HomeMy WebLinkAboutPermit Building 1989-8-30
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Owner LyN'~/
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. CITY OF SPRINGFIELD
COMBIIIATION APPLICATION/PERMIT
-;-, .'--~~..,,,,, EIIERGY SOURCES:
"""<<vv~/i" ~k/~',Heat
Hater Ileater
Ran!')e _
Valw;: of I-Jark:
c;97'? .=>
Builliino Permit Info:
Familv l1esidence I~ith
.
INFORltATION LINE
726-3753
SQ. Ftg, ','ain
~q, Ftg. Access,
SQ. Ftg, Other
Ilew Add Alter Pep,
--Fence Demo Change/Use
Other -- --
.
Phone
Oescr,be Work(i,e" Build Single
Attached r.araoe'
/?E?f~ ./?'-r>r. p.-'CP/~
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ac #'~73 /}:Par"; C/ )
(l1es. no. \ {exoires.-Y'
I:iJ
~
~
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Job Address ~?O..~<y'O
Legal Description
Construction Lender
Address
DESIGN TEAI1
(namel
Phone
(address'
{I)hone no.,
Primary
Structural
Electrical
11echanical
CONTRACTORS {namel
General b:&iL"" ??c:J>e;>;<Y~
Plumbino
(address \
(1 ics. no. \
(pxnirpc;\
(ohnn,. nn,'
'/1./.0:::- <9C; '//
Electrical
~1echanical
PLUIIB I NG
ELECTRICAL
I
-EE4C1JARG[
MECHAN I CAL
NO,
I FEE
CHARGE Jln
NO,
FF"- .QJAIlliJ:.
SQ, FL
furnace/burner to
BTLl's
Each single fixture
Residence of
Relocated building
(new fix. additional)
New circuits alts.
or extensions
Floor furnace
and vent
S.F. Residence
(I hath)
Duplex (1 bath) each
Additional bath
SERVICES
Recessed wall
Sn~rp hp~tp~ ~nrl vpnt
amps.
Appliance vent
seoa ra te
Stationary evap.
cooler
Vent fan wi th
sinole duct
Vent system apart from
heatinq or A.C.
Mechanical exhaust
hood and duct
Wood stove/heater
Sewer
Temporary Construction
Change in existing
~es5 denc~
multifamily, comm. or
Industrial
~Iater service
Storm Sewer
Of
CO~1./INO, FEEDERS
Install/alter/relocate
rlic:trih_ fl"pdp~<:,
Of
amps.
ISSUANCF OF PFmllT
TOTAL CHARGES
WHERE STATE L\H REQUIRES
shall not be valiJ until the
TOTAL CHARGES
, TOTAL CHARGES
that tile Electrical work be done by an Electrical Contractor, the electrical portion of this pemit
label has been signed by an Electrical SU!1crvisor and returned to the lluilding Division
I HAVE CAREFUllY EXAtlINED the completed apf11ication for permit, and do hereby certify that all information hereon is true
and correct, and I further certify that any and all work nerformed 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 110 OCCUPAHCY will be made
of any structure without the permission of the Building Division. I 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 compliance with OP.S 7~1.055 will be used on this project.
IWIE(please print) ,Y,",,^, ~<1.":>\o"",, SIGIIATURE 0- ~
FOr. OFFICE USE Ollt'l
Sf!.~.11ain
Sq. Ft9. Access
Sq, Ftg, Other
O~,TE
gfto/B7
Zone
Fi re Zone
Tyoe/ConsL
Bedrooms
Stories
Units
Occy Load
Occy Group
x
Value
Value
Value
x
Flood Plain
x
TOTAL VALUATION
BUILDING PERfllT
Charges and
Surcharges
.c-. ~ Plan Ck,
____~g""_q_ ~/Bldo
<'::, Plan Ck,
-:? . U -' 30%lBl do
Fence
COIl111!1 nd
P~r Fefl'
R'es
Per Fee
-Systems Development .
