HomeMy WebLinkAboutPermit Building 1989-4-20
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~ I/I~I'[CIIO/l LItH' . CITY Of SPRINGII[lO . INFORllATlON LiNl -I
,_726-3709 c"----- ___ COltBlHAlJON ^PPLlC,A1I0N/PEIUoIIT 726-3153
l..\'.....k.~-~ C 3. EIIERroy SOl/fICES, 5q, Ftg, r,tain;-,.U:'tJ..:l' '- ~
r ^ddro~:\_..J__...K)_'L\"'-'w_03Y_~~_- ___u___ /loot ~~, n~, ^ccm, ::n
)al O",criP~,ion\~ D.2...~2..."b) r')_;:/;;;;[;:J___ !-Iator /lo.t.1' S~ilo~t9^d~thX~t.r Pop, ~)
n.\nl"Jc __ _...____..___ -rence f)cillO Ch:iiifjc/llSC ~,/ '-
.____._._~.__, Vil1u( of 1.lork: --Othcr- - ~
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I' III Built;Tl1<l Penult Info: ncscritJc ~I()rk(i.c.. Build Sill~,t,c
h, ~2(,q_~t(fI r""lily fi.si"c".cc !lith Mt.chod roaranol b
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CON1RACTOR?_.._\!1.<.!!1-'-~) ~!!~!:L'ss.
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Gener,) 1
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furnace/burlier to
BTII's
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[dch sin~de fb.lur"(,
l~e'i idem;l! of
Ilelocdtl'd lluildirHj
(flew fix, .ldditiol1.1J')
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tll'\'1 cin:ui ls ill ts.
0" exlt'II';innc; '")f)S)
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Floor furnace
.)nd vent
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Ollplt~X (1 lliHh) (!'\ch
SUIVICI:S
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ISSIIMlcr nr "rmllT
! Tom~RGr<::=-~-_-__=-:=_:_~=l5~~ -llll~I:~I~IG;~~~_== 2.~ i85--,_TOTM CI~Rr.ES
WHW[ ~T^TE L 'H IH.I}Ulllr'.. that the (lCdriC.ll \.torl: he d()np' hy an ClP.r.I.t'iC,ll (C'l!l ll'.lC 1:01' , the clectricdl portion of
SIh111 not hI' v.lliJ tlIltil the lilllclllilS heen si~llll~d lIy all I:lect,'ical ~ul'cl'visOl. ,1m: ,'ctlll'ncd to the Huilding Division
thi S pCr'lai t
I It^V[ C^IICiiJl"LYi':X^,ifil(IY .i.~;e'-'c;-;~II~T~"t~;.IT;;~T'i~:~,'ti;;..;. .j'u.' !J(~I'U1 it. ,11111 do hen~I'.Y t:l','t i fy t lid 1 ill I infollllJ linn hcreon is l nll~
dnd correct. j'ln(1 I fur-tiler certify lh,lt tlIlY ,lnd ill1 \'lOd; ncrfol'ltlf~t1 shall be dont' ill ilCcOl'ltancc with tile Ordinances of the City
of Snrinqfil.'ld bud I,h(' l,HIS of tile Sl,lte of Or-ell/HI !I1~rl.ilirdll~1 to I.he work deo;cl'ihed Iter~in. and thalllO Or.CUP^IICY \'Ii11 hc ultlde
of .lilY ...tructufr- without lhl.' rwnnission of the nll;ldin~1 PivisiCln. [further' cI'I.tify ttl,'lll1'y rC~lislr.1lion ...lith thfl BlJildl....s
[loud is in full fon;(' ,llld effect ilS n~quin.,d h.y nr:~; 7!:1.01;~l. thal if l~:<cmpt lIlI.' hilsis for excmption is notcd hercoll. tlIH.J thill
only suhcnntl','.:I""S ,n::;lIOY"I'S ~ in cnlllnli,lIlcc ullh or's 1/11.0',:' ,-Jill In~
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Surcharges \ . \~. AlC l'.lVin~
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SUI'charges ~ ~
OUILOIIIG PERfllT
Ch,lrgcs ,1n~
Surchllrgc'i
"SystCI:lS Development
Ch.r~e (1. 51,)
PLUl1BING PERMIT
eh,} rgcs dnd
Surcharges
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Total r.omh. rCl'mit
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COfllllNATION API'L1CATlON/P[RflIT (CAP)
I. Appl iCnnl to fllrnish
A. Job Address
[1. Legal Description
