HomeMy WebLinkAboutPermit Building 1989-2-10
CITY UF SPRIIlGFIELU
CO/IBIIIATION APPLICATION/PERMIT .
EIIERGY SOURCES:
Heat
Hater Heater
ValUE of I-lark:
;:)00. (5(SO
Buih;1na'Permit Info: Describe Hork(l.e., Build Single
Far.lilv nesidence Uith /I.ttached roardoe)
'0 ~-~ (1 )
IIISPECTIOII LIIIE
726-3769' .
..
Job Address !fl!22 ~A(A>c;::p~~""",,~ /-_P~7
~,e9al oescrlPtlOn/7~:2/"_21 /9&::0 -.::z=-i7/t:?:>
\-{{\lLM'~'V -y~ Q.. I
Owner /-1; //Vl-l/i.-u/ ~p~-I-IV:;::S A.)w
/ Qb"::l-
AJdress Cf('l"D U. T~, ~dr T..J. Phone All'
f?01'~DJL. Q771, I
I
Ranoe
NFORIIAT: ~:j Ll,,:;'
726-3753
So. Ftq. I':ain 7R79'
~q. rtg. Access.
Sq. Ftq. Other
,(,lle"_Add-".l ter _~.eD.
Fence Demo Change/Use
Other - -
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! 0<1:
-n .
()I
-I
0;
-01
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Construction Lender
---Vet.. ~ ....,,?\.V.>-...J---
\S
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Address Phone
UESI(j(lll:.l\/1 lnameJ (address) (lies. no.) (exnires)
primary,J),.""r:>~/.!':"lPA'7<?~..~~ 7<!b/Y.~_.i~m A.~~_&~,,?'O~ 972/7
Structural P~"'~"'U::-R ~""""_mc:::. A::>/5.€':M./G<::~ 57. ~,~_ ".7.<0'<
t'~ I / / r
Electrical M,,!;~,,::<../ _/ ::2.&~:? 5E: ,~ ~..n"",/....r__;; ,"""'~_972/4
:1echanica 1
CONTRACTORS I name)
eOvttJ rLl.U..U1" ) .:;rr. ~ '
"
i.
(ohone no, ) i
2"?_ <:".;;Z .:;:>.'5Z:; 1
'Zf/-~7/7
General
1Cib :;dr~~.I1~ ~'cs'1;135 ~exDire~/tt,/8c,
'j)oy\{".J 2" jI-~
?9if-=5"9'B_
1
(chone no.) :
2 "iis-3c73 I
I
Plumbino
Electrical
~,lechanical
PLUllBlIIG
ELECTRICAL
no. +A
Each single fixture Residence of
SQ. FT.
IRelocated building- -'New circuits-alts.
(new fix. additional) or extensions
S.F. Residence I ISERVICES
(1 hath 1
Ouplex (1 bath) each I
Additional bath II Temporary ConstructiQIl
~ ~!ater service Jf~"e:q:' 1~:~j~:F1~~ existing
"<L..J'..-,o Sewer 1~-t1I't> Imultifamily, camm. or
-p .~ Indu<;tr;;ll
'~Stnrm..5~'~~r__ ~ / 10f ~
--l -- r '''-1 ,- IC0/11t./lN0. FEEDERS
I-+- Install/alter/relocate
r f pro:;
- '-- 1'- n r 1 Of I~ amps.
I I
I I
/'20. """ ,I TOTAL CHARGES
_ amps.1
-I
I
I
TOTAL CHARGES
~IHmE STATE L.\\I REQUIRES
shall not be val i.j unt; 1 the
'=F' fJ furnace/burner to
BTlI's
, I Floor furnace
and vent
I 1 Recessed wall
So~rp hp~tpr ~nrl vpnt
I I
vs"""'l
I
I
I ;'.).-f
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1',,::;:-"4
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~r~ I TOTAL CHARGES
MECHANICAL
I Apol iance vent
c;".oaratp
1 Sta-tionary evap.
cooler
I Vent fan wi th
5ina,le duct
I Vent syster.l apart
heatino or A_C.
