HomeMy WebLinkAboutPermit Mechanical 1983-9-20
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.. ~uired
Inspect.s ..
IT IS THE RESPONSIBILITY OF THE PER-'1IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TIllE,
THAT EACH ADDRESS IS READABLE FROlI THE STREET, AND THAT TilE PERlUT CARD IS LOCATED AT TilE FRONT OF THE
PROPERTY. BUILDING DIVISION APPROVED PLANS MUST HE 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 re~uested and when you will be re~dy for the inspection. Contractors
or Q\vners name and phone n~~ber. Requests received before 7:00 am will be reade the same day, requests
received after 7:00 am will be ~de the following work day.
Your City Desip,nated Job Number Is:-.a:r 1"7159
Job Address: 19?t::> ~ Yk.;ZYC ~t-_;
Owner: #E~~"" /:.b,uES
Contractor:_~ #~EiIC/
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SITE INSPECTION: To be made
after excavation, but prior
to setup of forms.
UNDERSLAB PLUHBING, ELECTRICAL
Ii !-IECHANICAL: To be made befc"re
any work is covered.
CONCRETE SLAB INSPECTION: To be
made after all inslab building
service equipment. conduit, piping,
accessories and other ancillary
equipment items are in place but
before any concrete is poured.
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FOOTINGS 6 FOUNDATIONS: To be made
after trenches are excavated and ~
forms are erected, all steel in
place, but prior to pouring concrete.
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~DERGROUND: Plumbing, Electrical,
Gas, Sanitary Sewer, Storm Sewer,
Water and Drainage lines. 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 sheating.,
FLOOR INSUI.ATION /, VAPOR BARRIERS:
To be made prior to inst311~tion
of decking or floor sheating.
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~~SONRY: Steel location, bond beams
grouting or verticals in accordance
with U.B.C. Section 2~IS.
D ROOF SIfEATIII~lG A....1O NAILING: Prior
to installing any roofing. D
r\7l ROUGH PLU!>ffiING. ELECTRIC^L &
I./'.lo-- ~l~ClfANC.~ No ",'ork is to be co\'cred
untIl ~ncse inspections have been
made and approved.
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FiNAL PLU~lgING
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CITY'S SITE PLAN REVIEW BOARD INSPECTION: ~rust be requested 2 days in advance of the date you
wish inspectio~. All project conditions such as landscaping, parking lot striping etc. must
bu completed before requesting this inspection.
FI~AL ELECTRICAL
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Phone:
tlet'./-~ <~
Phone:
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ATTIC DRAFT STOPS fi CURTAIN WALLS.
FIREPLACE: Prior to
materials and before
inspection.
placing facing
framing
13PECIAL INSPECTIONS: In accordance with
Section 306 of the Building Code n special
inspector shall be employed by the Ownerl
Contractor during construction of the
following work. A copy of the special
testing reports shall be furnished to the
Building Division.
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STRUCTURAL CO~CRETE:
P_S.!. (306 a.1)
In excess of 3000
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INSULATION fi 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.
STRUCTURAL I't'ELDS: Preformed on the
job. (2722 f)
HIGH STRENGTH BOLTING: During all ~
bolt installation and tighting
operations (306 a.S)
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SPRAYED ON FIREPROOFING: (U.B.C.
Standards 43..,8)
SPECIAL GRADING~ EXCAVATION AND
FILLING: During earthwork. (3u60.11
& Chapter 29)
GLU-LAM BEN.5: Inspection Certificate,
by an approved agency, furnished to
the City's Building Division before
beams are placed. (250l-U.B.C. STDS.
25-10,11) _
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UTI-! AND/OR GYPSUM BOARD INSPECTION: ---,
To be made after all lathing and ~
g)~sum board, interior and exterior,
is in place but before any plastering---,
is applied or before gypsum board ~
joints and fasteners are taped and
finished.
FIRE & SEPARATION WALL: Located &
constructed according to plans.
WOODSTOVES:
completed.
After installation is
*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.
FINAL BUILDING: Must be requested after the final Plumbing, Electrical, ~lechanical and Fire
Department inspections are made and approved. No Occupan~y of the premises can be made until
a Certificate of Occupancy has been issued by the Building Division and postcd on the premises
FINAL MECHANICAL
FINAL FIRE DEPARTME~T
SICNATURJ::
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
DATE
'" ALL MA"\HOtES :\ND CLEANOUTS ~IUST BE :\CCESSIBLE. ADJUSTMENT TO BE MADE AT r-:O COST TO TIlE CITY.
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Job Address
I~ '< e;
i/!!!)(. YMP/e;.
CITY Uf SPRINuFIElO
COMBIIIATION APPliCATION/PERMIT
EilERGLSOURCES: .J
S7: Meat ;or"o_r. /lirr....!.-
I~ater Heater E<.lFO'.
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Range
ValuE of Work:
INFORlIATION LIOt
726-3753
Sq. Ftg. I-lain
~q. Ftg. Access.
Sq. Ftg. Other
-1lew_Add..~\1 ter -f.ep.
