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HomeMy WebLinkAboutPermit Building 1988-4-11 /. . \. ... -. . ItISPECTdON UIIE CITY UF SPRINGFIELD INFORlIATlON LINe 726-3769 COMBINATION APPLICATION/PERMIT 726.3753 J b Add "'2/frr'? tLI. ~ EIIERGY SOURCES: Sq. Ftg. 1.lain o ress :.; 7 VV v- 1/J'1..1. LJ..lA.-, Heat ~q. Ftg. Access. Legal Oescription 17-CJ2--'-- />~. ---q/9~/' I~ater Heater Sq. Ftg. Other ~ 7~~., <--7 ~ New Add Alter Rep. ~ tw..~ ~:~:: of Work: S; tJ1Jf) ~~~~~_Oem(Uhange/Use I a &~1-1if .1 Ph Builtiino Permit Info: Describe Work(i,e., Build Single ~ f/'IIIA)Y/i.,/lf'/' /.?P97?1? one Familv Residence Uith Attached Garaoel 'Y ~~A"I /Y!!.~"'n -:?~-'1~:%" vf2J1hJ)~::!:~?'T 0'V~ ~ Construction Lender 1.. r- ~ /7--=" ~ - 0, /~ Y~R/.67-? ____ 6. .~'" ;/...-. k. ~ r' ..~~W> / ... {namel'~~'" -- - PhOtaeddressl ~/&-/Y~ ~;.~~~/.,...yr:x~f~~ (ohane no.'} Owner Address Address UeSUjN TEAr~ Primary Structural li tI.:'J I ~CO lA' \1, Electrical Mechanical CONTRACTORS (name) __'address' W~/-' ('~.-- ;! ~ flies. no.) (exoires) )ohnnp nQ._ \_, <W'6:?=:! -5?'t' / # --;tY-=? -~/</ General Plumbino Electrical ~lE;chan;cal PLUIIBING ELECTRICAL MECHANICAL ..liQ..,. FFF r.HMU~F ~m ccc ru~ Nn crt:" "'~ARG.E. Each single fixture Residence of SQ. FT. furnace/burner to BTU's Relocated buildin9 (new fix. additional) INew circuits alts. or extensions ISERVICES I Floor furnace and vent S.F. Residence II bathl IDuPlex (1 bath) each IAdditional bath Water service Recessed wall ~n~~p hp~tpr ~nrl vpnt Sewer ITempOrary Construction IChange in existing rec;.j4rflcp, Imu1tifamily, comm. or Indll(,tri~l IOf amps. ICOffi~./IND. FEEOERS I Install/alter/relocate cti<:.tri h fpprlprc; IOf amp~ I I I Appliance vent ~poartl.tp Stationary evap. cooler Vent fan with sinole duct Vent system apart from heatino or A.C. Mechanical exhaust hood tl.nd durt Storm Sewer Wood stove/heater ISSUANcr OF PFRIIIT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES WHERE STATE L\H REQUIRES that the Electrical work be done by an,'Electrical Contractor, the electrical portion of this permit shall not be valid until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFULLY EXM1INED 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 rm OCCUPA[~C,( 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 subcontractors and employees who are in compliance with ORS 7nl.055 will be used on this project. NAI.IE(please print) 5 I GtIATURF. (1/ y~ r ~ ~ DATF .I../-I/-F'i.. FOr. OFFICE USE O;l~~ . 7 Zone M I'. Fire Zone Flood Plain Tyoe/Const. 02 A/ Bedrooms Stories / Units Occy Load Dcc.y Group Sq. Sq. Sq. Ftg. t1ail'l )f Value Fta. Access )f Value Ftg. Other~~;"'",?.".. Valu. TOTAL VALUATlm' ."')eoa "'- BUILDING PERllIT Charges and "' SurCharges d- ~ Plan Ck. _ _ _uc:;?~5?2_ _ 65%/Bldo ~ Plan Ck. -::2....v:;.> 30%/Bldo Fence ro ConmlI nd P.rr F,:op Res Per Fee 2.7..,'1>3 1ll...40 lj+'6~ Systems Development Charoe (1.5%) .. ~ C:::f) I 75-:...-.::> PLUr1BING PERMIT Charges and Surcha rges I DBRlO ___________J Sidewalk I A/C Paving ___________J Curb Cut I ITota1 Comb. Permit I I TOTAL 5:?.o:a /28. 0 '3 ELECTRICAL PERIHT Cha rges and Surcharges MECHANICAL PERMIT Charges and Surcharges .J . . I ~ COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal Oescription I. example- Tax Lot 100, Lane County Map Reference II oj 43 2. example- Lot I. Block 3, 2nd Addition to sprlngtield Estates C. Name. etc. of owner and construction lender D. Energy Sources 1. example- heat/electrical ceilinq/or forced air qas 2. examyle- waterneaterjelectrical/or ~ E. Square footage or valuation, etc. I. examole- 1250 sq. foot house. 500 sq. foot garage 2. example- if new project. check-new - if addition. check add. ete. F. Building pennit information: 1. example - construct single family house with an a ttached garage 2. examele - 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. 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, 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 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 OSE ONLY Permi t Cl erk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: . c~ _, . PERMIT VALIDATION I ( ;J.-f1 Cf-i{-rl CL-. . Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: <~r=- A-siP /~;;;? ;t%E~ o/~ . PLANS REVIEWED BY: L~~ '7t~~ signature.~.-<>'?~- J? ,,]:'-- p- name date 7";"7'-~ ~~ IT IS THE RESPONSIBILITY OF THE PER-'lIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TUlE, THAT EACH ADDRESS IS READABLE FROM THE STRF:ET. AND THAT THE PERJoIIT CARD IS LOCATED AT THE FRONT OF THE PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIllES. . " .. .uired Inspect"s .. PROCEDURE FOR REQUESTINr. INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUMBER, job address. type of inspection requested and \olhen you will be ready for the inspection. Contractors or owners name and phone number. Requests received before 7:00 amjwil1 be ~Bde the same-day, requests received after 7:00 am will be made the following work day. Your City Designated Job Number Is: RRr:?2.s=?2 Job Address: '=6 sr:< '2 a y.---,"~/,~ ~7"= Owner: K~g;e 'A'"......~ ?ErC Phone: /"' I. /' /': W-~8;f~S 7~/ Contractor:! ..L/F~ VWC:>P,cE'ir' c...o~. ]hone:;.I. -.,</,:?-:i:U:./l/ ~ FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place. but prior to pouring concrete. UNDERGROUND: Plumbing, Electrical. Gas. Sanitary Sewer, Storm Sewer, Water and Drainage lines. To be made prior to covering or filling trenches. FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheating. MASONRY: Steel location. bond beams grouting or verticals in accordance 0 with U.B.C. Section 2415. o o o SITE INSPECTION: To be made after excavation, but prior to setup of forms. UNOERSLAB PLUIlBING, ELECTRICAL 6 ~ECHANlCAL: 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. o o o UNDERFLOQR:, Plumbing, Electrical. ~lechanical. 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 shesting.'. o o o o o ROOF SHEAllIING AND NAILING: to installing any roofing. Prior ROUGH PLUIlBING. ELECTRICAL & f.lECHANCIAL: . No work is to be covered until these inspections have been made and approved. o FINAL PLUMBING ~ FINAL ELECTRICAL o FINAL IIEClIANICAL o FINAL FIRE DEPARTMENT o \l\ ~ o o o o o o o o ATTIC ORAFT STOPS & CURTAIN WALLS. FIREPLACE: Prior to placing facing materials and before framing inspection. INSULATION G 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. ~ LATH AND/OR GYPSUM BOARD INSPECTION: ---, To be made after all lathing and ~ g)~sum board. interior and exterior, is in place but before any plnsterlllll---, is applied or before gypsum board ~ joints and fasteners are taped and finished. FIRE G SEPARATION WALL: Located & constructed according to plans. WOODSTOVES: After installation is completed. SIDEWALK G DRIVEWAY: Required for all concrete paving within street right-of-way, to be made after nIl excavating complete & form work & sub-base material in place. CURB AND APPROACn APRON: After forms are erected but prior to pouring concrete. 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 0 special inspector sholl be employed by the Owner/ Contractor during construction of the following work. A copy of the special testing reports sholl be furnished to the Building Division. ~ ~ ~ STRUCTURAL CONCRETE: In excess of 300 P.S.I. (3060.1) STRUCTURAL WELDS: Preformed on the job. (2722 f) HIGH STRENGTll BOLTING: During all . bolt installation and tighting operations (306 n.S) ~ SPRAYEO ON FIREPROOFING: (U.B.C. Standards 43-:8) SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 n.ll & Chapter 29) GLU.LA.M BENtS: Inspection Certificate. by an approved agency, furnished to the City's Building Division before beams are placed. (2S01-U.B.C. STDS. 25-10,11) . * 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: Must be requested 2 days in advance of the date YOI wish inspection. All project conditions such os landscaping. parking lot striping etc. must be com~leted before requesting this inspection. FINAL BUILDING: Must be requested nfter the final Plumbing, Electrical, Hechanical nnd Fire Department inspections are made nnd approved. No Occupancy of the premises cnn be made until a Certificate of Occupancy has been issued by the Building Division and posted on the premise: SIGNATURE DATP * ALL ~lANltOLES :\NO CLEANOUTS MUST BE ACCESSIBLE. ADJUSTMENT TO BE MADE AT NO COST TO TIfE CITY.