HomeMy WebLinkAboutPermit Building 1999-7-8
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CO M M ERCIALlI N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726-3769
OFFICE: 726-3759
JOB NUMBER Qtt!f1t::::Js:1: ~':::i
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LOCATION OF PROPOSED WORK: ~ ~ ~.6;lR:~~ ~~ k/~"p'
ASSESSORS ryJAP: / 7-z!!f>?.... Z. "7" /;/'3 TAX LOT: /!) 4-~
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OWNER:~'~ ~- _.--r.#'~' PHONE: ~~5"-';:f_?/t:!!:>~,,,!;
,/ !~" ,.1-;; . , .4: '~~ - /' c..4f!;"?1
ADDRESS: _ L::: ,~C~ ~~~~~~~~~/': /?P 'tt'''"3168 4?;-~,--
CITY: ~~~p~!t::::-,,p-,~ STATE: ~/'5. ZIP' 9.?~~/
DESCRIPTION OF WORK: ,(f~~// ~~ ~C ,/~~~7j;C:~-?~~,;7..,
NEW.. REMODEL m...'_. ADDITION DEMOLISH _..___,. OTHER, VALUE: ..
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CHARGE I
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NAME
ARCHITECT:
CONTRACTOR'S NAME
GENERAL: -a~~~.
PLUMBING'
ADDRESS
MECHANICAL:
ELECTRICAL:
PLUMBING
NO.
FEE
Si ngle Fixt ure
Relocated Bldg,
(new fix, addli)
Water Service ,'A
hlY"t? ft.
'~San i iary Sewet
ft.
Storm Sewer
ft.
Backflow Device
UOTICE~ '
THIS PERMIT SHALL EXPIRE 'FTHE'~ORK
Au-rHORIZED UNDER THIS F ERMITIr. NO'1
(~OMMENCED OR IS ABANU\ JNI:U rtn
TOTAL~'r(Mao DAY PEHIUU. I
ADDRESS
PHONE
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CONST.
cq~rr~~AmN:Oregona~IV~Ft~uires yo UP tro N E
folloW rules adopted by the Oregon Utility
Notification Cenier. i rHJSe ruies are set Tanh
i!l 0.^.~ 95~-901-(1)10 thrl)'.lgh 0AQ QI;?-flfl1-
0090. You may obtain copies of the rules by
calling Hie center. (hkil~: tiit:ilelephone
f' 'JmlJer f0r !h~ Orl?!}0n 1,Itili41 f\ln!ificcltinn
DW.tv:!-3 ~ cno 3C:3 ~Q11).
M.!;.CHANICAL
I ~~F'-'-;-'r.-~AIiGL
Furnace/ burner & vent
< 100,000 BTUs____
Furnace/ burner & vent
> 100,000 BTUs
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
Permit Issuance
$10.00
TOTAL PERMIT
QUAD AREA'
- OFFICE USE -
LAND USE'"
HANDICAP ACCESS:
FLOOD PLAIN:
OCCY GROUP:
, 1/ OF:STORIES:
# OF UNITS:
CONSTR. Typi=.
HEAT SOURCi=.
1/ OF BLDGS:
SQ. FT.
SQ. FTG MAIN
x
SQ. FTG ACCESS
x
sa. FTG OTHER
x
PLAN CHECK FEf
RCPT#
I BUILDING PERMIT
-_.,--~"._... .. Y:'l'!....:....,
I' ' : State
Surcharge
MECHANICAL
PLUME3IN<;1
. State
Surcharae
FENCE
VALUE $
SIDEWALK
CURBCUT
, State
SurChlHQe
I PAVING ,
$/SO. FT.
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER:
VALUE
TOTAL. VAL.UE OF PROJECT
DATF
BY
~.I '.' fLq':;:
.~ . I, '74f!!}
~- -..,.
DE;MOLlTION
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FT.
FT.
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL I
~y.~
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 worle day.
SITII IN8PIOTIQNI To 1:1.
made after excavation, but
prior to setup of forms,
UNDERSLAB PLUMBING,
mLIl!CTAICAL.Bi '.
,MECHANiCAl::: To be made
before any work Is covered.
.~ .
RQUQH PI.UMEIINQ.
ELECTRICAL &.
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved,
PAVINQI After gravel I. 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
framl ng inspection.
SPECIAL INSPECTIONS: In accordance
S13ctlon 306 of thfj atate Sp~Olfjlty OOOIll
a special Inspector shall be employed
by the Owner I Contractor d u ri ng
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 pi ng, accessories and other
ancillary equipment items are
In place but before any
concrete is placed.
'FRAMING: To be made afte'r
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,I. (306 a.1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
y
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer~"!Jer)l.nd
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.B.G.
Standards 43.8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor Insulation, decking or
floor sheathing,
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During 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
fl nlshed.
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U,BG.
pTDS. 25-10,11).
STRUCTURAL MASONRY: (306
a,7)
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.
"In addition to the inspec-
tions specified,' the Building
Official may make or require
otner inspections of any
constr,u~!lon V{ork to ensure
compliance with' the Building,
City or. ;Dev~lopm,e,nt Code,
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
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.
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 ELECTRICAL
FINAL MECHANICAL
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 FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
DATE=
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thflt 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 .wi!, b~ used on this project.
I further agree to ensure that all required in~JJectlons 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 construc~ion. If "
Slgnature-A~""",,_
VALIDATION:
AMOUNT RECEIVED: c.;~f ~ t:?
~L//6r'7
, ~ (
RECEIPT #:
Date M, ~~~/ff~____
~.tl- ,.
DATE PAID: 7~-9~
RECEIVED BY: ~~/....--.
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