HomeMy WebLinkAboutPermit Building 1989-2-10
I" INSPECTlOII LItlE . CITY U~ SI'RINliFIE~U
I i 7.26-3'4>9 COMBIIIATlON APPI.lCATlON/PERMlT .
,... L --, EIIERGY SOURCES:
. Job Address 19,:'/1 Y:",V\cn. ?o-."\.1NO.1 \:.C1S1 Heat
1 I D t J Hater lIeater
,e9a e'cnp Ion n,.",:<,-2&:'7:? /9~, 2~6~ ':2/=
Owner \\' \\ ,,,> \.'. ,/ n'/
, "",1',,,, '\' ~D\,''''-\ \,,-> N.N'1/.
Address d >- /. '"T"-
"}'do .N. /b.~"~~~~~' ii>r~.
~~_D. ~R 972/7
Construction Lender '
- ,
Address
DESlliN TEA'.'
(name)
Phone
INFOR/1ATION LINt "
726-3753
Sq, Ftq, I,'ain
~q. ft9. Access.
Sq, Ftg. Dther
lIew Add Alter ReI',
Ranne -FenC'(! Demo Chii'ige/Use
Valu, of Hark:",?> 7~r7..<.Wt$/~
\ '6, (JC6 ~ ;;;:-;;~-"-'-
Bull{;fnQ Pennit Info: Describe Work(i'.e., Build Single
Familv nesidence Nith Attached Garaoe)
~~
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~..-"APL..._-,-._,~/~~ ~G'"
~ f3"E"H&A'//~ L_,y', /7"~
,
Phone
(address )
(lics. no.)
(exnires)
(ohane no.
Primary Dc-",(','c ;",1 Mc.,'I<'S"w..C\\-\ t."<-? ')..co ~\'Y\lr;t.l'.\ tlV\\,.t-
Structura 1
Electrical
f1echanical
CONTRACTORS Inamel
General Mc..tl"'''' ~~ t-"''W\'''''\'~~f:',\
Plumbino T~AJ~,^ \,\,\'".,.. ~\,^"W\\:.:...\
Electrical L.R i\....,,\,"'~.'.,'
Hechanical \\o...vc... 04,.. \''f"~c.,-
1
PI.UIIBIrlG
'}.i)\. 1 Rl, "'\1.'\
1'2 )
r ~ ("ll{}
JJ-'-'"
(address) (1 in. no. \ (@xnir@s)
~~5W ')..l>Il\ t."l~~~" ,-\<;;,,;,"!.q 1. 8~
'I..~.~v M~ \,,-llQ
').0-%1 <.. \0-8"1
11 \;-,-811
(ohonp nn. )
-:\1,1'., ll\~
I.,Q~ 1411.\
,"3 1;\.,,9
''ll. IV).,\
ELECTRICAl.
MECHANICAL
9
Each single fixture
7.5'0 'Z:<.~
FEE CIIARGE ..lliL.....
Residence of
SQ. FT.
I
furnace/burner to
BTU's
,K --- r T4'P HV#- b?'f. a::.- ~
-Floor furnace
and vent
NO,
Relocated building
(new fix. additional)
S.F. Residence
tl bath)
Duplex (1 bath) each
Additional bath
~Iater service
Sewer
(,
Ci "t
r:..;' v I
(") /\ "/
rT
Storm Sewer
FFF
CIIJlRG.E. ..1!P,
FFF 01
~ New circuits alts.
or ext~sions
::z O?? /'b#'fl':=
SERVICES
:n.~
Recessed wa 11
Sn~cp hp~tpr And vpnt
/
Temporary Construction
Change in existing
rpc;;;de.nce
multifamily, COrml. or
Indu~triAl
Of !&:;>P amps.
CD~j./IND, FEEDERS
Install/alter/relocate
di~trih. fpprlpr~
Appliance vent
seoarat@
Stationary evap.
cooler
Vent fan wi th
sinole duct
Vent system apart from
heatinq or A.C.
Mechanical exhaust
hOl'ld and duct
Wood stove/heater
3
I
z:zs>:>
Of
--. <:$.?:5 7};q~
:z..:
amps.
ISSUANCE OF PFRllIT
TOTAL CHARGES "2:.::?_50 I TOTAL CHARGES ~S""""', TOTA~ CHARGES 6"=<::>6>
W!lERE STATE L\H REQUIRES that the Electricill work be done by an Electrical Contractor, the electrical 110rtion of this peroit
shall not be vali1 until the label has been signed by an Electrical Surervisor and returned to the Ouilding Division
I HAVE CAREFUllY EXAt11NEO the completed apr1ication for nermit. and do hereby certify that all information hereon is true
and correct. and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City
of Springfield and the laws of the State of Orel')on pertaining to the work described herein, and that NO OCCUPArlCY will be made
of any structure without the permission of the Building Division. I further certify that my registration with the Builder's
Ooard is in full force and effect as required by DP-S 701.055. that if exempt the basis for exemption is noted hereon. and that
only subcontractors and employees who are in compliance with OP.S 701.055 will be used on this project. ,I
r- \ \. '''' '1
tWIE(please print) ~,"\c~" '" '0 fY.'''' W\\-N\
Zone
.cc.
