HomeMy WebLinkAboutPermit Building 1988-12-12
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Owner ~~ (rvr~"\E.~ JJLU
Addrcs~Gl? H~ 'ft::MA., 'I '~' I~D ~.
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INFORlIATION LINt
726-3753
Sq. Ftq. 1.lain /77.0 F
~q. Ftg. Access.
Sq. Ftg. Other
-'Iew _AddAA 1 ter .....:~ep.
Fence Oemo ChangelUse
Va}u, oj I.,ork:,...., 40ther.0:r~.o-,-""
'I"'2-"rIPO</ <.,L~'J:... :S~~
BuiltiinQ Pennlt Info: Describe Work(Le.. Build Single
Familv ~esidence With Attached Garaae'
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IlflSPECT 1011 L HIE
726-376g,
CITY OF SPRINGFIELD
COMBllIATlON APPUCATlON/PERMIT
EilERGY SOURCES:
Heat~#~
Legal Description /7'>d"'5'.2~-2~ ~~ ~_ 7./~ Hater Heater~r~;-
; , , Ranqe
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Job Address /,f;13 F'1c.t4e~F- F,<\~"'" 64:t'T
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Construction lender t1~
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1ESHAr11" II-\Plu.. ~ ~ol"l:"\f..IC!::7 Cet4\".e.t2-
Address
Ul:.~ HiN fI:.Af1
(nameJ
Phone
(address)
(lfcs. no.)
(exoi res)
(Ohone no. \
Primary
t7AY'1D ~IIM ~
/PI,-.r.,.
t'lW
'IV
1'1Jl../Ar.? ....H. 0 \.Arl1"'7...s;M 1:::.z1l/,;:" : ~O '3-e2l7
1~.1.1.%
Structural
(\
\ /Ii 11
DII
r-300
Electrical
Mechanical
CONTRACTORS (namel (address) (lies. no.) (exnir~s) (nhone no.)
General M"~ U:ul4eP'~AL blo0 W ~. ~~ ~~ G:>I~ <;4<?07lc}3
Plumbina 't'~It-l F1.l/fi!I2G. Pt,..VMe\t-ltP 'lJ.S'O I1J 8tiMD\I\IAY. trW.{W:'A)F 'I7YeO 2t,-~q ~ t;.B3-/'1I'J1
Electrical l. JZ. 'P-'1'''a11N-1 ~ J:Z.c..Gl.s~",r $llt;^,,6~1,t;1.J> ~o.g7C- 'o/lP'I' 7(.1'">-"'''''';
~'echanical ~e--r ~ fl2.ll.E. (".,0. Po~)( I '1'0 I;'LJ(~EliF 7'7 1~89 "7V'-Ie..-::. r
PLUIIBIIIG
ELECTRICAL
MECHANICAL
NO.
J? Each single fixture
Relocated building
(new fix. additional)
FEE CHARGE lIP
eFF rH~ NO.
lli-I.QJARG[
Residence of
1.
furnace/burner to
.. BTU's
H"'I<.. .......-A' f7"5
Floor furnace
and vent
,
6.. - Iz ..c
. .
S.F. Residence
11 bath)
Duplex (1 bath) each
Additional bath
?~~Si; SQ. FT.
. ~ New circuits a1t5.
(./' or extensions
?.,.;Q ~~
SERVICES
~-~.
Recessed wall
Sn~~~ h~~tpr ~nrl vpnt
1!.
37.~
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~<".:;>: V-
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TOTAL CHARGES ~~~ TOTAL CHARGES &2-S-~ TOTAL CHARGES --::::r3. -
WHERE STATE L~W REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit
shall not be vali1 until the label has been signed by an Electrical Supervisor and returned to the Building Division
amps,
Appl lance vent
C:E!oarate
Stationary evap.
cooler
Vent fan with
sinale duct
Vent system apart
heatina or A.C.
Mechanical exhaust
hood and duct
Wood stove/heater
? 1.6: .....
Sewer
Temporary Construction
Change in existing
r~sjdence
multifamily, corrrn. or
Indus.trial
Water service
Storm Sewer
/
Of
'"70"C>
from
CO~~./IND. FEEDERS
Install/alter/relocate
distrib. fe~ders
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~y,g{ J/c:~--
;?-_.
'3--
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amps.
ISSUANCE OF PFRrIlT
I HAVE CAREFULLY EXMtlNED 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 don~ in accordance with the Ordinances of the City
of Springfield and the laws of the State of Ore~lOn pertaining to the work described herein. and that NO OCCUPAIKY will be made
of any structure without the permission of the Building Division. I further certify that my registration with the Bui1der1s
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 7Ql.055 will be used on this project.
