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HomeMy WebLinkAboutPermit Miscellaneous 1988-7-12 I IIISPECTIOII L1I1E 726-3769 I , Job Address Legal DescriptIon . . CITY UF SPRINGFiELD COMBJrIATION APPLICATION/PERMIT EIIERGY SOURCES: Heat l-later Heater INFORlIATlON LiNE 726-3753 Sq. Ftq. l'\ain ~q. Ftg. Access. Sq. Ftg. Other lIew Add Alter Rep. --Fence Demo Change/Use Other - - ~ 00 ~ () " ~7t?<;" M#/# -1i7'. Owner C:://Y a"" "5P-"i"'/","",,"R~C'p Address ~"? 5" !y <2 ~??:2- 1i?"". " Phone 7'<~-%SY ~~ ~. ""}7"77 -'->': .~l" . -'<7~"'; ?'Jrry Ranqe ValuE of Hork: 10,,,,,..< BuilriinQ Permit Info: Describe Work(i.e.. Build Single I Fami.l~ n~~id~nc~ 1Hth J'.tt.ach~d Garaoe) 6,,=n;"';' r- ~~??d"~ ~ r~ h.?~ ~~r.r,? - i1Y:? Address Phone DESIGN TEAM (name) (addre~$) (lies. no.l (exoires) , /b<::e ~""""/y&;>;' *. :;x:...rns :f/~ Primary <)~~...; {,;~>~ ~~.- ."_.~_.~..:~....r~'=-.'.5- /f?? <9'7'!i"&</ Structural Electrical Mechanical CONTRA~TOR.< General . (ohane no.) :?'.v:? .7<"/"<::) ~}S- , ~,.}OV J&nn 1'; '.' Ifllaroe\ (address ) (lies. no.) (pxnirp",) Plumbina Electrical LJi.' ~AW~./HC"_. /~a;"'..o /52'~' .2>.~~2). "echani~al6N/~?~';A?;3? >::::.",,?"q~7 W- ?0b~..e- It.r:. NO. Each single fixture SQ. FT. Relocated building (new fix. additional) S.F. Reslclence f1 bathl Ouplex (1 bath) each Additional bath ,~. ' ..='~(';~' i . ;~~;~:;r;. I :,']... 1~~~ '<j' ......,. '>'. :~:r. :~" ,1,'-' 'I:tii .I~:J ."''1' :,:~! _ Storm Sewer :::hlJ.~ " .~':1?'~ ,~j" Water sem ce Sewer ,:;-1 -, I I ?50'";:>-~ -:?9''7-<~.8/. . J P\JllliIIlIG ELECTRICAL MECHANICAL Ir"TI furnace/burner to BTU's Floor furnace and vent I IOE.L-I JJlARGl: FH I fHAIU:;F 'I!' I ~~~ Residence of New circuits alts. or extensions SERVICES Recessed wall 50ace he~ter ~nrl V~nt Temporary Construction IChange in existing rp'S- j dynrp /multifamily, comm. or Tndllc;trial Appliance vent spoaratp Stationary evap. r:ooler I Vent fan with sinole duct I Vent system apart from, heatino or A.C. 'Mechanical exhaust hnod ~nd durt Il.JOOd stove/heater I I , I I I +- I I I I I , Of amps.1 I I I I I I ISSUANCE OF PFRl11T TOTAL CHARGES I TOTAL CHARGES that the Electrical work be done by an Electrical Contractor, the electrical portion of this pern1t label has been signed by an Electrical Supervisor and returned to the Building Division CO~1,/IND. FEEDERS Install/alter/relocate pdprc:. Of amps.1 TOTAL CHARGES WHERE STATE l,\W REQUIRES shall not be vali1 until the 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 oerformed 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 OCCUPAUCY will be made of any structure without the permission of the BUilding Division. I further certify that my registration with the Builder's Board 1s in full force and effect as required by ORS 701.0559 that if exempt the basis for exemption is noted hereon9 and that only subcontractors and employees who are in compliance with OP.S 701.055 will be used on this project. IlAf.IE(please print) 20ne P~. Fire Zone Flood Plain BUILOING PERfllT Charges and Surcharges PLur~BING PERMIT Charges and Surcharges ~ ~ ELECTRiCAL PERI~IT Charges and Surcharges MECHANICAL PERMIT Charges and SurCharges .""".....,... SIGU^TURE_ FOrr OfFiCE USE mil.. Y Sq. Ftg. 'lain Sq. Ftg. Access Sq. Ftg. Other )( Value Jt Val'ue x Value TOT^L VALUATION OATE Type/Const. Bedrooms Stories Units Occy Load Occy Group . Plan Ck. Comm/Ind _________'-__ 65%/Rldo P.rr ~pp Plan Ck. Res 30%/Bldo Per Fee Fence Syster:\s Development I CharQe t)'5~) '. ,. I , I I I I I .' ,..'If.", I /YO' fr~.~:~k . . t.~-)' ------------ 10_ I Sidewalk , A/C Paving ~-______---._: Curb Cut I I !rotal : TOTAL Comb. Permit 1 J 1 ; i , 1 I' . . ., I" , 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. exa~le- lot I, Block 3, 2nd Addition to ~prlngtield Estates .C. Name9 etc. of owner and construction lender D. Energy Sources 1. examDle~ heat/electrical ceilinq/or forced air oas 2. example- waterheater/electrlcalJor solar E. Square footage or valuation, etc. ------ 1. example- 1250 sq. foot house. 500 sq. foot garage' L 2. examele- if new project, check ne~ - ~~~Jddition. ,- . Check: add, etc. : , . '. . ".. ," :. , F. Building permit information: .. 