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HomeMy WebLinkAboutPermit Building 1985-10-23 ,. " . . ~~ -- -- IIIISPECTION LINE CITV OF SPRINGFIELD INFORlIATlON LINE .' 726-3769 COMBIIIATlON APPLICATION/PERMIT 726-3753 EIIERGY _S~CES: Sq. Ftg. 1.lain 17.' ,y?'t'd Job Address <885 OL-~~ Heat cA-- ~q. Ftg. Access: Legal De,cription J7-dZ- _.~ ~, .1!I-r _, Ilater Heater, ~, Sq.. Ftg. Other A ~ ~- ~ ~Iew__Add__Alter-"~ep. ~ ? I!:)"_ Ranqe., _Fence_Demo_Change/Use <J Val u( of \oIork: I Other - Owner tt!-:/L._.~. ~;_ L.A. .rt,';(1~. 0-() . -- 10 Address ,y n" - ~~./-~~" j' Phone./ '7// Bui1dinQP~rmit Info: Describe Work(Le.. Build Single 11- 1~//?1) .!7..--.-'-'_ ~~__ Z?..t1..ZE4'~ Famlv neSldence II1th Attached Garaqel . ~ ~.-./ . /.2- DON ::\'t)AJEsI ~ n- nW ~~/~afl Constructi.of\ Lender J rJ. ..' -' (J ...L".,~,__ I~ Phone (name) (address) (lies. no.l lexoiresl (ohone no.) ~_ L:j!/ <lP.r - ~~...,L.~ -r- V' :/;.,..L,(', /-'~~'~ ......- ~",q-~-,1d Electrical Mechanical LO~ rf_____ - b_.JA4. ,;41'1 1/""..:1_ Ifrd~h.~ ~ _~! CONTRACTORS 7namel ~/7 (address) (1;(" . no.) (p)(l)irpcd' t/ - General O~ ../1'f/./.- ~~%/).5- ~~A..If '7&/. 7'-'. tt <?)'.y",r "'.y7'2~?' Plumbina /~ Electrical CdPIiJANZ:> ~'liiZ7" Address Ul~IGN IlAf.1 Primary Structural ~lechanical NO. 15 Each single fixture PLUf1BlflG ELECTRICAL FEE rHARr,F yn s:- /l5"." Residence of SQ. FT. Relocated building (new fix. additional) I I I I I I ~"'t I I I \1ood stove/heater ~4 /' ~~~~ 2.f1 / ~r ;P~p va4 I ' I I TOTAL CHARGES Z~s. -I TOTAL CHARGES /7,-;;: - I TOTAL CHARGES ~s: - WHERE STATE L\II REQUIRES that the Electrical work be done by an. Electrical Contractor. the electrical portion of this pemit shall not be vali1 until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFUllY EXN1INED the completed aprlication 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 OCCUPAI~CY will be made of any structure without the permission of the Building Division. I further certify that my registration with the Builder1s 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 ORS 701.055 will be used on this project. S~eJfS!"NAT~RE~7 ~ 'DATElf)-:.M-~f FOR OFFI CE USE mIL Y // I Type/const'.~~ ~Units Sq. Ftg. l1ain,2""Z~ I/' ' x' ValueS26.~;--' Bedrooms Occy Load /"~!Or Sq. Ftg. Access x Value \ Stories Z Occy Group...B.~ Sq. Ftg. Other 'J?Aw_ x value--'7~~. .... TOTAL V AlUA TI orl,1'f' ~~. ..... j,i:27, '18' ~/Q~ syste. ms Development r' /U_. -c> IC~#~J-:;: Charae t1.5~) d '7.J . I S.F. Residence (] bathf I Duplex (1 bath) IAdditional bath I Iwater service I I Sewer I I Storm Sewer New circuits alts. or extensions each I I I I Temporary Construction l IChange in existing I re<;i(ifi;nr:p Imultifamily, COrTlll. or I , Tnduc;.tr.ittl 10f $t::iC> ICOl1fl./IND. FEEDERS I Install/alter/relocate rlic;.trin fpprlpr~ I jOf .c.Oe> amps.1 tl II I I I I I lS"d ' III. ,. vl5""I~"" 16f51ss. .... / I I I I I I SERVICES amps.l y~ lie:> lJAl.fE(please print:;!!/ /:;.p, roll. zone-dJl ire lonp BUILD NG PERMIT Charge and Surchar \ PLUI1B ING P~MIT Charges and \ Surcharges 'j ELECTRICAL PEiU:IT Cha rges and Surcharges MECHANICAL PERMIT . Charges and Surcharges .:'8~.:!-2." . ,,-i' /' .... Plan Ck. Corrm/lnd ____.~_flP.!..___ 65%/Bldo Ppr F'pp d!'" 'I Plan Ck. Res . '<... . () 30%/Bl do Per Fee ___??~_:~_-' Fence 1/. Bt> ___/7'5- - Sidewalk 5: 'ft::> I A/C Paving </5: -=- I Curb Cut __uL)~~ul DeRlO ..1tJ6-5.tJ'"-3M/l lohnnp nn_ \ I-If- MECHANICAL aL.cJJARGE. .IlO....! I furnace/burner to BTU's I Floor furnace and vent /' I Recessed wall t:lJ ,So~('P hPi'tpr ..nrl vpnt I H~ r"~ I I ~.-I~ I i I I I I I I I I I I IT. --, I-Ij(~' I i / I Appl iance vent seoaratp I Stationary evap. cooler I Vent fan with sinale duct I Vent system apart from I heat;n~ or A.C. I Mechanical exhaust hood and durt ...........I...'h...:: ~.. .\, ,~.'- . 18,.' I I I I ./ ~ 0"/ 2 ,:J. ~ , ~388,ot I ITotal i I TOTAL Comb. Permit J COMBINATION APPLICATION/PERMIT (CAP) I J. ApP;licant to furnish A/ Job Adoress legal Description 1. example- Tax lot 100. lane County Map Reference 1/ o'j 43 2. example- Lot I: Block 3. 2nd Addition to ~prlngtield Estates C. Name. etc. of owner and construction lender O. Energy Sources 1. examele- heat/electrical ceilinq/or forced air Qas 2. examole- waterheater!electrlcalJor solar E. Square footage or valuation, etc. - I, example- 1250 sq. foot house. 