1JAl.IE(please print). \. A. 1'..t:3'\1"e6o"-:;\-W.IEJ.I" SIGIIATUR!'.-A. c"
FOr. OFFICE USe OIILY
Sq. Ftg. t1ain x Value
Sq. Ft~. Access x Value
;7?-':< Sq. Ftg. Other6.A.>A::~ /="'~alue"7<<:'---'
(1) RB!_srPr J::f18l?4- TOTAL VALUATl~~....
//<;/ <"> Plan Ck. comma 101 02 Systems Development ,;-
___~~J_"_~-:?__~/Bldo P.l'r F.e u". 1= Charae (1.5~) ::l~. /49.1!5=
= Plan Ck. Res
o z:>-::?-:3 30%/Blda Per Fee
____~"3.:~_ Fence
':) '::?~~3 D~ma
$'2~~ Sidewalk
------~/;?-I AIC Paving
--:<3 ~ "'-1 Curb Cut
lp ------i-./-sl
(\~ . ~ OATE l-Jl-z.l~
Zone C/
Fire Zone
Flood Plain
Tyoe/Const. ~~Units
Bedrooms Occy Load
Stories / Occy Group
BUILDING PER~IIT
Charges and . ~
Surcharges
PLur~BING PERMIT
Charges and
Surcharges
ELECTR I CAL PERIIIT
Charges and \J
Surcha rges .. -'.
Total Comb. Permit
~3Z3: 6 $"
MECHANICAL PERMIT
Charges and
Surcharges
TOTAL
1 "39~ .Y' 7'"
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10
COMBINATION APPLICATIONIPERMIT (CAP)
PERMIT VALIDATION
III.
I. Applicant to furnish
A. Job Address
'B. Legal Description
I. example- Tax Lot 100. Lane County Map Reference
1I oj 43
2. examole- Lot I. Block 3. 2nd Addition to
. ,pringtield Estates. .
C. Name, etc. of owner and construction lender
D. Energy Sources
1. example- heat/electrical ceilin-,Q/or forced air Qas
2. example- waterheater/electrical/or solar
E. Square footage or valuation, etc. -
I. examole- 1250 sq. foot house, 500 sq. foot garage
2. example- if new project, check-n€w - if addition,
check add, etc. " . .
F. Building permit information:
1. example ~ construct single family house with an
attached garage
2. exam~le - remodel existing garage into family room
3. exam~le - conve~t 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. ---
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.
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V. FOR OFFICE OSE ONLY
Pennit Clerk
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PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Infonnation:
PLANS REVIEWED BY:
name Lp",~Pf~E'??
signature ~ ~
r?~ , '"
date /~~/5"-&.!!:>
~
.. R~uired
Inspecti.s ..
IT IS THE RESPONSIBILITY OF THE PER-'lIT HOLDER TO SEE THAT ALL INSPECTIONS ARE HADE AT TEE PROPER TIllE.
THAT EACH ADDRESS IS READABLE FRat! THE STREET. AND THAT TilE PER."IT CAnD IS LOCATED AT THE FR01IT OF TH::
PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TItlES.
PROCEDURE FOR REQUESTING INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB NU}:BER.
job .:1ddrcss, type of inspection rcqt:csted ilnd \olhcn you will be re=.dy for the inspection. Contracto:-s
0:" Q\olncrs nnrnc and nhon~ nu.llbcr. Rcqucs t~ received before 7: 00 am will be ~adc the s.arr:c day. rcqucs ts
received afcer 7:00. am will be rode the follo\dnf; work dny.
Your City Designated Job Number Is: &8/ C>93
Job Address: /9=53 P;/JNF~R ;l)4l"fP("V'~ ~,,:"-'Y /
Owner: IhLLMA-A/ 7??o;::-<:-/'f //~.., d W Phone: 289- //:36"
Contractor: A14-1' €"N?/~~</...9< Phone: 3 <,/ 5'-7/</ "3
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SITE INSPECTION: To be ~,de
after excavation, but prior
to setup cf forms. JO.L1 j
UNDERS1.AB PI.l>>IBING. EI.ECTRICAL
li ~IECtl'\SICAI.: To be :nade before
any l.-ark is covered.
CONCRETE SLAB INSPECTION: To be
made atter all inslab building
service equipment, conduit, piping,
accessories and other ar.cillary
equipment items arz in pla~e but
before any concrete is poured.
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FOOTINGS r. FOUNflATIONS: To be m::lde
after trenches are exc::Ivated and
forms are erected, all steel in
place, but prior to pouring concrete.
l~nERr.ROUNO: Plumbing, Electrical,
Gas, Sanitary Sewer, Storm Sewer,
W::l~er and Orain3~e lines. To be
made prior to coverin& or filling
trenchcs.
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UNOERFLOCR: , Plumbing, Elcctrical,
t-lechanical. To be made prior to
installation of floor insulation,
decking or floor sheathing.
POST r. BEAM: To be made prior to
installation of floor insulation,
decking or floor sheating..
FLOOR TNSULATTON f, VArOR BARRTERS:
To be made prior to install~tion
of decking or floor sheating.
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~~SONRY: Steel location, bond bcams
grouting or verticals in accordance D
with U.B.C. Section 2415.
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ROOF S!lEA'!lIl~:G N!O NAILU:G: Prior
to installing <lny roofing. J; D
ROUCII PI.U"RINC. ELECTRIC.\!. & ;/",-
~IECIIA~CIAL: No ,",ork is to be 't:b\'cred
until these inspcctions have been
made and approved.
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FINAL PLU~19ING
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ATTIC nRAFT STOPS & CURTAIN WALLS.
FtRf:PLAC!;: Prior to placing facing
materials and before framing
i~ection. I\J
TNSUIATION f. \JAPon BARR!ER: To be
made after all insulation ~nd
required vapor barriers arc in place
but before any lath or gYFsu~ bo~rd
interior wall covering is applied.
FRAmNG: To be made after the roof,
all framing, fire blocking and
bracing are in place and all pipes,
chimneys and "cnts are complete and
the rough electrical, plumbing and
heating wires, pipes and ducts arc
approved.
FTRE f, Sf:PARATTON NAU.: Located t;
censtructec. according to plans.
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PARKING LOT: After gravel
place but prior to placing
or concrete.
is in
asphalt
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'SPECIAI. INSPECTIONS: In accordancc ,dth
Se~tion 306 of the Building Code a special
inspector shall be emplo)"ed by the O,^"I1erl
Contractor during construction of the
following work. A ccpy of the special
testi~g reports shall be furnishc~ to the
Building Division.
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STRUCTURAl. Cm:CRETf::
P.S.I. (~06a.l)
In excess of 300;
::J SPRAYEn ON FIREPROOFI~G: (U.B.C.
Stanc.an!s <13.8)
IA111 ANn/OR r.YPSlI~l BOARO I}JSrr:CTION; ::J
To be made aft-er all lathing a~d
g)'Psum board, intedor and exterior,
~s in p~acc but before any Plastering::J GLll-LMI nE.\~!S: l~spcction Certificate,
~s.appILcd or before gypsum board by an ap?roved J~ency, furnished to
JOlnts and fasteners arc taped and 'the City's Suilding Division before
finished. beams arc placed. (2501.U.8.C. STDS.
WOODSTOVES: After installation is ---, 25~IO,II).
completed. --.J
STDEWALK & DRIVf:NAY: 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 :\PPROACII APRON: After forms
are erected but prior to pouring
concrete.
STRUCTUR.\L '\'!:LDS: Preformed on the
job. (2722 f)
IlTGIl STRENGTH nCt.TJ~G: Durinr. all _
bolt install:iticn a~d tighting
operations (306 a.5)
SPf:CTAI. (;R,\!)I:-':r..
I:II.l.I~G; [J:Jring
(, Chapter 29)
r:xr:AVATION .\.\;D
e:trth....or~. (306 a.ll
*In addition to the inspections
specified hereon, the Buildin&
Offici<ll ~ay make or require other
inspections of any construction
work to ascertain co~pliance with
the Building, City or Zoning Codes.
114
FINAL oLECTRICAL
CITY'S STTE rLA~ REVIEW BOARD TNSPf:CTION: Must be requested 2 d3Ys in adv<lnce of the date yeu
wish ins~ectio~. All project conditions such ~~ landscaping, parkinb lot striping etc. must
be com~leted hcf~rc requesting this inspection.
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FINAL HECIIANICAL
FTNAL !HltI.OTNG: Must he requested after the final Plumbing, Electric~l, ~lechanic31 and Fi:-c
Uep3rtm~nt inspections ;Ire made and approved. No Occupan~y of the pr~mises c~n be m3dc until
a Certificate of Occupancy has been issued by the Building Oivisicn 3r.tI posted or. the premises
v"/
FINAL FIRE DEPART~lli~IT
SICNATURE
DATE
* AI.L MANIIOLES .~ND cLEANOUTS ~IUST BE .~CCESSInLE. ADJUSTIlliNT TO BE ~~\DE AT NO COST TO TIlE CITY.