HomeMy WebLinkAboutPermit Building 1988-8-3
.,
. INSPECTION LINE . CITY Of SPRINGfIELD
r726-3769 COMBINATION APPLICATION/PERMIT
EIIERGY SOURCES:
Job Address &</1 PA::>N~ . ~..;"~A"Y ~T. He.t (,J,I<.
Leg.l Description J7-"3-2t:.-23 /~_2~~''2/~ li.ter He.ter ~"l'"
, R.n~e 'VA-
Vi\ltJ< of Hork:
"f"Z.6~D
BuilGinCl Permit Info: Describe Work( i..e.,
Familv nesidence With Attached Garaael
.' "
Owner. +t I UN\1I.J 'l"1lMl2:l'2-'1le;" "lol.;U\4-UlL.~
Address4eo rJ. \A....A~\L. klhvO ~ Phone Z$!;.o41l 1
"'M.-ru....o kfL "l1Z,l1 .1'1'1"1
.
INfORllATION LINE
726-3753
Sq. Ftg. r-t.in-.J:\rDl"l
~q. Ftg. Access. ----
Sq. Ftg. Other
lIew Add Alter pep.
--Fence Demo Change/Use
Other- -
\IV
~
I~
--.
-t)
Build Single
Construction lender
--r~ , l^M.~~
Sl'A~ zj/:.. 1b4-:s
Address
Ut" GN TEA'"
(name)
Phone
(address)
Primary
~~~A
(..l)IJ~~-,
4-40 (~"<P-JJ.I?--.I
Structural
Electrical
-
Meehan; ca 1
CONTRACTORS Iname}
Gener.l(-(r;>, 1/\/1'11 ~ ~"
Plumbino..... \!nC", l.pWM~
Electric.l G ~ S ~"TI2.l<:'"
'Iech.nic.l ~\1~ ~ 'P1UU"':.
(address)
(lics. no.l
(exoires)
(ohane no.
rz. ~.~ ~- r-L. q74QI
41"7' ~(,?D
1>):-1
(lie",_ nn.'
~I='I='
r"'l.RG.E. Nn
S-300
(pxn;rp,,1
(ohnn", l'ln_ \
,4<\.-:; 1"~ SPIl.p)l,I'il2>c> ~ '114-11 ~72- ~f>'3,
"" 110 NI>.J M.~,..:l "'~lZlJ.,) ~~OIZ..<-, <R- "1<\-10 ,,_
,-,=5 .D<;<; I
?44-' 'Zt.~.
(4(., - It. Zl
I
~7SZ'
I
I
I
I
I
I
TOTAL CHARGES :::?<_~&:> TOTAL CHARGES ~ ~ TOTAL CHARGES /5: ,S-O
WHERE STATE LAH REQUIRES th.t the Electric.l work be done by .n Electric.l Contr.ctor, the electric.l portion of this pe~it
shall not be vali1 until the label has been signed by an Electrical Supervisor and returned to the Building Division
I HAVE CAREFULLY EXM1INED the completed .pplic.tion for permit, .nd do hereby certify th.t .11 inform.tion 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 Oregon pertaining 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 he basis for exemption is noted hereon, and that
only subcontractors and employees who are in comoliance with OP.S 701.055 wil be use; tfn this project.
IlAlIE(ple.se print) ~ ~ SIGIlATURE ~u.v. DATE ,!r'l,./s'b
FOP. OfFICE USE OllL Y I
Sq. Ftg. riain x Value
Sq. Ftg. Access x Value
?-;;;: Sq. Ftg. Other~' .....,....;;:::>PV.lue 2~'--~
r;:::";'\l a TOTAL V ALUA II Uti
tJ \1"1"'2-, rl."")J
Pl.n Ck. Conm/In&- (10 .. ~ 7 fY ~...lSyste~s oeveloP~;;
65%/Bldo Pj'r Fpp .0-;> - O~CharQe (1.5~)~ . !,t)f').-
Plan Ck. Res
30%/Bldo Per Fee
PLUI1B I NG
ELECTRICAL
NO.
FEE I CHARGE .llO. I
Residence of
,
Each single fixture
SQ. FT.
