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HomeMy WebLinkAboutPermit Building 1989-1-18 \ I m~~mON LINE fl . . . I.eg.l Oescription 11 02 3.f .~, CITY Uf SPRINGfIEI.O COMBINATION APPLICATION/PERMIT --~ EIlERGY SOURCES: He.t .-"") 7 Hater Heater .?'- -0&' Ranqe_~_~__ ValuE of Hork: H' .000 Phone 71'iI . ) Bui loinQ Pennit Info: Oescribe Work( Le., Build Single fL1.'/53, _ Familv l'tesidence Hith Attached GaraQe' . . INFURl1ATlON LIOt I 726-3753 /. "Y'\ Sq. Ftg. Hain IJ...buu lP ~ ~q. Ftg. Access. 8'J Sq. Ftg. Other -11ew_Add__Alter--y-ep. . _Fence_Demo_Change/Use t> _Other . I I Job Address :; 'f 0;). (Ii') U , '" S,- --,..... ."l z._"I.;. ,.=----' Owner Address W'A.I.( 37'02 I"I-"'\~(h .- Y'/l ,4 ,'f\. Construction lender (,,,_11" Fou......lllr'.dn. ./)er-,.,....... (Orlly) So',.,. Or~,yt,,<L'''' .,0...._.'-,- (0.,(.') i Address DESIGN TEAl' (name) Phone (address I nics. no.l (exoireo;.) (ohone no. I Primary Rrc...(k VV\t'AA [;'"",. J'",{. (O,-p: e./\&IY>t""I'""pr( .....:.... , Mechanical CONTRACTORS (name} (address \ (lice;.. no.' lexnire.sl ~ ~ V---' (oh'nnfl nn _ \ Structural '-.T A.c Il'V:/({1"4'> V"lC7A ( I ~" '/ ,..(, ^'l) Electrical General ~t 'n <? j.'Ct,v'\ (r,..t c;: j;. \~'~I'C. '" i~ 4'/1':- Vi'1.-, 13.!S" r_ II,. _Cp,,;,if Q29<1.) q h~/ff'i 7'(7''1!f<rs 01"'- '7 'It,. '(>);Z Plumbina Electrical ')/1 'ilJrj) ~1echanical 1.,-:(1 PlUltB IIlG ELECTRICAL MECHANICAL NO. FH CHI\RGE Nf'.- FFF J:lJAR"F NO. CH ' rHMfi[ SQ. FT. furnace/burner to BTU's Each single fixture Residence of Relocated building (new fix. additional) New circuits alts. or extensions Floor furnace and vent S.F. Residence 11 bath \ Duplex (1 bath) each Additional bath SERVICES Recessed wall ~ra~p hp~tpr anrl upnt ZS!> 'Stonn Sewer &-2- Of amps, Appltance vent sp-oarate Stationary evap. cooler iient fan wi th sinolp l1urt, Vent system apart from h~':ltinq or A.C. Mechanical exhaust hnnd -'Inti tiurt Sewer Temporary Construction Change in existing res j dy"nce multifamily, comm. or 'nrfllll;t.ria1 Water service COMI.I. /I NO. FEEDERS Install/alter/relocate ~ill;tr;h. fppdpr~ Wood stove/heater Of amps. TOTAL CHARGES WHERE STATE l~W REQUIRES shall not be vali1 until the ISSUANCf OF PFRllIT 5""Gi - TOTAL CH^RGES TOTAL CHARGES that the Electrical work be done by an 'Electrical Contractor, the electrical portion of this pemit label has been signed by an Electrical Supervisor and returned to the Building Division 1 HAVE CAREFULLY EXM1INED the completed aprlication for permit, and do hereby certify that all infonmation hereon is true and correct, and 1 further certify that any and all work Derfonmed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Ore<]on pertaining to the work described herein, and that rm 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 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 compliance with OP.S 701.055 will be used on this project. IWIE(please print) r<,.r, 'GO<" E 12" ',..e h to' vc-. SIGrlATURF. 