1, ~xt1l11Pl~- lax lot 100. lane COllnty r.l.lp ncfcrcncc
17 OJ 3
2. CY.ilm~c. lot 1. Block ]. 2nd Addition Lo
Siirln~(jcld (slales
C. flame. clc. of owner i\nd construction lendel'
O. Encr9Y SOU1'CCS
1. ~!.~lp l~. he,1 LI ~.l_C_0:~.i ~f'.!-_c.e.i.l.i!l.~/Clr _~~~.!."::~(~.~~_!!_..(.I~l ~
2. e....i\lIIplc- W,l lcdlcalcr[c!ccll'icol 1/0.' ~(JI.ll'
[. Sqlltlrt: fool"Hc 01' v,lllltllii.lll-:-.-e-ic~.-- ----
I. ~X_'l.!I!P..l_C_-_l.?~Q Sll. fool house. gl.q sq. (oot ~l,lra9c
2. .!=x.a~~J~s.- if new project, check flew - if .HltlititJll,
CTlcck <llld. clc.
F. Ouildin9 penUlt infonni\lion:
1. ~_~':~P!(?..!!:. - construct sinylc family huuse with an
attilched 91\r'\9c
2. .CXilmpl! - remodel existing 9i11'119c into filllli 1y room
3. S.:~ - convert single f,llllily residence into
restaurant (change of use)
G. Value of work as defined ill Sectiun 303 (a) of the
Structur.ll Speciillty Code
11. D[SIGN T[NI MIO CONTRACTOIIS
To _woid design or construction dcl"y~.. [\llildin9
Division St,lff must be ilhle to contact appropt'iate
persons regarding de5iyn infonllation ur joh site
corl'cctions. etc.
11. Abbrevi.1lcd Plllmbiny. ~lcch,lnical. It, Eleclric,ll Schedules
A. Excepl \.therc blank sp,lces occur ill Llll~ dcsct'iptiofl
pOt"tion of the Mechanical and (lcclric,11 Schedules.
the ,Wpl icanl need fi 11- in only the No. Boxes adjacent
to the ap~l'opriate item(s) to be in!>tallcd
B. rull Plumbing. Mechanical. and Electrical Schedules
are available at the Uuilding Oivisiml
1. To conse,'ve Slhlce on the penni t fonn lhe schedules
hllve been ,1tJhrcvitlted
2. If the item(s) to be installed tlrc nol covered all
the abbl'evitlted schedules you should consult the
full schedules
C, ~OILDING DIVISION STAfF WILL fiLL OUT Al.L f[[5 ArlO
CIIMIG[S 011 TII[ 5CII[OUL[S
D. As noted on the CAP. the l.lbel llIust he dclivcn~d to the
electrical conll'actor for si!lnaturr. hy his electricJI
supervisor. The general contractor is not ,1ulhorizcd
to sign the elcctrical label. -
Ill. Applicant to sign and date
Whenever possible. the initial ,1pplic.ltion will be used as
a wor~shect only. Where possible. Huilding Divisioll Staff
will prepare a type written copy and return it to the
dpplicant at the time the ,lctual permit is issued for his
signature.
IV. Fees and Charges
Plan check fees are due and paY,lhlc ,lt the tillle of the
application. and no pl,lns will be processed until these
fees drc paid. All othcr fees "l1d charges .11'e due and
payable "/hen thc penlli t is issued.
V, FOR OFFIC[ USE ONLY
PROJECT CONDITIONS TO DE SATISFIED DEFORE OCCUI>N1CY:
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PERMIT VALIDATION
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I'enui t
clerk'rAIJY1)
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Permit applicant exempt from registration with the Dui,lder's l30ard because:
Additional Project Information:
PLANS REVIEWED DY:
nam~~\)\ \:)
~-
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Signatu~e~cl..-'\.. \. ~ y date 1-\_ I( \ - cnq
~
_ ._.. At" rfl01WC.rlfl 0
726.3/,J
.... 11::::::::='1---.-
.quired
InspectllS
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~v S THE RESPONSIBILITY OF TilE PER!nT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TIlm.
