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HomeMy WebLinkAboutPermit Building 1988-5-13 ~ 0) INSPECTION LINE'" __ CITY UF SPRINGFIE"D 726-3769 COMBINATION APPLICATION/PERMIT '7.) EIIERGY SOURCES: Job Address/$Z/ ?~~~~~'7" Heat~ 4YAc Legal OescriPtion/?""'3.2~_2~ /9~."Z~ ?/~ Hater Heater~~ r Range . I NFORlIA Tl ON liNt 726-3753 Sq. Ftq, 1,lain""'.o(""&lq> ~q. Ftg. Access. Sq. Ftq. Other Xllew Add Alter Rep. -Fence Demo Change/Use KOther~~~ ~ ~ \J ValUE of Hork: ~~,...~.s~. -=- Buildina Permit Info: Describe Work(i.e., Build Single Familv nesidence IHth Attached Garaael Owner -'hU:..h?~N ~~6<;>Z;ES ~ ~ Address _ rl> ,1:;;r. ;l(.;' /rsli> ......,A,:l AI. ,1~AdJtf.Wk' ..'S. z:?z7.... ~ '/'.' ~,h,.l> ,.<tP7? 9 7':z/? . # Construction Lender ~~~.dA- ~ &Ar-J<::" S,.,,~,:- ~il? .~,vc-v-5.7z:>R~ I Address Phone Ut~lliN If.AI',:! (name) {address} elies. no.) (exniresl Primary -z:?t"/T.) h?~hI-:^" ?~~. /:22CD A( r##7?€-'v ~:.~"g) Structural Electrical Mechanical CONTRACTORS (namel (addresc;.) (lire;, nn.) (pxnirpc:;) General MC~c5ly'::y'<:; /" -...,.._..-;;r?4"~ r~r-:r:, ~~ Jv. 2~ G~~ Plumbina~.N }?~(" h'R',-.k-.. 7~~ W. 75~....M_W;'_. B'-r-;t!S Electrical ," ~. ~ W=""/ ;>r;;' ~~ ..~. :5~/~ f,echanic'al /l]ll.71~ ..{ ~/~ 0~, ~6"" .,,(,h~r VA-r , PLUI1BING NO. -:2 Each single fixture (ohane no. ~~-?.2S"'~ (onnnp on 1 ~~7/~~ tCQ-.::i?-/"""/~ ?o/7-b(f;~ 7~. /~'2/ ELECTRICAL MECHANICAL -" <<< r~AR~~ 'In <<< rUARG..E.. Residence of furnace/burner to SQ. FT. / B~ ~- fJ'-1/A<- r.J~ ~ New circuits alts. Floo.r furnace or exte~~~~nk ~ and vent ~ <Nil. '& SERVICES Recessed wall Sn~rp hp~tpr ~nrl vpnt FEi=" r.~ARr,F ;ZS~ 1:;:-- Relocated building (new fix. additional) S.F. Residence (1 bath) Duplex (1 bath) each Additional bath ~Iater service Sewer Storm Sewer J Temporary Construction Change in existing res j dJ~..nce multifamlly, corrrn. or Industrial Of -:2otP&:> amps, COMM./IND. FEEDERS Install/alter/relocate di~trih_ fpprlpr~ Appliance vent ~eo~ril.te Stationary evap. cooler Vent fan with s;nale duct Vent system apart from heatina or A,C. Mechanical exhaust hood and dUl"t I g7.S2 . Wood stove/heater -:;.- ,.,.- GA'!!> P/P,/AZ;, <-- Of amps. ISSUANCf OF PFRIUT TOTAL CHARGES /5: ...,. TOTAL CHARGES ~ #6 TOTAL CHARGES ~# /.~.-. WHERE STATE L\H REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit shall not be valid 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 Spri n9 fi e 1 d and the laws of the State of Oregon perta i ning to the work descri bed herei n, and tha t UO OCCUPAllCY will be made of any structure without the permission of the Building Division. I further certify that my registration with the Builder1s 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 w~ed on this project. IlA/IE(please print) ~ ~ V]p?;BX.. SIGNATURE \, ~,~ ~ DATE ~~~ FOr. OFFICE USE Q;lL Y Sq. Ftg. '1ain~~O;-c:? rp x Sq. Ft~. Access x Sq. Ftg. Other x Zone LL Fire Zone Flood Plain BUILDING PERfllT Charges and Surcharges PLU!1BING PERMIT Charges and Surcharges ELECTRICAL PERI\lT Charges and Surcharg~s tlECHANICAL PERMIT Charges and Surcharges Tyoe/Canst...-T7.n -s1fl?Uni ts . ~ Bedrooms Occy load Stories / Occy Group B-2 TOTAL V ALUA Tl Oil ...., _" _ Plan Ck. ConmlInd __~~R~____..9M/B)da P.l'r <ee is Plan Ck. Res I -::? c::l 30%/Bl do Per Fee /c- t:JIte> Fence ---~.=._---- -75 I D~o 6&.6.e> I'sidewalk -----~::;.;--I A/C Paving ,~ doc. -' 'I Curb Cut ---- ~-??-I Ie;pr. //.y~. ,~~ ~ ,,,.,,. IJ syste, ms Development .."""" </ Charae {'J.5~r:t~ I I , ,-I I Total Comb. Permit TOTAL Value Value Value -1 ~~ro /~t? &/ '36'3. ~ Sf''I.I/ II . