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HomeMy WebLinkAboutPermit Building 1987-10-27 CITY OF SPRINGFIELD COMBINATION APPLICATION/PERMIT E!lERGY SOURCES: Meat l'later Heater Range Valu€ of Work: Phone I name I (addres~) f1;c~. no.l (exn;res) /:Z~~/lI, (;/~n<py,J/"""L=--~Y.JO , Primary "f},dwn ,t,/.vA'h>i.IVk~ ,#=/~ P--!??l<A-t<'l? ~~. <??2{.7 '- ' . ..,' '-2"" ;;r.<F. jh/~<~ :S7:" Structural}lJ,-R'<.-'/M","'E.-:? E~ /~4. .~Z2"'L"'^'L?~h'.97~Z Electrica; M. f:/.A /H.c l::~.!D#~.~'2/4' , ,rI Appliance vent Sfloaratp S'tationary evap. cooler Vent fan wi th sinale duct Vent system apart from I heatino or A.C. Mechanical exhaust I hood and dUr't I \'/ood stove/heater I 137.~ '26 ~:s 4YM!<=7~ I I I I I TOTAL CHARGES /75:- TOTAL CHARGES / '3:5:"-'" TOTAL CHARGES /6"9 A&> WHERE STATE L'\W 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 ;.." .. '\. ?t..;/L/>//,/C? A' . 1 INSPECTION UNE 726-3769 Job Addresslg+'/_/~9 R~~.R"""'-Y CAx7'" Legal DescriptionI7."'~'24''23 /'9""".'2-':>" '2/~ Owner /I/L.LMAN J1?e>:P N"""'THs-vE:aT Address~ "or ,_ 'T> Phnne 7A1!> nt, /...."-..."",,V ,., - L/:z;(', ",:::s?- ';'1:/ ~&?r, ..~"., I'?R 977,/7 , ' -;; Construction lender Address Ut~IGN rEM Mechanical , ' CONTRACTORS In~1 General f.LA~n ,Hu""X'<!" (address) U~7', , Plumbina Electrical Mechanical 1't.m1lI1NG NO. IT" CHARGE-"o Each single fixture Residence of Relocated buildiR9 (new fh. adllHional) S. F. P.es i ....., (1 bath) Duplex (I batlJ) each New circuits alts. or extensions SERVICES Additiooal bath , INFORlIATlDN liNt 726-3753 Sq. Ftg. I"ain ~q. Ftg. Access. Sq. Ftg. Other New Add Alter Rep. Fence_Demo _ Changel Use _Other ~ ~ 'l ~ Builtiino Permit Info: Describe Work(i.e., Build Single Familv Residence With Attach~d G~r~o~) C..-:?N"i7'7'<'''_~.''' <:".{. 9""<<=' 15.:!ll,.,r:r. G5.~ ~N7~__",~<<-/<.-:-.,,--,_~ e;;~..F" (ohone no_} -:?~:<r'--::;>-::>~ ? :!..'-O?/7 "7"'3 V-O~".r$4 '" n leS. no.) (pxoirps) (ohnnp M, ) (~)~.7E'-~l,/~V /))1 vfliOU " \ ELECTRICAL MECHANICAL CC~...c.HARG.E. "In eer 1..c.J:iARG.E. SQ, FT. furnace/burner to '2~ ""~~ BTlI's Floor furnace and vent :;.-15(;.. ' Recessed wa 11 ~n~rp hp~tpr ~nrl vpnt , ''Ia' I/ater service ~.o J Sewer /tJ~ 70 Temporary Construction Change in existing rpc;. j de.nr:p multifamily, comm. or TndlJc;.trii'll / Of /'2"0_ Storm Sewer CDMM,/IND. FEEDERS amps.1 I I I I , (175<: I l'Install/alter/relocate dic;.trin_ fppdprc;. / IOf '2 Z") amps.1 I I I I/:?"O I I ISSUANCF OF PFR!lIT I HAVE CAREfUllY EXAMINED 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 .antl the Laws of the State of Ore1]on pertaining to the work described' -.....:.;". drill... UO OCCUPAUCY will be made of any structure without the permission of the Building Division. I further cer. . registra ion ~. h the Builder's Board is in full force and effect as required by ons 701.055, that if exempt e ba is for exemption 's 6 ed hereon, and that only subco~tractors and employees who are in compliance with ORS 701.055 . 1 be use on this pr je SIGtlATU r --:I< ~ FOP. OFFICE USE ~ - ./' ' Sq, Ftg. Ilain ~. "9c!J.e:> Sq. Fta. Access Sq, Ftg. Other NAI,'E(please print) F~vf.",k Ut<.--e Tvoe/Const. 31'.. ~ Units Bedrooms Occy Load Stories / Occ'y Group 8-2, t/::;;c- c.