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HomeMy WebLinkAboutPermit Plumbing 1988-11-4 ~., 5".7". /9// CITY 0, SPRINGFIELD COMBINATION APPLICATION/PERMIT EIIERGY SOURCES: He.t I~. ter He. ter . INFOR/IATlON liNt 726-3753 Sq. Ftg. 1.I.in ~q. Ftg. Access. Sq. Ftg. Other Ilew Add Alter Rep. -Fence Demo Ch.nge/Use Other - - 'INS~CTION LINE 726-3769 Job Address -q'l9~ O/<:.-'h?..2>/'C Leg.l De<eription /7-C):2.?c)~C:;c) . Address Phone Range V.IUE of Hork: -::<:f3t~o y.""'O BuilrifnQ Permit Info: Oescr be Work(i.e., Familv nesidence Hith .A.ttached Garaae' Build Single ~ \) {j I~ \') , C:#tt.";.K ;<<: /c:~<!:,.., Owner A~~ /c.A'-Jv j...,./'A-R~' c::.o. Construction Lender ,;.#.v//yo=, -1f frA'//Y-4'6L= /r::,;q ~r /"577~ .~~1"'/.--.=,; ~/ :'F{'7. Address Phone DESIGN TEAl~ (name) (address) (lies. no.l Prim.ry _ LlppFI' E~/.;V~/~ 696' oo"q""?r~6u2?~2>. '/') , ; Structur.l {exniresl (ohone no. b83'-'2&;/8 Electric.l. Mechanical CONTRACTORS In.mel Gener.l /~O~ :ar"":5"'.~....-;r-. Plumbina (address) (lies. no, \ (exoires) (ohone no.) 00',,' ~D -1~ lOe,,' Electrical ~'echanical PLUI1B I NG ELECTRICAL MECHANICAL NO. FEE CHARGE NO CCF CHf;IlG.E. NO. a.L J:HAllG.E. SQ. FT. furnace/burner to BTU's Each single fixture Residence of Relocated building (new fix. .ddition.l) INew circuits alts. or extensions ISERVICES I Floor furnace and vent S.F. Residence (1 b,th) Duplex (1 b.th) e.ch Addition.l b.th I~!ater service I Sewer 1'12' Storm Sewer Recessed wall Sn~~p hp~tpr ~nd vpnt lTernporary Construction IChange in existing re~ j q~nce. Imultifamily. comm. or Industrial "3/. 3t> amps.l Appliance vent seoar~tp. Stationary evap. cooler Vent fan wi th sinale du~t Vent system apart from heatina or A.C. Mechanical exhaust hood i1.nd duct I flood stove/he.ter I I I TOTAL CHARGES WHERE STATE LAW REQUIRES shall not be vali1 until the IOf ICDMI'I./IND. FEEDERS I I Install/alter/relocate I dic;trih. fppdprs IOf amps. I I \Q I I VI' I" I I I I ISSUANCF OF PFR/IIT ":? /. '3 c> TOTAL CHARGES I TOTAL CHARGES that 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 1 HAVE CAREFUllY EXAMINED 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 1m OCCUPAI~CY will be made of any structure without the permission of the Building Division. 1 further certify that my registration with the Builder's Ooard 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 comoliance with OP.S 701.055 will be used on this p~oject. IWIE(ple.se print)C'#ARIEC; ~cAe./ . mrMTURE ..?~k-"~~ Far. OFFICE-USE. OIl~Y'- /' Sq. Ftg. 11.in xC V.lue Sq. Ftl]. Access x Value Sq. Ftg, Other~5'5.pM>V/nz:;.:, V.lue;;? &'~Y.' d,.) TOTAL VALUATION "',- q':?7.Cb DATUI k/!'I Zone J/ / Fire Zone Flood Pl.in Type/const.~L//~ Bedrooms / Stories Units Occy Lo.d C.ccy Group PLUI1B ING PERMIT Ch.rges .nd..... ? Surch.rges ~ ELECTR I CAL PERI1IT Ch.rges .nd Surcharges ____RL2~_ /.57 Fence <hI rl) ~ ,z; Systems Development /J/~p;r/Y'I ~ Ch.roe (1.5~) , '&1-k-r-Y;=es- I 5",,:rt::> ~//;q.~~ I .' ~ I I /g~SD I I 3/.~ BUILDING PERNIT Charges and Surcharges Pl.n Ck. Comm/Ind ____________..M!/Bldo p.pr Fpp Pl.n Ck. Res 30%/BldQ Per Fee ..' D~mo <. MECHANICAL PERMIT Ch.rges .nd Surcharges I Sidew.lk I A/C P.ving I Curb Cut I Tot.' Comb. Permit TOTAL ':458,0-;;> 1-- 7f)(p, 73_".1 . COMBINATION APPLICATION/PERMIT (CAP) " I, Applicant to furnish A, Job Address B, Legal Oescription I. examole- Tax Lot 100, Lane County Map Reference II OJ 43 2, exam~)e: Lot 1. Block 3, 2nd Addition to >prlngtleld Estates C. Name, etc. of owner and construction lender O. Energy Sources 1: example- heat/electrical ceilinq/or forced air Qas 2. examole- waterheater/electricalJor solar' - E. Square footage or valuation, etc. ----- 1. examole- 1250 sq. foot house, 500 sq. foot garage 2. examole- if new project, check-new - if addition, check add, etc. F. Building permit information: 1. exam~le - construct single family house with an attached garage 2. examole - remodel existing garage into family room 3. examJPle - 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 fu 11 schedu 1 es C. BUILDING OIVISION STAFF WILL FILL OUT ALL FEES ANO CHARGES ON THE SCHEOULES 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 -.. j ., PERMIT VALIDATION (~?31J ! 