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Home My WebLink AboutPermit Building 1997-2-19 " COMMERCIALIINDUSTRIA' SPRINGFIELD PERMIT APPLICATION L~ 225 Fifth Street, Springfield, Oregon 97477 ~ LOCATION OF PROPOSED WORK. VLq \ ~::tlltY\ A Jsn 00-[:, ASSE'SSORS MAP \00??hfYj J OWNE'RI \{ \1 \){''(f'(\-=f-1Q, l~\f'-O(\(\~ \? - ADDRFf';' \.oi! ('TItf\t~l ~ ~ ~ lJ h \..\?~ CITY ff'CleJ\L () - STATE': ~~h()~ ~ . (\ DESCRIPTION OF WORK~I'O . ~ AQd \J.\~\1)...()Q ~'t--o (,-w.o NEW RE'MODEL ADDITION-dtMOLISH \e}-HE'R · JOB NUMBER L\101-1Z- INSPECTION LINE: 726.3769 OFFICE: 726.3759 TAX LOT:{'[)\rrf) PHONE -<34':) i)..:)lo \ ZIP: 0\ t\f) \ VALUE: NAME ADDRESS PHONE ARCHITECT. CONTRACT~rISI NAf,., oJ- l\~ ADDRESS GENER~O> '(__ PLUMBING: MECHANICAl. ELECTRICAl. CONST. 5~~03 EXPIRES ,J70Nkr;Y l~ Single Fixture Relocated Bldg. Inew Ilx. addU) Water Service Furnace/burner & vent < 100.000 BTUs Furnace/burner &. vent >100.000 BTUs MECHANICAL I OFF rH.ll..~nJ: PLUMBING NO. FEE CHARGE NO Storm Sewer II. II. ft. Floor furnace and vent S.uspended wall or floor mounted unit heater Appliance Vent separate Stationaryevap. cooler Vent Fan/Single duel Vent System apart from AC or htg. Mechanical exhaust hood and duct Sanitary Sewer Backflow Device Permit Issuance $10.00 TOTAL PERMIT TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN. ~UAD AREA" LAND USF. # OF BLDGS: # OF UNIT~. ZONING. LIGHTING POWER BUDGET: WATER HEATER. OCCY GROUp. # OF STORIE~. CONSTR. TYPO. HEAT SOURCF. so. FT. $/SO. FT. VALUE so. FTG MAIN SO. FTG ACCES~ SO. FTG OTH ER X X X TOTAL VALUE OF PROJECT ~tf1) ~ PLAN CHECK FEF RCPT# OATF BY I BUILDING PERMIT 15% State Su rcharge I ME,-, ,ANICAL 30ln 15% State Surcharoe I PAVING 44- .~) A.~~ l.?A PLUMBING DEMOLITION 5% State Surcharge FENCE VALUE $ SIDEWALK FT. SUBTOTAL PERMITS SYSTEMS OEVELOPMENT CURBCUT FT. TOTAL PERMIT. FEES I EXCLUDING ELECTRICAl 4-<6 .07 . REQUIRED INSPECTIONS . lit Is the responsibility of the permit horder to see that all inspections are made at the proper time. To request an inspection, calt 726-3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready for Inspection. Requests received before 7:00 a.m. will be made the same working day. requests made after 7:00 a.m. will be made the following work day. SITE INSPECTION: To be made after excavation, but prIor to setup of forms. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work is covered. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work Is to be covered until these inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel In place, but prior to placing concrete. FIREPLACE: Prior to placing facing materials and before framing InspectIon. 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 mechanical are approved. CONCRETE SLAB: To be made after all lnslab building service equipment, conduit, piping, accessories and other ancillary equipment items are In place but before any concrete Is placed. INSULATION & VAPOR BARRIER: 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. FIRE & SEPARATION WALL: Located and constructed according to plans. UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and d ral nage 11 nes. To be made prior to covering or filling trenches. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to Installation of floor insulation, decking or floor sheathing. LATH AND/OR GYPSUM BOARD: To be made after all lathing and gypsum board, Interior and exterior, Is In place but before any plastering Is applied or before gypsum board joInts and fasteners are taped and finished. POST & BEAM: To be made prior to Installation of floor Insulation, decking or floor sheathing. FLOOR INSULATION & VAPOR BARRIERS: To be made prior to Installation of decking or floor sheathing. SIDEWALK & DRIVEWAY: Required for all concrete paving within street right of way, to be made after all excavating complete and form work and sub-base material in place. MASONRY: Steel location, bond beams grouting or ~ertlcals In accordance with V UBC 2415. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. PAVING: After gravel is in place but prior to placing asphalt or concrete. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special Inspector shall be employed by the Owner I Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 f) HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.B.C. Standards 43-8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) GLU.LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 u.se. STDS. 25-10,11). 1...-/ STRUCTURAL MASONRY: (306 a.7) t v...p f.---/ *In addition to the inspec- tions specified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. FINAL PLUMBING ------------------------------------------------------- SITE PLAN REVIEW BOARD: Must be requested 2 days in advance of the date you wish inspection. All project conditions such as landscaping, parking lot striping, etc. must be completed before requesting this Inspection. FINAL BUILDING: 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 Division and posted on the premises. FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT AODITIONAL COMMENTS: PLANS REVIEWED BY OAT" By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information herein 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 NO OCCUPANCY will be made of any structure without permission of the BuildIng Safety Division. I further certify that only contractors and employees who are in compliance with OAS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that project address Is readable from the street, that the permit card Is located at the front of the property, and the approved set of plans will remain on the site at all G;Jng;1?:Wq( ~ Dat~ 2-19-<7/ DATE PAID: ---crt!): (q - Gf I RECEIVED BY: -- J \ l 1\() _) . VALIDATION: AMOUNT RECEIY.t?: ~ \f\ RECEIPT': C"'k-\;\~ . .