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. ,Job Address B. Legal Description 1, example- Tax Lot 100, Lane County Map Reference Il OJ 43 ' ' 2, exa~le- Lot 1, Block 3, 2nd Addition to sprlngtield Estates C. Name, etc. of owner and construction lender D. Energy Sources . 1. examDle~ heat/electrical ceilinq/or forced air Qas 2. example- waterheater/electrical/or ~ 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. exam~le - construct single family house with an attached garage 2. exam~le - remodel existing garage into family room 3. exa~le - convert single family residence into restaurant (change of use) G. Value of work as defined in Section 303 (aj of the Structural Spec!alty Code H. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate pe~sons 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'~onserve 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 fu 11 schedu I es C. BOILDING 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 permit is issued. V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: '. ,,~ PERMIT VALIDATION " " l'.15f)~y C; ,\ "':>/~ Permit Clerk cc Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: , , < . PLANS REVIEWED BY: name Lc1JJl!:NE h.. t?'tS ~ signature 4~_~ -; , : date ,),;.t::::?t!!!> " " ," ,. 1\ .jINSPECTION LlNE ", 726-3769 ,... , Job Address /A'2./ ~~ ~;17K1_Y' ~7' - - Legal Description r7-.1>=1.'2&;.:Z~ /9~."7"- ?/~ ., , , . CITY OF SPRINGFIELD COMBINATION APPLICATIONIPERMIT EilERGY SOURCES: Heat~ N'v~ Water Heater~~ Ranqe~___ . , INFORMATION LINE 726-3753 Sq. Ftg. I".in~~"'qo ~q. Ftg. Access. Sq. Ftg. Other oX Uew Add Alter Rep. -Fence Demo ChangelUse X.Other~~..e:- ~ ~ \J , Owner ~d..h?""N ~p~z:;.&:S J<<W. - '-.:i/:~"';;'/r4!;; Address 9...", AI. '7'""",,~W".v /5. ~. ~~.I'/ ~U-.b ....c:>7? 9 72/? - # Construction Lender ValUE of Work: ~~/~S~. cOle BuiltiinQ Permit Info: Describe Work(i.eo. Build Single Familv nesidence With Attached Garaael ~~=-/~~H aF &___=- :S':;V---=- ~ie ~L.A:'O _57Z>R~ Address Phone Ut:)ll,jN ItAr! lname) (addressl flies. no.) (exoir@s) Primary ~Ir/n h?~"""-:"",,,?~~, /22coA(,tf,#r:7€-^, ~;.~~ Structural (ohane no. ~-.2.2S"tQ Electrical I ,\ V ~ ~')I c::;-~oo Mechanical CONTRACTORS {name} (address) (lic~_ no.) (pxo;re~' General ~.c..f"<9v2r&; /" ~'ld......~..G-"~ r- ~~.~;O;- Iv. '2~ G.c..&:~ Plumbino7~ ??t.~( ;73.~, 7dS'e> ItY.7?R~""-/ &-(--,fS ElectricalL.R1.?:ci'./.i:~i~"~~~:_ /Jf!;J W.='ou ->o,'.y~ _~""'~ "echani~al 1#r'7?1I'E'Y ~ ~/~ ~, _ ~~ ,.(,h.a:s~r J,.4-r , . fohnnp "1'1 ...,.... ":)-7/oV.:r tt:R'.:? -/4"/~ ~7-b~~ 7~. ~::Z/ PLUllBI NG ELECTRICAL "';L I j:JjAlllirlJl(l MECHANICAL NO, FFF fHI\R[;F Nn I Residence of I ~~~ I r~l'1RG.E. -:2 Each single fixture ;;!S~ I:;:ao SQ. FT. / furnace/burner to BTU' fJ!-u~ ,.....~~ Floor furnace and vent ~- Relocated building (new fix. additional) ~ New circuits alts. or extensions -!Z <t1R. .;:a::R &: SERVICES -z;z.S& , S.F. Residence (1 bath 1 Duplex (1 bath) each Additional bath Recessed wall ~n~rp hp~tpr ~nrl vpnt Storm Sewer J Of -:2&'&> amps, CO~1./IND. FEEDERS Install/alter/relocate rlid,,;'" fpj:Ionpl"'C: J '37.Si ' Appliance vent .......enarat~ Stationary evap. conler Vent fan with ~;nole duct Vent syste~ apart from heatino or A.C. Mechanical exhaust hnnd i'l.nd rlUl"'t ~.- I- I Sewer Temporary Construction Change in existing res. i d_enc:e multifamily, camm. or Tnduc:tri<ll Water service Hood stove/heater Of amps. Y' G~ pff/Hz;, <~- ISSUANCF OF PFRllIT TOTAL CHARGES /!?-...". TOTAL CHARGES 6:4,p0. TOTAL CHARGES ~# /.