Tvoc/Const.~~
Bedrooms
Fi re lone
Flood Plain
Stories
/
:4f}//f~_
DATE /- 3/"89
~nits
Occy ~oad
Occy Group
SIGIIATURE
Far. OFFICE USE DIlLY
Sq. H!J. 11ain x Value
Sq. Ft!J. Access x Value
3-2 Sq, Ftg. Other/......"".........~value
--4> /7. \ TOTAL VALUATION
r-l 1<'.I>OJu- _ . ,?'l~
. '<3 =.?. ,Lc.~,,, .Systems Development
_ '..r..J Charqe (1. 5~):::?39J..
/B~
;
II ~,)",'t
/-7= =-> Plan Ck. Cbnrn Ind
_ _ __ ~~-:..~::-__ -Ml/Bldn P,~r re.
Plan Ck. Res
30%/Bldq Per Fee
BUILDING PERMIT1/
Charges an~
Surcharges
P~UMBING PERMITc;
Cha rges and
Surcharges
6:- ce3
____:::t.-{~~_
..< /?
____{f5;~__
2-~S
,h<;"""""""
_____G/_'"'_____
.7S-
ELECTRICAL P[RI~T
Charges and L
Surcharges
I1ECHANICAL PERMIT
Charges and
Surcharges
lJ
75'".60
."2-:"2..--
Fence
Domo
Sidewalk
A/C Paving
Total Comb. Permit
-;2'Z/' ::)6
Curb Cut
TOTA~
:2'97. /(;
.
.
!
,. ~,.)
COMBINATION APPLICATION/PERMIT (CAP)
PERMIT VALIDATIDN
I. Applicant to furnish
A. Job Address
B, Lega I Descri p't i on
I. examole- Tax Lot 100, Lane County Map Reference
.1/ OJ 43
2, examp)e- Lot 1, Block 3, 2nd Addition to
,. sprlngtield Estates
C. Name, etc. of owner and construction lender
O. Energy Sources
1. examole- heat/electrical ceilinq/or forced air qas
2. examyle- ,waterheater/electrlcal/or solar
E. Square footage or valuation, etc. -
I, example- 1250 sq. foot house, SOD 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 gar"'ge
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 (a) of the
Structural Specialty Code
H. DESIGN TEAfI 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 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 arc 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
0, 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 penmit is issued for his
signa ture.
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.
Kec, #= 13170
V. FOR OFFICE USE ONLY
Permi t Clerk_ dq A~~
~ - /()\......:)~ &C-1
]
PROJECT CONDITIONS TO BE SATISFI ED BEFORE OCCUPANCY:
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Infonnation:
PLANS REVIEWED BY:
name LoaM:!: 7=2- e:c:;:- ~
signature
/'/~~~-~
/' /- ,IfY
date 'A'-~-:;;?9
~
.
.. Riquired
IT IS THE RESPONSIBILITY OF TilE PER-'lIT HOLDER TO SEE TIlAT ALL INSPECTIONS ARE HADE AT
TIlAT EACII ADDRESS IS READABLE FROIl THE STREET, AND TIlAT TilE PER-'IIT CAr.D IS LOCATED AT
PROPERTY, BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TUlES.
Inspections ..
..
THE PROPER TIllE,
rilE FRom OF THE
PROCEDURE FOR REQUESTING INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB Nm:BER,
job ~ddrcss. type of inspection rCClucstcd and \olhcn you will be rc.::dy for the in5pccticn. Contr<lcto:,s
0= Q\Yncrs nome and nhone n~~bcr. Rcqucst~ received before 7:00 am will be ~adc the sa~c day, requests
received after 7:00. am will be ~dc the followinh work day.
Your City Designated Job Number Is: ~S?~~
Job Ac!dress: /~ '3 <9 ~/lN"",,r:R 7?4,>'fPc---_ (!5;r",;>
Ovner: .I1/4!:~A_Li!.-J1.?C>P?_~ //r,-":> A/. w: Phone: "2&9- //7JG"
_con.=.:.aetor :.MS<<'~7:::=: aft>-""'" 5'=?~~ Phone: "3 Y'-;?- 7 ~~?
SITE INSPECTION: To be "",de D
Olftcr cx.cav:J.tion, but prior . \
to setup cf forms. ~ D
UNOf:RSI.An PT.lIHElJNGJ EJ.f.CTRIC.\I. 0\1
~ ~IECII'\NIC^I.: To be :D:J.dc bcfcr '\
nny ~ork 15 covered.
CONCRETE SLAn INSPECTtON: To be I I '[tC]
m01dc aiter nll inslab building '1 ~
service equipment. conduit. piping.
~ccessories and other ancillary ~
equipment items are in pla~e but
before any concrete is poured. 0
FooTTNGS Ii FOtlNO^TTONS: To be made
after trenchcs arc excavated and
forms arc erected, all steel in
place, hut prior to pouring concrete.