1?- fZ,,>-_.~ DATE l/' fJ I her BUilDING PERfIIT Charges and Surcharges -:2~.o, So ------------ ../3.~J 'i?M.. l.:'>aJq Plan Ck. ConmlInd I . 3 65%/Blde Pj'r Fpp 'L:29. . ,~ Plan Ck. Res 30%/Blde Per Fee FO~ OfFICE USE O/llY Sq. Ftg. Main x Value Sq. Ftg. ~ p"......,~4r4aAr Value_<l~~ Sq. Ftg. Other<~ 7.).Q~~""'Value 7_~ ~ . '. TOTAL VALUATlOtIj:'.7-~c> , Systems Development ~/1~. ~.. Charqe (1. 5%' /"./~' . Zone L /" Fire Zone Flood Plain Type/Canst. Bedrooms Stories / Units Dccy load Dccy Group$-2 PlUI~BING PERMIT Charges and..... Surcharges _____~._~_ Fence ::< _::)e> 0,,"0 Sidewalk ELECTRICAL PERrHT Charges and Surcharges MECHANICAL PERMIT Charges and Surcharges AlC Paving Total Comb. Permit ::?2G..O?f; Curb Cut TOTAL /d~/,t7:3' . r . . ( I). I.. .. ,.."i-~~. . . COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATION 1. Applicant to furnish A. Job Address B. legal Description J 1. example- Tax lot 100, lane County tJbp Reference II Uj 43 2. exa~le- Lot 1. Block 3, 2nd Addition to ~prlngtield Estates C. Name. etc. of owner and construction lender D. Energy Sources 1. example- heat/electrical ceiling/or forced air Qas 2. example- waterhealer/electrical/or solar E. Square footage or valuation. etc. - 1. examole- 1250 sq. foot house. 500 sq. foot garage 2. example- if new project, check-new - if addition, check add. etc. F. Building pennit information: 1. exam~re - construct single family house with an attached garage 2. examole - remodel existing garage into family room 3. example - 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 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 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. --- Ill. Applicant to sign and date Whenever possible, the initial application will be used as a worksheet o~1y. 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. )w \ ~~} /~ ~ (y) V. FOR OFFICE USE ONLY Permit Cl erk L0' ~ PROJECT CONDITIONS TO BE SATISFIED BEFORE -GGGUPMCY-: 1;55c....r?'p/C:E C::>~ ~fi/77rr I~ 71FC.F'/r'/ e::>F ;;;~/Yc.D PEI/~( C'P"A4~/.:?7 ~?i'FE./'7?E/::P?: "::(~.7?E.cE/.7? &?~ k/"'/Yov6D h/Y~ ::;;~A#/Y. Permit applicant exempt from registration with the Builder's Board because: r.?"~ ~~. /1!>rf' ,., F6-R Additional Project Infonnation: ?LA'A/"5 ?' ;::::'E/-'r~/.T5 #/?'e-&P'?o/.....rED -;:;;~__c: I9'~CP/~. ~ &;::rc7?1"/~R<O. ~5?r'Y/.ce-. /~ v - ,,/ h/=L/. k~/S /N/"-,-S :;.~L>, ,..);b'/'"A/r #~&O'A/ F .:t7c-k-/;-~ Ci5?c...y?~CNr-, F PLANS REVIEWED BY: L~JZ!/';IE ?<::'~~ 5ignature4~....:::-........, date '2-2--89' name ,..:.~k~ .