Fence Demo Change/Use
Other- -
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I INSPECTION lIt1E.
726-3769
legal Description n~ J-'C." r. '31. ~ ,?~ C
,.
Owner /tZA V IIEN5~E'''- /7;>/(,,-- '~NES"
, ~
Address +'t'77 ~ /AA_H ~ Phone
U.Nc::~. CA-------2.~_~ ~ {iI~8 2G'.'N~
Construct; on 'lender
Bui16inQ Permit Info: Oeser be Work(i.e.. Build Single
Familv nesidence With Attached Garaae'
Address
OESluN ToAl1
(name)
Phone
(address I
~A-N/~AL Zi:!:>vn:>h:l~~r
/1;!S7",'" :4B'6- ~ ~C/it:
~11!rt?" S~CF r~~~~TS)
(lies. no.l Cexnires1 fohone no.'
Primary
Structura 1
Electrical
Mechanical #-I-t&(;;N #€#-"'~ Y A/'tC
CONTRACTORS rnameJ (address 1
(1;("50. no.)
(exoires)
(OhOM no. ,
Genera 1
Plumbinq
Electrical
"echani~al~cSc!'.N .A......_n".-;,
PlUllB I NG
"..(.c./~s.~'1/G"<.$~ r:.~2 I
ElECTRICAl
~rr r~ NO
~a~-9~
MECHANICAl
NO_
FFF
CHARGF
.n
H~ rl-l;RG.E.
SQ. FT.
furnace/burner to
BTU's
Each single fixture
Residence of
Relocated building
(new fix. additional)
New circuits alts.
or extensions
Floor furnace
and vent
S.F. Residence
(l bath)
Duplex (1 bath) each
Additional bath
SERVICES
Recessed wall
~n~rp hp~tpr ~nrl vP~t
I
"::l;t..p ~~'#"
Appliance vent
s~oaratp
Stationary evap.
cooler
Vent fan with
sinole duct
Vent system apart from
heatina ar A.C.
Mechanical exhaust
hood and duct
Wood stove/heater
6,-
Water servi ce
Temporary Construction
Change in existing
res j c:!~.nce
multifamily. COtml. or
Jnrlustrial
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Sewer
Storm Sewer
Of
amps.
COMM./IND. FEEDERS
Install/alter/relocate
rl;~tr;h fpprlpr~
Of
amps.
I ,.I<7"4iii"'{ &",7: ]2. ~ Wit
z: ~.Y. UN"'? ~-
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TOTAl CHARGES TOTAl CHARGES TOTAl CHARGES
WHERE STATE l'\\~ REQUIRES that the Electrical work be done by an 'Electrical Contractor, the electrical portion of
shall not be valiJ 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 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 HO OCCUPAIKY 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 DRS 701.055. that if exempt the basis for exemption is noted hereon. and that
only subcontractors and employees who are in compliance with ORS 7Ql.055 will be used on this project.
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thi s perrnh
HN~E(please print)
BUIlDING PERflIT
Charges anc
Surcharges
SIGIIATURE
FOr. OFF I CE USE DillY
TYDe/Const.JZl'1I'\!_ ~Uni ts Sn. Ftg. 11ain
.
Bedrooms Occy Load Sq. Ft~. Access
Stories / Occy Group 21..'72 Sq_ Ftg. Other
Y-I(.c.It!I:: b.K(.CJPE;l:> /N ?N/6)11f ~;,.....r.
"=' -, r'" Systems Oevelopment
- ::>. "J Charqe (J.5~)
OATE
Zone ~ if?
Fire Zone
Flood Plain
x
Value
Value
Value
x
,
TOTAL VAlUATION
Plan Ck_
--.-'
------------~n Ck.
30%/Bldq
~onrn,~:~
Res
Per Fee
PLUI1BING PERMIT
Charges and
Surcharges
Fence
D~RIQ
ElECTR I CAl PERI:IT
Cha rges and
Surcharges
"ECHANICAl PERMIT
Charges and
Surcharges
Sidewalk
A/C Pavi ng
_____t.s:_.~_ Curb Cut
.&0
Total Comb. rermit
157&"d>
TOTAl
/?'.~s
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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 03 43
2. exa~le- Lot 1. Block 3, 2nd Addition to
SprIngfield Estates
C. Name, etc. of owner and construction lender
D. Energy Sources
1. example~ heat/electrical ceilinq/or forced air qas
2. exa~le- waterheater/electrlcal/or solar
E. Square footage or valuation, etc.
1. example- 1250 sq. foot house, 500 sq_ foot garage
2. examyle- if new project. check-new - if addition.
cneclc add, etc.
F. Building permit information:
1. example. construct single family house with an
attached garage
2. example - remodel existing garage into family raom
3. examOle - 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 TEM1 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. Abbre~iated 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 .
O. 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
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PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information:
PLANS REVIEWED BY:
name
L-e.J1?N<F ~F; ~
Signature~: ~___ ~ r.;- ~
" .r
date ~-~-a?
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