HomeMy WebLinkAboutPermit Miscellaneous 1988-10-7
CITY UF SPRINGFIELD . INFORltATlON LINt
COMBINATION APPLICATION/PERMIT 726-3753
EIIERGY SOURCES: Sq. Ftg. I.lain
Heat ~q. Ftg. Access.
I~ater Heater Sq. Ftg. Other
Ilew Add Alter Rep.
Range --Fence Demo Change/Use
::::ss 6.:1e7~ fd'Af!e/~f~1_~~OY :~~~qnn~ Info: Desc~ibe W:::;~:., B:ld Single
J ") /,ldJI1 ~)'1-rP..fLI P on'79't;-~H Familv Residence liith Attached Garaqel
31J('r'H.Q+iefd I) e ~1~76 CMc.,-e/e ,')/a-b Zq'x t./O'
ConstructionfLenderV fflllttte {,(.-Jdf DP1 I~ fz.. ~ic:lr?'3
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nics. no.) {exniresl
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I IN<Ff"CTl'ljr~ tiNE
72t-'3769
Job Address
tegal Description 17-0i?-'3/- SI< /?~Z'=
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3773'
.
JihJI1 tSf':eef
Address
UtS1GN TEAI~
Primary
Structural
Electrical
Mechanical
CONTRACTORS
Genera 1
Plumbina
Electrical
Mechanical
NO.
(name)
Phone
(address)
00n.er/
/ Pr>d,url 5rkv l-h_
, I
/
/ (namel (address)
t)Lt//Wr /
/ K"o4u.ev 5c..1ut/f;;,.
/ C6 r;v' L"'" LA u/J
PLUIIB I NG
FEF r,HAR!;F Nn
Each single fixture
Residence of
Relocated building
(new fix. additional)
~
\:::)
~
rOhOM no.)
7~t.,;-tf'zcf'3
1_-'1
~.
~l,()D
f1 ;t"c;.. no.'
(pxnil"pc:,)
lohnnp nn
7c/c:' -4/z~t7,
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ELECTRICAL
MECHANICAL
~~~ rHARn[ NO
HF rH;RG.(
SQ. FT.
furnace/burner to
BTU's
~ New circuits alts.
or extensions
-;> .&?'f ~7""e
SERVICES
~.5Z'
Floor furnace
and vent
S.F. Residence
11 bath)
Duplex (1 bath) each
Additional bath
Water service
I Sewer
Storm Sewer
Recessed wa 11
Sn~rp np~tp~ ~nrl vpnt
amps.
Appliance vent
seoar~tp
Stationary evap.
cooler
I Vent fan with
sinole duct
I' Vent system apart from
heatino or A.C.
I Mechanical exhaust
hood and dud
I Hood stove/heater
I
I
I
Temporary Construction
Change in existing
rpsiqli::nrp
Imultifamily, comm. or
Inctlldri~l
IOf amps.
ICOMfI./IND. FEEDERS
I Install/alter/relocate
rli,tr;h fpprlpr,
J6,dl1..e r/
~H Units
Occy Load
Occy Group ~-;<>
(I)
~ Plan Ck. Conm/lna
__....:.I:k.5~__ 65%fB1do P.er Fee
='> Plan Ck. Res
. -'" -:?' -CL.> 30%( B 1 do Pe r Fee
Type/Const.
Bedrooms
Stories
BUILDING PERfllT
Charges and
Surcharges ')
I
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Of
ISSUANCE OF PFRIIIT
TOTAL CHARGES . TOTAL CHARGES ~.:<'_,~ TOTAL CHARGES
WHERE STATE L,"~ REQUIRES that the Electrical work be done by an. Electrical Contractor, the electrical portion of this permit
shall not be vali~ 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 t~at any and al) 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 UO 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 ORS 701.055 will be used on this project.
IlAI-lE(p1ease print)
Zone ,.;: /_
Fire Zone
Flood Plain
Ptut1BING PERMIT
Charges and~....-
Surcharges.
