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HomeMy WebLinkAboutPermit Building 1988-8-26 CITY Uf SPRINGfiELD COMBHIATION APPLICATION/PERMIT '2'- EilERGY ).CURCES: Job Address /,1$75' ~"'.N~ /':i4RA'WAY E~ Heat~ # VA-<;::: I.egal Description Wei aht Loss Cl i ni c' Hater Heat~r~~c7' L5B. I Range /7..:'5--Z-.2""':$ /9=. ...:---~..t:::?/ao Valu, of Hork:~ , ,"",\ Owner Hi ~Ilman Properti es "2'2~",&> ~ ~ '0(".1 Address 900 N Tomahawk l.s'. 0 Port Phone 289 1 .a..iI,iina Pennit Info: Describe Hork(Le., Build Single r. - ..::tQ.mil) nesidence Hith Attached Garaae) 1'~fjLbr 61 ~ v /,,,17J -(]~ flies. no.) I I , ~ t:/ C" 0&> ~ /? /;~.. c:r-G> TOTAL CHARGES Zz,;S"""'-, TOTAL CHARGES T/~. TOTAL CHARGES /y//# a. WHERE STATE L,\\/ REQUIRES that the Electrical work be done by an 'Electrical Contractor, the electrical portion of this pemit shall not be vali1 until the label has been signed by an Electrical Supervisor and returned to the Building Division ,..' . "~" I "! I IrISPECTIOII LINE 1726-3769 . - ' . . 4 " Construction lender Address DESIGN TEAll (name) Phone (address) Primary DirM- Hi ckman Structural Electrical Mechanical CONTRACTORS (name) (address) (lic5.. no.) General Mckenz; p r.n'lllIlf.rr;. 1 r.nntr.rtnro An~ W ?NIl Avp , Fllgpnp Plumbina Twi n Ri vers Pl umbilnQ 2050 W Bnoadwav EUQene Electrical L R Brabham 12-C W "a" Street Sorinafield ~'echanica1 Wi l'l._aodl \I !~ratp 1 v, PLUlIBING ELECTRICAL ---.lliL f f f r HIlBliL JlO. ~~~ r~ARUE NO, g Each single fixture Residence of 7.5'6 -<~.s<= SQ. FT. IRelocated building (new fix. additional) '"S.F. Residence , (1 bath) loup1ex (1 bath) each IAdditiona1 bath I Wa ter servi ce I Sewer I S to rm Sewer I I I I I I . ~ New circu~ts alts. v or extenslons "'2...::>~ )>?""~.t: SERVICES, '2ZSf!:> Temporary Construction Change in existing rec;. i d..e..nce multifamily, camm. or TnrllJc;.triill / IOf /~ ICOMfI.,INO. FEEDERS I Install/alter/relocate ni c:tritL f~pdprc:. IOf I I I I I I I "2 1'2Z:S::> I I amps. amps. INFOR/IATION LINt 726-3753 Sq. Ftq, I"ain /~tPI!)fP ~q. Ftg. Access. Sq. Ftg, Other ~lew_Add_Al ter -,~ep. fence Demo ChangelUse AOther~"R.""'T'c: I 0\) <:r:::J C- ...:::. V\ ~ rexnir~s) {ohone no.' ;:,1 <,'J,ntl ,,,In , (pxoire,,) (ohnnp nn 6 ~.5..3,9 A-1 -AQ 20-96PB 6-1-89 20-87C 10-88 163::.,7161 683-1414 MECHANICAL 1=1=1=' r~.q&G[ / furnace/burner to il u -, ,BTU' S IT"Hz.- ....."..,,~ Floor furnace and vent t;:,!~t - Recessed wa 11 ~n~~p hp1tpr ~nrl vent Appl iance vent f.~':l". r~ ~p Stationary evap. cooler Vent fan with sinole duct Vent system apart from I heatino or A.C. Mechanical exhaust hood and dUI"t. IS'.-G.~O Wood stovelheater ../ C;:;,4-; ?/r,:" '....~ I 12.<>0 I I ISSUANCE OF PfRlllT 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 Derfonmed shall be done in accordance with the Ordinances of the City of Springfield and the laws of the State of Oregon ~ertaining to the work described herein, and that flO OCCUPAUCY 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 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 701.055 will be used on this project. NAf.lE(please print;-K P.V\..ee.\ VIQ..~ $IGN~~f /~ I fO~ OfFICE USE miL Yf Zone C:r. TypeIConst,.2l?"~~nits sq.~t . 11ain, Value Fire Zone Bedrooms Occy load /t.!. Sq. o. Access x Value flood Plain Stories / Occy Group .!::?-2 Sq. Ft;. Othe~..R'$'rEx/.y"'d""Va1ue_Z2~~ tJJt:N~'/iX4L 1Pf~<.oe 4>/V~......,.... 6=;:l7,-5-~ I Ci TOTAL VALUATION 1l.4bl-/~/~~ Sb;-~/O '2=i--~ '(3.'7'0 _""" BUILDING PERflIT L--" r-O Plan Ck, Conrn/lnd ~'_.., I _gC J ....f..., Systems Development e:> LI.A Charges and '" ___ "'_~:.-e~__..22!/Rlda Per ree .:...."IIJ C> V<- <- Charae (1.5~)?~ ,,"2, ~<-' Surcharges do, " Plan Ck. Res r.t:#'-? ~6V/e __ ~C' 7. &~ 30%/Bldo Per Fee -"""'<"""__ _. _ _ . __ ;Q =-=~ I :;7-9. /3- ~~ ~S';:47:Gr7- S - - - ::=?/~~/ g- - ::e I' , .. ,/ ~~.......... - 9'Y. 57 ____i'~~___ Sidewalk I Y "::<-:<S-- A/C Paving I ~ ----i~::i?- Curb Cut : PLU'lBING PERMIT Charges and Surcharges ELECTRICAL PERI~IT Charges and Surcharges MECHANICAL PERMIT Charges and Surcharges DATE P.2-I.-.Ef Total Comb. Permit 71"6. 7~ _ TOTAL ~O/~';I. 5''1 . . < [ r... / .' . ... COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATION 1. Appl icant to furnish A. Job Address B. Legal Oescription 1. example- Tax lot 100, lane County Map Reference 17 oj 43 2. examEle- Lot I, Block 3, 2nd Addition to ~prlngtield Estates C. Name. etc. of owner and construction lender D. Energy Sources 1. example- heat/electrical ceiling/or forced air Qas 2. examole- waterheater/electrical/or solar E. Square footage or valuation, etc. ------ I. examp1e- 1250 sq. foot house, 500 sq. foot garage 2. example. if new project. check new - if addition, check add, etc. F. Building permit information: 1. example - construct single family house with an attached garage 2. example - remodel existing garage into family room 3. exa~le - convert single family residence into restaurant (chan"ge of use) ". G. Value of work as defined in Section 303 (a) of the Structural Specialty Code H. OESIGN TE~I AND CONTRACTORS To avoid design or construction delays, Building 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. 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. --- 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. I ')?- 5~ q-/&,,9;f V. FOR OFFICE USE ONLY Permit Clerk U/ PROJECT CDNDITIONS TO BE SATISFIED BEFORE DCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: name. L&>JZ7#E /2c::z;;g-?f Signature~~ date g.3h-&'8 , .. , , ~~~ 'jequired Inspeceons .. IT IS THE RESPONSIBILITY OF TilE PER.'!IT 1I0LDER TO SEE TIlAT ALL INSPECTIONS ARE MADE AT THE PROPER TIllE. TllAT EACH ADDRESS IS READABLE FROl1 TI'E STREET, AND T!lAT TilE PER.'1IT CAnD IS LOCATED AT TilE FRO~T OF THE: PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIllES. PROCEDURE FOR REQUF.STINr. INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUfffiER. job .3ddress, type of inspection requested and \olhen you will be re~dy for the inspection. Contracto-:-s or o\mers name and ohone number. Requests received before 7:00 am will be ~Bde the same day. requests received after 7:00- am will be ~de the followinh work day. Your City Desil\nated Job Number Is:_ &J;?O~'7 Job Address: /5? 7-5'" Pt/JN~I:'~ PA."JPc.v~ (5:;1"'7 Owner :ffi~.MA-^, .Ac?o~ .//........ ~ $ ~ Phone: 2"g'9- //7Jb _con.::.actor:~.N:?/E ~~A-?FA>::"~ _ Phone: '=?~-7/~ o ~' [l] l..\ '0 o o SITE INSPECTION: To b. mad. after excavation. but prior to setup cf forms. UNDERSLAB PLUlIBING, ELECTRICAL & ~IECHA."'ICAL: To be :nadc before any ~ork is covered. CO~CRETE SLAB INSPECTIO~: To be made after all ins lab building service equipment. conduit. piping. accessories and other ancillary equipment items are in place but before any concrete is poured. D o ~ [Z] ~ FOOTINGS &. FOUNDATICNS: 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 & BEAM: To be made prior to installation of floor ir.sulation. decking or floor sheating;. o o 1\ o o o O ROOF S!-tEA'!1n~~G A.'lD NAlLINr.: Prior to installing any roofing. ~ ROm~1-I PLUMBING. ELECTRICAL & LLJ ~IECHA.'\CIAl.: No ,,",ork is to be co\'ered ~~ until these inspections have been -1.6- ma~ and approved. d 'J'1 o FINAL PLUMBING IT! .3'1 Q] FINAL ~lEOIANICAL IAI,,\ ~ FINAL FIRE DEPART~lE~IT FLOOR INSULATION & VAPOR BARRIERS: To be made prior to inst3112tion of decking or floor sheating. ~~SONRY: Steel location, bond beams grouting or verticals in accordance with U.B.C. Section 2415. D ATTIC DRAFT STOPS & CURTAIN WALLS. .SPECIAl INSPECTIO~S: In accordance ""ith Section 306 of the 8uilding Code a special inspector shall be employed by the ~~erl Contractor during construction of the following work. A cepy of the special testi~g reports shall be furnished to the. Build~ng Division. FIREPLACE:. Prior to placing facing materials and before framing inspection. ,''' INSULATION & VAPOR BARR!ER: 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. FRMllNG: 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 arc approved. In excess of 300: =:J =:J =:J STRUCTIJRAL CO~CRETE: P.S.1. (30b ..1) STRUCTUR\L WELDS: Preformed on the job. (2722 f) HIGH STRENGTH BCLTI~G: Ouring all bolt installation and tighting operations (306 a.S) o o ---, SPRAYED ON FIREPROOFING: (U.B.C. ---1 Standards 43.8) =:J SPECIAl. GRADI~G. EXCAVATION ~~D L4.m AND/OR GYPSUr-t BOARD INSPECTION: FILLI!\G: During earthwork. (S063.ll To be made after all lathing and - . b d' , d .' & Chapter 29) g)~sum oar . lnterlor an exter~or, ~s in p~ace but before any plastering ---, GLU-LAM BE~tS: Inspection Certificate, ~s.app11ed or before gypsum board ---1 by an approved agency. furnished to JOlnts and fasteners are taped and 'the City's Building Division before finished. beams are placed. (2501-U.B.C. SlOS. WOQDSTOVES: After installation is ---, 25.10.11). completed. ---1 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. FIRE & SEPARATION WALL: Located & constructed according to plans. o PARKING LOT: After gravel is in place but prior to placing asphalt or concrete. *In addition to the inspections specified hereon, the Building Official ~ay make or require other inspections of any construction work to ascertain co~pliance with the Building. City or Zoning Codes. o CITY'S SITE PLAN REVIEW BO~RD INSPECTION: Must be reGuested 2 days in advance of the date YOI wish inspectio~. All project conditions such as landscaping. parkint lot striping etc. must be com~leted before requesting this inspection. ""11 FINAL ELECTRICAL \'\ o FINAL 9tJ1LDING: Must be requested after the final Plumbing, Electrical. ~Iechanical and Fire bCp3rtm~nt inspections are made and approved. No Occupancy of the premises can be made until a Certificate of Occupancy has been issued by the Building Divisicn and postcd on the premise SICNATURE DATE + ALL ~tA.'1I0LES AND CLEANOUTS ~lUST BE .\CCESSIBLE, ADJUSTl-lENT TO BE ~IADE AT NO COST TO THE cln.