: EACH ADDRESS IS READABLE FROt1 TEE STREET. AND TIIAT TilE PER."IT CABD IS LOCATED AT TilE FRONT OF THE
Lo PEI~n, BUILDING DIVISION APPP.OVED PLANS "',UST BE ON jon SITE AT ALL TIllES.
PBOCEDURE FOR REQUESTING INSPECTIONS: C~ll 726-3769 (recorder) state you CITY DESIG~^TED JOB NUMBER.
job oddrcs~, type of inspection re~~ested and when yO\! will be re=dy for the inspection. Contractors
or o\Jners name and nhon~ number. Requcst~ received before 7:00 am,will be reade the same day, requests
ycceivcd after 7:00 am will be ~de ~,followinh work day.
Your Ci~y Desi?,na~ed Job Number Is: ~q.r\\?~
Job Address: l\~~O \\~'--~-> <;"\ -
Owner: ('~0r-..~~~-... Phone:'1~(...,-Q.OCl9
Controctor:_~\. \. '" ,,~"-
- - - - - ~'\
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SITE I f',:SPf;CTION: To be' m:Hlc
:tftel' excav:ltion-, hut prior
to setup cf fcrms.
lINnEHS1.An p1.mmlNr.] E1.ECTrUr..-.1.
~ ~ll:CllAl\ICA1.: Tc he :n~dc befcre
:Ill)' "'ork is co\'cred.
CONCI1ETE StAn INSPECTION: T~ be
~l:H.lC nfter .:111 inl>lnh bui luing
l>cl'vice equipment, conuuit, pi.ping,
:Icccssorics nnd other nncillnry
equipment items ~r~ in j)ln~e b~lt
bcfore ~n)' concrct~ il> pourcd.
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FOOTINGS fi FOlJNDATICNS: To hc m:lde
aftcr trcnche5 :Ire eXC:lv:ltet! :lnd
forms. :lre cl'e;:ted, all steel in
rln~e, hut prior to pouring concrete.
\I~OEn.GR()UNn: Phlmhinr" l:lectric:ll,
r.:l~, Snnitary Sewcr. Storm Sewer,
\'l:lter :,ntl Dr:linnge 1 inr:s. To be
made prior to co\'eri.n~ or fi l! ing
trenchcs.
=:J
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UNOERFI.0CR: , PI\lmbin~, Electricnl.
HechanicnI. To be m:\tlc prior to
inst:lll:ltion of floor insulation,
decking or rIoor she:1thin~.
POST r, IlE^M: To be m:ale prior to
in:it:,ll:ltio:l of flo~r il:sul:\tion.
dccking or floor. :~he::t ing.
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FLOOR INSUI.ATION r. VAPOR RARRIERS:
To be made prior to inst::lll:!.tion
of dccking or floor shcnting.
~
~lASONRY: Steel locOltion, hond bC:lms
grout i I~g 0 r vert i en 1 sin :Jccord:lncc
with U.Il.C. ScctiCll 2115.
=:J
l~oeF S!IEATIII~~r: A~m N.^.II.INr.:
to installing any roofing.
rrior
Dur.n PI.l!MIIINr.. EI.EcrruCt.L ti
~lEr.!!I\Nr.IA1.: No \,'orlt il> to be cO\'crcd
lLl:t i I these i Il~pect i0:15 hnve been
made :lnd npproved.
lNSUJATJON fi VAPOR RARR!F.R: To be
mnue ;:lfter nIl insul:lt ion ::nd
required v3por bnrrierl> 3re in pl:lce
but beforc 3ny Inth or gYFsurn b03rd
interior wnll covering is applied.
~RAMING: To he m3dc nfter the roof.
~ ~il framing, fire blocking nnd
br~cing arc ill place :md nll pipes,
chimne)'s nnd \'cnts arc complcte nntl
the rough electrical, plumbing anu
henting ,,'ires, pipes nnd duct!; arc
nppro\'cd.
