HomeMy WebLinkAboutPermit Building 1988-11-14
INspeCT I 0/1 LI /IE
716-376g
~ CITY OF SPRI/lGFIE~O
~MBIHATlO/l APPLlCATlO/lIPERMIT
EilERGY SOURCES:
Heat
Hater Ilcater
.
/
INFOR/IATlON liNt ,I
726-3753
Sq, Ftq, '.Iain
~q. rt9. Access. ~
Sq. Ftq. Oth.r '
II.w Add A 1I.r r.p. ..-,(\
Ran!le -Fence- Oemo Change/Use ./ \J
______ " ' Valu, of Hork: 0 Other--
Owner /;L(/) ()? // ;; I '?c (' /(/ , ..,9 J'/J, 0,'. 1(""0."
/. '_1 r?/ /A' BU1Il;ln. Pel'1l11t Info: Descr,b. Work(1..,. Build Single '-..J
Aduress ?;.; ~ R /'",,.,,/7/I',p /y ,1/' hU!}e~(..-::?<;? ~Fomi1y ~.sid.nc. Hi th ~.ttached Garo..' Y..J
n'''/<~I;>.?T h0// - /h::;!':,.j! /~/,;,J,,/'I;';' !?~d'.
/ .
Construction lender ~ i:!, // _
Job Address }'f' 7;,- Af.;1.~ ,<5'7.
L.~al De<cription 17-i!)~-~-~/- e><-> ._....:.
-
Address
[Jl.~J l.ir~ 1 tAl.,
{namel
Phone
{address I
(lies. no.)
(exoires)
(ohone no.
General
(namel
f) I,' /Y.' rJ A./
)
A
.../L
~ 0.")1 ':)")UV
.'J.... '''\\
(addressl (lies. nn. \ (~x~irp~)
(ohnnp nf'_ 1
Primary
Structural
Electrical
!1echanical
CONTRACTORS
PlumbiM
AtJ
(ft) :
Electrical
~1echilnical
PLUIIBIIIG
ELECTR I CAL
MECHANICAL
NO,
FEE CIIARr,F Nn
FFC rHARr,F NO_
FFt" rHARr.F
sq, FT,
furnace/burner to
BTlI's
Each single fixture
Residence of
Relocated building
(new fix. additional)
~ew circuits a1ts.
or extensions
Floor furnace
and vent
S.F. Residence
(I both)
Duplex (I bath) each
Additional bath
SERVICES
Recessed wa 11
Sn~~p hp~tpr ~nd vpnt
Sewer
Temporary Construction
Chanqe in existing
rpc:;.i d~nc~
multifamily, conr!!. or
Innuc;tria1
IOf amps.
I COf11'1. /I /10. FE[OERS
l,nsta1l/alter/re1ocate
distrih. fepd~r5
IOf ____amps..
Appliance vent
c;coaratp
Stat ionary evap.
cooler
Vent fan with
..innle duct
Vent system apart from I
heatina or A.C.
Mechanical exhaust
hood ~nd dlJ~t
~Iater ser.vice
Storm Sewer
Hood stove/heater
TOTAL CHARGES
WIIEnE STATE 1.,\\1 REQUIRES
shall not be valiJ until the
TOTAl. CHARGES
I SSIIAtlCf OF PrRm T
TOTAL CHARGES
that tile Electric;11 work be done by an Electrical Contractor, the electrical portion of this permit
label has been signed t~ an Electrical Supervisor and returned to the Ouilding Division
I HAVE CAREFUllY EXNlINED the completed application for permit, and do hereby certif.v that all information hereon is true
and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City
of Spri ng fi e 1 d and the laws of the S ta te of Orel)on [lerta i ni ng to the work descri bed here i n I and tha t flD OCCUPAIlCY will be made
of any structure without the permission of the Building Division. I further certify that my registration with the Ouilder1s
Board is in full force and effect as required by ORS 701.0~5, that if exempt the basis for exemption is noted hereon. and that
only subcontractors and .mploy..s who are in comolianc. with OPS 701,055 \~b. uS.7 O~h,ii~S ~ "ro~-,~ ~
iWIE(pl.as. print) ~C\.li \ 1=-l\~,~'1.ocL SIr,IIATURfll~/~<.6k~DATE II-N .\;,\{
, FOr Of FlEE lJS~ - 'f '
Units S~. Ftg, liain ,.{ Valu.
