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HomeMy WebLinkAboutPermit Building 1987-2-3 'J INSPEHLON LINE . )726-3761 . CITY Uf SPRINGFIE~D COMBINATION APP~ICATION/PERMIT E!IERGY SOURCES: Heat P7~ Hater Heater Range . INF0R11ATlON UNl 726-3753 Sq. Ftg. '.lain ~q. Ftg. Access. Sq. Ftg. Other New Add Alter Rep. --Fence Demo Change/Use Other- - Job,Address :3 ~&1 /:I1A--/A..J S/ ( #4-2 Legal Descrip!ion /'1t?2. _~ L 42.. 047t?/ ff.,+L, ~~A~ Owner..JE'.t ~ '/tfe/ r!.-E Address '2- / / / ~OU '/ ST c::4;::;".., i Ck. Phone ValUE of I~: SOD Builciina Permit Info: Describe Work(i.e., Familv ~esidence With Attached Garaael Build Single \)) ~ ~ ---k Construction lender _.q0?4r~ ~-EiJ rE/f./-r..E; //I)t5'HttL. ~~ lhiof'/ /; J -c 7-;~ Address OESIGN TEAr~/ Inamel Primary I -..4;:iI) Structural ~ Phone (address) ~~;c~ no.) J (exoiresl (ohnne no ' I 77J r5</ )"( ~ JA vAl ~~~ y " Electrical Mechanical CONTRACTORS (name) (address 1 nic~_ M.) (pxoirp~' (ohnnl'lo nn , Genera 1 Plumbina , Electrical ~'echan1cal PLUIIBI NG ELECTRICAL MECHANICAL NO. FEF rHARr,F Nn J:'~L-.C..I:iARG.E. Nn ~!:'r: r\.l~ Each single fixture Relocated building / (new fix. additional) - l's.F. Residence (1 bath) iDUPlex (1 bath) IAdditional bath "ater Residence of SQ. FT. furnace/burner to BTU's I New circuits a1ts. or extensions Floor furnace and vent Sewer SERVICES Recessed wall So~rp np~tpr ~nrl v~nt Storm S / / / V /1 I Temporary Construction Change in existing rp'l j dJ'.nc~ Imultifamily, comm. or Tndllc:.t.rial 10f amps.1 ICOffi~./IND. FEEDERS I Install/alter/relocate rlic:.trih. f~pdprc:. IOf amp~1 Appliance vent S~Daratp Stationary evap. cooler Vent fan with ~inalp (ill('t Vent system apart from I heiltinq or A.C. Mechanical exhaust hood ilnd dur:t Wood stove/heater I TOTAL CHARGES WHERE STATE L~W REQUIRES shall not be valid until the ISSUANCE OF PFR!1lT TOTAL CHARGES I-TOTAL CHARGES that the Electrical work be done by an.'E1ectrica1 Contractor, the electrical portion of this permit 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 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 OCCUPAHCY will be made of any structure without the permission of the Building Division. I further certify that my registration with the Bui1der'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 ORS 7nl.055 will be used on this project. IWIE(please print) Rj M,c..r SIGrMTURE (-f?~~ DATE ~ -..;~- $"7 FOR OFFICE USE OiIL Y I Zone Tvpe/Const. Units Sq. Ftg. t1ain x Value Fire Zone Bedrooms Occy Load Sq. Ft~. Access x Value Flood Plain Stories Occy Group Sq. Ftg. Other x Value TOTAL VALUATION BUILDING PERHIT Charges and _~. Surcharges 10"0 ----------- .-(0 -~- Plan Ck. Comm/Ind 65%/Bldo Peor Fee Plan Ck. Res 30%/Bl dQ Per Fee Fence ~ - Systems Development Charoe (-!. 5~) . PLUt~BING PERMIT Charges and Surcha rges '-2:. Demo _ __./..5_~_ ___I Sidewalk I GO lAIC Pavi ng ~ I Curb Cut ------------1 I I ELECTRICAL PERlm Charges and \ I Surcharges 'f MECHANICAL PERMIT Charges and Surcharges ITotal Comb. Permit I I TOTAL U>~ . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal Oescription 1. example- Tax Lot 100, lane County Map Reference II oj 43 2. example- Lot I. Block 3, 2nd Addition to Springfield Estates . C. ,Name,' etc. of owner and' cons"truction fender D. Energy Sources .