Charoe (1.S~)
PLU'1BING PERMIT
Charges and
Surcharges
Demo
ELECTRICAL PERI~IT
Charges and
Surcharges
11ECHAN I CAL PERMIT
Charges and
Surcharges
Sidewalk
A/C Paving
Total Comb. rermit
TOTAL
570,3
,
Curb Cut
.
.
"
COMBINATION APPLICATION/PERMIT (CAP)
PERMIT VALIDATION
L Appl icant to furnish
A, Job Address
B, Legal Oescription
1. example- Tax lot 100, Lane County Map Reference
17 03 4)
2, example- Lot 1. Block 3, 2nd Addition to
Springfield Estates
C. Name. etc. of owner and construction lender
D. Energy Sources .
1. example- heat/electrical ceil inq/ol" forced air Qas
2. exa~le- waterheater/electricallprsolar
E. Square footage or valuation. etc.
I, example- 1250 sq, foot house, 500 sq, foot garage
2. example- if new project, check new - if addition,
check add I 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. examyle - 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. Abbreviat~d 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 a~ailable 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 ANO
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
Permit Clerk
.
PROJECT CONDITIONS TO BE SATISFI ED BEFORE OCCUPANCY:
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information:
PLANS REVIEWED BY:
name
signature
date
Owner L Y' j;/ 1/
AJcJrcss
PErEC~~_
. CITY UF SPRINGFIELU
COMBINATION APPLICATION/PERMIT
7'> -- ~. '.A- .'. _- i. EIIERGY SOURCES:
/-?O/V"r~.;'f l~rr....,~~W~,Heat
I Na tcr Ilea lcr
I Ranqe
i ~9;;7>=
I BUlhilOQ Pennit Info:
Familv nf!sidence Hith
.
INFORltATlON liNt
726-3753
Sq. Ftq. I,'ain
~q. Ftg. Access.
Sq, Ftq, Other
New Add Alter Pep,
--Fence Demo Change/Use
Other-- -
~
~
~
Lv
Job Address .s -=3'O+'';::;-Y.p
legal OC5cription
Address
DES I GN TEAr1
(name1
Phone
(address \
Describe Workli,e., Build Single
Attached r.araCle'
.HE?f~ ,hZ;;z>r< ~t:.z>/~
~~E,."c::. ~;1?~/____?, 3( A/ c::
(~C#'/f'13' /?PCVCc.? I
(lies. no. l (exnir~ (nhone no.~
Phone
Construction lender
Primary
Structural
Electrical
l1echanical
CONTRACTORS I name I
General q'z?/:"Q ??~PV'~
Plumbino
(address \
(lies. no. \
(p.xoirp.s1
(ohnnp nn. \
?'-/c- 9t:: ;>/
Electrical
~'echani ea 1
PLUllB !tIG
ELECTRICAL
FEE .QjARGE NO.. _EEL .CIlARliL JIll...
Res idence of furnace/burner to .
SQ. FT. BTll's
MECHANICAL
~I
Each single fixture
. ~r~ .Q1ARUL
Relocated building
(new fix. additional)
New circuits alts.
or extensions
Floor furnace
and vent
S.F. Residence
11 bath)
Duplex (1 bath) each
Additional bath
SERVICES
Recessed wall
Snace he~tpr ~nrl v~nt
Storm Sewer
Of
aml1s.
Appliance vent
seoarate
Stationary evap.
cooler
Vent fan wi th
sin9le duct
Vent system apart from
heatiM or A.C.
Mechanical exhaust
hnnd and l1\Jrt.
Wood stove/heater
Sewer
Temporary Construction
Change in existing
r"'~idenc:p'
multifamily. COntn. or
Industrial
Water service
COMJ.I./lND, FEEDERS
Install/alter/relocate
rlic:trih_ f".".dpr<:.
Of
amps.