~equired Inspewons .. IT IS THE RESPONSIBILITY OF TlIE PER!1IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TIle PROPER TIl-lE, THAT EACH ADDRESS IS READABLE FROI1 THE STREET, AND TIIAT TlIE PERl'lIT CARD IS LOCATED AT TilE FRONT OF THE PROPERTY. BUILDING DIVISION APPROVED PLANS M.UST BE ON Jon SITE AT ALL THlES. PI\OcEDURI, FOP. REQUESTING INSPECTIONS: CnU 726-3769 (recorder) state you CITY DESIGNATED JOB NUl-mSR, job ~ddrcs~, type of. inspection rc~ucstcd and when YOll will be r.c~dy for the in5pcction. Contrncto=s 0:.4 O\oJncr::; name and nhonc number. Rcquc::tc received before 7:f)('I am \o.'i11 be rr.adc the same clay, requests l"cccivcd after 7: 00. am will be ~dc the following work day. You~ City Desifinatcd Job Number Is; Job Address: ~ ?f~2 MA'/'h' Olmer: 1A:/:tj:-( 7' Ah-E.c'h';'" ~ '7'"t::'L?<;/O <('~ Phone: COlltr.1ctor: .Phone: F;:.O/)./P,l-7/C76-' 7-i-;5/2>"V:;:; #i/f1Y/Y~:C:? o;ij7c.p. - O snE INsrr:r.nON: To he m.1cJc . 0 ATTIC. n1tAFT STOPS r. r.UnTAHl WAI.I.S." after excavation, but prior to $ctup cf form::;, 0 FTREP!.Ar.!:: Prior tc placing f:Jcin~ lINnEltSI.AB Pl.llHIlING. EI.Er.TIUr...\L mntcrinls nnu hcforc framinr. r, !>IECIIANIr.AI.: To hc :n<lue bcferc inspection. any "'01'1: is covcrcu. o PIN:\l. PI.lI~I!IINr. D FB1AI. ~I.ECTRICAJ. D F1NAI. HECIJANICAI. D FINAL FIlUl IlE!'ARTIlE~rr o [RJ Lr( o ;)-'7 ~ '1..:'7 o o o o o o C0NCr:ETE SloAn IN'sPECTlON: To 'he :n:H.Ic nftcr a) 1 in:;Iab bui !uinr. :>cl'vice equipment, conuuit, pipili~, acees:iorics ;tlld othcr ;mcillnry cquipmcllt items aI":: in jlln~c but hcforc ;1:\y eoncl"ct~ i:; pourcd. D FOO'l'f NGS (, FOIlNIlATI ONS: To he m:IlJe :d'ter -trcnchc:> ;:11"C eXC:<lv:atcd. ;lnd forms :I\'C erccted. all'stccl in pla~c. lnlt prior to pourinr. concrete. 1I:-1I1Enr.nnIlNl1: J'lulIlhinl:, ElcctriC:II, G:l:> , Sanitary Scwcr,c:::::u.orlll SCW~ W:ltCI' ':l11d Drainage 1 illcs. 'l'o.hc mad::: [1riol' to covcl'inl; 01" fill'inl: t l'cnches: . IINlll:I{FI.001t:, Plumhing, IHcctl"lcal, Mechanical. To hc madc prior to illst;lll:ltioll of floor insulatioll, (Icckjll~ or rlool' :;llcatllillr.. POST ~ IH:AM: To he m::dc Pl'jor to j n:;t;lll;lt ioa of rIO:ll' il:Stil:lt lon, decking or flOOl' ::he;:tlll1:. Horm INSUJ.ATlON ~ VAPOR IlARlltHnS: '!'o he m;lde pri(I\' to install:":tioll of deddnr. 01' fIool' :-:heat ing, f.-IASONny: S'tce I I oca t LOll, hand bcalllS ~l"olltil~r. 01' vCl"ti~~al~ -in .Iceordnnce witll II.n.C. SecticlI 2~15: IWI~F S!lEA'!lll~!r. M!1l'N.