HomeMy WebLinkAboutPermit Building 1988-9-12
Construction lender
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CITY OF SPRINGFIELD . INFORlIATION LINt II
COI1BIIIATION APPLlCATION/PERMIT 726-3753 ~
D E!IERGY S.lIURCES: Sq. Ftg. 1.lain 1r,(IH)
rtJ,.KvoClI E Heat IYt..r //rAk:: ~q. Ftg. Access.
II 'I Hater Heater t/~.,_f""t... Sq. Ftg. Other
n 2. 2 a G )cllew Add Alter Rep.
Ranqe 4',~ -Fence Demo Change/Use
ValyE of Work: ~Other~~....ne-
"Jrot)o, ~ <::F'~ ~,..-<~ .
BUlldl;G Permit Info: Oescrlbe Work(l.e.. Build Single
Familv Residence With Attached Garane1
'&""11/"''''''';- IIH/l-rlJv,e",,,../f- '" (' ~4A/".v
1v/1(jfc.1.e._ exto~ h" bM"v.eJ'"
~?nflU; / /
(address) (11C5. no.) (exoires1 Cohone no.l
1/.,_d...rAA./~ f)/d/v~1V "t Eju~ IAr<::- (lK'F.J Sf.,/, &:4....o"-rt /Jr ~;kJ1S
(J,"~'N-,-i-..A,; Or~. 9'70Df.. PI.. u~.J-/')'-U70
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I INSPECTION L1I1E
, )26-3769
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Job Address Iff 3S' I'lo/V-e.er
,..' ,
Legal Description r/l:. !}If'/).r
oJ
Owner MlllttdoV f).."#h";"~U 11/4/
Address f./JO IV.
71217
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Address
DESIGN TEM1 lnamel
Primary Pru-fltlA/"
Structural Se.".., ~
Electrical 54.. "-
liechanical If",;.//-e.v <i- P~/I'__~ 20/,) I/Iv'1'i-e..T /"/,,(1/ 77
CONTRACTORS (name~ raddre~.v I (lie<.
General 1'1'_)(,_N'Z,/~ c;lJl>tl>l,,_rt::.-/~/. 8tj V.2oiV,/
Plumbinn TW/~ Il/;,_i"( - .2tJ.f'O V /!;NJ",,1""1I1 ;"'4,
Electrical 13J/1A!,J.&Hoo- ,12--C h/u 7- Q S,JI~d. v
flechanic'al J.I.""v~y 0/- .PN~"::' p() ~OY )'j/O' Ei.je.-e
PLUliBIIIG ELECTRICAL
no. l
/()-?r
(pxnirp<:)
7J7tf -/.{ 2./
(o~nnp nn,1
71?91:J '/J-o ')/"1.1
6~,f7[uJ-JL/IL
/t?-ff-/7'f7-tl..JR'
I,,-m 74!-16)"/
'-I~n' -
2()- 961'./1,
J.O-97c.
77
MECHANICAL
....llih
tB Each single fixture
Relocated building
(new fix. additional)
FEr rHARr,E NO
L.E.ELI..cliAIlli.E. NO
I='~~ r~ARGE.
Residence of
7,sg> t2? .-
SQ. FT.
/
furnace/burner to
. BTU..'s
a\r~ '-/7.
Floor furnace
and vent
~.-
I 2
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TOTAL CHARGES 6l!? - TOTAL CHARGES ~ --- TOTAL CHARGES ~N. /~->
WHERE STATE L.\I/ REQUIRES that the Electrical work be done by an, Electrical Contractor, the electrical portion of this permit
shall not be vali~ until the label has been signed by an Electrical Supervisor and returned to the Building Division
S.F. Residence
11 bath)
IDuplex (1 bath) each
IAdditional bath
I Water servi ce
I Sewer
Istorm Sewer
~ New circuits alts.
or extensions
'2. "'R~)q~
SERVICES
;!!2.(Si!.
Recessed wall
~n~rp hp~tp~ ~nrl vpnt
I
Of /S"e>
ICOMfl./IND. FEEDERS
l'Install/alter/relocate
rli~tr;h fppdpr~
I Of amp~1
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amps.l
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Appliance vent
'ifl'l)aratfl
Stationary evap.
r:nnler
Vent fan wi th
sinole duct
Vent system apart from I
heatinq or A.C.
