HomeMy WebLinkAboutPermit Building 1998-4-17
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
. SPRINGFIELD
JOB NUMBER
/9be-ft:,s-
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK: S3 ~ Lv, C:L.vl..tL~,,\J ~lo...(
11 (J)?, 1-7 Lf~ ....655W()
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TAX LOT:
() R.. 0
Cf1 t./,7 7
X ASSESSORS MAP:
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OWNER: C~I'.~~ CL.r1-\."...:1'-
-t:I
ADDRESS' 'ff', N W W4.t..t. 2.0 ~
CITY: &i'.^
PHON F'
5YI_ ,q~~.. Lff/~
STATF' ()~
ZIP'
97701
DESCRIPTION OF WORK:
NEW REMODEL L ADDITION
DEMOLISH
OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S.NAME ADDRESS
GENERAL: Ot>~~ WO(t\k. ~~ cAtf{~A.
PLUMBING'
CONST,
CONTRACTOR. #
?~'2-
EXPI RES
5// /7~
/ /
PHONE
7fl-~71r
MECHANICAL:
1
ELECTRICAL:
-----
Ath.. g Lt.<..A-c"1 c....
PLUMBING I MECHANICAL I
NO, o' FEE CHARGE I NO I"EE r.i
Single Fixture I Furnace/burner & vent
<100,000 BTUs
Relocated Bldg, I Furnace/burner & vent I
(new fix. addtl) >100,000 BTUs
Water Service ':, ft. I I Floor furnace and vent I
Sanitary Sewer I I Suspended wall or floor \
ft. mounted unit heater
Storm Sewer I I Appliance Vent I
ft. separate
I I Stationary evap. I
Backflow Device cooler
I I Vent Fan/Single I
duct
I I I Vent System apart I
from AC or htg,
I I I Mechanical exhaust I
hood and duct
I I I
I Permit Issuance $10,00 I
I TOTAL PERMIT TOTAL PERMIT I
.'
- OFFICE USE -
QUAD AREA:
. LAND USE:
.~
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING: .
# OF BLDGS:
# OF UNITS'
OCCY GROUP:
CONSTR. TYPE:
# OF STORIES:
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER:
SQ.FT. I 7"-"'.'
" "'~
$/,SQ, FT.
.',
. 'VALUE
SQ, FTGMAIN
x
SQ. FTG ACCESS
v
^
SQ. FTG OTHER
x
~~ LI/ ~"S ~ ~/.a ~{
.. 1/ A-rl .c).()
TOTAL VALUE OFPRQJECT /( t../C/
PLAN CHECK FE!::
RCPT#.
'DATF
BY
I BUILDING PERMIT I IL,~
\ ~~~c~~r~e "S~S7 I~~L
I MECHANICAL
/5% State
Surcharge
I PAVING J
I PLUMBING
5% State
Surcharge
FENCE
_______ _YALUEJ
SIDEWALK
I DEMOLITION
I
I,CURBCUT
FT.
n.
.
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
, I, . '.~ ~. ",
....,.... '
v....
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl '
:26 f S-2.
r
REQUIRED INSPECTIONS
" 11f
It is the responsibility ofthe permit holder to see that all Inspections are made at the proper time. To request an Jns'pection, call
726-3769 (recorder), state your City designated j9b 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 dC\y, requests made after 7:00 a,m, will be made.
the following work day.
SITE INSPECTION: To be
'. . made after excavatiO,n, but
prior to setup of forms,
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered,
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing 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 v
concrete is placed,
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, 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
;<
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
p< ~MBING,
g:LECTRICAJ:)&.
l'ili'E=:CHANICAL: No work is to
be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing inspection,
~
(
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,
PAVING: After gravel is in
place but prior to placing
asphalt or concrete,
SPECIAL INSPECTIONS: In accordance
Section 306 of the State SpeCialty Code
a special inspector shall be employed
by the Ownerl Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building' Division,
STRUCTURAL CONCRETE: In
excess of 2500 P.S,1. (306 a,1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH S.TRENGTH BOLTING:
During all bolt installation and
tightening operations, (306
a,6)
,SPRAYED ON
FIREPROOFING: U,B.C,
Standards 43-8.
SPECIAL GRADING,
, .EXCAVATlON AND FILLING:
Du ri ng earthwork. (306 a,11 &
Chapter 29)
: y
INSULATION & VAPOR
BARRIER: To be made after all
insulation and requr'red 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,
LATH AND/OR GYP.SUM
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, .
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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placi ng
concrete.
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),
STRUCTURAL MASONRY: (306
a,7)
'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.
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, '
ADDITIONAL COMMENTS:
c:>,~~-,z ~//rT fIJ~.AIM!(r /C /t~U/A~
PLANS REVIEWED BY
DATE
By signature, I state and agree, that I have carefully examined the completed appli'cation 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 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that p,rojec,t 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, ,
Signature ~~~I~
~ ~ ---------
VALIDATION:
AMOUNT RECEIVED:
RECEIPT #:
26.rL
2~1,.
Date
L/-/1,'1g'
DATE PAID:
RECEIVED BY:
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