~O~nGnOUNO: Plumbing. Electrical,
Gas, Sanitary Sewer, Storm Sewer,
Water and Drainage lines. To be
made prior to coverin& or filling
trenches.
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UNnEnFLocn:, Plumbing, Electrical,
Mechanical. To be made prior to
installation of floor insulation,
decking or floor sheathing.
POST ~ nE~I: To be made prior to
installation of floor insulation,
decking or floor sheating.'.
Ft.OOR INSUtATJON t. VAPOR MnnmRS:
To be made prior to install~tion
of decking or floor sheating.
~~SONRY: Steel location, bond beams
grouting or verticals in ~ccordance
with U.O.C, Section 2415.
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Prior
1)/'70
Arne DRAFT STOPS & CURTAIN "AI.LS,
SPECIAl. INSPECTIONS: In accordar:cc ,,'ith
Se:tion 306 of the Building Code a special
inspector shall be employed by the O..~erl
Contractor during construction of the
fellowing work. A cepy of t~c special
testi~g reports shall be furnishe~ to the
BuihJin& Division.
FIREr~^CE: Prior to
materials and before
inspection.
placing
framin&
facing
o
be
INSlIlATION & VAPon MRR~ER: To
made after all insulation ~nd
required vapor barriers arc in place
but before any lath or r.ypsuc bo~r1_ ---,
interior wall covering is applicd'(l) ~
FRAmNG: To be made after the roof, --,
all framing, fire blocking and ---l
bracing arc in place and all pipes.
chimneys and vents are complete and --,
the rough electrical, plumbing and ~
heating wires, pipes and ducts are
approved.
STRtlCTtlRAl. CD~:r.nETE:
1'.5.1. (30b a.l)
In excess of 30C-:
STRUCTUR.:\1. t'o'f:WS: Preformed on the
job. (2722 f)
mGIl 5TnENr.T1l nCI.TIXG: Durinr. all _
bolt i:1st;l11atiol1 a~d tighting
operations (306 a.S)
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--, SPRAYED ON FIREPnOOFI~G: (u.n.c,
-.J Stan~an!.s o1S-ij)
tATII ANn/OR r.YPSt~ nDARO INSPECTION: --,
To be made after all lathing and ~
g)~sum board, interior and exterior,
~s in p~ace but before any plasterin~ --, Gl.ll-I.Ml nEA.'!S: l:1spection Certificate.
~s.applled or before gypsum board 1~---3 by an ;lP?roved ar.e~cy. furnished to
)~l~tS and fasteners arc taped and L 'the City's 2uilding Division before
flnlshed. beams are placed. (2S01-U.B.C. STDS.
WoonSTOVES: After installation is ---, 25-10,11).
completed. ---3
SIOE,..."t.K r. DRIVEWAY: Requircd for
all concrete paving within street
right-of-way, to be made after all
excavating complete G form work &
sub-base material in place.
CURB AND :\PPROACII APRON: After forms
arc erected but prior to pouring
concrete.
FIRE r, SEPARATION t"Al.I.: Locatcd G
ccnstructed according to plans.
SPECIAl. GRADI~C:.
FII.I.I~G: D;Jring
& Chapter 29)
EXCAV,\TI0N .\.'\0
e,Hthwork. (SOC- a.11
ROOF S!IEA'!111~~G A.'ln N^tl.lNG:
to installing any roofing.
Roural pl.mmTNG. EI.EC'rnJCAI. t,
~IEC!l,\:\CIAI.: No ~ork is to be covered
ur:ti 1 these inspections have been I \ f\ _
m;lde and approved. ~ ~
PARy'ING LOT: After gravel
place but prior to placing
or concrete.
*In ;lddition to the inspections
specified hereon. the Buildini
Official ~ay make or require other
inspections of any construction
work to ascertain cocpliancc with
the Building, City or Zoning Codes.
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is in
asphalt
FINAL PLUl-19ING 1.-1 0
FINAL oLECTRICAL L\ q .
I vi FINAl. 9111 LnINr.: ~tust he requested after the final Plumbing, Electric:!.l. ~Icchanical and Fire
V' Oepartm~nt inspections are made and approved. No Occup~ncy of the premises c~n ~e m3de until
FINAL ~lEal,\NICAL :3 q \. O\a Certificate of Occupancy has been issued b)' the Building Divisicn and postcd on the premises
FINAL FInE DEPARll~\rr
Lt~
CITY'S SITT: PI.A~ nEVI F.'" BOARn INsrEcrIO~: ~Iust be reGuested 2 d'~ys in ~dvance of the date yeu
wish inspection. All project con1itions such as landscaping, parkin& lot striping etc. must
be com~lcted hcf~rc requesting this inspection.
SICNAT1JR~
DATE
* Al.l. ~IANIlOt.ES AND CL~ANOUTS ~IUST BE .\CCESSIDl.E, AOJUSntENT TO DE MADE AT NO COST TO TIlE CITY.