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HomeMy WebLinkAboutPermit Building 1987-3-9 (2) :'\ -) . CITY UF SPRINGFIELD C0I1BIIIATIDN APPLICATION/PERMIT EilERGY SOURCES: Heat Hater Heater Range . INFOR/1ATION LINE 726-3753 Sq, Ftq. l'lain ~q, Ftg. Access, Sq, Ftg, Other Ilew Add A Her Rep, -Fence Demo Change/Use Other - - J? ~one ..j '7" r^ / <J -..,. - - - , 7Y'I.-K~3 ValUE of flork: 1'1 ~."- BU1-'inQ Pennit Info: Describe \~ork{Le.. Family nesidence With Attached Garaael Build Single I 1\1) ~ "- ~ "'" '\' HISPECTION LINE I 726-3769 , Job Address J f 7-5 ' ~>h .S-1"Y/l/;',./),rr, Legal Description /7-6 <.~'3I"-Y/~ /)z;-rb---""" / Owner' ~o c/ /2n / /:: !;o,.. F Address 3t,.J~-1 Jt/'''-JdPX/l,!llJ.7?' ~rlSd//T ~.p/ t?}p, Ad-/'~ __ " I tJ 1'f: ;.. R L /JrKob ~;,)H? S' ~.J! ~ h4 '7/- Construction lender Address DcS I uN I cAr'1 (name) Phone (address) (lies. no.) (exniresl fQhone no.) _ A ~~ ~r Primary Structura 1 roo IA. J n(') C,"/I"tl\"- Electrical Mechanical CONTRACTORS Iname) General ~..o,~~~~r~;:<.~ Plumbina Electrical ~/T""" I//E~ 7C.~=7. / (address) f1 ;r:<;. no.) (pxo;rl'ic;) (ohnnp nn.) ~p,<::Ln_ 67? I' ~L->''<::'~'''''''.c ~/l? / ..;~. 'If "1echanical PLUJ,IBING ELECTRICAL MECHANICAL NO. FFF r.HARGF Nn ~~~ r~ARr,~ Nn_ ~~~ I rJ.1ARh~ 6 Each single fixture 1.10 If::> Residence of SO, FT. furnace/burner to BTU's Relocated building (new fix, additional) ~ New circu~ts alts. or extenslons -:L c>P. ~ SERVICES '2Z~' Floor furnace and vent S.F. Residence (] bath) Duplex (1 bath) each Additional bath Recessed wall ~nar.p hp~tpr ~nrl vpnt c../' WA'-'t...II6:m-?4'/2 ~ Appliance vent seoarate Stationary evap. cooler Vent fan wi th sinole duct Vent system apart from heatina or A.C. Mechanical exhaust hood and dur.t Sewer Temporary Construction Change in existing rp".i denr.1i' Imultifamily, comm. or Tndllc:.trial ~Jater service Storm Sewer Of amps.1 com,!. /IND. FEEDERS TOTAL CHARGES WHERE STATE L~W REQUIRES shall not be valid until the I I I I I 54;':'......... TOTAL CHARGES 2~-;~c> I TOTAL CHARGES h:7/N I'-S"":<?.... that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit label has been signed by an Electrical Supervisor and returned to the Building Division I Install/alter/relocate r1ic;trih fpprlprc; 10f I I I Wood stove/heater amps. I I I ISSUANCE OF PFR!fIT I HAVE CAREFULLY EXA~1INED 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 performed shall be done in accordance with the Ordinances of the City of Spri ngfi e 1 d and the Laws of the State of Oregon pertai n i ng to the work descri bed herei n, and tha t NO OCCUPAf~CY 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 comoliance with ORS 7nl.055 will be used on this project. 1JA!.IE(please print)~//~ ~tJr:...r., SIG!lATURE/~Mz",~ OATE . - -:::::::-- FOr OFFICE USE IlLY Type/Const( ~A() Units Sq, Ftg, !iain / x Bedrooms ~ Occy Load .;.---- " Sq. Ftg, Access x Stories Occy Grou'P B-2) Sq, ftg, Otherh"E~O~ ~ ..------.. . /"B6'7qC~ Plan Ck ConmlInd II {J h Systems Development 65%/Bld~ Per 'ppl. ,_ (.7,9:3 ?::'-l -~j I Charqe (1.5~) Plan Ck. Res "--I _______ 3D%/Bldq Per Fee , PLU!1BING PERMIT L...c- ~ Fence I ~~~~~;~g:~d C; __n_'Z~~8o-1 Demo I ~~~~~~~C~~/ERm~ _ ___ ~:?-=-~ISldewalk I Surcharges --70 I A/e Paving I __n'22.:~J Curb Cut I lo _~ I I ~/9/%7 =---- I Zone ,r.. G ) Fire~ Flood Plain Value Value Value~ ..----,.~ BUILDING PERfIlT Charges and Surcharges / /5E L'=P.? &'<> /' d.. -- ..L~_"t:.~"?_ €/./8 TOTAL VALUATION .&' -rf- I I I ITotal Comb. Permit MECHANICAL PERMIT Charges and Surcharges I I TOTAL /9~ rg . . r .' ''''.. COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATION I, Applicant to furnish A. Job AMress B. Legal Description I, example- Tax Lot 100. Lane County Map Reference 17 03 43 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 ceilinq/or forced air Qas 2. examole- waterheater/electrlcal/or solar E. Square footage or valuation, etc. ------ I. example- 1250 sq, foot house, 500 sq. foot garage 2. example- if new project. check-n€w - if addition, check add, etc. ' F. Building.permit information: 1. example - construct Single family house with'an attached garage 2. examole - 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 avo;~ 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 Schedul.es are available at the Building Division 1. To ~onserve 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 schedul es 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 pos'sible, the initial application will be us'ed 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. &l1f3;- ~/ J-J --~1 V, FOR OFFICE USE ONLY Permit Clerk w I ,PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: J Additional Project Information: PLANS REVIEWED BY: t!.