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HomeMy WebLinkAboutPermit Building 1988-10-25 ....,'l . CITY UF SPRINGFIELD COMBINATION APPLICATION/PERMIT EIIERGY SOURCES: Heat I~ater Heater INFDRl1ATlON LlNl 726-3753 Sq. Ftg. '.Iain ~q. Ftg. Access. Sq. Ftg. Other !lew Add Alter Rep. Range Fence__Demo__Change/Use ValuE of 1-11/: 0; Of) [) _Other BUlltiinQ Permit info: Descr,be Work(i.e., Build Single Fam~)I nesidence I-lith Attached Garaael 1VA11~oLe)I oj /lduA./ -;tf~.L - ~ (1;cs. na,l lexoiresl lohooe 00. ~ . . ! INSPECTION LINE ,726-3769 _ I: Job Address 20 SO U. ""- '.f'--"" Legal Description 17"l1P3-'2.~?/. h~ / D\) d ~ /) / ; 0 f/Q1.) ~iUu,~ ) Address 5 Lief -S!~'/J1"117~tM ~ ./I/;6aoe ~f/r~ (:A~ '01/< ~ / ZZz, coostruct~o~Lender / q7~ / Address/~ ~ /!;;JJdA<-r-;!; ~(!P :oe DESIGN lTE ~ name t (address) Owner. I Primary Structura 1 c.6 J I ;-)VV Electrical Mechanical CONTRACTORS Genera 1 (name) I r1l diA1t/d " ~ ~5 (address) Lt /If /1 rot If (lie.;. no.' (pxnirpc;,) (ohnnp nn. , -719/~/ /(;/R<j ..q~ V'"No I , Plumbino Electrical 1(.....1, / ~1echanical PLUIIB I NG ELECTRICAL I I=I=~ rl.lJ1RG.E. ..liQ..... MECHANICAL NO. FEF rHARt,F Nn / Each single fixture Residence of n~ ru~ SQ. FT. furnace/burner to BTU's Relocated building (new fix. additional) / -New circuits alts. or extensions o"'2.",s;;;?~ne SERVICES ~ Floor furnace and vent S.F. Residence (1 bath 1 Duplex (1 bath) each Additional bath Recessed wall ~nArp hp~tpr ~nrl vpnt ~Iater servi ce Appliance vent !=.pni"r;at". Stationary evap. cooler Vent fan wi th sinale duct Vent system apart from heatinq or A.C. Mechanical exhaust hood itnd durt Temporary Construction Change in existing , rPs. i rtPJH~P Imultifamily, comm. or Indll~triitl IOf amps.1 ICO~1./IND. FEEDERS I l'Install/alter/relocate I rli~t_rih_ fpprlpr~ IOf amps.1 I I I I SSUANCE OF PFRIIIT TOTAL CHARGES )??rl""/ ./.'::: ~ TOTAL CHARGES ~,5i> TOTAL CHARGES WHERE STATE L"l~ REQUIRES that the 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 Sewer Storm Sewer Wood stove/heater 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 UO OCCUPAllCY 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 subcootractors ::l)p~:~es :ho\aAre:~O:~i~nce with ORS 7nl. il1\Abe~S:ud a~ thiS, p p~ 10::: 1lAt-IE(please print) .L.Jl.-' <...:::> '^-' 1<:' Y~'-'-- SIGIlATU !.l'/C/I }rJV?:V~ DATJL)Qs-cB2> FOP. OFFICE USE Sq. Ftg. Sq. Ftg. Sq. Ftg. Tyae/Const. ~?7/P Units Bedrooms Occy Load Stories I Occy Group Zone L /'?? .z? PLUliB ING PERMIT Charges and_..... ...:-. Surc~arges ~ ELECTRICAL PERIHT Charges and t..-{ Surcharges --~~-- / :Y~~ " ~--J~~__ -7S- ~Z~SO ------------ /-0' 'ff - "'2.. (T) Plan Ck. Comm/Ind 65%/Bldn P~r F.. Plan Ck. Res 30%/Blda Per Fee r1ain )( Value Access x Value Other ~~ ~,f..,... <<:"<'481ue TOTAL VALUATION ~~ > ~ Fire Zone Flood Plaio BUILDING PERfllT Charges anrl ., Surcharges ,.. /0 -..25-?f lNS~, /2b5'{o Systems Development Charqe tI.5~) . /14- MECHANICAL PERMIT Charges and Surcharges . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal Oescription 1. example- Tax Lot 100, Lane County Map Reference 17 03 43 2. exam~le- Lot 1. Block 3, 2nd Addition to ~pringtield Estates C. Name. etc. of owner and construction lender o. Energy Sources 1. exam~le- heat/electrical ceilinq/or forced air Qas 2. exa~le- 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 new - if addition. check add, etc. F. Building pennit information: 1. exam~le - construct single family house with an attached garage 2. examele - remodel existing garage into family foam 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. DESIGN TEAM ANO CONTRACTORS To avoid 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 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. BUILOING OIVISION 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 ba 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 PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: . PERMIT VALIDATION )~7(f{) /(-/,--f% Permit Clerk ('1/ Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: '. . ~.' PLANS REVIEWED 8Y: name LdR //€ ~~~ signature ~~ 'r . . :~.. -'t-..J , .\ ~, . ~--r.