F1R~ f, SEPARATION WALL: Loented ti ---,
ccnstructed 3ccordin~ to p13ns. ~
~LA111 AND/OR r,YPSlI>I BOARD INSPECTION: I
~ To he mude nfter nIl lnthir.g nod ~
gypsum hoard, interior nnd exterior,
is in plnce but before tiny PlnsterillJi--,
is tlpplied or hefore gyp5um bonrd -I
joints nnd fastcners nrc toped and
finished.
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Phonc :
ATTIC nRAFT STOPS fi ClIRTAIN WAI.l.S.
.SPECIAL INSPF.CTlONS: In nccordnnce \\'ith
Section 306 of the Building Code n special
inspector shall be employed by thc Owncr/
Contr3ctor during con~truction of thc
feI lowing work. A copy of the special
testing reports 5hnlI be furnished to thc
Building Division.
I'JREP!.AC!:!: Prier tc plncing ftleing
mntcrials :lnu beforc fr:lming
inl>pcctior..
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STRUCTURAL CONCRETE:
P.S,l. (306 a,I)
In excess of 30(111
STRUCTUR\L WELDS: Prcformed on the
job, (2722 f)
HIGH STRENGTH ROLTING: Durin~ 3ll
holt installation nnd tighting
operations (306 n.5)
SPRAYED ON FIREPROOFING:
Stnnclnrds 43-8)
(U,B.C,
SPECIAL GRADING,
FILLING: During
ti Chnpter 29)
EXCAVATION AND
carthwork. (3063.11
o
o
r.LU- LAM BEAHS: Inspection Ccrt i ficate.
by nn np~Tovcd agency, furnished to
the City's Building Division before
be:Jms nrc placeu. (2501-U.8.C. STDS.
25-10. Il),
After instnllntion is
o
WOODSTOVF.S:
complcted.
SIDEWALK r. DRIVf;I'lAY: Required for
all concrete p3ving within street
right-of-way, to be mndc 3fter all
excnvnting c~mplete G form work &
sub-bnsc Ill.::lteri3] in plncc.
CURn ..\ND .o\PPROACII APRON: After forms
nrc erected hut.prior to pouring
concrcte.
* In ndt.lition to the inspection:;
sp~cificu hereon, the Ruildin&
Officinl :nny moke or require othcr
inspections of an)' construction
worK to 3sccrtain coopli3nce with
the Building, City or 20ning Codes.
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D
rAnKING LOT: Aftcr gravel is in
pl~cc hut prior to plncing asph31t
or concrete.
~IN:\L pl.U~mINr.
rL/6TY'S SITE Pl.AN REVIEW 80,\RD INSPECTION: Must be requestcd 2 days in 3dvnnce of the dotc you
~ wish i~s~ection. All project conditions such as lanuscaping, parkin& lot striping etc. must
bu con:;Jleted hefore requesting this ir.spcction.
~I~AI. ~LEcrRIC^t.
~N^l. ~n:Ob\NICAI.
~NAL FIRE nEPAI~nlE~:T
1I~^1. BlIlLDlNG: "lust he rcqucstcd after the final Plumbing, Electricnl, ~lcchanic:lI nnd Pi:-e
~ Dcpartmznt ins~ections are maue nnd npproved. No Occupnn~y of the premises cnn be m:ldc until
:, Certificate cf Occu a C.?issu~thC BUildin&Di~:o~nd:O=d ~; :cmises
SlCNATUr. ='~'_ ~ DATI! y:-- c:- r ,/'
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. CORRECTION/ ALTERATIONS REOl!IRED .
The corrections/alterations listed hy nUr"bers bclo\ol will corrcs!lond with the nurr.bers
listed on the reverse side nnn the same numhcr will aprc~r in the proper location, marked
in red. on your plans.
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Any ehan~es or alterations made after date below Must be approvec hv the ~ld~fi~l.
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DATE: \........\- 'L.\ - ?JC\,
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The corrections/al.ior.s listed hy nurr.bers below Wilerrespond
listen on the reverse sine ~nrl the same numher will aPrenr in the proper
~ in red, on your plans.
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Any chances or alterations made ofter date helow nust be approved by the Building Official.
PLANS
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