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HomeMy WebLinkAboutPermit Building 1987-1-8 - \ . CITY Uf SPRlilGfIELO Cm1BIIIATIDN APPLICATION/PERMIT EIIERGY SOURCES: Heat :'Iater Heater . '1 UISPECTIDII LIIIE 726- 37 69 . I NfORlIA TI J'j l1,',t. 726-3753 Sq. Ftq. f.lain ~q. !='tg. Access. Sq. Ftg. Other Ilew Add ~.1ter ~ep. --Fence Demo Change/Use Other - - Address PC:>/V ~/ /EEfi 'B<:::6'0<'!. <i? 8~-~c: 7"r.>?P/C 7 A;; ~,:)""BS .i;'.iu- Ranqe ValUE of Hark: ?ao.-C:::> l3ui hiinQ Pen11it Info: Describe Hork{ i.e.. Far:1i 1 v nes i dence I-lith /It tached fiaraoe 1 Build Sin9le I~ ~ ~ Job Address 33&S" CN.Y/np/C ~7: Legal Description / 7-.:'z-~.'3' </. Cl~ 70= Owner -.:..... Construction Lender -4777) (?97Jl;'n._..../'?? 72::> &..cv-""""" '.~6? l V/c....Z;;/~ I Address Ul:.:::lllifl TEN1 (name) Phone (address) (1 ics. no.l (exo;res) (ohane no. I Primary /,,\ - fr"" / )r 1 ,I (" ... .,1.,) {d0" Structural Electrical 11echanical CONTRACTORS (name) (addres!\ ) (l ic<;.. no. \ (pxnirpc;.) (ohnnp nn. ) Genera 1 /JW'J~~ Plumbino Ow^" E?? Electrical Ilechanical I?W-~~ PLUIIBIIIG L ELECTRICAL I FEE CHAReE I. I Residence of 7.:;:> (~ SQ. FT. INew circuits alts. or extensions !SERVICES MECHANICAL 110. l_~~~ rH~ -1JO 2- Each single fixture furnace/burner to BTU's I...E" I rH~ /Relocated building (new fix. additional) Is,F. Residence (] bath) IOuplex (1 bath) each IAdditional bath LIf$Ar.J.(e8fCJ:OR''''''''. ~ /$':- Sewer I I I I I Floor furnace and vent Recessed wall ~Onrp hp~tp~ ~nrl ~pnt 10f I COI1l-I. /l NO. FEEDERS I Install/alter/relocate rli~trih fppnpr~ amps. Appliance vent seoaratp I Stationary evap. cooler I V'ent fan wi th sinole duct I Vent system apart heat.ino nO' A.C. I ~lectianical exhaust hn0~ rln~ ~lIr,t, from Storm Sewer I II I I I 1 I I I I I I ISSUANCF OF PFR!lIT ?~ '-I TOTAL CHARGES I TOTAL CHARGES M/ij. /.57 d>r::> tti-af 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 Temporary Construction Change in existing rp~.i ~~I1CP multifamily. comm. or InolJ(,tri;l1 Wood stove/heater Of amps. TOTAL CHARGES WHERE STATE L~W REQUIRES shall not be valiJ until the I HAVE CAREFULLY EXM1INED the completed aprlication for ~ermit. 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 Soringfield and the Laws of the State of Ore()on pertaining to the work described herein. and that IIC OCCUPAIKY will be made of any structure without the permission ~f the Ouilding 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 OP.S 701.055 will be used on this nroject. IIAIIE(please printl-:rl\M.. S-\:ee..'" b\oc-lC SIGII^TURF.~ .b./.AZdhd FD~ OFFiCE USE DilLY Sq. Ftg. t1ain x Value SQ. FtlJ. Access x Value Sq. Ftg. Other ~ ~~"" Value -::7---- " .. - --. TOTAL VALUATION om.i:::J- P 2 20ne )VJ ..YJ Fire Zone Tyoe/Const. ~--~ Flood Plain Bedrooms Stories / Units Occy Load Occy Group H- ?> BUILDING PERfIlT 0 ~ Plan Ck. Charges an~ ___.15:._=-_____ 65%!Bld(1 Surcharges). t:-/..r') Plan Ck. - / "'" 30%lBl do PLUI1BING PERMIT ____~....", I Fence Charges and ( ~.-'. Surcharges /.::<'0 I O~mo ..ElECTRIC~.L PERI~IT i Sidewalk Charges and '-'\ -------_____ Surcharges I Ale Paving IIECHANICAL PERMIT . . /:)':.-.... Curb Cut Charges and , _ ___J_j_~_____ Surcharges \fJ . be:> COITlll/lnd Ppr Fee Res Per Fee ,c, _ So Systems Development Charqe (1.5~) . 17.#. ITotal Comb. rermit _ f?? <?o b 5. ;<:;> ,I bl1l..\ OCl'-fOTAL r . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal Description 1. example~ Tax Lot 100, lane County Map Reference 11 O"j 43 2. example- Lot I, Block 3. 2nd Addition to Sprlngtield Estates C. Name. etc. of owner and construction lender D. Energy Sourc~s 1. exam~le- heat/electrical ceiling/or forced air Qas 2. examole- waterheater/electrical/or solar E. Square footage or valuation, etc. - I. example- 1250 sq. foot house. 