1'\lechanical exhaust
hood i1 nd dul": t
IUOOd stove/heater
from
ISSUANCE OF PER'IIT
that the Electrical work be done by an Electrical Contractor, the electrical rortion of this perr;Jit
label has been signed by an Electrical Surerv;sor and returned to the Building Division
r HAVE CAREFUllY EXAfllNED the completed aprlication for ~ermlt. 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 Soringfield and the laws of the State of OrelJon pertaining to the work described herein, and that rw OCCUPArICY \.,.i11 be made
of any.st:ucture without the permission of the Building Division. I further certify that my re~istration with the Guilder's
Board 15 1n full force and effect as required by ons 701.055, that if exempt the basis for exemntion is noted hereon. and that
only subcontractors and employees I'>'ho are in comol iance with Or.S 701.055 I./ill be used on this nroject.
/lMIE(please print),
TYDe/Cons t. :::;;-"y
Bedrooms
Stories
S rClIATURE
FO~ nrnCE USE O!llY
S~. Et~. rlain /'8;:>;>
SQ. Ft~. Access ;'~
S~. Etg. Other
Zone CC
Fire lone
Flood Plain
Units
Occy Load
Occ.V Group
BUILOIIlG PERI-liT
Charges anG
Su rcha rges
12..F~ ~
, -L-:; - -- -nonck:
6".?B.~ 65%/Rldn
------.;-----Pian Ck.
':> ::7. ;7>.0 30%/BI dQ
/,"2<:::>. "- I Fence
---'-----1
6,~ .Oomo
-----L4?s.:::'J Sidewalk
5:: '2::; AIC Paving I
r--:..-------- Curb Cut. I
17~""
if8&'< #Yb-<'~
:tl-
PLU'IBING PERMIT
Charges and
Surcha rges
~--
,ELECTRIUL PERI~IT
Charqes and
Surcha rges
IIECHANICAL PERI1IT
Charges and
Surcharges
DATE
x
x
Value
Value
Value
VALUATlO/I?--",:~ """'.
,
TOTAL
LrZ-
/Systcm5 Development
CharQe (1. 5')
. ::<0
LOT"
[' AL
~~=
Total (omb. rermit
'927, 3,)
.'
3'7<'7.?S- .
.
'.
COMBINATION APPLICATION/PERMIT (CAP)
I. Applicant to furnish
A. Job Address
B. legal Description
1. example- Tax lot 100. lane County Map Reference
II 03 43
2. example- lot 1. Block 3. 2nd Addition to
Springfield Estates
C. Name, etc. of owner and construction lender
D. Energy Sources
1. exam~le- heat/electrical ceilinq/or forced air OdS
2. examoJe- waterheater!electrlcal/or 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 permit information";
1. examole - construct single family house with an
attached gar~ge
2. examole - remodel existing garage into family room
3. examole ~ 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 TEAN 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 \-Jhere 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, Nechanical, 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 ANO
CHARGES ON THE SCHEDULES
O. As noted on the CAP, the~label must be delivered to the
electr.ical 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 cneck 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
.
I
.
PERMIT VALIDATION
,
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I Permit Cl erk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
I
Permit applicant exempt from registration with the Builder's Board because:
!
,
Additional Project Information:
PLAN~ REVIEWED BY:
name I.-
signature
1
date
'rlll>l'lCTlUllllill (.IIY Vf SI'RIIIGflllU
726-3709 . . CO/IBIIIATION APPliCATION/PERMIT .
Job Address /::k?5" ~A/~~~.0.e,..o'A'7" /-'~l ~~~~r,y SOURCES: .
. . ~ -- J I Hater Heater
Legal Oescrlptlon /7-.?7 ~?I"'. 71', /9~. 2==-.7/.<:Z>.
