HomeMy WebLinkAboutPermit Building 1988-8-11 (2)
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~:NSPECTION LINE
1726-3769 .'
Job Address .3S7..0 OLYMPIC-
Le9al Description I/} 0 ;;l 30 00
.
q 4- 5(.,. "
CITY Uf SPRINGfIELD
COHBlIlATION APPLICATION/PERMIT
- .
E!lERGY SOURCES:
~eat et.E1:-.
(f) ( C(z I t~ater HeaterE\.BC_
, Range WA
flUE of Hork: cw
/99. '202. -
PhoneM1-U.1,Builciino Pennit Info: Describe Work(;..e.. Build Single
Familv nesidence With Attached Garaoel
~rf../.-f 1- uln./) 0 J, tf)A,nQ....-
(ohone no.l
.
INFORllATIDN liNt
726-3753
Sq. Ftg. l'lain
~q. Ftg. Access.
Sq. Ftg. Other ':a::>.~f2">
..Jlew_AddM1\l ter -Yep.
__Fence__Demo_Change/Use
_Other
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Owner UP5. % PAUL +I""J\rf7-
Address "",~'2.. Ol.tJEJ..l5 DR.
~~.CA.
(4117)
Construction lender
Address Phone
DESIGN rEAr~ (name) (address) flies. no.l
Primary MOIZ.('Z.I S. fZ=v~ ~ .-.". -4. 1~'O Goe><JJZ<<-~. ~45'
(exoiresl
,
e.,
~2-b"5( I
Structural -?~e.
Electrical ~6
Mechanical ~ tE
CONTRACTORS (name)
General cJ~LL cfs"";/ . .2~
L'
(address 1
(l ics. nn.)
(pxoirec;,l
(ohnnp I'ln 1
C>A,<<"~ or ~Y' ~,c-h''=
<<iff')- SI? //
Plumbina
Electrical
,
~;/1
"S1,cO
ru\tl
'....
~1echanical
7.50 :22::2
SQ. FT.
'MECHANICAL
IOEL J:l:!AB.IiE .llO.....1 furnace/burner to IIOEL J:l:!AB.IiE
7 I~,*-~.:~~:..- ,. 7~ ~-:;2
I Floor trnace -
:Z?S' 6 1J;p;;~-~ 6."'" ::?,<.--
- - Recessedwa-n
~n~rp hp~tpr Anrl vpnt
PLUflBING
ELECTRICAL
NO.
FEF
rHARr,F
~n
~
Each Single fixture
Residence of
Relocated building
(new fix. additional)
~-New circuits alts.
v or extensions
.~~_~:,:::J""E
SERVICES
Temporary Construction
Change in existing
re<;..i Qp'nr:p
Imultifamily, comm. or
IndilC';.tri<il
IOf amps.1
ICOHfl./IND. FEEDERS I
IInstall/alter/relocate I 1
rliC';.trih, fppdprC';.
Z IOf /4J<:::>7>?:?= amp~~ ~ /:3 a.#.;/?"':rC~Tr
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I I ISSUANCF OF PFRIIIT
TOTAL CHARGES ::?::? 'SO TOTAL CHARGES C;?, St? I TOTAL CHARGES 9<;2 ~
WHERE STATE LAI~ REQUIRES that the Electrical work be done by an Electrical Contractor. the electrical portion of this permit
shall not be vali~ until the label has been signed by an Electrical Supervisor and returned to the Building Division
S.F. Residence
(J bath]
I Duplex (1 bath)
IAdditional bath
I Water servi ce
Sewer
each
Storm Sewer
Appliance vent
<;.eoa r<i tp
Stationary evap.
cooler
Vent fan with
sinale duct
Vent system apart
heatino or A.C.
Mechanical exhaust
hood <ind dlJrt.
from
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I
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Wood stove/heater
I HAVE CAREFUllY EXAtlINED 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 fm OCCUPAfKY 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 7nl.055 will be used on this project.
IWIE(please print).::rl'-'l. ru..-~ .~.--> SIGII^TURE~~P;
FOr. OFFICE USE DIlLY
Zone /111/1 Tyoe/Const. ;:<-..-(/ Units Sq. Ftg. 11ain, Value
Fire Zone Bedrooms Occy Load ~'3' Sq. Ft~. Access x Value
Flood Plain Stories / Occy Group ;0/-:::> Sq. Ftg. Other.l"'h........~<..~::?,")~Value /992"2."'"
" - " - ~
P.~.~5~c..,l) #4f/~;S~ ~7,:?.o ~-((-~'K" TOTAL VALUATION
BUILDING PERfIlT Plan Ck.Conm/lnd ,..., 1 fll _II Syste. ms Development .' / L)
Charges and ,.." __cz.":28~_-=~__ 65X/Bldo P.l'r Fee ^ ,,-0& 57.7/ Charoe (1.5~)' /Y -P7 ..
Surcharges d- . '5;;;>. '70 ~~~~B~~~ ~:~ Fee U> J}~.N .cur=< ) ~S.#zv..., 7"
-;:Z'2~t)&> I'"f.;;ce I ~,t.f~.PHP" d27z;.~_
-----/~/3--1 DfIAlo I
~;/--~~ I.Sldew.lk I
-----3.:38'--1 A/C Paving 1
----~f~-I Curb Cut :
DATEd- ({-~1!>
PLUt~BING PERMlT
Charges and/.....S
Surcha rges
ELECTRICAL PERlm
Cha rges and , 1
Surcharges ~
ITota'
I
I TOTAL
.
