HomeMy WebLinkAboutPermit Building 1999-3-23
CO M MER C IA L II N 0 U ST R IA L
PERMIT APPLICATION
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225 Fifth Street, Springfield. Oregon 97477
17(22,
OWNER: ~vr~ d Chnst
ADDRESS: ..515"" pJ- ~iT~/7 I~
CITY' 5'prl n'\fYe.Jc1
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STATE: b-'
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ADDITION D DEMolisH ' . OTHER -
LOCATION,OF PROPOSED WORK:
ASSESSORS MAP:
DESCRIPTION OF WORK:
NEW
REMODEL
NAME
ARCHITECT:
CONTRACTOR'S NAME
GENERtd'
PLUMBING:
MECHANICAL'
ELECTRIC,... I .
PlIJMBING
NO.
Single Fixture
Relocated Bldg.
(new fix. addtl\
Water Service
Sanitary Sewer
Storm Sewer
Backflow Device
TOTAL PERMIT
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I TOTAL PERMIT
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2-7
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ADDRESS
ADDRESS
FEE .
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CHARGE
It.
It.
It.
- OFFICE USE -
QUAD AREA:
" OF BLDGS:
OCCY GROUP:
" OF STORIES'
SO. FT.
SQ. FTG MAIN
SQ. FTG ACCESS
sa. FTG OTHER
PLAN CHECK FEE
I BUILDING PERMIT
5% State
Su rcharQe
MECHANICAL
l'rUAVe~
15% State
Surcharqe ,7J-r.~j
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LAND USE:
" OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
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$/50. FT.
x
x
x
RCPTII
DATE ___
PLUMBING
5% State
SurcharQe
FENCE
VALUE $
SIDEWALK
FT.
CURBCUT
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JOB NUMBER Ur>?>. 86
INSPECTION LINE: 726-3769
OFFICE: 726,3759
TAX LOT:
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PHON E:
f1'j$""'- ~ 7.0
_ ZIP: f'7Y? 7
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VA LU E:
PHONE
CONST.
CONTRACTOR II
EXPIRES
PHONE
MECHANICAL
1"1=1=
r.l:lARG.E-.
efO
,
Furnacc/burner & vent
<100,000 BTUs l 3LG7~
Furnace/burner & vent I
>100,000 BTUs
Floor lurnace and vent
Suspended wall or Iloor
mounted unit heater
AppTianceVent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
Irom AC or htg.
Mechanical exhaust
hood and duct
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,~~Jit. ,
$10.00
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3 /iJA.J flJ,b (~~~,l,)
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Permit Issuance
,
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING:
'.
./:.""'"
LIGHTING POWER BUDGET:
WATER HEATER'
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'VALUE
TOTAL VALUE QF PROJECT
BY
DEMOLITION
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I
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
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. REQUIRED iNSPECTIONS
It is,t~ '~e's'ponsj'b1Iifr6f the permit holder to see that ail inspections are made at the proper time. To request an inspection, call
. -to '.-,-' ......" -"'~. \ .
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.
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UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
V ROUGH PLUMBING,
/' ~LEC(T~JU>&
ECHANICAL~ work is to
becovered until these,
inspections have been :made
and approved. . .
PAVING: After gravel is in
place but prior to placing
asphalt or concrete,
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.
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
F;'RAMING: 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.
S''ft. . ~,
SpEGIAL;INSPE_CTJONS: In accordance
Section 306 of the State Specialty Code
a special inspector 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 Buiidin\,) Division.
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.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches,
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.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U,BC.
Standard~ 43-8.
UNDERFLOOR: Plumbing,
electrical, mechanical. ',[0 be
made prior to installation of
floor insulation, decking or
~90r sheat~ing:,... ,
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POST & BEAM: To' be made
prior to installation of floor
insulation, decking or floor
sheathing.
FIRE & SEPARATION WALL:
Located and constructed
&.cGording to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthworl<. (306 a.11 &
Chapter 29)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
LATH AND/OR GYPSUM
BO~RD: 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
Cerlificate by an approved
agency, furnished to the City's
Building Division before
beams are placed, (2501 U,B,C.
STDS. 25-10,11).
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.
'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.
, . ~RQOF SHEATHI1':J9.AND ,
'. ': '.:. 'NAILING: P:rl,;:>(\:to'ii~:si:alling"
any roof covering.
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CURB AND APPROACH
APRONS: After forms are
ere~ted but prior to placing
concrete,
.. .FINAL PLUMBING
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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.
V FINAL MECHANICAL
(-,
FINAL BUILDING: Requested after ttlC final plumbing, electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premisos can be made until a
Certificate of Occupancy rlas beon issued by the Building Division
and posted on the premises.
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FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
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PLANS REVIEWED BY
DATF
By signature, I state and agree, that I have carefully examined the completed .Jpplication and do hereby certify that all information
herein is true and correct, and I further certify that any and all work performed shall bo done in accordance with tho 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 certi fy 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 the property, and the approved set of plans will remain on the site at all
times during construction./",./ ./ /./~7 ==-~') ',,~.-. \=::> -;;;:z..,3-:5?Q
Signature ~ ~{cf...- C~V f:: ~ _ -:J-'''--- --. - ,". 'Date 0" . Z/ ::. . ",' /.,
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AMOUNT ~I-V:D:' ~~ DATE PAID: lA.j/n
RECEIPT #: ~ 32-)0 RECEIVED BY: ' $~
A:-f' ..,
VALIDATION:
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