Mechanical exhaust I
hood and !'turt
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./" . ~ 71'''?h ~ I
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Wood stove/heater
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l?-IG-
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Temporary Construction
Change in existing
rp~.i1rJll'''p
multifamily. comm. or
Tnrtuo;.trial
VI'!"')'
ISSUANCf OF PfRIHT
I HAVE CAREFULLY EXNIINED 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 110 DCCUPAIICY 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 an this project.
IlM.IE(please print) IJdVIY /PUi"dA// SIr.IIATURE S~~
DATE
9-/2*
Curb Cut
FO~ OfF I CE USE OIIL y
Sq. Ftg. t1ain x Value
Sq. Ft~. Access x Value
Sq. Ft9. Othel~'~~~. Value
r .} 7.---'2.:1- I TOTAL VALUATION
I"^ Dr; f? ,?o""'" syste. ms DeveloP~
':t:Y.'_J. O'? -00 Charoe (1.5~).::i' ~
'1"1_
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I lrota.1 Comb. Permit
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I I TOTAL
~s:"""",,_......
20ne ..c oI!':.
Fi re Zone
Flood Plain
TYDe/const.~~~Units
Bedrooms Occy load
Stories / Occy Group~-:<
.-. /~ -e> Plan Ck. Conm/lnd
___~~_~=____ -.ill/Blda Ppr F'eop
").. Plan n. Res
/t1>.;:>8 30%lBldn Per Fee
PLUMBING PERMIT ~ ..... Fence
~~~~~;~9:~d '5' ------3:;,;.--10-
ELECTRICAL PERI~IT ~- I Sidewalk
~~~~~:~g:~d L.o\ ------3:~-1 A/e Paving
BUILDING PERMIT
Charges an~
Surcharges
/oS'/- -e.
liECHANICAL PERMIT
Charges and
Surcharges V
/5"= ......
____.L_~__..____
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~;7. 53
. 5"19'. 5"'.3
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COMBINATION APPLICATI9N/PERMIT (CAP)
PERMIT VALIDATION
II!.
I. Applicant to furnish
A. Job Address
B. legal Description
1. example- Tax Lot 100, Lane County Map Reference
17 oj 43
2. examp-Ie- Lot 1. Block 3, 2nd Addition to
Spr1ngtield Estates
C. Name, etc. of owner and construction lender
O. Energy Sources
1. exam~le~ heat/electrical ceilinq/or forced air Qas
2. examole- waterheater/electrical/or solar
E. Square footage or valuation, etc. -
1. example- 1250 sq. foot house, 500 sq. foot garage
2. examyle- if new project. check new - if addition,
cneck add, etc.
F. Building permit information:
1. example - construct single family house with an
attached garage
2. examole - 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 (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 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 conser~e 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. 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 b~ 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
payab:H~"when~ the penn"it is issued.
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V. FOR OFFICE USE ONLY
Permit 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 Information:
PLANS REVIEWED BY:
name_~B#~ &~~
signature
~~q,~
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date <7-//- B~
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.equired
Inspe.ons ..
IT IS TIlE RESPONSIBILITY OF TIlE PER-'1IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT T1!E PROPER TIllE.
THAT EACll ADDRESS IS READABLE FROIt TllF. STRF.ET. AND THAT TllE PERl'IIT CAnD IS LOCATED AT TilE FRONT OF THE
PROPERTY. BUILDING DIVISION APPROVED PLANS I'llST BE ON JOB SITE AT ALL TIllES.
PROCEDURE FOR REQUESTING INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB N~mER,
job address. type of inspection requested and when you will be re<ldy for the inspection. Contra.ceors
or owners name and phone number. Requests received before 7:00 am will .be ~~de the same day. requests
received after' 7:00 am will be ~de the following work day.
Your City Designated Job Number' Is:___~~~~
Job Address: /f?':3,-:::- ~~I:~ p~g"",~ :E',-~7"
Owner: ./fiLLN?A-A .A;>OP2!:7'f' //~ -, .If;!( ~ Phone: _ 7~ //3&
Contractor:/4~..v:7.t'1F~/>?;C.)f><J'~ Phone:_"E!if;;> -7/~
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SITE INSPEcTION: To be made
after excav3tion. but prior
~o setup of fo~s. ?o)
UNDERSLAB PLUlmING. ELECTRICAL
& ~ECH~~ICAL: 'To be :ado before
any ~ork is covered.