Comb. Permit
BB-:;;. /6
r-
1/58./5".
MECHANICAL PERMIT
Charges and )
Surcharges {p
A
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~
...
/
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COMBINATION APPLICATION/PERMIT (CAP)
PERMIT VALIDATION
"
I. Applicant to furnish
A. Job Address
B. Legal Description
1. example- Tax Lot 100, lane County Map Reference
II 03 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. exa~le- waterheater/electrlcal/or solar
E. Square footage or valuation, etc.
I. example- 125D sq. foot house, 500 sq. foot garage
2. example- if new project. check-new - if addition.
ehee k add. etc.
F. Building permit information:
1. exam~le - construct single family house with an
a ttached gar~ge
2. examole - remodel existing garage into family room
3. examjle - 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
fu 11 schedu 1 es
C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND
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. ---
!II. 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.
I~V(P;
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V. FDR OFFICE USE ONLY
Permi t Cl erk
rY
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
Permit applicant .exempt from registration with the Builder's Board because:
Additional Project Information:
'.
PLANS REVIEWED BY:
I
. name L~g#-= h~~
Signature~~
,/' ( P'
date B '?"!1-Z?~
,
. .
,
.~
..~quired
Inspecwns ..
IT IS THE RESPONSIBILITY OF TIm PE~~IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TIME,
THAT EACH ADDRESS IS READABLE FROM THE STRF,ET, AND THAT THE PF,Rl'IIT CARD IS LOCATED AT TIlE FRONT OF THE
PROPERTY, BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TillES.
PROCEDURE FOR REQUFSTING INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUMBER,
job address, type of inspection requested and ~men YOll will be ready for the inspection. Contractors
or owners name and phone number. Requests received before 7:00 amjwill be reade the same day, requests
received after 7:00 am will be made the following work day.
Your City Designated Job Number Is: ??~07~&';'
Job Address: -:35'::?CJ OL f'~?/.c 5"7:'
6!;.1tf'T v.P.5, (~H #w~) Phonef~/S')&9';::427G'L
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Contractor:
SITE INSPECTION: To be made
after excavation, but prior
to setup of forms. ":). ,
UNDERSLAB PLUMBING, ELECTRI~AL
Ii ~IECHANICAL: 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.
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FOOTINGS 6 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.
UNDERFLOCR:, Plumbing, Electrical,
Mechanical. To be made prior to
installation of floor insulation,
decking or floor sheathing.
POST 6 BEAM: To be made prior to
installation of floor insulation,
decking or floor sheating....
FLOOR tNSULATION & VAPOR BARRIERS:
To be made prior to inst311~tion
of decking or floor sheating.
MASONRY: Steel location, bond beams
grouting or verticals in accordance
with U.B.C. Section 2415.
Prior
ROUGH PLL~IBING. ELECTRICAL &
~lECHANCIAL: No work is to be covered
until these inspections have been
made and approved.
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Phone:
ATTIC DRAFT STOPS & CURTAIN WALLS.
'SPECIAL INSPECTIONS: In accordance with
Section 306 of the Building Code a special
inspector sholl 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.
O ROOF SHEATHI~G k~D NAILING:
to installing any roofing.
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1-/'>
~ FINAL PLUMBING
~
I ,)(1 FINAL ELECTRICAL
\.\"1
[2l FINAL MECHANICAL
'2:11
ell FINAL FIRE DEPARTIIENT
10'"
FIREPLACE: Prior to
materials and before
inspect ion.
placing facing
framing
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 are
approved.
FIRE 6 SEPARATION WALL: Located 6
constructed according to plans.
STRUCTURAL CONCRETE:
).5.1. (306 a.l)
STRUCTUR~L WELDS: Preformed on the
job. (2722 f)
HIGH STRENGTH BOLTING: During all ~
bolt installation and tighting
operations (306 a.S)
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In excess of 3000
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SPRAYED ON FIREPROOFING:
Standards 43-8)
(U.B.C.
---, SPECIAL GRADING. EXCAVATION AND
---l ~ILLING: ~Jring earthwork. (306
& Chapter 29)
, I
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 plastering I
is applied or before gypsum board ---1
joints and fasteners are taped and
finished.
GLU-LAM BEMIS: Inspection Certificate,
by an approved agency, furnished to
the City's Building Division before
beams are placed. (2S01-U.B.C. STDS.
2S-10,11).
0.11
WOODSTO\~S: After installation is
completed.
SIDEWALK 6 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.
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* 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.
PARKING LOT: After gravel
place but prior to placing
or concrete.
is in
asphal t
CITY'S SITE PLAN REVIEW BOARD INSPECTION: Must
wish inspection. All project conditions such as
ba com~leted before requesting this inspection.
be requested 2 days in advance of the date you
landscaping, parking lot striping etc. must
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FINAL BUILDING: Must be requested after the final Plumbing, Electrical, ~1echanical and Fire
Department inspections are made and approved. No Occupancy of the premises con be made until
a Certificate of Occupancy has been issued by the Building Division and posted on the premises
SIGNATURE
OATE
*ALL MANHOLES AND CLEANOUTS MUST BE .\CCESSIBLE, ADJUSTIIENT TO BE MADE AT NO COST TO THE CtTY.