Occy Load Sq, Ftn, Acc.ss / x Value
Occ,Y Group 2Y-'2. Sq, Ft;. Other ~p ~~~ Value -::::ZSV.-
TOTAL VALUATIOII
Ii .. I L/ - k<t
I Systems Development
(" .<:;0 -;)71,-1) Charoe (!.5~)
/
\
"
L:.c..
TyoelConst, ~...N
Bedrooms
Zone
Fire Zone
Flood Plain
Stories
,.-
BUILDING PERI.IIT 'E <'" ~'........ Plan Ck. ConmlInd
Cllilrges an~ ')- --I-..,L~----- ~5%/RldO P.er F~e
Surcharg.s M7 'r/ 7 oe- Ian Ck, R.s
/nf'7' _.;>. 30t/Bld. P.r F..
PLUI1BING PERMIT ---- ..' ' Fenc.
Charges and ------------
Surcharges
Demo
\
~,q if'EV/6.'wRe
I~L'P ~v.P'~':"'- -;-~
9,/5" 6:.cu,....;r/J?/"~ e
e.P G3 75""";)
~
Total Comb. Permit
ELECTRICAL PERI:IT
Cha rges and
. Surcharges
Sid.walk
IIECHANICAL PERMIT
Charges and
Surcharges
AIC Paving
I Curb Cut
I
I iOTAL
. 1"'7. t?O
.
.
"'......
", ....
J
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COMBINATION APPLlCATlON/PERl1lT (CA!')
PERMIT VALIDATION
I. Applicant to furnish
A. Job Address
C. legal Description
1, ~xamPI:- Tax Lot 100, Lane County Map Reference
17 03 3
2, example- Lot I. Block 3, 2nd Addition to
Springtield Estates
C. Name. etc. of owner and construction lender
D. Energy Sources
1. example- heat/electrical ceiling/or forced air gas
2. example- waterheater/electrlcal/or solar
E. Square footage or valuation, etc. -
I, example- 1250 sq. foot house, 500 sq, foot garage
2. examy'le- ~ew project. check-new - if addition,
check add, etc.
F. Building permit information:
1. example - construct single family house with an
attached gar~ge
2. examole - remodel existing garage into family room
3. exam~le - convert single family residence into
restaurant (change of use)
G. Value or work as defined in Section 303 (a) of the
Structural Specialty Code
H, OESIGN TEN4 AND CONTRACTORS
To avoid design or construction delilYs. Building
Division Staff must be able to contact appropriate
persons regarding design infonllillion 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
I. 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 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
wi 11 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-r1fo
I d~f/n;
V, FOR OFFICE USE ONLY
Permit Clerk
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PROJECT CONDITIONS TO BE SATISFI ED BEFORE OCCUPANCY:
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Infonnation:
PLANS REVIEWED 8Y:
/~JIT~71e:z;;~ignature ~.7~--7 date //-~/ 6:"2.
name
r.
.. .uired
Inspect"s ..
RESPONSIBILITY OF TilE PER!<IT HOLDER TO SEE TIIAT ALL INSPECTIONS ARE MADE AT THE PROPER TItlE.
ADDRESS IS READABLE FRat1 THE STREET. AND TIIAT THE PER!-llT CABD IS LOCATED AT THE FRONT OF TilE
IIUILDING DIVISION APPROVED PLANS MUST BE ON JaB SITE AT ALL TUfES,
IT IS THE
TIIAT EACH
PROPERTY.