~ RaMe
~v.{'\Il.~,.?t<,v'L'''r- -.y-6...c\ Q. Valu, of Hork:
owner!.ji/JVl/;Li.l/r-~PP.cv-b'f:~ I A)u.J ;:)C(j.DDU
.....,-~ . Qf1'::t - Ouihiino'Permit Info: Describe Hork(i.e.. Build Single
"ddress Q60 L), 1/':1.<...<_\'.0 ..../. T-J."hone.4I1' fa~ilv nesidence Uith ~.ttached r.araoel
~Oi .l{f:........1l.. DJL.. q 7? I -, I I\) yo..J) (l >
Construction Lender ! ()
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.'
NfORIIA T: .:1 li..,
726-3753
So. ftg. ":ain 7.s?79
~CJ. rtlJ. Access.
Sq. Flq. Other
,(!Ie"_ Add_~.l ter .....:~eo.
Fence Demo Change/Use
Other - -
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. I
-0.
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VPi\~ ~~
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1,
,\ddress Phone
Ul:.~llill IU\ll loam!?) (address) (lies. no.) (exniresl
Primary ,lJ,.//r)/ff/-r!-r~; 74:>h\,g,.,~/.Y" -1;, ~-&.n'.49..;'6.A:' 9:/2/:?
Structural?~>Sf7?-//59L.~c,:RC~..&<:::- 7t::>/Se::M/<<= S,>~?_~. '77.<.:.'Z
.--- ~ .
Electrical M.;::;/.~ ./AL.c _ :7.6'..<:>7 -s:. E: ~t> -....?> r->"'r~/)""",~. 977/U
/ -'," -... ---~ "
!1echaniea 1
CONTRACTORS I n.me)
General (lOvd'hlILLUU.) I,.,(lJ'
I
(nhone no., I
2,."i',"':Z2_'SZ;;:J
27/-07/7
"?9</-~"/8
(address) flies. no.) (exoires)
'70b ~ <!~n..,rt...., l~ \8.... <f.7 35 'i 2JIQ/-a'1
'Voy\{........Q. ~Z/1 tr~) i
Plumbino
Electrical
~lechanical
PlUIIB IrlG
I
..l1L1 CHiiRGE -
ELECTRICAL
;m.
Each single fixture
Residence of
sq. FT.
Relocated building
(new fix. additional)
I-
I
I
I
I
I
New circuits alts.
or extensions
S.F. Residence
(1 bath I
IOuplex (1 bath)
jAdditional bath
~ ~!ater service
~~ Sewer
I~Storm Se~ler
I
I
I
-,
/SERVICES
each
I
I
I I;
1t{~~I-
!/la-
~- I
,- I-
I
~
I
I I I
/::<:'?>. """ I TOTAL CHARGES
that tile Electrical work be done by an
label has been signed by an Electrical
[Temporary Construction
Change in existing
r"'Sj(l!;:nf"':
multifamily, comm. or
lnrlll<;trii'l'
"'"
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I
/z,-:'4
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,e:::>S- I TOTAL
IOf~
ICO/~'I./INO. fEEDERS
I Install/alter/relocate
rli~trih fpprlpr~
IOf /&1::' amps.1
I
I
amps.1
TOTAL CHARGES
HHEnE STATE l.\II REQUIRES
shall not be val H unti 1 the
MECHANICAL
(ohane no.)
21'6-30 73!
I
,
I
I
!
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I
tl
I ru,"c,
furnace/burner to
BTU's
I Floor furnace
and vent
I' Recessed wa 11
~n~f"P hp~tpr ~~rl
\lI'lnt
Apol iance vent
seoar"tp
Stationarv evao.
cooler ~ ,
'Vent fan \'Ii th
":.ino,l~ duo
I Vent system apart
heatino or A.r..
I ~lechanical exhaust
hnnrl and rlljf" t,
I Hood stove/heater
from I
I SSUANCf Of PfRln T
CHARGES
Electrical Contractor, the electrical nortion of this permit
Sunervisor and returned to the Building Division
I HAVE CAREFULLY EXAflltlED the comn1eted apr1ication for rJermit, and do hereb,v 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 Soringficld and the laws of the State of Orec:ton pertainin9 to the work described herein, and that /Ie OCCUPAIlCY \'Ii11 be made
of any structure without the nermission of the Building Division. I further certify that my registration with the Builder's
Goard is in full force and effect as required by ens 701.055, that if exempt the basis for exemntian is noted hereon. and that
only subcontractors and employees I'Iho are in comol iance with Or.S 701.055 \'Iill be used on this nro,ject.