~- WHERE STATE L,\\~ REQUIRES that tile Electrical work be done by an Electrical Contractor. the electrical portion of this permit shall not be va111 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 ;s 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 !:lertaining to the work described herein, and that UO 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 ons 701.055~ that if exempt the basis for exemption is noted hereon, and that only subcontractors and employees who are in comoliance with ORS 7nl.0S5 Wi~ed on this project. 1lA/IE(please print) I.. ~ //J"t7~~ SIGIIATURE ~~.. ..r"~ OATE~k.!", FOP'" OFFICE USE OIIL Y Sq. Ftg. Ilain.....P~.;-~;p , Sq. Ft9. Access x Sq. Ftg. Other x Zone LL Fire Zone Flood Plain Type/Const.~ 5lP?Units , Bedrooms Occy load Stories / Occy Group ~~ro '). B-:z (j) ...., _/ _ Plan Ck. conm/Ind __~~.k-:...____ ..12!(Bldo P-,,~!, Fpp :3 Plan Ck. Res I -::;>. ~ 30%/B1 do Per Fee /c- t:JI1t> Fence ___.....L..J:.l...:_____ -75 6&. .-:> - --- - ;;'::;';--1 AIC Paving /C' """" ' I Curb Cut ____Lv_:;;.?_1 Value Value Value BUILDING PERMIT Charges and Surcharges ".... TOTAL VALUATION ~I/.y~__')->~ ::l.:;)" - Systems Development /;'/:)~. &;J / /"- ~/ Charoe tl.5~,.L"'" :;..lo, ,-"5'(;/, =.r PLUt~BING PERMIT Charges and ~ Surcharges ~ Demo ELECTRICAL PERlm Cha rges and Surcharges I Sidewalk y MECHANICAL PERMIT Charges and J Surcharges \P I , '1 1 Total Comb. rermit TOTAL Q63. ~ S}"Y: II I I r. 'I , '. . . I " COMBINATION APPLICATION/PERMIT (CAP) PERMIT VALIDATION I. Applicant to furnish A. Job Address B. Legal Description 1. !xample~ Tax Lot 100. Lane County Map Reference 17 03 43 2. exa~le- Lot 1. Block 3, 2nd Addition to ~prlngtield Estates C. Name, etc. of owner and construction lender D. Energy Sources , 1. example- heat/electrical ceilinq/or forced air Qas 2. examole- waterheaterjelectrlcal/or solar E. Square footage or valuation. etc. ------ 1. example- 1250 sq. foot house. 500 sq. foot garage 2. example- if new project. check-new - if addition, cneck add. etc. F. Building, permit information: 1. exam~le - construct single family house with an attached garage 2. example - remodel existing garage into family room 3. examJPle - 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 ~void design or construction delays, Building Division Staff must be able to contact appropriate ,: pe~sons 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 OIVISION 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 superv;'sor. 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 ;s 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. l t5tJk ~ /\ ,?/ V. FOR OFFICE USE ONLY Permi t Cl erk cc PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: PLANS REVIEWED BY: name Lt!J~E n.f:"tS e7f signature ~~_~.~-9 -,r .; date, ')" ,;' 8.3 . .~~~. .. Required Inspections.. ( IT IS THE RE~PONSIBILITY OF Tl.ER!1IT HOLDER TO SEE THAT ALL INSPEANS ARE MADE AT ~E J THAT EACH ADDRESS IS READABLE FROII TIlE STRf.ET, ANll THAT TIlE PER.lofIT CARD IS LOCATED AT TIlE , PROPERTY. BUILDING DIVISION APPROVED PlJL~S 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 requested and when YOll will be re"dy for the inspection. Contractors or owners name and phone number. Requests received before 7:00 am will be ~Bde the same day, requests received after 7:00 am will be ~de the following work day. Your City DesiKtlated Job Number Is: ~O.:56'/ Job Address: .$2/ .i0?6.M--.-::r< ~t..._h" h/.d/- Owner: A'/L.Lh1~/-./ ~~7e-) Phone: ...-.....'"7- //3<::; Contracto..:/~':::..i'>'!"'>looC?