500 sq. foot garage 2. example- if new project. check new - if addition, cneck. add, etc. f. .Building permit information: 1. examole - construct single family house with an attached garage 2. example - remodel existing garage into family room 3. examDle - 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 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. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES ANO CHARGES ON THE SCHEOULES 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. --- Ill. 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 PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: . I . PERMIT VALIDATION I3?S1/3 Permit Clerk .~ /d-- ~-~ v , I j' /NJP~~EN"" A&.RSGh?FJu:T" FM;> al,"'~P/c ':S"h,.=......,... z- ?oHLI~ Unc.ITY ~~r ~ ~7'JY- e~ ~ ftsh-!>T ~~ OF' 1#/1' ~AR~L. Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS 'REVIEWED BY: . name~ ~E'C~ signature~..A'- ;;,,- '. . I I -~-- /..-G,7 ~ .. date I/-/,/-g;<:;- I . .~ ".quired Inspe.ns .. f IT IS THE RESPONSIBILITY OF THE PER!lIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TUlE. THAT EACIl ADDRESS IS READABLE FROM TilE STREET, AND THAT TilE PERl'lIT CARD IS LOCATED AT TilE FRONT OF THE PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TUlES. PROCEDURE FOR REQUESTING INSPECTIONS, Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUMBER, job address, type of inspection requested and vlhen you will be ready for the inspection. Contractors or m~ers name and phone number. Requests received before 7:00 am,will be made the same day, requests received after 7:00 am will be made the following work day. Your City Designated Job Number Is, .8'5"/t:)/ Z Job Address, 28.85 t/LYA4P/C ~~r Owner, VY/"<~ ~ ./.H~. Phone,_7~~.."'''''''' (I::bN ./ew~) _contractor:__~~~~~~....~~ _ Phone ,JJJ:'?.E? D [K] ~ SITE INSPECTION: To be made after excavation. but prior to setup of forms. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: 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. ~ [EJ FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to pouring concrete. ~DERGROUND: Plumbing, Electrical, Gas, Sanitary Sewer, Storm Sewer, Water and Drainage lines. To be made prior to covering or filling trenches. ~ D UNDERFLOOR: J 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.. D o D o o PLOOR INSULATION & VAPOR BARRIERS, To be made prior to installation of decking or floor sheating. ~~SONRY: Steel location, bond beams grouting or verticals in accordance 0 with U.B.C. Section 2415. o !RJ ROOF SHEATHI~G k~D NAILING: to installing any roofing. Prior [KJ ROUGH PL~mING. ELECTRICAL & ~IECHANCIAL; No work is to be covered until these inspections have been made and approved. ~ FINAL PLUMBING I~ I FINAL ELECTRICAL [KJ FINAL 'IECHANICAL ~ o D ATTIC DRAFT STOPS & CURTAIN WALLS. FIREPLACE: Prior to materials and before inspection. placing facing framing SPECIAL INSPECTIONS: In accordance with Section 306 of the Building Code a special inspector shall be employed by the O~~er/ Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. ---, STRUCTURAL CONCRETE: In excess of 3000 ~ P.S.I. (306 a.I) ~ STRUCTUR~L WELDS: Preformed on the ~ job. (2722 f) I~~~ Xl HIGH STRENGTH BOLTING: During all ~ bolt installation and tighting operations (306 a.5) IF~'" ,.f~Z'S"<V"'Y"D ---, SPRAYED ON FIREPROOFING: (U.B.C. ~ Standards 43-8) =:J SPECIAL GRADING. FILLING: ~Jring & Chapt-er 29) EXCAVATION AND earthwork. (306 a. 11 lKJ 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. 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 WALL: Located & constructed according to plans. :J GLU-LAM BEMfS; Inspection Certificate, by an approved agency, furnished to the City's Building Division before beams are placed. (2S01-U.B.C. STDS. 25-10, II). o ~ LATH AND/OR r,YPS~f 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. *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. CITY'S SITE PLAN REVIEW BOARD INSPECTION: ~rust be requested 2 days in advance of the date you wish inspection. All project conditions such as landscaping, parking lot striping etc. must be com~leted before requesting this inspection. o FINAL BUILDING: ~rust be requested after the final Plumbing, Electrical, Hechanical 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 Division and posted on the premises 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. CURB AND APPROACH APRON: After forms are erected but prior to pouring concrete. After installation is PARKING LOT: After gravel is in place but prior to placing asphalt or concrete. ~ FINAL FIRE DEPAR~~~IT J2 SIGNATURE '&/"ZA~ / r? ~J~ DATF I;} -tl-gs- *ALL ~~HOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUS~~NT TO BE ~~DE AT NO COST TO THE CITY.