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HomeMy WebLinkAboutPermit Signage 1988-8-31 I.. j1" '-< . CITY UF SPRINGFIELD . INFORltATlON LINt COMBIIIATlON APPLICATION/PERMIT 726-3753 EIIERGY SOURCES: Sq. Ftg. 1.1. i n ~e.t ~q. Ftq. Access. I~ater Meater Sq. Ftg. Other ~ lIew Add Alter Rep. ~ Range -Fence Demo Change/Use ~ 11 ValuE of Hork:;:2 m Dther- - I::::> BuilriinQ Permit Info: Describe Work(;~e.. Build Single .~ Familv nesidence IHth Attached Garaael ~ IAA.-r~~ !<:!'t.--~//~ + C ~ ~ -1'"~G~"'>/'"F:;r- ~nv /N.~ Phone ")/e::;..v. .4-..........:.'j' //<=e\- --:;~ ~-... (address) - , . l1ies. no.1 (exnirf(s) (ohane no.) 1~7S J,}, 6',P1 Ave.., ~'':'':nI'' d....&1""He :5~:.u,'S E. ~ jINSPECTION LINE 726"37 6g , ~~b Address ,:)Jl,<::( 'B:nYleeY' J~.y.L"llf legal Description I Owner ~;+y. "t Sf'~'OH/j~:Pt1 Address :J hi b )/ !')' fl<J Phone Construction lender Address UC" uN ICAI1 (name) - I.cLA ' l:mp>('(j ,,'11 I I>\ll> V t,<?7.o:r38 Primary Structural Electrical Mechanical CONTRACTORS Inamel Genera 1 f l<< e I"n lrl. Plumbino h.w.... :.j (address 1 "1.2,7"> \J.~,/",-. (lies. no.) r~)(nirp,' (nhonp nn_ 1 , .~n"'" E7"'''>.5?~ ?,'i{ 7-()~31 PLUI1BING l,_yt I ELECTRICAL 0,1 t::;'7, or> Electrical ~'echanical MECHANICAL NO. FFE fHARGE Nn ~~~ f~ARUE Nn_ SQ, FT. furnace/burner to BTU's I=n' fl:iAR.G..E. Each single fixture Residence of Relocated building (new fix. additional) S.F. Residence 11 bath \ Duplex (1 bath) each Additional bath New circuits alts. or extensions Floor fu rnace and vent SERVICES Recessed wa 11 Sn~rp np~tp~ ~nrl ~pnt Storm Sewer Of amps. Appliance vent s.eoaratp Stationary evap. cooler Vent fan wi th sinole duct Vent system apart from I heatina or A.C. Mechanical exhaust hond ~nd durt Wood stove/heater Sewer Temporary Construction Change in existing rp'j-j4e.nrp multifamily, corrm. or Industrial ~Iater service COMM./IND. FEEDERS Install/alter/relocate rli~t~i~ fpprlpr~ Of amps.! ISSUANCF OF PFR!IIT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES WHERE STATE L'\~ REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this pemit shall not be valiJ until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFULLY EXAMINED 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 performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Ore~on pertaining to the work described herein, and that NO OCCUPAr~CY 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 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 th:t project. IW1E(p1ease print) :l7 WI... I'I1tH'a 1:11 SIGrl^TURE Y~J ...._fln/l~G DATE 51-3/-:1':J V - FOr. O(FICE USE mItt: 4 Units Sq. Ftq. llain Occy Load Sq. Ftq. Acces5"'5't""...... Occy Group J'S.- -=? Sq. Ftg. Other d'-".A/f ~ 6) ~. Zone_P-L Type/Canst. Bedrooms Stories BUILDING PWlIT Charges and Surcharges ~ PJ an Ck. ___-;::<.&~~~__ ...Q.2!'Blda Plan Ck. 30%lBl do ::J1~3 ,-z,.3o~ q ff([' x Value x Value a"=-- x Value /?~. - TOT^L VALUATION ~_.... Fi re Zone Flood Plain .' /- y~ Conm/lnd Pyr Fpp Res Per Fee Systems Development Charoe (1.5~) . #'.~. PLUt1BING PERMIT Charges and..-' Surcharges Fence D~mo ELECTRICAL PERIHT Cha rges and Surcharges 'Sidewa 1 k MECHANICAL PERMIT Charges and Surcharges A/C Paving ___ _ __ _ _ ___ _I Curb Cut I ITotal Comb. Permit I I TOTAL 799'<7 J/, \ . . ,/ ~ . '. { - . . 