IIAIIE(olease print) SIr.IIATURE O~.TE
fO~ OrflCE lISE UlfLI
Zone CC Tyoe/Const.~-~ Units S~. ftg. f1ain ?B?9 x Value
Fire Zone Bedrooms Occy luad Sq. Ft~. Access /40 x Value
Flood Plain Stories Occ'y Group Sq. Flg. Other x Value
TOTAL VAlUATlorl~.___ ......
'12...<<, -10 LrZ-
BUILDII1G PERI.lIT ~ 6 '8::"""'" ylan Ck. 4-'Z.7. 'lQ Shstems Development ~<::? =0
Charges an~ . - _ _ _ _:2 _ '- _ _ _ 65%/B I do C ar9. (1. 5'.)
Surcharges ::s Plan Ck. I
'7.7-'" 30%/01 do
PlVlia I fiG PER'11T ~-- I:?':?.:. ~_ I Fence I I
Charges and
Surcha rges 6,~ ~ Demo I I
. ELECTRICAL rERI~1T ~ ___ -1-4'$7- I Sidewalk I I
Cha rges and
Surcharges >.::;;: S A/C Pavinq I ITotal (OMb. rermit I 9:27, '3';-
IfECIfANICAl PERl11T Curb Cut I I TOT/,l I
Charges and ------------ I f~/" #Vb"-<''''?8t 3'7:<7 YS-.
Sure ha rges . ::<0
Yf'~<: __ '
.
-.
COMBINATION APPLICATION/PERMIT (CAP)
I!.
t. Applicant to furnish
A. Job Address
B. legal Description
1. ex~mple- Tax lot 100, lane County Map Refere
J/ 03 43
2. eXdmDle~ lot 1. Block 3, 2nd Addition to
~prlngfield Estates
C. Name, etc. of owner and construction lender
D. Energy Sources
1. examele- heat/electrical ceilin~/or forced a
2. examPle~ waterheater/electrical/or solar
E. Square footage or valuation, etc. -----
I. examole- lliQ sq. foot house, 500 sq. foot g. ge
2. examnle- if new project, check new _ if addit
check add, etc.
F. Building pennit information";
1. examole - construct single family house with
attached garl3ge
2. examole - remodel existing garage into family
3. examole - convert single family residence int
restaurant (change of use)
G. Value of work as defined in Section 303 (a) of tho
Structural Specialty Code
H. DESIGN TEAI.I AND CONTRACTORS
To avoid design or construction delays, Building
Division Staff must be able to contact appropriatl
persons regarding design information or jOb site
corrections, etc.
Abbreviated Plumbing, Mechanical, & Electrical Schedul
A. Except I-Ihere blank spaces OCCur in the description
portion of the Mechanical and Electrical Schedules
the applicant need fill-in 'only the No. Boxes adja
to the appropriate item(s) to be installed
8. Full Plumbing, ~lechanical. and Electrical Schedule
are available at the Building Division
1. To conserve space on the permit form the schedl
have been abbreviated
2. If the item(s) to be installed are not covered
the abbreviated schedules you Should consult tl
full schedules
C, BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULES.
O. As noted on the CAP, the label must be delivered to
electrical contractor for signature by his electrica'----
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.
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.
III.
IV.
V.
FOR OFFICE USE ONLY
-
.ITV OF SPRINGFIELD
City Hall
Sprlngftold, Oregon
Office 01 Community and Economic Development
OFFICIAL RECEIPT
13291
Dale f7c-;g, 2~ _
r
Rec'd From~ ~r/;Y~uu' /-'7',,"'.