7.5'L:. -:i'7.St
I
I,
Reloc.ted building
(new fix. .ddition.l)
. ~~ew circuits alts.
v- or extensions
? ~~ ~"",R6'
SERVICES
S.F. Residence
C1 bath)
Duplex (1 b.th) each
Addition.l b.th
Temporary Construction
IChange in existing
, rec;jqr,m'p
Imultifamily. comm. or
Tnrlllc:.t.riitl
10f 1C?t:>
ICOMfI./IND. FEEDERS
IInstall/alter/relocate I
rl;~trih fpprlpr~
IOf amp~1
I
i
I
Water service
Sewer
Storm Sewer
(
amps.1
~ ~
fJ)
i:
i
i
,
I'
Zone L.c::..
Fire Zone
Flood Plain
Type/Cons t. ::z/?'-h'.<;I}:>lJni ts
Bedrooms Occy Load
Stories / Dccy Group
BUILDING PERmT
Charges and
Surcharges
~
___t?~_~~_
.,' B.. S?
~ ~~ Fence
.....4_""""
------------
/_/3' De~o ,
b6?<rO I Sidewalk
------~~I A/C P.ving
-LS- S-c> I Curb Cut
--- --~-78--1
I
I
I
I
I
I
PLUliBING PERMIT
Charges and..' .;;
Surcharges
ELECTRICAL PERI~lT
Cha rges and
Surcharges
1..\
MECMANICAL PERMIT
Charges and I
Surcharges V
~.
MECHANICAL
I
I
furnace/burner to
~'~ BTU's
T/~ t:;,;'.Q;7""..
loor furnace
and vent
7.s-e:.
I ~n' I r~;&G.E.
Recessed wall
SMf"P h~r .1nrl vP'l!-_
'::(
Appliance vent I
c;.~o~ril.tp
Stationary evap. I I
cool~r
Vent fan with I?~I ~
sinolp rllJrt ;>.- 'G.
Vent system apart from I I
heatinq or A.C.
Mechanical exhaust I I
hood rind rlurt
I
6,...,., ~J09:<<=" I
I
I
Wood stove/heater
--
::? ""'"
ISSUANCE nF PFRmT
ITot.l,Comb. Permit
I
I TOTAL
~&'I,9'1
386.95'.1
'j
!t
I"
....
.
.
..
..... ,
.
COMBINATION APPLICATION/PERMIT (CAP)
PERMIT VALIDATION
I. Applicant to furnish
A. Job Address
B. Legal Description
I. examp.le- Tax Lot 10D, Lane County Map Reference
II 03 43
2. example- Lot I. Block 3, 2nd Addition to
Sprlngtield Estates
C. Name, etc. of owner and construction lender
D. Energy Sources
1. example- heat/electrical ceilinqjor forced air Qas
2. examele- waterheater/electrlcal/or solar
E. Square footage or valuation, etc.
I. example- 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. examole - construct single family house with an
attached gari!ge
2. examole - remodel existing garage into family room
3. examole - convert single family residence into
restaurant (change of use)
G. Value nf 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 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 avail,able 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 OUT ALL FEES AND
CHARGES ON THE SCHEOULES
O. 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.
IZH'E\t"'r j:l:: 1;200.1
V. FOR OFFICE USE ONLY
A ~ '6~~ <>-'
'8-~-~
Permit Clerk
.
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
Permit applicant exempt from registration with the Builder's Board because:
. Additional Project Information:
'.
PLANS REVIEWED BY:
~75'~P-"7t-~~ signature ~..____ _ ~ ~ .,. date is'-/- g B
-// ~
name
..-....
I
.., f
.~:_.u>-:=1
:.~
".quired
Inspec"ns ..
IT IS THE RESPONSIBILITY OF TilE PER.'lIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TP.E
THAT EACII ADDRESS IS READABLE FROIl TEE STREET. AND THAT TilE PERl'llT CAnD IS LOCATED AT TUE
PROPERTY. BUILDING DIVISION APPROVED PLANS MIlST BE ON JOB SITE AT ALL TIllES.
PROCEDURE FOR REQUESTING INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUfmER.
job i1ddress, type of inspection requested and ~lhen yon will be reedy for the inspection. Contracto=s
0= otmers name and phone n~~ber. Request~ received before 7:00 am will be ~Bde the same day, requests
received after 7:00 am will be ~de the following work day.
PROPER TIllE.
FRONT OF THE
Your City Designated Job Number Is: Rs:<o~/9
Job Address: /~9'3 h..NeeR ))~~y .:'7~-;~,
~er: b'fL.~~~ 2R4Dt!!7i'7/~ dw: Phone: 28""r //~
_{~r:oJL>A-~E'6'EV~ Phone: b7:?-~S-~?