PI\OCEDl.IRE FOR REQUI,STlNG I.NSPECTIONS, Call 726-)769 (recorder) stnte you CITY DESIGNATED JOB NUNBER.
job nddrcs5, type of inspection rC'luestcd nnel \tlhcm YOll will be reedy for the in!lpecticn. Contractors
0:" O\-InCr5 name and ohon~ number. Rcqucstz received bp.forc 7:00 am,will be made the same clay, requests
received after 7:00 am will be ~ade the following work day.
Your City Desi~nnted Job Number Iso <RB /D::</
Job Addresso "3'& 75 ~A1'/N :157.
Ownee ;??"PL r-/~P~~0'
Phone, ?~~-'3~"33
Contractor: ~~~__
Phone:
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SPECIAl. INSPECTIONS: In :lCCOI'd:lnCC l\'lth
ScctJon 306 of the Bui Idinlt Code n :-;pccilll
inspector shill) he cmplo)'cd by the 0\0:1101'1
CcntT:tctor during constnlction of the
fcllowinn work. ^ copy of the SPCCi:11
testing reports Sh:IIJ be furnishell to the
Uuilding nivir.ion.
ATrIr. nnM~ STOPS r. ClIlnAtN NAI.1's.
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SITE INSPECTION: To he m:1de
after e."Cl.::lv:ltioll. but prior
to setup cf ferUll;.
U:-l'nr:RSI.AJ\ Pt,tIfmtNr., r:1,ECl'RIC:\I,
r. ~IEr.Il^NIC^,.: '1'0 hc made befere
any Iwrl: is covered.
pi nci ng f:ld nr.
fr:lmin~
Fl!lEP!,^CE: I)rior t~
m:lterials nnd hefore
inspection.
INStll.ATION r. VAPOn MUnIEIl: To be
made :lfter all insulation ::.nd
required v:lpor harriers arc in platcc
hut lwfore :11lY lath or gypsum hoard
interior wall I.:ovedr.g i~ npplictl,
FIMmNG: To he m:1I1c ;Ifter t.he I"oof,
all framing, fir(' hloding :md
bracin!: ;lrc in pl:lce :IlIJ :Ill pipes,
chimneys anJ \,ents ,Irc complete nnd
the rough elcctril-:ll, plllmhing ami
heatin~ ""ires, pipcs :llld ductf. :Irc
approved,
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CONCr.r:TE SI.An INSPECTION: T, he
maJc 'after all inslah hili Iding
service equipment, conduit. piping,
necessories nllll other ar.c i 11ary
equipment items :lrc ill pl:u.:e but
before an)' concl"ete is poured.
In excess of 3{)(lq
~TlllJr.TIIIlAl, CONCIlI!'f'I!:
II.S.l. pOl) a.l)
:J
:J
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STIllICTIJH:\I.l'lf:1.ns: Preformed on the
Job. (2722 l')
II1GH STRENGTH ROI.TlNG: Ouring ;111
holt inst:1l1:1tion and tighting
opcr.:ltions (306 :I.:')
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FOOTJ NGS fl FOllNIMT I !1NS: To he m:lJe
after trell~he:; arc cxcavated ami
forms :11"(' crcctct!, all steel in
place, hut. priur to pUll I' in,: conCl'cte.
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lI~IlEHr.noIlNI>: I'lumhin,:, Electrit.::d,
1~:lS, Snnit:Jry Sewer, Storm Sewer,
1'l:ltCI" :IIHI DI':lin:ll:c lines. '1'0 he
mad::: prior to I.:OVCl'illJ; 01' n 11 in~
t l'enchcs,
(lI.n.c.
SPRAYEO ON FIRJ:l1IlOOFtNG:
StnndarJs 43~8)
:J
I.A"I ^ND/On r,VPSm1 nOMm INSPECTION: :J
To he madL' ;lftcr all l:lthil~l: :md
I:rpsum honrll. interio:, :\I\d exterior,
is in plac_e hut h,,(ol"o :lOy PlasterillJi:J
is applied or hcfore JtYP:-;llm honrd
jaints :lIul f:lstellel'S :Irc taped :llId
finished.
