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HomeMy WebLinkAboutPermit Building 1988-5-13 CITY OF SPRINGFIELD.' INfORltATlON UNE COMBIIlATION APPLICATION/PERMIT 726-3753 EilERGY SOURCES: SQ. Ftg. 1.lain /~""'''''-r Heat~ l'V~ ~Q. Ftg. Access. \later Heater~~~ SQ. Ftg. Other Xllew Add Alter Pep. RanQe__,.__.,'.'.._ -Fence Demo ChangelOse ValuE of Hork: XOther~~~ /I./~'T. 60 Bdfloina Permit Info: Describe Work(i.e.. Build Single Familv ~esidence With Attached Garaael , " , j,"iSPECTIOIl LIIlE 726- 37 69 . Job Address IBl!{1iJ ~""N=-C'__ ~~.#r" &s7 Legal De5CriPtion/7"':>=3.2~.:ZE. /9~.'Z~?/~ Owner 1h~L.h?A1-N ~P.6'?Q>..:5S )%/f/. Address..,. /u ~ / ~ "::<'"~:~ ......""'" /y. /"""",~Wk' rS. '.-r~. _ _ '/'1 ~~.l> _~7? 9?:z/? , # Construction lender ~ ~ ,~ ~,q::--97d""" ~F &"'....<:- S7/~ /Z;;e ?~m Ub' Address Phone Ut~lbN ItN1 (name) (address) (lies. no.) (exoiresl Primary ~V/D h?~o-;".,.^" ?~.. /":Z2Cl::> A( ,1,."'77€.A- ~:. ~~ Structura 1 Electrical dohone no.') ~..?...?5"'4 2.')."/ I r:s" /: Mechanical CONTRACTORS (name) (addrpss) (1;~~. no.) (pxnirps) General.M~c5l1-'.2/&; ",- -~..-..4?L/"""" C~~.~ Jv. '2~ G..::..&;'~ PlumbinorM4 J?~(' 7?H'c,.4--, 7~~ w: MCPH:>'-'A+'/ &-":;"~:Ji< Electr;calL.R 1?1<?~~/,<AC" ~W=""/ ,>y''Y..v7(!? D. 5'~/~ ." ; -I, ,.. ; _, _ , ~ '1echanic'al ~711tE"7' ~ ~/~ ~,' ~6"" AJh~,.t;:'r ~r , , . FFF 1;HARr.L.1IO.-1 Residence of 7.S~ :--- SQ. FT. ~ New circu~ts alts. or exte~:~onk ~ <>R. b SERVICES PLUI1BlNG ELECTRICAL JQ.,. 'I Each single fixture Relocated building (new fix. additional) S.F. Residence C1 bath \ Duplex (1 bath) each Additional bath I=~~.LI:IAR.G..E.. ~In (ohnn,. no \ ~-7'/~9' r.:R-::i?~/q/~ ~7-b~~ 7<<&./~2/ MECHANICAL """ 'u ABliE. / furnace/burner to BTU' ~I/A-c.. /...I""""~ Floo.r furnace and vent ~- ~ Recessed wa 11 ~o~rp hp~tpr ~nrl vpnt Appliance vent 'ieoaratp Stationary evap. cooler Vent fan wi th sinole duct Vent system apart from I heatino or A.C. Mechanical exhaust hnnd and rlurt ~fater service Temporary Construction Change in existing l"P5-jd.fJ1('p mUltifamily, conm. or Inrluo;trial Sewer Storm Sewer J Of ~ / amps. ::?7.J2 COI*I./IND. FEEDERS Install/alter/relocate rli<:trit'L fpp!'iprc:. Of Wood stove/heater ,/ 6A"5 P/?/~ :::?-- amps. ~.- ISSUANCE OF PFRIHT TOTAL CHARGES 30:'-' TOTAL CHARGES 7"5:"- TOTAL CHARGES ~# /-<;;: pO WHERE STATE L,'\~ REQUIRES that the Electrical work bo 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 I HAVE CAREFUllY EXM1INED 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 tIC 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 compliance with ORS 7nl.055 wil~used on this~roject. IlA/-IE(please pr;nt)J..LG"'" U 2~~ SIr.IIATURE. ~, U~ DATE~.4~ FO~ OFFICE USE DIlLY Sq. Ftg. Itain /;{~ ?" SQ. Ft~. Access SQ. Ftg. Other 20ne L:L Fire Zone TYDe/Const.~ ~Units Bedrooms Occy Load Stories / Occy Groupfi-;Z Flood Plain BUILDING PER~1lT Charges and "'"" Surcharges ~ r!) Plan Ck. Comm/lnd 65X/Bldo ~pr Fp~ Plan Ck. Res 3D%/Bldo Per Fee Fence 97-:s~ ------------ $/. 6;$ PLUt~BING PERMIT ~GX tn> Charges and r/' ---~'-.:.--_:-- Surcharges ") I _~O ELECTRICAL PERrHT L/<: """'" Charges and \J ____7...-J.. Surcharges, -:2.?> MECHANICAL PERMIT Charges and Surcharges DfIRlo Sldowal k AIC Paving ~ __n/S;_~__ .7S' Curb Cut x x x Value #-/~SI'. ao Value Value TOTAL VALUATION 1i!.;pr. //~~. :r:> 6>1!. ..... ~ /...../-::2. Systems Devel~~;-/// .-rd ~ 0/ CharQe (1.5~) ..,~. fa..... Total Comb. Permit TOTAL /9/ ~~ I I -::z 3'8 27 ~ . . p -. COMBINATION APPLICATIONIPERMIT (CAP) PERMIT VALIDATIDN I. Applicant to furnish A. Job Address B. Legal Description 1. example. Tax lot 100, lane County Map Reference 'II 03 43 2. exa~le- Lot I. Block 3, 2nd Addition to spr,ngtield Estates ' C. Name. etc. of owner and construction lender O. Energy Sources. .. 1. example- heat/electrical ceilinq/or forced air Qas 2. exam~le- waterheaterjelectrical/or solar E. Square footage or valuation, etc. - I. 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. example - construct single family house with an attached garage 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 ;n Section 303 (a) of the Structural Specialty Code H. DESIGN TEAfl AND CONTRACTORS To avoid design or construction delays, Building Division, Staff must be able to contact appropriate ., per:sons regarding design information or job. site corrections, etc. . ,I!. 