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Home My WebLink AboutPermit Building 1988-4-19 . ' I INSPECTION LINE 726-3769 . CI TY Uf SPRINGFIELD . INfDRllATIDN LINt COMBINATION APPLICATION/PERMIT 726-3753 EilERGY SOURCES: Sq. Ftq, 1.la i n Heat ~q. Ftg. Access. Water Heater Sq, Ftg, Other New Add Alter Pep, Range -Fence Demo Change/Use ValUE of wot t/SU Other-- Buildina Permit Info: Describe Work{i.e" Build Single Familv Residence With Attached Garaael ~~, d{p/...f I I en o I~ v\ Job Address Legal Description Owner. (AiAS 3fl&- Address Construction lender Address DESIGN lLAr1 Primary Structura 1 Electrical Meehan; ca 1 CONTRACTORS General Plumbina Electrical ~lechan;cal .....tm...1 Each single fixture -; <i I b 1J1.a.0.J /7-02- 3/-Lft:). -/))/00 OLl7o h-fa;/v flIlj.,(.:v.- Phone 7 I{ '7 Lf'l:J./ /.2 JC. (.:2 (name) Phone (address I (ohane no. (lies. no.l (exnires) JIL J./).,y ....- ~ """'/1 t'.2,,() -rv II -"' ~) LA / V I (name) ) aU) //fJ.A.-/ (addrec;" 1 (1; r<;. no.1 (pxnirpc;\ (n~('l,",,,, ","I \ PLUIIBING ELECTRICAL MECHANICAL I FFF 1 rHARGE" rw I I t't't' I rLlARG.[ ....JiO.......1 Residence of furnace/burner to SQ. FT, BTU's I r;r;c I r~'1RG.E... Relocated building (new fix, additional) S.F. Residence (l bathl Duplex (l bath) Additional bath Water service Sewer Storm Sewer New circuits alts. or extensions Floor furnace and vent each ISERVICES I ITempOrary Construction IChange in existing rP5- i rtpnrp Imultifamily. COlTlTl. or Tnrll/<:trial 10f amps,l ICO~1,/IND. FEEDERS 1 Install/alter/relocate rtidrih fpprlp\,"<: 10f amp~1 Wood stove/heater Recessed wall Soarp hp~tp\," ~nrl vpnt Appliance vent ~poa ra tp Stationary evap. cooler Vent fan with sinale duct Vent system apart from heatino or A.C. Mechanical exhaust hood and dud I I I ,I I I I I ISSUANcr OF PFR!IIT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES WHERE STATE L,'\~ REQUIRES that tile Electrical work be done by an, Electrical Contractor, the electrical portion of this pernit shall not be vali~ until the label has been signed by an Electrical Supervisor and returned to the Building Division 1 HAVE CAREFULLY EXMllNED the completed aprlication for rermit, 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 OCCUPArlCY 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 7nl.055 will be used on this project. Tyoe/Const, Bedrooms Stories 9A1. _SIGrlATURE /!ill:;::'~;/"/./--- FO~ OFFICE USEOIIL Y Sq, Ftg, Sq, Ftg. Sq, Ftg. -Y,S-O. - NAI,IE(please print)~ke..\- l i'lO-c\.exS Zone_L/ Fire Zone Flood Plain / I BUILDING PERMIT Charges anC: Surcharges ~ PLU!1BING PERMIT Charges and Surcharges ELECTRICAL PERmT Cha rges and Surcha~g~s MECHANICAL PERMIT Charges and Surcharges r DATE L/-..JCI$' Units Occy Load Occy Group~~r t1ain Access <.... ~ _. Other Value Value Value TOTAL V ALUA Tl ON x x ( x A(!) P&> ___ __0______ .So Plan Ck. 65%/Bldo Plan Ck. 30%lBlda Fence \ Conm/Ind Ppr Fpp Res Per Fee /~.- tf-s - b' !( Co.90 1/:153 Systems Development Charae (L5~ ' ~".,D7~,6H ;:;;:c- '1.P\ D~o 'Sidewalk -----------~I A/~ Paving " . I Curb Cut ____________1 .'... Total Comb. Perrnj t TOTAL I' ~$6-1 . . .7' . --./0.. COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATION I, Applicant to furnish A. Job Address B. legal Oescription 1. example- Tax Lot 100, lane County Map Reference 17 03 43 2, example- lot 1, Block 3, 2nd Addition to ~prlngtield Estates C. Name. etc. of owner and construction lender 0, Energy Sources 1. example- heat/electrical ceiling/or forced air qas 2. examoJe- waterheater/electrlcalJor solar E. Square footage or valuation, etc. - 1, example- 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. examele - construct single family house with an attached garage 2. example - 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. OESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or jab 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. V. FOR OFFICE USE ONLY Permit Clerk 'J:2~ PT .rJ- L.