~~P€ ~~~A? _
Address i"""~~#c_ 6~. 5'7""=:>
, '
19&9
_I
Received For: B9~ /~9ICP/?74::?,
15.P.. ese,.. ~
.. ;7;..... 3<',,76
1'2.!>' .,;:;:,
--V '7>. "" ...,.>c.
l~r~_ ~~
f--;;>/~
.r-~
1C/'1;ir':"'~~ib-:Z~lY . ?'C)-l
/~~, 3'72?),r~
//'><--~
. ; ~-2S-
~'~b/
Amount Received 3'7 ::???S .
a~~
7AUTHO"ZEU~~~/ /'
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~
.". . ~ BUSINESS FORt,lS.I~C.
1~1"2,',.,
U81j
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Permit Clerk
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PROJECT CONOITIONS TO BE SATISFIED BEFORE OCCUPANCY:
J
I
!
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information:
PLAN~ REVIEWED BY:
name !-
signature
1
date
, -"-"",..,,
~
.. ~quired
Inspections ..
.
IT IS THE RESPONSIBILITY OF TilE PER.liIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TilE
THAT EACIl ADDRESS IS READABLE FROM THE STREET, AND THAT TilE PERI'IIT CARD IS LOCATED AT TilE
PROPERTY. BUILDING DIVISION APPROVED PLANS MUST fiE ON JOB SITE AT ALL TIHES.
.
PROPER TIHE,
FRONT OF THE
PROCEDURE FOR REQUESTING INSPECTIOllS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUHBER,
job ~ddrcsG. type of inspection rC<1ucstcd <lnd ~lhc.n yon will be r.c~dy for the in::;pccticn. Contracto:.-s
0= owner::; name and phone number. Rcqucst& received before 7:nO am will be readc the same day, requests
received after 7:00 am will be ~de the followinh work day.
Your City Designated Job Number Is: ~~~~~~
Job Address: /R~ ~ ;z?.&:W'~.?r ~~L_.~' F'.#'5?-
owncr:$~/ .~~f.""!; ~/Y'~ #W=.
Contractor: G.A/",,"/YGJG>~ /M r- .
o
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D
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SITn INSPEGTION: To be made
after excavation, hut prior
to setup of forms,.,
llNnr:IlS1.AIl P1.11HfiING, r:1.r:CTlllr..\1.
f, ~IECll^Nlr.^I.: To he :nade before
any work is covered.
CONcnETE StAn INSPECTION: To he
:n;uJc after all ins lab building
service equipment, conrJuit, piping.
accessories and other and llary
equipment items arc in place but
hefore any concrcte is poured.
~
FOOTINGS Ii FOIINOATIONS: To be made
after trenches ure excavated and
forms ':11"e erected. all steel in
place, :>ut priolo to pouring concrete.
ll~OEIlGIlOllNO: Plumbing. I!lectric:ll,
G':IS, Snllit:lry ~cwer, ~torm Sewer,
Watcr ':1Il:.J Dnlinage 1 ines. To he
1ll:ldc prior to covering or filling
trenches' .
lINnEltFI.OCR: . Plumhing. Hlectrical,
Mech:lnical. To be made prior to
inst,lll':ltion of floor insulation,
\Iecking or floo,. sheathinr..
POST r. BE^"l: To be m;uJe prior to
ill~t:llllltio:l of floor i~sulation,
uecking or floor :;he.::.ting.
Fl.ooR INSUI.ATION r. VAPon f'lAIUHHRS:
To be made prior to install::tion
of dccking 01. floor sheOJting.
MASONRY: Steel locution, hond heams
gl'outi~g or vcrticals in :lccordnncc.
with u.n.c. Section 2~IS.
ROr.F S!lEA'!'lt~!r. MlI1 NI'.II.INr.: !'rior
to installinc any roofing.
Imur.u P 1.11l-tn t NG. I1l.1tCTIU C^ I. f,
. ~IEC!lANCIAI.: No "'ork is to be co\'ered
lII:til these inspections h:1ve been
made :lIld approved.
[i] FIN:\L PWf.mING 0
0 I:I~AI. ELECTRICAl.
0
D
F1NA1. ~IErJlAN1CAI.
