!. (306 a.I) FIRE &'5EPARATION WALL, Located & constructed according to plans. 1\ D D WOODSTOVES: After installation is ---, completed. ---.J SIDEWALK & DRIVEWAY: 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. STRUCTUR~L ~ELDS: Preformed on the job. (2722 f) HIGH STRENGTH BOLTING: During all ~ bolt installation and tighting oper~tions (306 a.S) SPRAYEO ON FIREPROOFING: (U.B.C. Standards 43.8) SPECIAL GRAOING, EXCAVATION ANO FILLING: ~4ring earthwork. (306 a.l1 & Chapter 29) GLU-LAM BEA!'iS: Inspection Certificate, by an approved agency, furnished to the City's Building Division before bea.ms are placed. (2S01-U.B.C. SlOS. 25-10,11). . *In addition to the inspections specified hereon, the B~ilding Official may ~ake or require other inspections of any construction work to ascertain compliance with the Building, City or Zoning Codes. DATE ;;. ALL ~t,\."'HOLES .\~D CLEA:\OUTS ~IUST BE .\CCESSIBLE, ADJUSnlE:-;T TO BE ~1,\[lE AT XO COST TO TIlE CIn'. PARKING LOT: After gravel is in place but prior to placing asphalt or concrete.