CONCRETE SLAB INSPECTION: To be
made ,after all inslab building
service equipment. conduit, piping.
accessories. and other ar.ciliary.
equipment items are in place but
before any concrete is poured.
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FOOTINGS ~ FOUNDATIONS: To be made
after trenches are excavated and
forms arc erected, all steel in
place, but prior to pouring concrete.
UNDERGROUND: Plumbing, Electrical.
Cas. Sanitary Sewer, Storm Sewer.
Water and Drainage lines. To be
made prior to covering or filling
trenches.
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UNDERFtOCR: , 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.'"
FLOOR INSULATION 6 VAPOR BARRIERS:
To bo made prior to install~tion
of decking or floor sheating.
~~SONRY: Steel location. bond beams
grouting or verticals in accordance 0
with U.B.C. Section 2415.
ROCF SHEATHI~G k~D NAILING: Prior
to installing any roofing. ~~ .0
ROUr.H PLL~IBING. ELECTRICAL 6 .,I'.f)
MECHM\CIAL: No work is to be covered
until these inspections have been
made and approved.
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FIN.'L PLUMBING
D
CITY'S SITE PLAN REVIEW BOARD INSrEC:ION: Must be requested 2 days in advance of the aate Yt
wish inspectio~. All project conoitions such as landscaping, park~~, lot striping etc. must
b~'com~leted before requesting this inspection.
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FI~AL ELECTRICAL
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FI~^L !JUItOIN'G: ~lust be requested after the final Plumbing. Electrical. Uechanical and Fire
Dcpartm~nt inspections are made and approved. No Occupancy of the premises can ~e mode unti
a Certificate of Occupancy has been issued by the Building Division and posted on the prcmisl
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FINAL "EQIANICAL
L. ..../
FINAL FIRE DE~ARl}~~
SICNATIlRE
ATTIC DRAFT STOPS 6 CURTAIN WALLS.
.SPF.CIAt INSPECTIONS: In accordance vi~h
Section 306 of the Building Code a special
inspector shall be employed by the ~~erl
Con~ractor during cons~ruction of the
fcllowing work. A ccpy 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 6 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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STRUCTURAL COXCRETE: In excess of JO~
..5.1. (306 a.l) -
STRUcruR.\L WELDS: Preformed on the
job. (2722 f) .
HIGH STREN(;TH BOLTING: During all ,
bolt installation and tighting
oper3tions (306 a.5)
~ SPRAYED O~ FIREPROOFING: (U.B.C.
Standards 43.8)
LATH ANn/OR GYPSUM BOARD INSPECTION: ::J SPECIAL GRADI~G. EXCAVATION ~~O
FILtI~G: During e3rthwork. (306 a.l1
To be made after all lathing ano
b d. . d . Ii Chapter 29)
g)~sum oar . lnterlor an exter~or.
is in p~ace but before any plasterill6 --, ,GtU~LAM BEA!!S: Inspection Certificate
~s_applled or before gypsum board ---1 by an approved agency. furnished to
)Olnts and fasteners are taped and 6the City's Suilding Division before
finished. . beams are placed. (2501~U.B.C. STDS.
WOODSTO\~S: After installation is ---, 25-10,11).
completed. .-.J
SIDEWALK 6 DRIVEWAY: Required for
all concrete paving within street
right~of-way. to be made after all
excavating complete 6 form work 6
sub-base material in place.
CURB AND ,o\PPROA01 APRON: After forms
are erected but prior to pouring
concrete.
FIRE 6 SEPARATION NALL: Located 6
constructec according to plans.
PARKING tOT: After gravel
place but prior to placing
or concrete.
*In addition to the inspections
specified hereon. the Building
Official =ay make or require other
inspections of Dny construction
. work to a5certoin coopliance with
the Building. City or Zoning Codes.
is in
asphal t
DATE
. ALL 'lANHOLES !lNO CLEANOUTS 'lUST BE .\CCESSIBLE. ADJUSTlolENT 'ro BE "ADE AT NO COST TO THE CITY.