TOTAL CHARGES
WHmE STATE L,\\~ REQUI RES
shall not be valH until the
TOTAL CHARGES
ISSIIANCF OF PFRtH T
TOTAL CHARGES
that the Electrical work be done by an Electrical Contractor. the electrical portion of this pemit
ll1bel has been si!1ned by .1" Clectrical Supervisor .lnd returned to the Building Division
I HAVE CAREFUllY EXAtuNED the completed application for permit. and do hereby certify that all infonnation hereon is true
and correct. and I further certify that any and all work oerfonned shall be done in accordance with tha Ordinances of the City
of Springfield and the Laws of the State of Ore~on pertaining to the work described herein, and tbat 110 OCClIPAllCY will be made
of any structure without the permission of the Building Division. I further certify that ~y 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 OP.S 7nl.055 will be used on this project.
/} ~e~
SIGIIATURE-LrL ~
FOr. OFF I CE USE OlltV
S~./n:;, rlain
SQ. Ft9. Access
Sq. Ftg, Other
j',~
t-J ~,.:).\.o",
DATE g~o/e~_
IW1E(please print)
,
Value
Value
Value
Flood Plain
Type/Cons L
Bedrooms
Stories
Units
Occy Load
Occy Group
x
Zone
Fire Zone
x
TOTAL VALUATlDrI
BUILDING PERfllT ____2~~q_ Plan Ck. Conro/1 nd
Charges ant: 65%/Blde p!r Fp.
Surcharges ::{.53 P.1an Ck. Res
30%/Blda Per Fee
PLuP1BING PERMIT Fence
Charges and ------------
Surcha rges Demo
ELECTRICAL PERI~IT Sidewalk
Charges and ------------
Surcha rges A/C Paving
liECIIANICAL PERMIT Curb Cut
Charges and ------------
Surcharges
Isystems Development
Charqe (J.5~)
Tota' Comb. Permit
TOTAL
5303
.
COMBINATION APPLICATION/PERMIT (CAI')
I. Appl icant to furnish
A. Job Address
B, Legal Description
1. examDle- Tax Lot 100. lane County Nap Reference
17 uj 43
2. examnle- Lot I. Block 3, 2nd Addition to
Springfield Estates,
C. Name. etc. of owner and construction lender
D. Energy Sources
1. ~xamp~.!. heat/electrical ceil inq/or forced air qas
2. exa~ e- waterheater/electrical/~r solar
E. Square footage or valuation, etc.
1., examole- 1250 sq. foot house, 500 sq. foot garage
2. example- if new project. check new - if addition,
check add, etc.
F. Building pennit information:
1. examole. construct single family house with an
attached garllge
2. exam~le - remodel existing garage into family room
3. exal1l~Je - 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 TEM4 AND CONTRACTORS
To avoid design or construction delays. Cuilding
Division Staff must be able to contact appropriate
persons regarding design infonmation 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, BUILOING 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. ---
Ill. 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 penmit is issued.
V, FOR OFFICE USE ONLY
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
"
- -- ~ITY OF SPRINGFIELD
City Hell
Sprlngfteld, Oregon
Office 01 Community and Economic Development
OFFICIAL RECEIPT
14775
Date ~Jc:-. ~ ,19 8"5
(
. Rec'd From E~~ Lf ,l?L>~//';?C~
I~:<'<- IX 7c:>r~ .
Address <; :z:::F,<c.p , ~, 9 ~ </;> ?
r
=
.
Received FOr:.:'~/~:~: "7Z?'7'/"'3 / ~/?Z~
.
?f~P.
f-~
50 ;52)_
<':55~
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7:57'?1 {
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CPr#. 7SC6/
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53-03
~&'7_"", /~&~;
~~EDSlGNATURE'/ ,/
Amou nt Received
.
.!!L
.
- ,..
Fnndller 8<1SINESS FORMS, INC. C!io031:M2-1'.'
.
Permit Clerk
]
Permit appl icant exempt from registration with the Builder's Board because:
Addi ti ona 1 Project Information:
PLANS REVIEWED BY:
name
signature
date
~
-, '
- ;OWl'NS!COMNINO-;O
FIBERGlAS
"".u..'
