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Home My WebLink AboutPermit Building 1999-9-22 " CO M M ERCIALII N D USTRIAL PERMIT APPLICATION SPRINGFIELD JOB NUMBER _~ / 2-ff:?~ INSPECTION LINE: 726,3769 OFFICE: 726-3759 - #Wu d _ // /7J'Jz t= S:tJl) / 225 Fifth Street, $pringfield, Oregon 97477 LOCATION OF PROPOSED WORK: 5Z~ ASSESSORS MAP: J 7 ~~ ~':(>~... '::? ~ --L. __ , .. {I~~R-<-, TAX LOT: ~~ ~~ ~ OWN ER: ~P//lk;H~~ 4.r:? &r ~c::;;,;l'l(", c_ <:::.. ADDRESS' :~'S- AL ~ ,- CITY' ~/'/lfCH t<:r r--.. PHONE: 7~~-6"3 ~ <- , STATF' (]>p. ZIP: 97~77 DESCRIPTION OF WORK: ~/:I'1Il/f,c ~ A!?c: /Al ,r::.. r,q.-, (' /':?"l~/?//tJL ( ;:bs. ""/ ./ VA rot /3?::b -- NEW REMODEL ~ ADDITION DEMOLISH '~ OTHER ARCHITECT: NAME a:~ ;azy ADDRESS ~/t'/tf~CWt'AJC ,€6~)J, ~r?L' f CONST. ADDRESS CONTRACTOR # />PHONE 9qZ-<Y7t:. ~~/~ CONTRACTOR'S NAME GENERAL: PLUMBING' MECHANICAL: ELECTRICAL: (J U. lA. r--<r ~ EXPIRES PHONE ~~ '"'3 ,... ~ ceo 2- 74r1t.f -, ~? j-- ~r~ue I PLUMBING MECHANICAL I NO. FEE CHARGE NO ~~~ I r.HARr:F I Single Fixture Furnace/burner & vent I <100,000 BTUs I Relocated Bldg. Furnace/burner & vent I (new fix. addtl) >100,000 BTUs I Water Service Floor furnace and vent I ft. I Sanitary Sewer Suspended wall or floor I ft. mounted unit heater I Storm Sewer Appliance Vent I ft. separate I Stationary evap. I Backflow Device c,boler I Vent Fan/Single I duct I Vent System apart 1 from AC or htg. I Mechanical exhaust 'I hood and duct I I I Permit Issuance $10.00 I TOTAL PERMIT TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN' ZONING' , LIGHTING POWER BUDGET: WATER HEATER: QUAD AREA: # OF BLDGS: LAND USF' # OF UNITS: OCCY GROUP: CONSTR. TYPE: # OF STORIES' HEAT SOURCF' SQ. FT. $/SQ. FT. VALUE SQ. FTG MAIN SQ, FTG ACCESS SQ., FTG OTHER x X X TOTAL VALUE OF ,PROJECT I BUILDING PERMIT I / /b State Su rcharge MECHANICAL 7 % State SurcharQe' I PAVING 25: ... I. ?~ . 7" I PLUMBING I, %, State ::;urcharge I FENCE VALUE $ 1 SIDEWALK I CURBCUT FT, FT. DATF~-<<"~ BY /,;~ ~~ .r(/~~ //' I DEMOLITiOn I I ,I SUBTOTAL PERMITS I SYSTEMS DEVELOPMENT j PLAN CHECK FEi: ~.2~ RCPT# 3~ , TOTAL PERMIT FEES , EXCLUDING ELECTRICAL lj3~?' ~~ 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. 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 setu p 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. PAVING: After gravel is In place but prior to placing asphalt or concrete. 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. SPECIAL INSPECTIONS: In accordance Section 306 of the; State Specialty Code a special inspectot shall be employed by the Owner! Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. ATTIC DRAFT STOPS & CURTAIN WALLS CONCRETE SLAB: To be made after all Inslab building service equipment, conduit, pi ping, accessories and other ancillary equipment 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. STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 f) UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor Insulation, decking or floor sheathing. 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. HIGH STI'lENGTH 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. SPECIAL GRADING, EXCAVATION AND FILLING: Du rl ng earthwork, (306 a.11 & Chapter 29) POST & BEAM: 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. 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). FLOOR INSULATION & VAPOR BARRIERS: To be made prior to Installation of decking or floor sheathing. STRUCTURAL MASONRY: (306 a.7) MASONRY: Steel 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 coverl ng. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. -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 ELECTRICAL 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 PLUMBING FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: ........., PLANS REVIEWED BY //,/::Z~ DATE ~':2-'2:1 ~/~V-~\ ' ~ By signature, I state and agree, that I have carefully examined the c~Pleted application and do hereby certify thi'lt 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 will be used on this project. I further agree to ensure that all required' pecti ns are requested at the proper time, that project address Is readable from the street, that the permit card Is locat at the fr t of the property, and the approved set of plans will remain on the site at all lime' d",lng con,t<uctlon. ~ SignaturE" _ ---. ~ ~ . Date.9- 2Z. ~ VALIDATION: (/// AMOUNT RECEIVED: 0/;3.?S' DATE PAID: ~'2...:2 .~~ , RECEIPT N' :::r ~& ~ RECEIVED BY: / ~ .d"~~ , /~;---~- V