HomeMy WebLinkAboutPermit Building 1989-6-16
~
] INSPECl'lON LJrIE
726-3769
Job Address ~3tJtJ() J?1 f}../~ l
Legal Description \I)D~~\ {)()(y)')()/1
.
CITY UF SPRINGFIELD
Cm1BII-IATION APPUCATlON/PERMIT
EIIERGY SOURCES:
Heat
\~a tcr Hea ter
Ranne
ValuE of l'lark: ,,;
ItJ, liDO' ---
BUll(;inq Permit Info: Deser be Work(i..e..
Family ~esidence With Attached Garaqe)
*-
INFORI1ATlON LINE
726-3753
Sq, Ftg, 1,Iain
:q. Ft~. Access.
Sq, Ftg, Other
IJew Add Alter P.ep,
--Fence Demo Change/Use
Other- -
Owner. tb..u e.. '
Address.
I'honcrJ3,r-
Build Single
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tluf-41l '"
p. 0, 2i' 0 I< ..:J 7....-<1
Cu~, Qq; 07/3'i?
ConstructioAJlender
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A J /Y7::J, 10, 8'a? -
Address
UE5 I GN I EAr~
lname)
Phone
(address 1
(lies. no.)
(exnires)
(ohane no. J
Primary
J.
"n.,~L
p{'.
Structural
Electrical
f1echanical
CONTRACTORS
Genera 1
(name) (address)
(J~~~ Pk R~,:.~.Lc
(1ies.no.)
(p'xoires)
!z./ ~
(ohone no. )
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Itt,"rd/d;(/~ S7,f ..53&7
?y)'-;,~oy.-
3<1'- ()7'1~
Plumbina
Electrical
~lechanical
PI.Ul1BING
ELECTRICAL
MECHANICAL
-1llh
FEE CHARGE .l!O.--
-.EEL _CllARliE NO_
I=FF n
SQ, FT,
furnace/burner to
BTU's
Each single fixture
Residence of
Relocated building
(new fix, additional)
New circuits alls.
or extensions
Floor furnace
and vent
S.F. Residence
(1 bath)
Du~lex (I hath) each
Additional bath
SERVICES
Recessed wa 11
Sn~rp hp~tpr nnrl vp~t
Storm Sewer
Of
(lmps.l
Appliance vent
seoa ril tp
Stationary evap.
cooler
Vent fan wi th
sinole duct
Vent system apart from I
heatinq or A.C.
Mechanical exhaust
hood and duct
Wood stove/heater
Sewer
Temporary Construction
Change in existing
res i dr.nc~
multifamily, conlll. or
Inoustrial
~Ia tel' servi ce
C0I11'I./IND, FEEDERS
Install/alter/relocate
distrih. f~C'ders
Of
amps.
TOTAL CHARGES
WHmE STATE L\\~ REQUIRES
sha 11 not be va 1 Hunt 11 the
TOTAL CHARGES
I SSUANCF OF PFRtU T
TOTAL CHARGES
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 HAVE CAREFUllY EXNlINED 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 Orel)on pertaining to the work described herein, and that HO OCCUPAfKY will be made
of any structure without the permission of the Building Division. 1 further certify that my registration with the Builder's
Board is in full force and effect as required by ons 701.055, that if exempt the basis for exemption is noted hereon, and that
only subcontractors and employees who are in compliance with OP.S 701.055 will be used on this project.
HAI,IE(please print) Petr.{;,"O'h/?l v(,' e
PkLS 'R".,{,'...l.. SIGlIATURF. Var VA,
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DATE t. !/(~ I f;~;
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Zone
Fi re Zone
Flood Plain
Type/Const.
Bedrooms
Stories
Units
Occy Load
Occ'y Group
rop. OrFICE USE Oill. Y
51'!. Ftg. r1ain
Sq. Ft~. Access
Sq, Ftg, Other
x
Value
Value
Value
x
x
TOTAL VALUATION
BUILDING PERf\1T _ B&_J/i..D Plan Ck, ConmlInd
Charges and 55%/Blda Ppr Fpe
Surcharges 4, 8g Plan Ck, Res
30%lBl do Per Fee
PLUt~BING PERMIT Fence
Charges and ------------
Surcha rges D~mo
ELECTRICAL PERIHT Sidewalk
Cha rges and ------------
Surcharges A/C Paving
11ECHANICAL PERMIT I Curb Cut
Charges and ------------
Surcharges I
Systems Development
Charoe (1,5%) .