ELECTRICAL PERIIIT
Charges and \ 1
Surcharges -,
'"
MECHANICAL PERMIT
Charges and
Surcharges
J!. Sch-ulfLSIGNATURE ~ .L ~ DATE IO-7-$~
FOr. OFFICE USE ONLY (~'
Sq. Ftg. liain,
Sq. Ftg. Access x
Sq. Ftg. Other$n /f// jf7 ,
Fence
I D~mo
-:z:::?-/S'O ISidewa1k
-----/_/3--1 A/C Paving
I Curb Cut
I
v
Value
Value
Value
_~a::>=6
\ Z. Lj L(o
?b.73 q-2K-8%,
TOTAL VALUATION
Systems Development I
CharQe (J.S~) '_
((~'
g;z -Sc::.
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....,
ITotal Comb. Permit
8<'-"76
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1 TOTAL
/bS":7'6
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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
11 uj 43
2. example- Lot I. Block 3, 2nd Addition to
springtield Estates
C. Name. etc. of owner and construction lender
D. Energy Sources
1. examole- heat/electrical ceilinQ/or forced air Qas
2. examole- waterheaterjelectricalfor solar
E. Square footage or valuation, etc. -
'1. example- 1250 sq. foot house, 500 sq. foot garage
2. examp.Ie- if new project, check-new - if addition,
cneck add. etc. .
F. Building pennit information:
1. examole - construct single family house with an
attached garage
2. examEle. remodel existing garage into family room
3. exam~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 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. ---
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.
J- ~ )-(
(/fi
10 -
V. FOR OFFICE USE ONLY
Permit Cl erk
ce,
PROJECT CONDITIONS TO BE SATISFIED BEFORE -Bt-€ltP-AN~ :/~So4~~ ~r-?~ /;7'.'
.2)FV~Cb?~6""'_7 AR?2-"~-h/ r~..e ~~ ~~.2=> ~./47.? ,...::'&>
/7J;.,...r/77/"T' (""ic</_u d _~-. ~A'"'7- ~~;.,.., &;., /;;r:-
Permit appl icant exempt from regi strati on with the Buil der! s Board because:
Additional Project
Information: ./f7:v~/r/?p.p~c..... /Z'CN-..45' -? ".z>~~/~
~ )'~/h--"~e- ~/~?? ;;c.
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(',~o.-~/He=?:> ~?r
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PLANS REVIEWED BY:
.
. name ~~~~
.' //' >->.---
slgnaturV ~~-"?
-/ ,~'
date /<!'-'/88
,
,
'.i: ~D=t
~
.. ~quired
Inspecwns ..
IT IS THE RESPONSIBILITY OF TilE PER!-HT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TI!E PROPER TUlE,
THAT EACIl ADDRESS IS READABLE FROll TEE STREET, AND THAT TilE PF.Rl'tlT CARD IS LOCATED AT TilE FRONT OF THE
PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOII SITE AT ALL TUlES.
PROCEDURE FOR REQUF.STINr. INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB NU}:BER.
job 3ddress. type of inspection requested and \<lhen YOll will be re,,-dy for the inspecticn. Contracto:.-s
or owners name and phone n~~ber. Requests received before 7:00 am will be,~ade the same day, requests
received after 7:00 am will be ~de the fo11owin~ work day.
Your City Desil\nated Job Number Is: s<gCjR?/
Job ACdress: "'57'?~ ~#,/.A;' :::i7.
Owner: 11lC;P-9'~y6~OLT? Phone: ""?o/'.?:-~2'~.s::s
Contractor: _ C/ /u'/Ye=-/f? Phone:
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SITE INSPECTION: To be made
after excav3tion, but prior.
to setup of forms.
UNDERSLAB PLUllBlNG, ELECTRICAL
r~1ECHANlCAL: To be made before
any work 1s covered.
CONCRETE SLAB INSPECTION: To be
made after all inslab building
service equipment. conduit. piping.
accessories and other ancillary 1k:(.,1
equipment items arc in place but
before any concrete is poured.