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 11 03 43 2. example- Lot I. Block 3, 2nd Addition to Sprlngtield Estates C. Name, etc. of owner and construction lender O. Energy Sources 1. . examole- heat/electrical ceilinq/or forced air Qas 2. example- waterheater/electnca(/or solar E. . Square footage or valuation, etc. - 1. example- 1250 sq, foot house, 500 sq. foot garage 2. example- if new project. check:ruew - if addition, check: add, etc. F. Building pennit information: 1. exa~le - construct single family house with an attached garage 2. example - remodel existing garage into family raam 3. example - 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 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 ~ivision Staff will prepare a type written copy and return it to the applicant at the time the actual permit is issued for his signa ture. 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 payaple when the permit is issued. f /-5 c(3 1~~/O~6~ V. FOR OFFICE USE ONLY Permit Cl erk C{/ . PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: '. " PLANS REVIEWED BY: name L4R#E 7}E6Y~ Signature~ " ~.e-? , date '7'-/S-.es . ....,H. .. ....h,.:..D=t e~ ..~quired 'nspeciWns .. IT IS THE RESPONSIBILITY OF THE PER!lIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TI1.1E. THAT EACH ADDRESS IS READABLE FROM TIlE STRF.ET. AND THAT THE PF.R.'lIT CARD IS LOCATED AT TilE FRONT OF THE PROPF.RTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIllES. PROCEDURE FOR REQUF.STING 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 reade the same day, requests received after 7:00 am will be ~de the following work day. Your City Designated Job Number Is:. ~ Job Address: '27.',. jZ}C>IY~~ ~...v~6""" -;-I;"...--., ;~;'r7 .6'~r4~ ~n-;-~ Phone: . Contractor: F~~ ~A?./""""'-::: Phone: ~....,...'..,......,. D D D D D o D D D D D ~ITE INSPECTION: To be made after excavation. but prior to setup of forms. UNDERSLAB PLUHBING, ELECTRICAL & ~ffiCHANICAL: 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. o D D ~ ~ FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to pouring concrete. l~DERGROUND: 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 & 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 D o o MASONRY: Steel location, bond beams grouting or verticals in accordance 0 with U.B.C. Section 2415. ROOF SHEATHI~G ~~D NAILING: to installing any roofing. Prior ROUGH PLU/offiING. ELECTRICAL & ~~CHANCIAL: No work is to be covered until these inspections have been made and approved. D FINAL PLUMBING ~ FINAL ELECTRICAL ~ FINAL MECHANICAL ~ FINAL FIRE DEPAR~reNT o l~ IE] o ATTIC DRAFT 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 are approved. :=J LATH AND/OR GYPSUM BOARO INSPECTION: ---, To be made after all lathing and ~ g)~sum board~ interior and exterior, is in place but before any Plasteri~--, is applied or before gypsum board ~ joints and fasteners are taped and finished. FIRE & SEPARATION WALL: Located & constructed according to plans. WOODSTQVES: 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 asphalt 'SPECIAL INSPECTIONS: In accordance with Section 306 of the Building Code a special inspector shall be employed by the ~~erl Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. :=J :=J ~ STRUCTURAL CONCRETE: In excess of 3000 t.S.I. (306 a.l) STRUCTUR~L WELDS: Preformed on the job. (2722 f) HIGH STRENGTH BOLTING: During nil, bolt installation and tighting operations (306 a.S) SPRAYED ON FIREPROOFING: (U.B.C. Standards 4348) SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 '& Chapter 29) :=J GLU-LAM BEMts: 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 you wish inspection. All project conditions such as landscaping. parkinc lot striping etc. must be com~leted before requesting this inspection. FINAL BUILDING: Must be requested after the final Plumbing. Electrical, ~lechanical 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 SIGNATURE DATE * ALL MANHOLES AND CLEANOUTS ~rusT BE .\CCESSIBLE, ADJUS~reNT TO BE MADE AT NO COST TO THE CITY.