HomeMy WebLinkAboutPermit Building 1998-4-9
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COMM ERCIALlIN DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER~',I'/~
INSPECTION LINE: 726.3769
OFFICE: 726,3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK' ? "5<:? ~ ~y
ASSESSORS MAP' 1:/-0"3,7'5"--:::12.
TAX LOT'
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STAT'"
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PHONE /# .5792...,
(LA-ef!:...Y /h.c/'-'t uVL-GJ )
ZIP: 9'74-77-
C:;~/? vI! C r ( ~
ADORE"'" "2-<::n A- ,(",
CITY ,r:;t"'.z..({l.{,p{~'
UTlt/l N
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OWNER:
DESCRIPTION OF WORK'
NEW REMODEL
~,PeL.
ADDITION
DEMOLISH
1~7:1/l'7/~~
OTHEW
.,..."
/~7/-'Y
VALUE: ?'~~
PHONE
NAME
ADDRESS
ARCHITECT'
PLUMBING'
.6.r _
tJf2- f-C ",..J
o
o
/3~.N ~~c:..
ADDRESS
L.-o -v .sV..A-Jcn CJ.-J
CON ST.
CONTRACfOR #
EXPIRES
PHONE
CONTRACfOR'S NAME
GENERAl' (J-I.-A-
MECHANICA' .
ELECfRICA' .
..,.
PLUMBING
MECHANICAL
NO
FEE I CHARGE
..n
~~~
f"'a..t.o.Dnl=
Single Fixture
Relocated Bldg.
(new fix. addtll
Water Service
Furnace/ burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Sanitary Sewer
ft.
ft.
ft.
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Storm Sewer
Backflow Device
Permit Issuance
S10.00
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING'
QUAD AREA-
LAND USF'
# OF BLDGF'
# OF UNIT".
# OF STORIES:
-r;;
y
::?
CONSTR. TYPE:
"7-/ ~.A
LIGHTING POWER BUDGET:
OCCY GROUP:
HEAT SOURC~'
WATER HEATER:
SO FT.
$/SO. FT.
VALUE
SQ. FTG MAIN
SO. FTG ACCES~
'SO. FTG OTHER
X
X
X
TOTAL VALUE OF .PROJECf
PLAN CHECK FE!: I/. 7::5
RCPT#
DAT~
BY
I BUILDING PERMIT
15% State '7''5'
Surcha~e 1-7
1 MECHANICAL
15% State
Surcharae
1 PAVING
/7. 5<c>
:~
PLUMBING
DEMOLITION
5% State
Surcharge
FENCE
VALUE $
SIDEWALK
CURBCUT
FT.
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
/&',9c:>
TOTAL PERMIT FEES I
EXCLUDING ELECfRICAI
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It is the responsibility of the permit holder to. ~ee t~at al.L:JnsP~c~IQJls.Ql~~IJlil.P,~~~~~'HSPBr~~~J~:.~q(!;e;questfan InspectIon, call
726.3769 (recorder), state your City' designated job number,. job address..type~of Inspe"Ctlon.r~qu_est~Qii0d'whEm you will be ready
for InspectIon. Requests received before 7:00 a.m. wIl1be..i.m'ade the sarrle worI$iD~.?~i-fe.(H.j~'sfs~cri~~:~{t~r 7:00 a.m. will be made
th f II I k d .' ..X~,;yr, :..~t' :".. j ,.::~..":;~~' ,.y. '"., ,. ,," :.L.,. ,_';~':''''~'',\:.< J. ~,~"""':;'~S:t.:'~g-.;'i:t.fj..~<!t" . .
e 0 ow ng wor ay. ...;.:. .>h~ ,_ ..;~" _",,;:~:"~:"~~1.;1~.J:~::~,:,",,!i ..":.l}"~'<"~::;':'~'::-~::.;;.r.~1\: .",l"t>.~'_~.,.:,i"" .
SITE INSPECTION: TO..be..'i,~. :' '..' ",'~' QU ('. 'UI\,t~l'I~:~~.~o"'. ~i~,__. ': ;':PAVIN~: After gravel is In
made after excavatlon",'~2~t",~',~~~~~~_~~ib, "," ':~. :;:r~-\~~~~~,~:~~;~"'~":".:,;;,;~, pl.ace ~ut prior to placing
Prior to setup of forms.' -'~~',""::{,~' '~;'~,~I~,~W' , .C L~".NO'WprK'js'\to':!,..' ~ "'/', :',' aspha or concrete.
, I "',,,. ."...~..;.yl-, ...- .~ ,..--; "'~' ~.'\,f,' " ,. [;' '
, .:.' ,'... ~":",---:' - "\Y. -'~ ..;be cov.A:rpd-untll,.the'se,'", .6...< ./..: 4'-' ",~. ~.' !.i
,-.;; . . "'\.', " I' it., . ~,~:r" . . '. .. ,." .,
UNDERSLAB PLUMBIN<V..:-.'.. .',,!\'.~eC~I?n.s~:~~y~:b7en~,,:~~ SPECIAL INSPECTIONS: In accordance
ELECTRICAL &' .-:; " ':. ~ ::i~:ii;.~~d!aRP,r;.q~t:t"i'''''' .:.' "I' Sect!on 306 of t~.e State Specialty Code
MECHANICAL:nToibe made,';."i 1. " ,.1, ',': -:. a special inspector shall be employed
before any work Is' covered.: ~.,,. _ . ATTIC DRAFT STOPS & by the Ownerl Contractor during
; .. ..", '.' ,....;CURTAIN WALLS con'struction of the following work. A
FOOTINGS & FOUNDATIONS: .copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished to the Building Division.
excavated and forms are facing materials and before
erected, all steel In place, but framing Inspection.
prior to placing concrete,
",I
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
In place but before any
concrete is placed.
- .------
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
'0,
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulatlon, decking or
floor sheathing,
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.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
FINAL PLUMBING
v
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENT'"
',. .. ''''J;J~;-t.~"
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STRUCTURAL CONCRETE: In
excess of 2500 PS.1. (306 a.1)
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.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
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.
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
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GLU,LAM BEAMS: 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).
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.
STRUCTURAL MASONRY: (306
a.7)
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after al I
excavating complete and form
work and sub-base material In
place,
*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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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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
Certlflcate of Occupancy has been issued by the Building Division
and posted on the premises.
PLANS REVIEWED BY ./7~...-'!2..00-4_~
/' /// -~ ~
DAT~
'7"-.:'3~ 9&
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 J 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 ORS 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 ~~operty, and the approved set oy plans will remain on the site at all
~:::t:~~lng~C~I:~ t-~-d~, ' ..' Date 1;!q /f J?
v
VALIDATION:
{C
AMOUNT RECEIVED: 29 ,=??:::>'
~.27
DATE PAID:
RECEIVED BY'
?j -9-915
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RECEIPT N'