> date /.0-25" 88 , ,>~~ .. .. Required . IT IS THE RESPONSIBILITY OF TilE PER.'lIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE THAT EACII ADDRESS IS READABLE FROII TI'E STRF.ET, ANn THAT TilE PER....lT CARD IS LOCATED AT TilE PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIllES. Inspections .. . PROPER TIl.IE, FRONT OF THE PROCEDURE FOR REQUESTING INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB Nu}IBER, job .:lddrcss, type of inspection ret]uested and \olhcn you will be re.:dy for the inspection. Contracto:-s 0= O\n1ers name and phone n~~ber. Rcquest~ received before 7:QO am will be ~ade the same day, requests received after 7:00 am will be ~de the followin~ work d~y. Your City Designated Job Number Is: ~~9:>? Job Address: -:Zt?,-::;-~ r'?.::: Y'/?'7'p/c ~r ~~ lr0aoG/4.#RY'S Contractor: !?..,,/--J,s:; W~i');e=cL.'::: o o D SITE INSPECTION: To be made after excavation. but prior to setup cf forms. UNDERSLAB PLUlIBING. EI.ECTRICAL & ~ECHANICAL: 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. D ~ FOOTINGS ~ FOUNDATIONS: To be made after trenches arc excavated and forms are erected, all steel in place. but prior to pouring concrete. UNDF.RGROUND: Plumbing, Electrical. Gas, Sanitary Sewer, Storm Sewer, Water and Drainage lines. To be made prior to covering or filling trenches. D D UNDERFLOCR:. Plumbing. Electrical, Mechanical. To be made prior to install3~ion of floor insulation, decking or floor sheathing. POST & BEAM: To be made prior to inStallation of floor insulation, decking or floor sheo:.ting;. FLOOR INSULATION ~ VAPOR BARRIERS: To be made prior to inst311~tion of decking or floor sheating. ~~SONRY: Steel location, bond beams grouting or verticals in accordance with U.B.C. Section 2415. D D D o 1EJ ROOF SHEATHI~G k~D NAILING: Prior to installing any roofing. ~ 0 ROUGH PLL~IBING. ELECTRICAL ~ , '2, '. Ll~("Il^"ICl U: No ~ork is to be cm'ered until these inspections have been made and approved. -::l"l ~ FINAL PLUM91NG 1../") [Xl FI~AL ELECTRICAL o )'1 [E] o o o o [ZJ II o o o Phone:...J99-/-::?:::<"2 ;;-~E/?7 "' Phone: 7r.::-Y-;7C/?5/ ---- - ATTIC DRAFT STOrS ~ CURTAIN WALLS. FIREPLACE: Prior to placing facing materials and before framing inspection. INSULATION ~ VAPOR BARRIER: To be made after all insulation and required vapor barriers arc in place but before any lath or gypsuc board interior wall covering is applied. FRAMING: To be made after thc roof, all framing, fire blocking and bracing arc in place and all pipes, chimneys and vents are complete and the rough electrical, plumbing and heating wires, pipes and ducts arc approved. :J LAm AND/OR GYPSlll-I BOARD I~SPECTION: :J To be made after all lathing and g)~sum board, interior and exterior, is in place but before any Plastering:J is applied or before gypsum bo~rd joints,and fasteners are taped and finished. FIRE ~ SEPARATION WALL: Located ~ censtructerl according to plans. WooDSTOVES: 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. CURS AND APPROACH APRON: After forms are erected but prior to pouring concrete. After installation is PARKING LOT: After gravel place but prior to placing or concrete. is in asphalt SPECIAL INSPECTIONS: In accordance with Section 306 of the Building Code a 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. :J :J :J STRUCTURAL CO~CRETE: In excess of 3000 'P.S.I. (306 a.1) STRUCTUR~L WELDS: Preformed on the job. (2722 f) HICH STRENGTH BOLTING: During all _ holt installation and tighting operations (306 a.S) SPRAYED ON FIREPROOFING: (U.B.C. Standards 43.8) - SPECIAL GRADING. EXCAVATION AND FILLING: l)o.Jring earthwork. (3063.11 &- Chapter 29) :J GLU-LAM BEA!'5: I:\spection Certificate, by an approved 3ge:\cy, furnished to the City.s Building Division before beams are placed. (2S01-U.B.C. STD5. 2S-10,11) . *In addition to the inspections specified hereon, the Building Official ~ay ~ake or require other inspections of any construction work to ascertain coopliance with the Building, City or Zoning Codes. CITY.S SITE PLAN REVIEW BOARD INSPECTION: Must be requested 2 days in advance of the date you wish inspectio:\. All project conditions such as landscaping, parkinc lot striping etc. must be co~~lcted hefore requesting this inspection. FINAL BUILOING: ~lust he requested after the final Plumbing, Electric31, ~lechanical and Fire Dcpartm:nt inspections are made and approved. No Occupancy of the premises can he made until a Certificate of Occupancy has been issued by the Building Division and post cd on the premises o FINAL ~lECHANICAL v'-/ [2] FINAL FI RE DErARTIlE~rr SIGNATURE DATE WALL HAXIIO!.ES :\NIl CLEMWUTS ~IUST BE .\CCESSIBLF.., AIlJUSTHENT TO AE M'\()E AT ~O COST TO TIlE CITY.