~, h 1. "examDle-' heat/electrical ceilinqJor forced air Qas 2. examole- 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 pernit information: 1. exam~le - construct single family house with an attached garage 2. example - remodel existing garage into family raom 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. OESIGN TEAM ANO 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 OIVISION 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 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 CONDITIDNS TO BE SATISFIED BEFORE OCCUPANCY: . " l. PERMIT VALIDATION " G111~ ,~ /[._ ~1 C)./ - J " Permit Clerk Q/ Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: name signature date - , , , \ / I . . ',."...:D-=t ,~ ., ".quired irispec.>ns .. ~' I,S THE RESPONSIBILITY OF THE PE~~IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TItm, T EACH ADDRESS IS READABLE FROM THE STREET, AND THAT TIlE PERMIT CARD IS LOCATED AT TilE FRONT OF THE ROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL Tums. .' . PROCEDURE FOR REQUESTING INSPECTIONS, Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUMBER, job address, type of inspection requested and when you will be ready for the inspection. Contractors' or owners name and phone number. Requests received before 7:00 am,will be WAde the same day, requests received after 7,00 am will be made the following work day. Your City Designated Job Number Is, ~O ~Cf4 Job Address, <r;.,~7 "7J/f..l'1:Z1 J #4-2- Owner, t-lt:0-.v0~' ,IJ~/t!.E Phone, Contractor, ~~~A/~ Phone, o o .. .~ .' . o SITE INSPECTION: To be made after excavation, but prior to setup of forms. UNDERSLAB PLUMBING1 ELECTRICAL & ~ffiCHANlCAL: 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. .\ . -. ~ '. . . o o o o o o o o o o FOOTINGS & FOUNDATIONS, 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: I 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. o ~ 10 o .0 MASONRY: Steel location, bond beams grouting or verticals in accordance 0 with U.B.C. Section 2415. o o o ~ o ROOF SHEATHI~G ~~D NAILING: Prior to installing any ~ ROUGH PLL~mING. ~ECTRIC^L.k'(..-t) MECHANCIAL: No WorK 1S to be covered until these inspections have been made and approved. FINAL PLUMBING D ~"\ 'tl FINAL ELECTRICAL FINAL MECHANICAL fir 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 BOARO 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. FIRE & SEPARATION WALL' Located & constructed according to plans. WOODSTOVES: After installation is completed. 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. PARKING LOT: After gravel place but prior to placing or concrete. is in .asphal t SPECIAL INSPECTIONS: In accordance with Section 306 of the Building Code a special inspector shall be employed by the Owner/ 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 WELDS: Preformed on the job. (2722 f) HIGH STRENGTH BOLTING: During all '_ bolt installation and tighting operations (306 a.S) SPRAYEO ON FIREPROOFING, (U.B.C. Standards 43-:8) ~IAL GRADING~ EXCAVATION AND FILLING: During earthwork. (306 & Chapter 29) a.ll =:J GLU-LAM BEMts: Inspection Certificate. by an approved agency, furnished to the City's Building Division before beams are placed. (2501-U.B.C. STDS. 25-10, II). *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 inspectio~. All project conditions such as landscaping, parking lot striping etc. mus~ bu com~leted hefore requesting this inspection. JINAL 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 Division and posted on the premises ,,~-Q7 ~ * ALL MANHOLES AND CLEANOUTS miST BE ACCESSIBLE, ADJUSTMENT TO BE MADE AT NO COST TO THE CITY. o FINAL FIRE OEPAR~reNT DATE 2.-3- %7 -.:.':<;"1>:".