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FIRE 1; Sf:P^,lATION 11AI.I.: I.oc:lted f.
ccnstrul~tct! :lccordinl~ to plans.
EXCAVATION ,\Nn
earthwork. (30b :I.tl
SPI:C1AI. GItArHNG.
FII.I.JNG: Ihlring
r. Chapter 29)
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lJNOEItFI.OOlt: . PIIlUlhill~, Electrit::lI,
Mechanical, To he lDOlde pl"ior to
illst;lll:ltiull of floor ills:llatioll.
dcckilll: 01' floor shc:lthinl:'
POST r. I\EA~I: To he m:llle prior tC'
in:>t:lllatio:\ or floal" il:sulat:on,
decking or floor ::he;:t il~g,
r.1.lI-1.AlolIIEMl'i: Inspcction CCI.tifit':Itc,
hy :m arill'oved n!':cllcy, furnished to
the City's Building Ilivision Ilefore
heoms nre pl:lced. (2501-U.I1.C. STIlS..
25-10.11) ,
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After installat ion is
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l'lOOIlSTOVES:
completed.
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SIIlE\'lA1.K r. ORIVEI'lAY: Ilc(juired for
all concrete paving within street
right-of-'1':JY, to he made after all
cxcavating complete r. form \"ork r.
sub-hase matcri:d in place,
cUlln ANIl ..WPROAr.1I APRON: After forms
tire erectel! hut prior to pouring
ItOP.F S!lE^'!1I1!>!(~ '\~m N,A,II.INr.: Prior. concrete, * In nddition to the inspection:;
to installing any roofin~. 0 flAIlY.ING 1m: After gr:1Vel is in sp'::~i~ietl hereon, the ntd~din&l
IlOIlr.III'l.\!MI\lNr.. EI.ECTHIr.t.1. r. pl;lce hut prior to pl:1cinr. nsphalt ?ff1cl:l! :Rny make or requlre,oLler
f.IEr.!IANCI^I.: No \wrk is to he l"o\'cr~d or concrcte. llISpectlons of :,my cons~rllcttOI,l
\lntil ti~e inSpN'tio:1s hnve heen jrl7r!?1""'"/f< ~/?~~ S~;'pet~/r:: ,,.ork t~ a~cert:l~n COr.lp~la~Cc With
m:ldc and npproved, 01Y'/y/-::$#/"?)".~/,.e..6 #-q~ re- the nUlldIng, CU)" 01" _onlng Codes.
-- ~ #p?~fr":
Fl.oall INSUI.ATION r. V^I'OI~ "^llllIERS:
>!'o he madc prior to instalJ:ltion
of Jcckinl': 01' floor she;1t in~.
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~IASONnY: Steel locat ion, hond hc:uns
grouting nr VCI'tk.als in accord;lllce
with U.1\,<:, Sel'ticn 2,115,
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r.ny's SITE PI.AN Im\'Ir:w no.\RO I NSrr:C:lON: ~lust be reCjuesteJ 2 llays in :ldvance of the date yell
wish iryspect.io:l. All project conditions such as InnJscuping, rmrk.inc lot striping etc. ml1~;t
he com;>letcd heforc r(':(ll1cstinl~ this il~spection,
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o FINAL l'l.lJ~l!nNc.
o FI~Al. !:1,ECTUICAL
o FINAl. f.lECI1ANICAI,
o FINAl. FIRE IlEPMn'J.lI:~rr
\?\
[Xl
FINAl. BlIlLOINr.: ~lll$t be requcsted nftcl' thc fill:ll 1'1 umhi nl': , Hlcctric:ll, ~leclt:lnic:II ;1 Ill! Fi:'c
Ikpartmcnt inspcctions :Ire m:ulc and approved. No Occupancy of the premises C:lll he made until
:1 Certific:lte (~f Occllp:lncy has heen issued h)' the nuihling Oivisicn :u:d posted on the pl'cmi::cs
DATI'
S 1 CNA'l1lRl'