HomeMy WebLinkAboutPermit Building 1988-8-17 (2)
L IrI~PECTIOrl L1IIE
j 726-3769
Job Address I f>(pZ>
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Le9al Description /7~'$-~.~ ~ _~"'''2./c;:f!!:>
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PlOt1I!~ rA~Y' ~S7
Owner l-!1UM,/lH ~Ie& N,W.
Address000 1-1. 1'~~ 1~LAt4 Pf2.,
FOf"I1.MD. ~&H 0112x1
Construction Lender
Structural
Electrical
NO.
Phone2t@'I\~
PLUJIBIrlG
FEF rHARr.F
Nn
Residence of
Each single fixture
7..Sl> ~
:z
Relocated buildin9
(new fix. additional)
New circuits a1t5.
~ or extensions
"2."",.z:?~&
SERVICES
Z7-J
l's.F. P.esidence
(J bath 1
IDuplex (I bath)
IAdditional bath
IWater service
I Sewer
I Storm Sewer
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INFDRlIATlON L1Nl ~.
726-3753
Sq. Ftg. 1,Iain
!:q. ng. Access.
Sq. Ftg. Other.(~~~__ ~
Xllew Add Alter Rep. ---V
Ranqe -Fence Demo Change/Use ~
ValUE of f!Ork:/S; C1!JeJ .;[Othe~~~e '-'
Builciino Permit Info: Describe Work(i~e., Build Single ~
FamUv Il.esidence Hith t&.ttachp.d GaraQe) I
~ .:g,Aek-lf ~~ ~
J;. ~;.~. I N
I <.EL .cHARliE
furnace/burner B~~' s /-:._1
I ~7~"~ _/~oI._"''''';';'-- :;>
Floor furnace
and vent
ELECTRICAL
MECHANICAL
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I Of /..?V> amps.1 1-;?.7~
I COMl-I.IIND. FEEDERS I I
I Install/alter/relocate I I
r1ic:.trih fpprlpr<
IOf amps./ / I
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I I I I I 1'/ ISSUANCE OF PFRllIT
TOTAL CHARGES ,(;):~ I TOTAL CHARGES ~~I TOTAL CHARGES ,!??/~_ Le;:-
WHEnE STATE L"j REQUIRES that the Electrical work be done by an'Electrical Contractor, the electrical portion of this permit
shall not be vali1 until the label has been signed by an Electrical Supervisor and returned to the Building Division
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Address Phone I
:::~::yTEAI1~n~ ~!I'lfl1JO tt~ ~c~~ 1'ln;1X/~~~ j 1-;;;o:e1~~ I
I I I V61
'-.... ^ ).~(___r\J ~"j~O
Mechanical v tI
::::::~TO~ lnamel ~~d~eS~~ J.le)~~~jd7.XOirp<~A~7np nn, \ I
Plumbino-1l'..lIt-l f1~ fUIM~W /'Lo?Jo J.<.I. _~i\-P1 ~~IfJ40MW'%~ b t't '
Electrical !,~ ~ I~. 't! ~~WJ 'IE111jl)o.'G1t. JtJ. '~
flechanical C ~ '1e1 ~""'.:;)
CITY OF SPRINGFIELD
COHBIIIATlON APPLICATION/PERMIT
E!IERGY SOURCES:
Heat~.At~
Water Heater~~;'"/'~
each
<<<
r~J1RG.E. Nn_
SQ. FT.
Recessed wall
~n~rp hp~tpr ~nrl vpnt
ITempOrary Construction
IChange in existing
rpc;jr1.f>}lt':P
multifamily, corrm. or
Industrial
I HAVE CAREFULLY EXN1INED 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 OCCUPAIKY 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 OP.S 701.055 will be used on this project.
IlAI-1E(please print) ,fA1l1t%,.4, ~~~
Zone_ ~
Fire Zone
Flood Plain
BUILDING PERfllT
Charges and
Surcharges
PLU'1BING PERMIT
Charges and
Surcha rges
ELECTRICAL PERlm
Cha rges and
Surcha rges
11ECHANICAL PERMIT
Charges and
Surchar!]es
Tyoe/Const.~~Units
/
Bedrooms Occy Load
Stories I Occy Group
ffh2.