D
[Z]
o
\...\
o
D
D
o
o
D
D
[Xl
[AJ
[]
[K]
[Z]
CITY'S SITE PLAN REVIEW 80~RD INSPECTION: Must be requested 2 days in advance of the date you
wish inspectio~. All project conditions such as landscaping. parkinc lot striping etc. must
be com~leted bef~re requesting this inspection.
SITE INSPECTION: To be made
after excavation. but prior l.f'1
to setup of forms. :>(),
UNDERSLAB PLmIBING. ELECTRICAL
& ~IECH~~ICAL: To be ~ade before
any ~ork 1S covered.
CONCRETE SLAB INSPECTION: To be
made aiter all ins lab building
service equipment, conduit. piping,
accessories and other ancillary
equipment items are in place but
before any concrete is poured.
lP
o
FOOTINGS & FOUNDATIONS: To be made
after trenches are excavnted 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.
UNDERFLOCR:. Plumbing. Electrical,
Mechanical. To be made prior to
installation of floor insulation,
decking or floor sheathing.
POST & BEAN: To be made prior to
installation of floor insulation,
decking or floor sheating.'.
FLOOR INSULATION 6 VAPOR BARRIERS:
To be made prior to inst311~tion
of decking or floor sheating.
~~SONRY: Steel location, bond beams
grouting or verticals in accordance
with U.B.C. Section 2415.
ROOF SHEATI1I~G ~lD NAILING: Prior
to installing any roofing. ")-?,?'" .0
ROUCH PLmlBING. ELECTRICAL 6 l.t"'l.
~IECH/\."CIAL: No ","ork is to be cof.ered
until these inspections have been
made and approved.
~
FINAL PLlJt-lBING
D
1d'J
[K]
\.to,
FINAL ELECTRICAL
D
D
o
D
o
1\
---, SPRAYED ON FIREPROOFING: (U.B.C.
--.J Standards 43-8)
LATH ANn/OR GYPSUM BOARD INSPECTION: ---,
To be made after all lathing and ~
g)~sum board, interior and exterior,
~s in p~ace but before any plnstering ---, GLU-LAM BEN'lS: Inspection Certificate,
~s.applled or before gypsum board ~ by an approved agency. furnished to
J01nts and fasteners are taped and 'the City's Building Division before
finished. beams are placed. (2S01-U.B.C. STDS.
WOODSTOVES: After installation is ---, 25-10,11).
completed. --.J
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 place.
CURB AND APPROACH APRON: After forms
are erected but prior to pouring
concrete.
ATTIC DRAFT STOPS 6 CURTAIN WALLS.
FIREPLACE: Prior to placing facing
materials and before framing
insp:ection.
INS~TION 6 VAPJR~^RRIER: To be
made after all insulation and
required vapor barriers are in place
hut before any lath or gypsum board
interior wall covering is applied.
FRAHlNG: 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 ~ires. pipes and ducts arc
approved.
FIRE & SEPARATION WALL: Located &
constructed according to plans.
o
o
o
PARKING LOT: After gravel
place but prior to placing
or concrete.
is in
asphalt
SPECIAL INSPECTIO~S: In accordance ~ith
Section 306 of the Building Code a special
inspector shall be employed by the O~~erl
Contractor during construction of the
following work. A cepy of the special
testing reports shall be furnished to the
Build!ng Division.
~
~
~
STRUCTURAL CO~CRETE: In excess of 300:
P.S.I. (306 a.1)
STRUCTURU h'ELDS: Preformed on the
job. (2722 f)
HIGH STRENGTH BOLTING: During all ,
bolt installation and tighting
operations (306 a.S)
SPECIAL GRADING.
FILLI~G: D~ring
& Chapter 29)
EXCAVATION .\."0
ear~hwork. (306 a.ll
.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.
_Fl~AL BtJlLnING: Must be requested after the final Plumbing, Electrical, ~Iechanical and Fire
Dcpartm~nt 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
-;4
FI NAL ~lEOlANI CAL
F~;t FIRE DEPAR~ffC'rr
SICNAlURf
DATE
. ALL ~IANHOLES AND CL~ANOUTS !o1lJST BE .\CCESSIBLE. ADJUSnfENT TO BE MADE AT NO COST TO ruE CITY.