500 sq. foot garage 2. example- if new project. check-nfw - if addition, check add. etc. F. Building permit information-: 1. examole - construct single family house with an attached garage 2. examole - remodel existing garage into family room 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. DESIGN 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, ~lechanical, & 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 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 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 I --. " PERMIT VALIDATION , . . ! !J67toro /-C{ --- /1 . L0 Permit Clerk ~ Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: ~Z:>~ ,/C> Wf/~ /5 _~c...L- &.,T/I/S- PLANS REVIEWED BY: name /C>8~. ,7Z.- signatureO~ '")- -, ,- \ -&~??~ H-~~..... .7' r J -~ ,/ date 1~:;;?-82-;:; ~ ".quired Inspec.ns .. IT IS THE RESPONSIBILITY OF Tlffi PE~~IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TIME, THAT EACH ADDRESS IS READABLE FROM THE STREET, AND THAT THE PERHIT CARD IS LOCATED AT THE FRONT OF THE PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIMES. PROCEDURE FOR REQUESTING INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUMBER, job address, type of inspection requested and ~men you will be ready for the inspection. Contractors or owners name and phone number. Requests received before 7:00 am;will be w~de the same day, requests received after 7:00 am will be ~de the following work day. Your City Designated Job Number Is :---t!fi>S <::J ~~- Job Address:-/~k:$" ~~~C ~7: ;Owner:ph -;V-~Hi?C~Ck- Phone: 72~.~S.e~ Contractor: ~~~~ 'Phone: ---- - - SITE INSPECTION: To be made after excavation, but prior to setup of forms. !JNOERS~UllBING) ELECTRICAL 6 ~ffiCHANICAL: To be made before . ~ ,any work is covered. O CONCRETE SLAB INSPECTION: To be made after all inslab building '.. :,.. .. service equipment. conduit. piping, .'. accessories and other and llary " - ,. equipment items are in place but ~r .: before any concrete is poured. :.-. . o .........;. ~DIZl 0 . 0 0 0 0 0 0 ~ IE] .' . D?J 0 [KI 0 o o o (p ~ FOOTINGS 5 FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to pouring concrete. trnDERGROUND: Plumbing, Electrical, Gas, Sanitary Sewer, Storm Sewer, D Water and Drainage lines. To be made prior to covering or filling trenches. \V~ 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 installation - of decking or floor sheating. o ,.0 MASONRY: Steel location, bond beams grouting or verticals in accordance 0 with U.B.C. Section 2415. ROOF SHEATHI~G k~D NAILING: Prior to installing any roofing. ROUCH PLtJ1.ffiING. ELECTRICAL & MECHANCIAL: No work is to be covered until these inspections have been made and approved. -II ~c, FINAL PLUMBING o CITY'S SITE PLAN REVIEW BOARD INSPECTION: Must be requested 2 days in advance of the date you wish inspection. All project conditions such as landscaping, parking lot striping etc. mus~ be com~leted before requesting this inspection. D ATTIC ORAFT STOPS & 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 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. :J LATH AND/OR GYPSUM BOARD INSPECTION: :J To be made after all lathing and g)~sum board, interior and exterior, is in place but before any Plasterin,g:J is applied or before gypsum board joints and fasteners are taped and finished. FIRE & SEPARATION WALL: Located & constructed according to plans. WOODSTO\~S: 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 .asphal t SPECIAL INSPECTIONS: In accordance with Section 306 of the Building Code a special inspector shall be employed by the Owner/ 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 CONCRETE: In excess of 3000 P.S.I. (306 a,I) 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 ANO 'FILLING: l)>.Jring earthwork. (306 i; Chapter 29) ..11 :J GLU-LAM BEAHS: Inspection Certificate, by an approved agency, furnished to the City's Building Division before beams are placed. (2501-U.B.C. STDS. 25-10, II). .' * 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. 7,.11 FINAL ME01ANlCAL Iq F\7l FINAL BUILDING: Must be requested after the final Plumbing, Electrical, Mechanical 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 tho Building Division and posted on the premises FINAL ELECTRICAL FINAL FIRE OEPART~ffiNT SIGNATURE DATE ,.4_' J._. *ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTMENT TO BE MAOE AT NO COST TO THE CITY.. .~...