I
I
I
ITotal Comb. Permit
I
I TOTAL
10,B3
.
COMBINATION APPLICATION/PERMIT (CAP)
Applicant to furnish
A. Job Address
B, Legal Oescription
1. example. Tax lot 100. Lane County Map Reference
)1 03 43
2, exam~le- Lot ), Block 3, 2nd Addition to
spr,lngtield Estates
C. Name. etc. 'of owner and construction lender
D. Energy Sources
1. exam~le- heat/electrical ceilin9/or forced air Qas
2. examyle. waterheater/electrlcal/or solar
E. Square footage or valuation, etc.
1. examole. 1250 sq. foot house. 500 sq. foot garage
2. example- if new project. check-nfw - 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. examele - 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 appropl'iate
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 AND
CHARGES ON THE SCHEOULES
0, As noted on the CAP, the label must
electrical contractor for signature
supervisor. The general contractor
to sign the electrical label.
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.
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.
1.
be delivered to the
by his electrical
is_not authori zed
Ill.
IV,
V, FOR DFFICE USE ONLY
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
Permit applicant exempt from registration with the
Additional Project Infonnation:
PLANS REVIEWED BY:
name
signature
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Malarkey
BUILT-UP ROOFING
SPECIFICATIONS
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NM3
NAILABLE DECK
MINERAL SURFACED
..
FIBERGLASS
PREMIUM 1 SBS BASE SHEET NO, 501
FIBERGLASS
PREMIUM 1 PLY SHEET NO, 500
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ROOFING ASPHALT
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12-
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NAILABLE
DECK
2"
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ZONE 3
U,L, CLASS "A" - Up to 2"
U,L, CLASS "C" - 2" to 6"
Materials Per 1 DD Square Feet
Rosin Sheathing Paper (if required) 1 ply 5 Ibs,
Premium 1 SBS Base Sheet No, 501 1 ply 30 Ibs,
Premium 1 Piy Sheet No, 500 1 ply 11 ibs,
Premium Cap Sheet No, 502 1 ply 80 ibs,
Asphalt between plies 501bs.
General requ;rements are appUcable as part of th;s
specWcaUon.
APPLICATION:
Over wood boards only, lay one ply of rosin sheathing
paper, Lap each sheet at least 2" and nail sufficiently
to hold in place,
Apply Malarkey Premium 1 SBS Base Sheet so flow
of water is over or parallel 10 the laps, Lap each sheet
2" on sides and 6" on ends, Nail each sheet 9" on
center through the laps and 18" on center along line
_____ 12" distance from each edge, Turn up 2" above cant at
all vertical surfaces,
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12" f
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34"
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FIBERGLASS
PREMIUM CAP SHEET NO, 502
Apply Malarkey Premium 1 Ply Sheet parallel to Ihe
base sheet and lap so water flow is over but not against
laps, All end laps shall be 4" and adjacent end laps
shall be 12" apart. The full width of each sheet shall be
embedded in hot asphalt at the rate of 25 Ibs, per 100
square feet. The sheet shall be lightly broomed as it is
applied,
Apply Malarkey Premium Cap Sheet surfacing parallel
to the underlying roofing and lapped so the flow of
water is over the laps, The sheets shall be cut into 12'
iengths and allowed to flatten before application, The
underlying roofing shall be mopped with hot asphalt at
the rate of 25 Ibs, per 100 square feet. Malarkey Pre-
mium Cap shall be neally set in place providing a 2"
side lap and 4" end laps, Adjacent end laps shall be at
least 3' apart.
Malarkey recommends the use of its SBS Mineral
Cap Sheet No, 601 or SBS 3-Way Type Mineral
No, 917 as a base flashing maferial,
Malarkey recommends the use o( its SBS Walk Board
No, 916 for all fraffic areas,
2M6/87Jl