1- 7- J f (C Permi t Cl erk ~~- t,. r . Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: ". PLANS REVIEWED BY: . name/ .c>;~~~~)signature ac:: ,/ " "? date //-~-8ES ~~ "iequired 'nspecions" IT IS THE RESPONSIBILITY OF TilE PER.'lIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TI!.IE, THAT EACIl ADDRESS IS READABLE FROM TilE STREET, AND THAT TilE PERMIT 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 NUflBER, job address, type of inspection requested and \olhen you will be re.1dy for the inspection. Contractors or owners name and phone number. Requests received before 7:00 Bm;will be ~~de the same day, requests received after 7:00 am will be made the followin~ work day. ~55C>9~ Job Address: --:::;1./9'f:. V',c1'/:??7rc "'5r Owner: ~~ 7f/~C=-7 Contractor: /n~~' Lf5~r -'') '_ D o o D o o ~ D o o o o o [EJ o o Your City Designated Job Number Is: SITE INSPECTION: To be made after excavation, but prior to setup of forms. UNDERSLAB PLlJHBING, ELECTRICAL & ~ffiCHANlCAL: To be made before 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. 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~ ~ewer~ Water and Drainage lines. fo be made prior to covering or filling trenches. UNDERFLOCR:. 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 she~ting.. FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheuting. MASONRY: Steel location, bond beams grouting or verticals in accordance with U.B.C. Section 2415. ROOF SHEATHI~G A~D NAILING: to installing any roofing. Prior ROUGH PLU~IBING. ELECTRICAL & MECHANCIAL: No work is to be cover!'!"d until these inspections have been made and approved. ')t') FINAL PLUMBING o o o [2J Phone: Phone: ATIIC DRAFT STOPS & CURTAIN WALLS. FIREPLACE: Prior tc 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 Owner/ Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Oivision. :J :J :J STRUCTURAL CONCRETE: P.S.!. (306 a.l) In excess of 3000 o 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 nfter the roof, all framing, fire blocking and bracing are in place and all pipes, chimneys and vents arc complete and the rough electrical, plumbing nnd heating wires, pipes and ducts arc approved. STRUCTURAL WELDS: Preformed on the job, (2722 f) HIGH STRENGTH BOLTING: Ouring all . bolt installation nnd tighting operations (306 n.S) SPRAYED ON FIREPROOFING: (U.B.C. Standards 43.8) SPECIAL GRADING. EXCAVATION .~D FILLING: [)o.Jring earthwork. (306 n.ll & Chapter 29) :J GLU-LAM BEMiS: Inspection Certificate, by an approved agency, furnished to the City's Building Oivision before beams are placed. (2S01-U.B.C. STDS. 25-10,11) . o o o :J LATH AND/OR GYPSUM BOARD INSPECTION: ---, To be mnde after nIl lathing and ~ g)~sum board, interior and exterior, is in place but before any Plastering:J is applied or before gyp~um board joints and fasteners are taped and finished. *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. ~ 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. must . b~ com~leted hefore requesting this inspection. FINAL ELECTRICAL l"'l [K] FIRE & SEPARATION \IAU.: l.ocated & ccnstructed according to plans. WQODSTOVES: 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. C/O <=1/ PARKING LOT: After gravel is in placc but prior to placing asphalt or concretc. FINAL 9lJILIHNG: Must be requested after the final Plumbing, Electrical, Hechnnicnl and Fire bcpartm~nt inspections arc made and approved. No Occupancy of the premises can be made until "~~~".. " ,', '"":::: '~~~"" .. ". ,,"",.. FI NAL MECUAN! CAL o FINAL FIRE DEPARTMHrr ';;',\I.L ~IANIIO!.r:S ANn CLEANOUTS ~'UST Br: .\CCESSIBI.E. AnJUSTMr:NT TO BE MM)E AT NO r.OST TO '111E CoITY.