~ IIB3ie;> . PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exemp~ from registration with the Builder's Board because: Additional Project Information: . . . PLANS REVIEWED BY: name / t'!>;'/YE'ft~~s;gnature~~....,." date L/-/~eB /' /' , ~ .2: .. .quir~d Inspectens .. ~ IT IS THE RESPONSIBILITY OF TilE PER."!IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TIllE. THAT EACII ADDRESS IS READABLE FROII TilE STREET. AND THAT TilE PERlIIT CARD IS LOCATED AT TilE FRONT OF THE PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIllES, PROCEDURE FOR REQUESTING INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUMBER, job address, type of inspection requested and l-lhen YOll will be ready for the inspection. Contractors or owners name and phone number. Requests received before 7:00 am,will be made the same day, requests received after 7:00-am will be made the following work day. Your City Designated Job Number Is: ~~:?~~ Job Address: -:3&/h MA"'/A7 ~7'7'?€'<E/ Owner:~E75 ~TP )5';??-.)'}.~ Contractor: /?jy;;E~ . o o D o D , SITE INSPECTION: To be made after excavation, but prior to setup of forms. UNDERSLAB PLUMBING. ELECTRICAL & MECHANICAL: 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. ~ FOOTINGS 6 FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place. but prior to pouring concrete. D o o UNDERGROUND: Plumbing, Electrical, Gas, Sanitary Sewer, Storm Sewer, Water and Drainage lines. To be made prior to covering or filling trenches. o D D ~ lRJ o UNDERFLOOR: . 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 sheating.'. Fl.OOR INSULATION 6 VAPOR BARRIERS: To be made prior to installution of decking or floor sheating. D D D ~~SONRY: Steel location, bond beams grouting or verticals in accordance with U.B.C. Section 2415. o o ROOF SlIEATIHNG AND NAILING: Prior to installing any roofing. ROUGH PLUMBING. ELECTRICAL 6 MECIIANCIAL: No work is to be covered until these inspections have been made and approved. D o o o o FINAL PLU~lBING o CITY.S SITE PLAN REVIEW BOARD INSPECTION: Must be requested 2.days in advance of the date YOI wish inspection. All project conditions such as landscaping, parking lot striping etc. must be com~leted before requesting this inspection. FINAL ELECTRICAL ,Ot ~ FINAL BUILDING: Must be requested after the final Plumbing, Electrical, ~fechanical 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 premise) FINAL MECHANICAL FINAL FIRE DEPART>reNT SIGNATURE Phone: -?V7-vg2? Phone: ATTIC DRAFT STOPS 6 CURTAIN WALLS, FIREPLACE: Prior to placing facing materials and before framing inspection. INSULATION 6 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. ~ LATII AND/OR GYPS~t BOARD INSPECTION: ---, To be made after all lathing and ---3 g)~sum board, interior and exterior, is in place but before any plastering --, is applied or he fore gypsum board ~ joints and fasteners are taped and finished. FIRE 6 SEPARATION WALL: Located & constructed according to plans. o WOODSTOVES: After installation is completed. SIDEWALK 6 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. SPECIAL INSPECTIONS: In accordance Il'ith 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 STRUCTURAL CONCRETE: In excess of 300 P.S,!. (306 s,l) PARKING LOT: After gravel place but prior to placing or concrete. is in asphal t STRUCTUR\L WELDS: Preformed on the job, (2722 f) HIGH STRENGTH BOLTING: During all :. bolt installation and tighting operations (306 n.S) SPRAYED ON FIREPROOFING: Standards 43..,8) (U. B.C. SPECIAL 'GRADING, FILLING: During & Chapter 29) EXCAVATION AND earthwork. {306 0.11 ~ GLU-LAM BEABS: Inspection Certificate. by an approve~. agency, furnished to the City's Building Division before beams are placed. (2S0l.U.B.C. STDS. 25-10,11), *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. DATP *ALL ~~HOLES AND CLEANOUTS ~ruST BE ACCESSIBLE, ADJUST>reNT TO BE ~~DE AT NO COST TO TIlE CITY,