^.IJ.INr.: Priol" to instil II inl~ any roofinl:' 11fJUr.ll 1'1.1!1-11\tNr.. EI.I:CmlC/'.I. r. 1-1EC!lANCIA1.: No work is r.o be covcred lu~ti I thc~e in~pectio:ls havc hcen m;Hlc .1m] :lppl'oveu. o D o D o o INStIIATION (, VAJlnn RAnn! En: To bc mnde nftcl" all jnsul;ltion ';1lld rcquired vapor harricrs nrc in plncc but hcfore <lny I;tth or gyp sur.: hoard interior wall covcril~r. i5 npplicd. SPECIAl. INSPECTIONS: In accord:mce Idt!: SC::t.ioll 306 of the Buillling Code ;t spccial inspector sh;tll he cmploycd by the O\-:IICI"/ Contr;tctor uuring con:;truction of the followin& I-Iork. ^ ccpy of the spccjal testing reports 511<l11 be furnishet! to the Uuilding Division. =:J =:J =:J ~:TlulcrunAI. CO~Ir.I~ETI;: 'P.S,I. (306 ;\'1) In e~cess of 300'} FnAMING: To hc m;tdc aftcr the roof, ;tll frami'.lg, fire hlockinf~ ;lllu br<lcing are in plnee ami <Ill pipc$, chimneys nnd vcnts ;lre completc <lnu thc rough clcctrical, plumbing ;101l hC:lting wit.cs, pipes ;llld duct!; arc ;lpprovcd. o o =:J IA11l ANn/On (;YPSUM BOAlm INSPECTION: I To hc made <lftcr all l:'thir:g a:1lo --.J p,)'psum honru, intc-rior' :tnu exterior, is in place hut bcfore :IIlY plastc1'ln~ I is :lppIied or hefore r,ypsum hoard --.J jojnts and f<lstcncrs ;I1'C taped anr.! fi nishcd. FIRn 1; SEPAIlATlON IMI.l.: !.OC:ltcu ~ constructed ncconling to pInns. STRlICHIRAI. I'lEl.nS: Preformed on the job. (2722 f) IlH~I'1 STI~ENr.r1l 1l00,TING: During :111 holt installation :Intl tightinl: operations (306 a.5) 1'lOOIlSTOVES: complctctl. $Inm~AJ.K ~ OltlVEl'MY: Hcquircr.! for :111 conc.rcte pavilll: \-lithin street right~of-I-I<lY, to bc m:l.r.!e aftcr nll cxcavating complcte ~ form ....ork ~ sub-bnse nl;lteri<ll in pl;lce. ClllU\ ANn API'rmACII ArnON: Aftcr fOl'ms are ercctcr.! but prior to pouring concrete. Aftel' installation is rAnKINfo 1.01': After gravel is in placc hut prior to pl<1cinl: asphalt or concrctc. SPIlAYr:n ON FIHr:PltOOFlNG: St:muanls 1\3~B) (tJ.B.C. SPECIAL r.llAOINr.. 'F] I.UNG: During ~ Ch;lpter 29) EXCAVATION :\ND cartlll'lOl"k. (306:1.] I =:J r.W-I.AM BEMiS: l:1spectioll Certi fieate, by an approvcd a~e:lcy, furnisher.! to thc Cjtyls Uuilr.!ing Dlvision befol"c be::ms <ll'e pl:lced. (2501-U.n.C. STllS, 25-10, \1). -j('In addition to the inspection:; sp~cified hercon, the Huiluing Offici<lI :nny :r.:lke or rcquire other il1spcctiol~S of ;lny construct ion \~ork te ascert:lin cOr.lJlli:ance I~it.h the Uuillli!1g, City oj' !onilll: Coucs. CITYIS SIn: PIAN ItEVIE11 nO.'\RO INSPECTION: Mu:;t bc rCGucstcu 2 da)'s in :luvancc of the J:ltC yell \dsh 111SjlcctiO:l. All p'rojcct ~on~ltions such <I:; l:musc:lpir.g, i~arkin& lot striping etc. 11111r.t be COn:;11ct.cd ~1efo1'c rcquesting this il:Spcction. o ,FINAl. RlIlI.OINr.: Must he requestcd <If tel' thc fin:tl Plumbing, Electric:ll, ~tech;tnic;J.I <lnd Fh'c Oepartm~nt inspcctions ;trc mnde <lnu approved, No Occupancy of thc prcmbes C:lll !:Ic mndc ~ll1t i I a Certificate of Occupancy h:lS been issued b)' thc Buillling Divisien aroll postcd on the Jlremi~;c:> 5 r'CNATURI; '" . '. I" ...,"', r:.. ....... ,.., .:. .''''.1..... ,",(''''' nr: .,..,."("..~ TI, " DATE