Nailable/Cap Sheet
33-NC'.
PERMA PLY-R
31-NC2
PERMA PLY-IV
=ANC All Areas
3'r-NC All Areas
Nailable
Dock
. Sldelap Nail. 9~ o.c. ........
.. ..
".
L
~
:s-
Inl"""HI.I.Faslen.,.
f 11" O.c.
Ii r--- T _ ~" ".
~ 12" a..
-------~ ~
--> . ". . ~
:-jl
ff.l
-.
t
T
;
,.
.
:'
Nominal Installed
Ib/1 00 ft2
(Nominal weights provided
for design consideration)
33-NC
31.NC
177
177
^
...
~ $"
.
,
"
~
-
""T-
2" .ldelap
Perm. Cap
',,', ~'\
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.,
I 33.NC is recommended over lightweight concrete in the following states: Texas. .
Georgia, South Carolina, Alabama, Louisiana, Mississippi, Florida, California
Area III and Arizona Area 111.
1 31.NC is not recommended lor application over lightweight concrete.
J Base Ply. may be specified Perma Ply No. 28, Perma Ply-IV, Of Perma PIy-R.
If Perma Ply No. 28 base sheet not used, base ply used must be the same 8S the
ply felts.
44
Interply I
Surfacingl
Slope
Interply
Base Ply'
Felts
Bitumen
Q-V2"
Y2-3"
3-6"
Surfacing
Asphalt
0-3"
3-6"
PERMA CAP
Bitumen
Type
Materials
per 1 00 ft2
1 ply
" 2 plies
11,111
III
IV
50lbs
50lbs
40Ibs
III
IV
251bs
20lbs
781bs
General
Note
All general instructions contained in the General Requirements
section shall be considered part of this specification.
Drainage "
Roof decks must be graded to drain all water freely. Drains shall be
sufficient in number and size to assure rapid elimination of water from
the r~f surlace. .
Nailing ~ . " I
P!y felts must be back nailed on inclines exceeding 2 inches per foot
. On slopes between 2 inches and 3 inches per foot. back nailing shall .
not exceed 8 foot on center. On slopes greater than 3 inches per foot.
back nailing shall not exceed 48 inches on center. Felts are to run
parallel to the incline and must be secured 18" in from the back edge
of the felt. Each nail must be covered by succeeding plies. High 1 ..
temper~ture areas may require nailing on lower slopes. .
::::t-"-;~
I
-
,
Application of Base Ply'
Apply PERMA PLY base ply with 2 inch side laps and 3 inch end
laps. Mechanically secure 9 inches c.c. at side laps and 18 inches
o.c;:..on two lines ~ 2 inches from each edge (staggered). Mechanical
securement shall be accomplished using mechanical fasteners
recommended by the deck manufacturer. Large.Head Simplex nails~'
(minimum 15/16 inch head diameter). the Berryfast Tapefast system or "
the Bostitch Oisc-A-Matic system may be used on wood decks only. To
minimize wrinkles and buckles allow enough time for base ply to relax
un~olled pri.or to 8~chment.. ._ . ':'" ,L ....
Application of Plies' . " r ;, "
. .". -. ,','
Embed two plies of PERMA PLY in shingle fashion (starter sheetS .
required). lapping 19 inches into uniform moppings of hot asphall
using a nominal 25 Ib/l00 ft' per ply. Plies may be left e;ltpO~ up .
to six months without surfacing. - ~\.~ .
Application of Mineral Surfaca .. ' ,-
. Embed 12-ft. lengths of PERMA CAP (18-ft. in Area III) with 2,inch,~ ., . ~"
" side aNt end laPs into a uniforrr!~opping of hot asphalt._ using s':. ~.-'-.,
nominal 25 Ib/l00 .ft': PERMA CAP end laps shal~ _00 stagge~_3J:~; - "
" .....~'..........--:.c.-.
. . ;:;.,:~ ~ .'
-'. -,
'(AaShi~~-: ..' .. -.' -
See Flashing Section.
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_PERMAPlY
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