"
r Plan Ck. Co","/Ind
... _ _L ((:;?_$??_ _ _ 65%1Bl do p.pr Fpp
Plan n. Res
:S:5::? 3D%/Bldo Per Fee
...--L~~-Sl :::e
____rs_~-\.\I Sidewalk
-Z -:zs-'~ A/C Paving
...__./...6?~_\;1 Curb Cut
-7<) I
Appliance vent
~poariltp
Stationary evap.
coolp.r
Vent fan with
sinole duct
I' Vent sys tern apa rt from I
heatino or A.C.
I Mechanical exhaust
hood and durt
Il100d stove/heater
....--/ ~ hi-~.;,___.
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a &X (VOA.1JPcTE ~/%b
C:~-- ".,L-
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Total Comb. Permit
/'?'Y-?8
SIGIIA~
FO~ OFrCUSE OilLY' ...-
Sq. Ftg. t1a;n x Value
Sq. Ftl]. Access )( Value
Sq. Ftg. Other~-4t""'.?<!"~~alue~ ~.....
7/, II 3 TOTAL VALUATION
).,,,,r./ oS; \ Systems Development
~"'~ 4 -d~ Charqe (1.5~)~
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IIOTAL
257. .78
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COMBINATION APPLICATION/PERMIT (CAP)
I, Applicant to furnish
A. Job Address
B. Legal Description
1. example- Tax Lot 100, Lane County Map Reference
17 03 43
2. exam~le- Lot 1. Block 3, 2nd Addition to
>pr,ngtield 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. exam~le- 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. example - construct single family house with an
attached garage
2. exam~le - remodel existing garage into family room
3. examole - convert single family residence into
restaurant (chan-ge of use) ,
G. Value of work as defined in Section 303 (al of the
Structural Specialty Code
H. DESIGN TEAM ANO 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 penmit 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. ---
Applicant to sign and date
Whenever possible, the initial application will be used as
a worksheet only. Where possible, Building ~ivision Staff
will prepare a type written copy and return it to the
applicant at the time the actual permit 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.
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V. FOR OFFICE USE ONLY
.PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
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PERMIT VALIDATION
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8 - n--tf
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Permi t
Clerk LC-
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Permit appl i cant exemet from reg i strati on with the Buil der I S Board because':
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Additional Project Information:
PLANS REVIEWED BY:
name L-:,R~ ;::z:,; ~.;E;:?
signatur~____
//
?~-=
../
date g-%-&'8;-
'.[~
.~
~
-,equired
Inspe.ons ..
IT IS TIlE RESPONSIBILITY OF TilE PER!UT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TIlE PROPER TIllE.
TIlAT EACII ADDRESS IS READABLE FRO!! n:E STRF.ET, AND TIlAT TilE PER.'!IT CAnD IS LDCATED AT TilE FROllT OF THE
PROPERTY, BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIllES.
PROCEDURE FOR REQUF.STING INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB Nu}~ER.
job address. type of inspection ret'lcested and \olhen YO\1 will be re.::.dy for the inspection. Contracto~s
or owners name and ohone number. Requests received before 7:00 am will .be ~Ade the same day, requests
received after 7:00' am will be nade the followin~ work day,
Your City DesiKnated Job Number Is: ~~~
Job Address: /J&; 3 ~/JNF':,2 'P..4."J/t' W'A'-Y' b4:>r T
Owner:ffi~.M#,N ~~ //,...-, ,A(vr:.. Phone:~ //3&
Contractor:#~~.?/.e- 4+:..-'Z>~~Phone: ""3Y3'-7/73'
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CITY'S SITE PLAS REVIEW BO~RD INSPECTIO~: Must be reGuested 2 days in advance of the date
wish inspectio~. All project conditions such as landscaping, parkin, lot striping etc. musl
b. comai,,1J~ before requesting tbis inspection.