/E~~~~/""''::' Phone: ~oS':;;'-7/""? o ~ ~ '-\ o o o o o o o !Kl SITE INSPECTION: To be made after excavation. but prior to setup of forms. UNDERSLAB PLUMBING, ELECTRIC~L 8 ~IECHAN'ICAL: To be :nade berore 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. FOOTINGS a FOUNDATIONS: 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. UNOERFLOCR: . 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 insulation, decking or floor she&ting.. FLOOR INSULATION a VAPOR BARRIERS: To be made prior to install~tion of decking or floor sheating. MASONRY: Steel location, bond beams groutin"g or verticals in accordance 0 with U.S.C. Section 2415. o [ZJ II o o RoeF SHEATIin!G ~!D NAILINr.: Prior to installing any roofing. ROUCH PLmmING. ELECTRICAL a MECHANCIAl: No work is to be covered until these inspections have been made and approved. ~ 7f-l.,I~ - [E] FINAL PLUMBING ~., [ZJ FINAL ELECTRICAL [XJ 'b'l FINAL 'tEOfANlCAL 00 ~1 FINAL FIRE DE!' ARTI-fE!orT 1/ t..{ ~ o o o ATTIC DRAFT STOPS B CURTAIN WALLS. FIREPLACE: Prior to placing facing materials and before framing inspection. Ii INS~TION B VAPOR BARRIER: To be made after all insulation and required vapor barriers are in place but before any lath or gypsum board :J interior wall covering is applied. FRAMING: To be made after the roof. :J all framing, fire blocking and bracing are in place and all pipes, =:J chimneys and vents are complete and the rough electrical, plumbing and heating wires. pipes and ducts are approved. FIRE 6 SEPARATION WALL: Located a ccnstructec according to plans. PROPER TUlE, FRONT OF THE SPECIAL INSPECTIONS: In accordance with Section 306 of the BUilding Code a special inspector shall be employed by the Ownerl Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. .. [K] ~ [X] LATH ANn/nR GYPSUM BOARD INSPECTION: To be made after all lathicg and g)~sum board. interior and exterior. is in place but before any Plastering:J is applied or before gypsum board joints and fasteners are taped and finished. WOODSTOVES: completed. SIDEWALK a DRIVEWAY: Required for all concrete paving within street right-of. way, to be made after all excavating complete a form work a sub-base material in place. CURB AND APPROACH APRON: After forms are erected but prior to pouring concrete. After installation is PARKING LOT: After gravel place but prior to placing or concrete. is in asphalt STRUCTURAL CONCRETE: P.S.I. (306 a.l) In excess of 3000 STRUCl'URAL 'fELDS: Preformed on the job. (2722 f) HIGH STREN(;J'H BOLTING: During all . bolt installation and tighting operations (306 a.S) :J :J SPRAYED ON FIRE?RooFING: (U.B.C. Standards 43.8) SPECIAL GRADING. EXCAVATION AND FILLING: D-.Jring earthwork. (306 a.ll B Chapter 29) =:J GLU.LAM B~5: Inspection Certificate. by an approved agency. furnished to the City's Building Division before beams are placed. (2501.U.B.C. STDS. 25-10,11) . *In addition to the inspections specified hereon, the Building Official =ay make or require other inspections of any construction work to ascertain compliance with the Building. City or Zoning Codes. CITY'S SITE PLAN REVIEW BOARD INSPECTION: Must be requested 2 days in advance of the date you wish inspection. All project conditions such as landscaping, parking lot striping etc. must b6 com~leted hefore requesting this inspection. o FINAL 9UILDING: Must be requested after the final Plumbing. Electrical, Mechanical and Fire Departm2nt 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 posted on the premises SICNA11JRE DATI' * ALL MANHOLES AND CLEANOUTS ~rusT BE ,\CCESSIBLE, AOJUSTI-tENT TO BE MADE AT NO COST TO THE CITY.