1. examDle - construct single family house with an attached garage 2. examDle - remodel existing garage into family room 3. exa~le - 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 infonmation or job site . corrections. etc. -.11. Abbreviated Plumbing, Mechanical,'& ElectHcal 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 FEES ANO 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 du~ 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 Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: . ... ~ . h .~.:~~.:.~'~. , ;. .:.; .~. .... ..t. .' ....: PLANS REVIEWED BY: I name LR~ J?~~ Signature~ _ .- ~-""'::-> '/ ' /'- ~'J.'. .......' : date 7-/':<-8'13 ,-' " ~::..-:i7~{'~~"'{,>::::";':'-'~'r~~.t'; .~~;-;;~~~'; , . , ~ " ".quired Inspec.>ns .. IT IS THE RESPONSIBILITY OF TilE PER."!IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TP.E PROPER TIllE. THAT EACII ADDRESS IS READABLE FROt! Tl'E STREET. AND THAT TilE PER.'fIT CARD IS LOCATED AT TilE FRONT OF THE PROPERTY, BUILDING DIVISION APPP.OVEO PLANS MUST BE ON JOB SITE AT ALL TItlES. PROCEDURE FOR REQUESTINr. INSPECTIONS: .Call 726-3769 (recorder) state you CITY DESIGNATED JOB NU}rnER, job .i1ddress. type of inspection requested nnd \olhen you will be re.:.dy. for the inspection. Contractors or m~ers name and phone n~~ber. Requests received before 7:00 am w~11 be ~~de the same day, requests received after 7:00-am will be ~de the following work day. Your City Designated Job 'Number Is: - ~t!:)/ Job Address: I/?t:::-')" ./S7A./A/~.r: Owner:.6r-y ~ ~......~:,r:-......~ ~ ,0 o o o o o o o o Contractor: SITE INSPECTION: To be made after excavation. but prior to setup of forms. UNDERSLAB PLmIBING, ELECTRICAL Iii ~lECHA.'IIICAL: 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. D FOOTINGS & FOUNDATIONS: 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, W3~er and Drainage lines. To be made prior to covering or filling trenches. UNOERFLOOR:, 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 install~tion of decking or floor sheating. ~~SONRY: Steel location. bond beams grouting or verticals in accordance with U.B.C. Section 2415. o o o D D O ROOF SHEA'!1n~!G A.'ID NAILING: Prior 'to installing any roofing. '>1 D IV1 ROUc:H PLL~'BING.c;LECTRICAL"" ,..(} I!L.J CfIECHA:\CIAL!) No work is to be covered until these inspections have been made and approved. o o [d] o . '. Phone: ~~ &~ ?:;;>~S5t" :J SPRAYED ON FIREPROOFING: (U.B,C. Standards 43-8) LATH AND/OR r.YPS~1 BOARD INSPECTION: :J To be made after all lathing and g)~sum board, interior and exterior, ~s in p~ace but before any Plastenfl6:J ,GLU.LAM BE~1S: Inspection Certificate, ~s.applled or before gypsum board by an approved agency, furnished to JOlnts and fasteners are taped and 'the City's 2uilding Division before finished. beams are placed. (2S01-U.B.C. SlDS. WOODSTOVES: After installation is :J 25-10.11). completed. SIDE\';'ALK & DRIVEI'iAY: 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. Phone: ATTIC DRAFT STOPS & CURTAIN WALLS. FIREPLACE: Prior to placing facing materials and before framing inspection. INSULATION & VAPOR BARR!ER: To be made after all insulation and required vapor barriers are in place but before any lath or gypsum bo~rd 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. FIRE & SEPARATION WALL: Located & constructed according to plans. D D D PARY.ING LOT: After gravel place but prior to placing or concrete. is in asphalt .- SPECIAL INSPECTIONS: In accordar.ce ~ith Se~tion 306 of the Building Code a special inspector shall be employed by the b~nerl Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the" Build~ng Division. :J :J :J STRUCTURAL CO~CRETE: In e~cess of 30(0: P,S.I. (306 0,1) STRUCTUR\L \';'ELDS: Preformed on the job, (2722 f) HIGH STRENGTH BOLT1~G: During all bolt installation and tighting operations (306 a.S) SPECIAL GRADI~G. FILL1~G: During & Chapter 29) EXCAVATION .\.'\0 earthwork. (306 a.l1 *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. FINAL PLUMBING o , . 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 b~ com~leted hef~re requesting this inspection. I-{') FINAL ELECTRICAL -34 FINAL MEOIANICAL o FI~AL BtJlLDING: Must be requested after the final Plumbing. Electrical, ~lechanical and Fire Department inspections are made and approved. No Occupan~y of the premises can be m3de until a Certificate of Occupancy has been issued by the Building Division and posted on the premises FINAL FIRE DE!>ARTME~IT 'SICNATIJRF OATE * ALL MANHOLES AND CL~ANOUTS ~rusT BE .\CCESS1BLE, ADJUSTI1ENT TO BE MADE AT NO COST TO THE CITY. 'h~J...~":::o:..