-~~V~~Signature~A~~' , . f c.- .... , /' ~~,; , date "3-20-8"/ name .),....~ .. .quired InspecAns.. IT IS THE RESPONSIBILITY OF TIlE PER.'lIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TP.E PROPER TIl'lE. THAT EACH ADDRESS IS READABLE FROM TEE STREET, AND THAT TIlE PERHIT 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 Nu}IBER, job address, type of inspection requested and ",hen YOll will be re.:::.dy for the inspection. Contractors or o\~ers name and phone number. Requests received before 7:00 am will be ~ade the same day. requests received after 7:00 am will be ~de the following work day. Your City Designated Job Number Is: Job Address: -=?~~ )-'4#/# Owner: ~~ -{PA?It:... N#...EB.a> <::;;k Contractor: ;t:f.;c:> &N~. D [Xl o SITE INSPECTION: To be made after excavation, but prior to setup oJ., forms, '-II UNDERSLABqrLUHBING. ELECTRICAL Ii ~IECHANICAL: To be :uarle before any work is covered. CONCRETE SLAB INSPECTION: To be made after all insIab building service equipment, conduit, piping, accessories and other ancillary equipment items are in place but before any concrete is poured. I ~I FOOTINGS & FOUNDATIONS: To be ~ after trenches are excavated and forms are erected, all steel in place, but prior to pouring concrete. D o UNDERGROUND: Plumbing, Electrical, Gas. Sanitary Sewer, Storm Sewer, Water and Drainage lines. To be made prior to covering or filling trenches. D UNDERFLOOR:, 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 install~tion of decking or floor sheating. ~~SONRY: Steel location, bond beams grouting Or verticals in accordance with U.B.C. Section 2415. o o o D [K] ROOF SHEATHI~G k~D NAILING: Prior to installing any roofing. 1 I 0 ROU~ ~LUMBjNG. EIi~ICAL-t MECHANCIAL: No ~ork is to be covered until these inspections have been made and approved. []J [B1 [R] [2J ')VI FINAL PLUMBING D CITY'S SITE PLAN REVIEW BOARD INSPECTION: ~rust be requested 2 days in advance of the date you wish inspection. All project conditions such az landscaping, parking lot striping etc. must be com~leted before requesting this inspection. I.{~ FI~AL ELECTRICAL \~ [E] FINAL BUILDING: Must be requested after the final Plumbing, Electrical, ~techanical 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 Divisicn and posted on the premises )CI FINAL ~IECIIA,~ICAL l,Py FINAL FIRE DEPARTMENT SICNATURF o ~ \0 o o o .&7C)/5<b ~r: Phone:,7:?~-S-c::t$ <7' Phone: o o ATTIC DRAFT STOPS & CURTAIN WALLS. FIREPLACE: Prior to materials and before inspection. placing facing framing SPECIAL INSPECTIONS: In accordance with SecLion 306 of the Building Code a special inspector shall be employed by the ~~er/ 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 CO~CRETE: P,S,j, (306 a.I) In excess of 3000 o 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. STRUCTUR\L WELDS: Preformed on the job. (2722 f) HIGH STRENGTH BOLTING: During all _ bolt installation and tighting operations (306 a.5) SPRAYED ON FIREPROOFING: (U,B.C. Standards 43-8) SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.ll & Chapter 29) ~ GLU-LAM BEAHS: Inspection Certificate, by an approved agency, furnished to the City's Building Division before beams are placed. (250l-U.B.C. STDS. 2S-IO,1l) , 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 arc approved. FIRE & SEPARATION l'lALL: Located & constructed according to plans. :=J LAlli ANn/OR GYPSUM BOARD INSPECTION: I 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 ---1 joints and fasteners are taped and finished. 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 asphalt *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. DATE .. ALL ~IANHOLES AND CLEANOUTS ~fUST BE ,\CCESSIBLE. ADJUSTIfENT TO BE HADE AT NO ~OST TO TIlE CITY.