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 DIVISION STAFF WILL FILL OOT ALL FEES AND CHARGES ON THE SCHEOOLES 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 electr;cal 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 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. ,. 1151/ '. ':)-/3 -ft V. FOR OFFICE OSE ONLY Permit Clerk 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 Lf1J}1?NE 7i (:t!j e?f signature ~~-~ -/ , da te )) "~.. .;;.e. , ~. .. Required Inspections.. " . . IT IS THE RESPONSIBILITY OF THE PERtlIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TUlE, THAT EACH ADDRESS IS READABLE FROII TilE STREET, AND THAT TilE PER.'UT CARD IS LOCATED AT THE FRONT OF THE PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIllES. PROCEDURE FOR REQUESTINr. INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB Nu}IBER. job address, type of inspection requested and \-lhen you will be ready for the inspection. Contractors or o~~ers name and phone number. Requests received before 7:00 am will be ~Ade the same day, requests received after 7:00 am will be ~de the followin~ work day. Your City Designated Job Number Is: ~8 jI Job Address: /&$3 ~b,c;.L..-r...-><::, ~~/..H"A-Y z:::~ Owner: A'/I!.LMA/V ~~7/Z~ Phone: ~ //3(;; Contractor:.M..::..tE#~/E/ .-/Wh:> ~C/_<:.. Phone: ~ $''3-7/<;(:9' , , D ~ [RJ ~ SITE INSPECTION: To be made after excavation, but prior to setup of forms. UNDERSLAB PLUMBING. ELECTRICAL & !>tECHAJ'HCAL: To be made before 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. D FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in -place, but prior to pouring concrete. D UNDERGROUND: Plumbing, Electrical, Gas, Sanitary Sewer, Storm Sewer, Water and Drainage lines. To be made prior to covering or filling trenches. o UNDERFLOCR: . 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 sheating.. FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheating. MASONRY: Steel location, bond beams grouting or verticals in accordance with U.8.C. Section 2415. o D D D !KJ ROOF SHEATHI~G ~~D NAILING: to installing any roofing. Prior o m [K] D o ATIIC DRAFT STOPS & CURTAIN I'ALLS. D FIREPLACE: Prior to placing facing materials and before framing inspection. C; {~ I ~I INSULATION & VAPOR BARRIER: To be ~ made after all insulation and required vapor barriers are in place but before any lath or gypsum board :J LP interior wall covering is applied. rvl FRAMING: To be made after the roof, :J Ll2J all framing, fire blocking and bracing are in place and all pipes, chimneys and vents are complete and :J the rough electrical, plumbing and heating wires, pipes and ducts are approved. D ~ t I :J LATH AND/OR GYPSUM BOARD INSPECTION: :J To be made after all lathing and g)~sum board, interior and exterior, is in place but before any Plasterlfl!:J is applied or before gypsum board joints and fasteners are taped and finished. 'SPECIAL INSPECTIONS: In accordance \\'ith Section 306 of the Building Code a special inspector shall be employed by the Owner/ Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. STRUCTURAL CO~CRETE: P.S.I. (306 a.l) In excess of 3000 FIRE & SEPARATION WALL: Located & constructed according to plans. D o WOODSTOVES: After installation is 'completed. SIDEWALK ft DRIVEWAY: Required for all concrete paving within street right-of-way, to be made after all excavating complete & form work & sub-base material in place. CURB AND APPROACH APRON: After forms are erected but prior to pouring concrete. STRUCTUR~L WELDS: Preformed on the job. (2722 f) HIGH STRENGTH BOLTING: During all . bolt installation and tighting operations (306 a.5) SPRAYED ON FIRE~ROOFING: Standards 43~8) (U.B.C. D PARKING LOT: After gravel place but prior to placing or concrete. is in aspha 1 t SPECIAL GRADING, FILLING: ~~ring & Chapter 29) EXCAVATION AND earthwork. (306 a.ll ::J GLU-LAM BEA!IS: 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. ";)Cj 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 bu com~leted he fore requesting this inspection. FINAL PLUMBING FINAL ELECTRICAL '9'1 ~e:;FINAL !3UILD~NG: ~st be requested after the final Plumbing, Electrical~ ~techanical and Fire ~ Department lnspectlons are made and approved. No Occupancy of the premIses can be made until . a Certificate of Occupancy has been issued by the Building Division and posted on the premises FINAL MECHANICAL ?,t') 00 FINAL FIRE DEPARTME~rr V.l SICNATURE DATF *ALL 'VWHOLES AND CLEANOUTS 'IDST BE ACCESSIBLE, ADJUST>~NT TO BE '~DE AT NO COST TO THE CITY.