HomeMy WebLinkAboutPermit Building 1998-6-1
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COM M ERCIALlI N DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER Cjgof.,t.('i
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK.
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ADDRESS: PO /3 b-"'- dO
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DESCRIPTION OF WORK: REMODEL
REMODEL ')(.
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PHONE:
'71{h fi-l{J)
OWNER:
CITY:
..,
STATE:
C3Rf?..&N
ZIP'
'1747/
.0. - I Rd A-oT <
NEW
ADDITION
DEMOLISH
OTHER
VAL(~' ~/}~. ,)
PHONE
NAME
ADDRESS
ARCHITECT:
CONTRACTOR'S NAME ...,. . A() ADDRESS
GENERA" fl.1fJ-y) ~ ~
PLUMBING: _~ 1I:uJ ~ 'l.I,JJf ~ 474dJ.
MECHANICA' .
CONST,
CONTRACTOR'
OIIa~lolr
3gP3
EXPIRES
1,- qq
er4-.\ q!J
PHONE
'i(K-dU" "
4f?4-);}'4IP
i ELECTRICAL: cJw4 ~ f1 J.vJJi.u.... 'if:I~'3/eU)
I PLUMBING I I MECHANICAL
I NO. FEE CHARGE I I ..n ~~~ ('l-l.Q.tlr.1=
I Ja- rO ,. ~ I I Furnace! burner & vent
Single Fixture 1.12-iJ' " < 100,000 BTUs
I Relocated Bldg. I I Furnace! burner & vent
(new fix. addtl) > 100.000 BTUs
I Water Service 1 \ Floor furnace and vent
ft.
I Sanitary Sewer I I Suspended wall or floor
ft. mounted unit heater
I Storm Sewer I I Appliance Vent
ft. separate
I I I Stationaryevap.
, 8::ckf!cw Device cooler
I I I Vent Fan/Single
duel
I N JTICI:: I I Vent System apart
from AC or htg.
I T~ IS PERMIT SHALL EXPIRE If THE W )RK 3." c I I Mechanical exhaust
hood and duct
I Al I HUl1lZElJ UNDER THIS PE~MIT IS ~OT t, D 0 I I
- - .- I
\ ':'~ 'MMt:l'l~C.UUH I:;) !\.t:lANUU~ED FOl I Permit Issuance $10.00
I TOT,(t'~EI8J!'rt'I\T 1"'t:I1IVU. 1W1. '1'!~D I I TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
QUAD AREA:
LAND USE:
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
. OF BLDGf"
. OF UNITf"
OCCY GROUP'
. OF STORIES:
CONSTR, TYp.,
HEAT SOURCE:
SQ. FT.
$/SQ. FT.
VALUE
SQ. FTG MAIN
X
SQ. FTG ACCESf'
x
SQ. FTG OTHER
X
TOTAL VALUE OF .PROJECT
2-:7 ?-oo
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PLAN CHECK FEF RCPP OAT~ BY
I BUILDING PERMIT /95. (JV PLUMBING \~CD OEMOLlTION
[5% State ~ q, ~ 'i~J{.7t 5% State W,CO S.
SU rcharge Surcharge
I MECHANICAL .f -, !.P1I ,~ ,lo()
15% State SIDEWAL"K SUBTOTAL
Surcharae.., FT. PERMITS
I PAVING CURBCUT SYSTEMS
FT. DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAL
/:338;.6lf
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REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all Inspections are made at the proper time. To request an inspection, call
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~WIIt e made the same working day. requests made after 7:00 a.~. will be made
the following work day.
SITE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is in
made after excavation, but ELECTRICAL & place but prior to placing
prior to setup of forms. MECHANICAL: No work is to asphalt or concrete:
be covered until these
inspections have been made
and approved.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
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.
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 pl'aclng
facing materials and before
. /framlng inspection.
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STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
piping, accessories and other
ancillary equi pment items are
In place but before any
concrete Is placed.
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.
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.
STRUCTURAL WELDS:
Performed on the job. (2722 I)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
, trenches.
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43.8.
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FIRE & SEPARATION WALL:
Located and constructed
according to plans:
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
UNDERFLOOR: Plumbing.
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
v
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.
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.G.
STDS. 25.10,11).
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
det.:king or floor slleailling.
MASONRY: Sleel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
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.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected b~t prior to placing,
concrete.
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"In addition to the inspec.
t10ns specified, the Building
Official may make or require
other inspections' of any
constructldn work'to ensure
compliance with the, ~yflding,
City or Development Code.
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FINAL PLUMBING
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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
Certificate of Occupancy has been Issued by the Building DivisIon
and posted on the premises.
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL 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 ORS 701.055 wltl 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 wltl remain on the site at all
times during construction.
Signature (f(~
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Dato.
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AMOUNT RECEIVED' .s'] g- . {) t.(
RECEIPT N' (; '3 ()O '7 r
DATE PAID'
RECEIVED BY'
t/I/7<(
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VALIDATION: