HomeMy WebLinkAboutPermit Building 1988-5-13 (2)
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INFORllATlON LINt
726-3753
Sq. Ftq. "'a;n~7. 'Sf 'P
!q. Ftg. Access.
Sq. Ftg. Other
Xllew Add Alter Rep.
-Fence OelOO ChangelUse
XOther~~~
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Owner /h..r.L..h?A'N 4p~u-6'S }'/JiI'.
Address.o ~ " ~ -;;7~~~stG
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Construction Lender
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A.ddress
UI:.::> ll,jr~ TEAr.1 (name)
Primary t?!I/"T:> /h~h#__ ~ b~, ,
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Structural
Phone
(address) flies. no.} !exniresl
I'?,Z<?,? J1( .k..l?r<.c:.:~:F.:'Z.J:::1")
(ohone no.l
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Electrical
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C:'vvj
Mechanical
CONTRACTORS (name) (addrpss) (lics. no. (p'lmirpc;:\
General MCRc5'v.2/&; ~__~..:y~ r """"n;?. ~~ Jv. "2~ G~~
Plumbinor~ }?~( }?::>?'...;.~., ....u.>~ W ~r.s>H:>t.wr_; &'f"9.G
ElectricalL.R1?l'?~/~~. ~~/ ->o,'~~-~~/~
'lechani~al /l,t,.7?Jt'E"?> ~ .:?t>/4:!:'~...... ~~ A'h~r ~-r
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PLUllBING ELECTRICAL MECHANICAL
NO. FfF n-lARr..F "n rrr r"M.G.l >In I t'cc rlJAllliE.
Each single fixture Residence of furnace/burner to
,-;2 7.S"~ IS-- SQ. FT. / B~
N.l'~ ~J;t;? 6,.-
Relocated building ~ New circuits alts. Floor furnace
(new fix. additional) or extensions ZZSZ; and vent
'!Z~R.~6
S.F. Residence SERVICES Recessed wall
(1 bath) ~n~rp hp~tpr ~n~ ~pnt
Ouplex (1 bath) each
Additional bath Temporary Construction Appliance vent
seoarittp
Water service Change in existing Stationary evap.
rps j qCJu'p cooler
Sewer multifamily, comm. or I V'ent fan with ~.-I
Tnd1JC:.tl"'hl c:;inC11p r1nrt
J Of /&:>0 amps '22-X Vent system apart from I
Storm Sewer heatino or A_C.
COI~l./INO. FEEOERS Mechanical exhaust I
hnnd <1nd durt
Install/alter/relocate Hood stove/heater I
rlic:.trih fpprlprc:.
Of amps. ,/" G~ P/,P/~ <- ....!
ISSUANCE OF PERlllT
TOTAL CHARGES /s:...... TOTAL CHARGES $'"_'). -- TOTAL CHARGES h0-"y. /.C'-'
WHERE STATE L\!/ REQUIRES that the Electrical work be done by an Electrical Contractor. the electrical portion of this pemit
shall not be valf~ 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 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 UO 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 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 7nl.055 will be used on this project. .
IfAllE(please print) '- ~/~ ~ )/./~ SIGlfATUREL J ~1" ) om sh~?'S
FOP. OFFICE USE DIlLY I
Sq. Ftg, rlain~;::>' yrfl x Value ?~ 00
Sq, Ftg, Access x Value
Sq. Ftg, Other x Value
TOTAL (jpION
1i?;pr. //oYY.:/..~~' d:J!? :}
'/0 r-=:-' Syste. ms Oevelopm1!if =-> ~
77'. _~-., CharDe (I.5~}?~ .;;J <- """'"
Zone LL
Fire Zone
Flood Plain
Type/Const.~ S);qUnits
Bedrooms. ' Occy load
Stories / Occy Group
11
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'3'.4f?
_n..LS:.~___
~?S
----~~--
Z.2.5'"
----,~-~--
.7S'
B~:Z
(j)
Plan Ck. Comm/1nd
65%/Bldn ~pr Fpp
Plan Ck. Res
30%/Bldo Per Fee
BUILDING PERfllT
Charges and ~
Surcharges c:;::l
PLUMBING PERMIT
Charges and ,-'
Surcharges ~
Fence
0_
ELECTRICAL PERmT
Charges and
Surcharges
Sidewalk
AlC Paving
'"
TOTAL
/?~, Ge>
I
/g3.ry
Total Comb. rermit
HECHANICAL PERMIT
Charges and
, Surcharges
Curb Cut
.
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COMBINATION APPLICATION/PERMIT (CAP)
PERMIT VALIDATION
I, Applicant to furnish
A. Job Address
B. Legal Oescription
I, example- Tax Lot 100, Lane County Map Reference
1/ uj 43
2, example- Lot 1, Block 3. 2nd Addition to
~prlngtield Estates
C. Name, etc. of owner and construction lender
O. Energy Sources ,
1. example- heat/electrical teilinq/or forced air Qas
2. example- waterheater/electrical/or ~
Eo Square I,footage or valuation, etc. .
1. example- 1250 sq, foot house, 500 sq. foot garage
2. example- if new project. check-new - if addition,
checl< 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. example - convert single family residence into
restaurant (change of use)
G. Value of work as defined in Section 303 (aj of the
Structural Specialty Code
H. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays. Building
Oivision Staff must be able to contact appropriate
.... pet:son's 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. 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.
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.
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V. FOR OFFICE USE ONLY
Permit Cl erk
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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
Lt!JJf?NE 1i t:~ ~
signature
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date _ ')-~
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.. ifquired
Inspecwns ..
IT IS THE RESPONSIBILITY OF TIm PE~~IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE
THAT EACH ADDRESS IS READABLE FROM THE STREET. AND THAT TIm PERloUT CARD IS LOCATED AT TIlE
PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIllES.
PROCEDURE FOR REQUESTING INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUMBER,
job address. type of inspection re<1uested and ""hen 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 followin~ work day.
,.
Your City Designated Job Number Is: ~~~~
Job Address: /$ZEf"7 ~C>h,-'-_ ~Aj>~...s/'~ ,~-'.'i':7',
Owner: ~/I!LM"'...v ~~7~"i ' Phone:.:d'_-r //3C=
Contractor:~'::::4"J'!"""#7/~~~~C/~ Phone: :g~'3-7/"":?
FOOTINGS 8 FOUNDATIONS: To be made 00
after trenches are excavated and
forms are erected, all steel in
JPlace. 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.
UNDERFLOOR: , Plumbing, Electrical,
Mechanical. To be made prior to
inst3llation of floor insulation,
decking or floor sheathing.
POST 6 BEAM: To be made prior to
installation of floor insulation,
decking or floor sheating..
FLOOR INSULATION 8 VAPOR BARRIERS:
To be made prior to instoll~tion
of decking or floor sheoting.
MASONRY: Steel location, bond beams
grouting or verticals in accordance 0
with U.B.C. Section 2415.
CITY'S SITE PLAN REVIEW BOARD INSPECTION: Must be requested 2 days in advance of the date you
wish inspectio~. All project conditions such as landscaping, parkin& lot striping etc. must
be com?leted hefore requesting this inspection.;
FINAL BUILDING: Must be requested after the final Plumbing, Electrical, Mechanical and Fire
Department inspections are made and approved. No Occupancy of the premises can he made until
a Certificat~ of Occupancy has been issued by the Building Division and posted on the premises
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SITE INSPECTION: To be made
after excav3tion, but prior
to setup of forms.
UNDERSLAB PLUMBING, ELECTRICAL
& ~IECHANICAL: To be m3de before
any work is covered.
CONCRETE SLAB INSPECTION: 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.
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ROOF SHEATHI~G AND NAILING: Prior
to installing any roofing.
Rour~ PLU~mING. ELECTRICAL &
MECHANCIAL: No work is to be covered
until these inspections have been
made and approved.
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FINAL PLUMBING
?T7
FINAL ELECTRICAL
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1'9
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FINAL ~ffiCHANICAL
414
FINAL FIRE DEPAR~ffiNT
SICNATURF
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ATTIC ORAFT STOPS 8 CURTAIN WALLS.
FIREPLACE: Prior to placing
materials and before framing
inspection.
facing
PROPER TIl'IE,
FRONT OF THE
.SPECIAL INSPECTIONS: In accordance with
Section 306 of the Building Code a special
inspector shall be employed by the Owner!
Contractor during construction of the
following work. A copy of the special
testing reports shall be furnished to the
Building Division.
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INSULATION 8 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.
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LAlli AND/OR GYPSUM BOARD INSPECTION: :J
To be made after all lathing and
g)~sum board, interior and exterior,
is in place but before any Plasteri~:J
is applied or before gypsum board
joints and fasteners are taped and
finished.
FIRE & SEPARATION WALL: Located &
constructed according to plans.
WOODSTOVES: After installation is :J
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 is in
place but prior to placing asphalt
or concrete.
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STRUCTURAL CONCRETE: In excess of 3000
1>.S.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)
SPRAYED ON FIREPROOFING: (U.B.C,
Standards 43",8)
SPECIAL GRADING, EXCAVATION AND
FILLING: During earthwork. (306 a.ll
8 Chapter 29)
GLU-LAM BEMfS: Inspection Certificate,
by an approved agency, furnished to
the City's Building Division before
beams are placed. (2501-U.B.C. STOS.
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.
DATE
*ALL ~~HOLES AND CLEANOUTS ~ruST BE ACCESSIBLE, ADJUST>ffiNT TO BE MAOE AT NO COST TO THE CITY.