-sz:>.:: ?<> 7 _ I "'" Plan Ck, ConmlInd ~~JL'?.B-~:'__ 65%1Bldo Ppr Fpp Plan Ck. Res ~;7e>"~G> 3D%/Blda Per Fee L Z5"."'" I Fence ---- 8~'-i5-1 D~mo 1'35:...e> I Sidewalk I-j. _n_ -:i.-;75--1 A/C Paving /62..'-:> I Curb Cut ~ ------8~~-1 Zone ~~ Fire Zone Flood Plain BUILDING PERMIT Charges and Surcharges PLU!~BING PERMIT Charges and 5 Surcharges ELECTRICAL PERmT Cha rges and Surcharges. HECHANICAL PERMIT Charges and Surcharges DATE /tJ-.Z'7'~: x Value Value Value x x r (5<0"6 ,/08 ~ 9?.e?"''''L> \ - "" TOTAL VA)rUATION Systems Development ~"'::;~b'C) Charae (1.5%) \ 9;:>0<:"90 , " ~~\ ---- L: ~ Total I I TOTAL Comb. Permit 502.7S . , COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A. Job Address B. Legal Oescription 1. example- Tax Lot 100, Lane County Map Reference 1/ uj 43 2. example- Lot I. Block 3, 2nd Addition to sprlngtield Estates C. Name. etc. of owner and construction lender D. Energy Sources "I. 'exam~le- heat/electrical ceiling/or forced air Qas 2. examDle- waterheater/electrlcal/or solar E. Square footage or valuation, etc. ------ 1. examole- 1250"sq. foot house. 500 sq. foot garage 2. example- if new project, check new - if addition, check add 1 etc. ' . F. Building pennit information: . 1. exam~le - 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 in Section 303 (a) of the Structural Specialty Code H, OESIGN'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 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 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. --- 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 anp return it to the ..' appl icant at the time the actua'l 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 per.mit.is issued. . V. FOR OFFICE USE ONLY PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: . If' . . - PERMIT VALIDATION 10 Lh__3 t o--;)'7-~1 " Permit Clerk cc... ~ Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: e:t)cd;:r 4.4?#:!??C>b"?D .re..?? ~7TA'C#e=''z:> ~7:~J.i-___;; '7" ~~?rCF:. . " .. PLANS REVIEWED BY: name LtJP.Ntf:" l::c&:iEiR Signatur~-"""'_~~ date /C)-S--8-;> "" r , I ...,~"LD Lit-. I."~ , '/ IT IS THE RESPONSIBILITY OF TilE PER-'lIT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT TilE THAT EACII ADDRESS IS READABLE FROII THE STREET. AND THAT TIlE PERl'tIT CARD IS LOCATED AT TIlE PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIllES. ..quired .. 73v/(,2)//y=;' ;1-' Inspec.ns .. PROPER TUlE, FRONT OF THE PROCEDURE FOR REQUESTING INSPECTIONS: Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUMBER. job address, type of inspection requested and when you will be reedy for the inspection. Contractors or o\mers name and phone n~~ber. 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: 9"/072 & Job A<!drcss: u:?Y'/-1.!?&9 f}f?~Z? A~V"W-A-~ ~d, T Owner:#~,{.J'~ "" ~~7/.E!'