FINAL 9111LDING: Must be requested after the final Plumbing, Electric3.l. Hechanical and Fi:"
Department inspections are made and approved. No Occupancy of the premises can be made unt
a Certificate of Occupancy has been issued by the Building Division and postcd on the premi:
SITE INSPECTION: To' be made D
after excavatiOn, but prior
to setup of forms. .1) \ D
UNDERSLAB PLmtBING1 ELECTRIC~t i' \
& ~IECHA.'Ii1CAL: To be :nade before U
any ~ork ~s covered. -\
CONCRETE SLAB iNSPECTiO~: To be [Z]
made after all ins lab building
service equipment. conduit. PiPin~
accessories and other and llary ,
equipment items are in place but
before any concrete is poured.
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FOOTINGS 8 FOUNDATIONS: To bc 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.
W3~er and Drainage lines. To be
made prior to covering or filling
trenches.
UNDERFLOOR: I Plumbing. Electrical,
Mechanical. To be made prior to
installation of floor ins~lation,
decking or floor sheathing.
POST 8 BEAM: To be made prior to
installation of floor insulation,
decking or floor sheating.'.
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FLOOR INSULATIO~ B VAPOR BARRIERS:
To be made prior to install3.tion
of decking or floor sheating.
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~~SONRY: Steel location, bond beams
grouting or verticals in accordance 0
with U.S.C. Section 2415.
ROOF SHEA'!lfP!G A.~lD NAI LING: Prior. Vb
to installing any roofing. ')1).," ~
RQUr.H PLL~IBING. ELECTRICAL B if;)
~IECHA.'\;CIAL: No "'ork is to be covered
until thcse inspections have been
made and approved.
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FIN.'L PL\JHSiNG;:j,. C\
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FI~AL ELECTRiCAL \;~~ .
FINAL HEOIANICAL J~I.x:1
FINAL FIRE DEPART}~~IT\i~
SIC~AruRE
ATTIC ORAFT STOPS B CURTAiN WALLS.
SPECIAL INSPECTIO~S: In accordance ~ith
-Se:tion 306 of the Building Code a special
inspector shall be employed by the ~~erl
Contractor during construction of the
following work. A copy of the special
testi~g reports shall be furnished to the'
Build!ng Division.
FIREPLACE: Prior to placing facing
materials and before frami~1
inspection. (/\ \~
INSULATION 8 VAPOR B^RR!ER: To be
made after all insulation ~nd,
required vapor barriers are in place
but before any lath or gypsum board
interior wall covering is applied.
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::J STRUCTIJRAL CO~CRETE: In excess of 31,
~.S.I. [306 a.i)
FRAHlNG: To be made after the rrY' ::J
all framing, fire blocking and
bracing are in place and all pip .
chimneys and vents are complete and ::J
the rough electrical, plumbing and
heating ",ires. pipes and ducts are
approved.
FIRE & SEPARATION WALL: Located 6 ::J SPRAYED ON FIREPROOFI~G: (U.B.C.
constructed. according to plans. \ 0 Standards 43-8)
LATH AND/OR r.YPS~1 BOARD I~SPECTION: ::J SPECIAL GRADIXG. EXCAVATION ~~D
_ FILLl~G: [)o,Jring earthwork. (S06 a.l
To be made aft~r al~ lathir:.g and. . & Cha ter 29)
g)~sum board, lnter~or and exterlor, p
~s in p~ace but before any Plasterin&::J GLU-LAM BE~!S: Inspection Certificat i
~s.appl~ed or before gypsum board by an ap?ro~ed agency, furnished to
J~~~ts and fasteners are taped and .the City's Building Division before
fln1shed. beams are placed. (2501-U.B.C. STDS.
WOODSTOVES: After installation is ::J 25-10,11).
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 placc.
CURB AND APPROACH APRON: After forms
are crected but prior to pouring
concrete.
STRUCTUR\L WELDS ~ Preformed on the
job. [2722 f)
HIGH STRENGTH BOLTING: Ouring all
bolt installation and tighting
oper3tions (306 n.S)
PARY.ING LOT: After gravel is in
place but prior to placing asphalt
or concrete.
*In addition to the inspections
specified hereon. the Building
Official ~ay make or require other
inspections of any construction
work to ascertain co~pliance with
the Building, City or Zoning Codes.
DATE
... ALL MA.'\HOl.ES AND CL~ANOUTS ~nJST BE .\CCESSIBLE. ADJUSnfENT TO BE ~tADE AT NO COST TO ntE CITY.