Phone: :;:>...:>'3'- 'Y~//
Phone: 2:B s- "567~
ILl (?ITTTC
D
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l.A"~ ANn/OR r,YPSlIM {\OAIW INSPECTION.: I
To he made ~fter all lathing anJ ~
grpsum hoard, inte::.-io:, and exterior,
is in place but before any pl:lstel'illt:,
is applied or he fore I~yp~um bonrJ --1
joints and fasteners arc taped. and
finisheu.
nllAF'r STep F, CIIIlT^ Hl I,^I.I$.
FIREPI.ACE: Prior to
materials nod before
inspection.
placing faei nl:
fr:ll11ing
INSIIIATJON r. VAJ10lt I\MHtll:lt: To be
made after nIl in:>ulat ion ..nd
required v:lpor harriers <lrc in placc
but before any lath or gypsum hoard
interior \fall covering is npplicd.
FllAMJNG: To he made after the roof,
all framing. fire blockinfl amI
brucing arc in place anti all pipes,
chimneys and \'ClltS :1re complete und
the rough electrical, pluulhing .lOd
heating wires, pipes llllU ducts .11"e
approved.
rIRH r. SEPAIlATlON WAI.I.: I.oclltetl r.
constructed :lccording to plans.
D
D
After installation is
''t'oonSTOVI!S :
completed.
SlnEWAI.K (, OnlVEI't'A".: lteqllirctl for
all concrete paving within street
right-of-way, to be made after ;\11
excavating complete r. form work r.
sub-base materilll in place.
CtlRR ANn !\PPROAr.1l APRON: After forms
are erected hut prior to pouring
concrete.
SpnGT AI. T NSPEGTtoNS: In accordn.l1ce \d th
Section 306 of the Bui Idin~ Code a ~pec.ial
inspector shall be employed hy the O\\'l1erl
Contractor during con:;truction of the
following work. A copy of the ~pecial
tcsting reports shn.11 he fm'nished to th~
UuildillG nivi~ion,
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STIUICTllnAI. Gm:C\{I~'l'I::
P.S.I. (30601.1)
I n excess of ~O(\'l
D
[KJ
IlAnKING LOT: After gravel
place but prior to placing
or concrete.
is in
asphalt
STRUCTim:\J. I~El.l),S: Prefot.med on the
job. (2722 f)
1IIr.1I STHENr.TII BOLTING: Dudnl: all
holt installation nnd tighting
operations (306 a.5)
.s1'1~AYEn ON FlltEPnOorINr.:
Stanllards 43.8)
(ll.U.C.
SPECIAl. r.ltAOlNr.,
j:I1.I.ING: Ouring
~ Chapter 29)
EXCAVATION :'\NO
ellrtlll'lOrk. (30601.11
:J
r.W-LAM nr:Mt.'1: Inspection Ccrti fieate,
by un :lpprovcd agency, furnished to
the City's Building Division befol'e
bcams ;\l.e pt:lceu. (2S01-U.D.C, STnS.
25-10,ll) .
* In lludition to the inspection.:;
specified hereon, the Iluilllin&
Official :nny :cake or require other
inspections of an)' construction
''1ork to ascertOlln complinnce ''lith
the BuilrJbg, City or Zoning Codes.
GITY',S ,SI1T: PI.AN REVIEI'l RO:\nO INSPECTION: Mu:;t be reGuested 2 u.::Jys in ...dvance of the d:lte you
wish i'lspcctio:1. All project con:Jitions such a:; landsc<lping, p<lrkinc lot striping etc. mu.:;t
bu conr;>loted hefare requesting this inspection.
FIN^'. BUII.DING: Must he requested after the finnl Plumbing. Electric~l, Mechanical ond riro
Deportment inspections arc made ond npproved. No Occup:mcy of the premises can be m:lde unt i I
a Certificate ef Occupancy has been issued b)' the Building Division <lnu posted on the pl"emi:;es
o FINAL rInE DEPARTMENT
SIGNATUIlI'
nATE
*AI.!. ~lIINlIOI.r:S ANn GI.EANOUTS MUST BE .\GGESSIUI.E, A!l.JUSnmNT m fir: MAOr: AT NO COST TO 111E CITY.