> /(/.IC/. Phone:~SX_<;I/// Contractor:L.UWD 7bw~.c( c::;~~. Phone:hCl!:')g;>8-~~~~ -' 12I y o o o o [Z] ~ []] o CONCRETE SLAB INSPECTION: To be made after all inslab building service equipment, conduit, piping, accessories and other ancillary equipment items are in place but ~ beforo any concrete is poured. ~ FOO~S a FOU~ATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to pourinr co~c~ete. USDERGROUND: P~lng, ~lectrrt'k:r, I:;)... Gas, Sanitary Sewer. Storm Sewer, Ix I Water and Drainage lines. To be made prior to covering or filling trenches. Ixl UNDERFLOCR: , Plumbing, Electrical. to 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.. ~~SONRY: Steel location. bond beams grouting or verticals in accordance I _vi with U.B.C. Section 2415. ~ ROOF S~ATHI~G ~~D NAILING: Prior to installing any roofing. ~ ~ ROUr.1I PLU~mING. ELECTRICAL 8- ~ J I MEC!lANCIAL: No work is to b covered until these inspections hav( been made and approved. / ------C~ F?:1L PLU~IBING (f\:;J CIT.Y"~ITE PIAN REVIEW BOARD INSPECTION: Must be requested 2 days in advance of the date you ~-,wiSh inspection. All project ~onditions such as landscaping, parking lot striping etc. must be com~leted hefore requesting this inspection. O StTE INSPECTION: To be made after excavation, but prior , to setup of forms. f"Vl/UNDERSLAB PLUlIBING. ELECTR1CAL l.!ld & ~lEC~~'ilCAL: To be made before / any loo'ork IS covered. o ~ FLOOR INSULATION & VAPOR BARRIERS: To be made prior to install~tion of decking or floor sheating. "31 1"'1 [Z] FINAL !HJILDING: Must be requested after the final Plumbing, Electrical, Mechanical and Fire Department inspections are made and approved. No Occupancy of the premises can be made until a Certificate of Occupancy has been issued by the Building Divisien and posted on the premises FI~AL ELECTRICAL L{q lxl FINAL MECHANICAL ~ I )'1 FINAL FIRE DEPARTIIENT SICNA11JRE o [Z] [E] o ATTIC DRAFT STOPS & CURTAIN WALLS, ,qPF.CIAL INSPECTIONS: In accordance with Section 306 of the Building Code a special inspector shall be employed by the O~~er/ Contractor during construction of the fellowing work. A copy of the special testing reports shall be furnished to the Building Division. FIREPLACE: Prior to placing facing materials and before framing ins~ction. / INSULATION & VAPOR B~R!ER: 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 arc approved. In excess of 3000 o STRUCTURAL CONCRETE: P.S.I. (306 a.') STRUCTUR~L WELDS: Preformed'on the job. (2722 f) HIGH STRENGTH BOLTING: During all ~ bolt installation and tighting operations (306 a.S) ZJ :g] :J :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 Plasteril18:J is applied or before gypsum board joints and fasteners are taped and finished. FIRE G SEPARATION WALL: Located & censtructed according to plans. SPRAYED ON FIREPROOFING: (U.B.C. Standards 43.8) SPECIAL GRADING, EXCAVAT!ON AND FILLING: During earthwork. (3068.11 & Chapter 29) GW-LAM BEAHS: Inspection Certificate. by an approved agency, furnished to the City's Building Division before beams are placed. (2S01.U.B.C. STOS. 25-10.11) . WOODSTOVES: After installation is completed. q '" , --,I SIDEWALK & DRIVEWAY: ~qUired 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. :J *10 addition to the inspections specified hereon, the Building Official may make or require other inspections of any construction work to ascertain compliance with the Building, City or Zoning Codes. PARKING LOT: After gravel place but prior to placing or concrete. I is in asphal t OATE . ALL ~tA.'HOLES !INO CLEANOUTS ~lUST BE ACCESSIBLE. ADJUSTIlENT TO BE MADE AT NO COST TO TIlE CITY.