F~INGS 6 FOU~ATIONS: To be made
after trenches are excavated and
forms are erected, all steel in
place, but prior to pouring concrete.
USDERGROUND: Plumbing, Electrical,
Gas, Sanita~ S~werl Storm Sewer,
Water an4-'1frainage line~ To be
made prior to covering or filling
trenches.
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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&tlng;.
FLOOR INSULATION 6 VAPOR BARRIERS:
To bo made prior to installation
of decking or floor sheating.
MASONRY: Steel location, bond beams
grouting or verticals in accordance.o
with U.B.C. Sectien 2415.
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ROOF SHEAlln~lG A,"!D NAILING: Prior
to installing any roofing. I ~l
ROUGH PLUI>IBING.&:'LtCTRIC^1;>6 ,....
MECHANCIAL: No work IS to bo covered
until these inspections have been
made and approved.
o FINAL PLUI>ffiING
\.o(~
~ FINAL,ELECTRICAL
[K]
ATTIC DRAFT STOPS 6 CURTAIN WALLS.
FIREPLACE: Prior to placing
materials and before framing
inspection.
facing
ISPECIAL INSPECTIONS: In accordance with
Section 306 of the Building Code a special
inspector shall be employed by the ~~erl
Contractor during construction of the
following work. A copy of the special
testing reports shall be furnished to the
Building Division.
STRUCTURAL CONCRETE:
P.S.I. (306 a.l)
STRUCTURAL \\'ELOS: Preformed on the
job. (2722 f)
HIGH STRENGTH BOLTING: During all _
holt installation and tighting
oper3tions (306 a.S)
In excess of 3000
SPRAYED ON FIREPROOFING: (U.B.C.
Standards 43-8)
SPECIAL GRADING, EXCAVATION AND
FILLING: ~~ring earthwork. (306
& Chapter 29)
8.11
INSULATION 6 VAPOR B^RR!ER: 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 ---J
heating wires, pipes and ducts are
approved.
FIRE 6 SEPARATION WALL: Located 6 ---,
constructed according to plans. ~
LA11l AND/OR GYPSUM BOARD INSPECTION: ---,
To be made after all lathing and ~
g)~sum board. interior and exterior,
is in place but before any plasteri118---,
is applied or before gypsum board ~
joints,and fasteners are taped and
finished.
WOODSTO\~S: After installation is
completed.
SIDEWALK 6 DRIVEWAY: Required for
all concrete paving within street
right-oE-way. to be made after all
excavating complete 6 form work 6
sub-base material in place.
CURB AND APPROACH APRON: After forms
are erected but prior to pouring
concrete./OO 10 I
PARY.ING LOT: After gravei is in
place but prior to placing asphalt
or concrete.
~
GLU-LAM BEMiS: Inspection Certificate,
by an approved agency, furnished to
the City's Building Division before
beams are placed. (2S01-U.B.C. STDS.
25-10,11) .
* In addition to the inspections
specified hereon. the Building
Official =ay make or require other
inspections of any construction
work to ascertain compliance with
the Building, City or Zoning Codes.
CITY'S SITE r~~ REVIEW BOARD I~SrECTION: Must be requested 2 days in advance of the date you
wish inspection. All project conditions such as landscnping, parkinb lot striping etc. must
bd com~leted hefore requesting this inspection.
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FINAL BUILOING: ~tust be requested after the final Plumbing, Electrical, Hechanicnl and Fire
Dcpartm~nt inspections are made and approved. No Occupancy of the premises can be mado until
,a Certificate of Occupancy has been issued by the Building Divisicn and posted on the premises
o FI NAL ~1ECHANl CAL
o FINAL FIRE DEP^RnlE~'T
SICNATURE
OATJ:
';'ALL HA.'\H01.ES .\SO CLEANOUTS ~fUST BE .\CCESSIBLE, ADJUSntENT TO BE ,.t,\DE AT NO COST TO TIiE CITY.