HomeMy WebLinkAboutPermit Building 1999-4-23
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CO M M ERCIAL/lN DUSTRIAL
PERMIT APPLICATION
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. JOB NUMBER
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225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK' If) 7
/16"3 !oS' 31
/4
ASSESSORS MAP:
TAX LOT: t;?>Loo
Mile'1/.
ADDRESS' If 3 7 I PI
CITY: SfJ~ t,>>
DESCRIPTION OF WORK' C~~ I ~
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Helua."1
PHON~'
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OWNER'
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STATF'
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ZIP: ~?-Cf'71
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NEW
REMODEL
ADDITION
DEMOLISH
OTHER
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VALUE: .50~
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
ADDRESS .
. CONST.
CONTRACTOR'
EXPI RES
PHONE
GENERA' .
/) w J1/.e It.
PLUMBING.
MECHANICA' .
ELECTRICA' .
It.
MC . lawre~;'o,o\',:,,,,,,, MECHANICAL
i~~u~ ",lo<l;iU Y the ,Jif011 ~ ;~'nace/burner & vent
f\ ntifi""ti 10 Center. T ose rul .s are S. 11l&1db:ooo BTUs
. OARS'2 0010010 hrough OAR SE 2.flll'!1ace/burner & vent
II ) - -... ..,..,i 1pO 000 BTUs
L utJu. TU IJ lIIay JUlGllll coples::JfitTZ.: ,', ,.;.;,-i'
""lIinr the center. ( ~ote: th ~ teleQ~ orf@or furnace and vent
numbe 'forthe Oreg on Utilit I Notific atli,ltJ'n~~ge~nrra~~~[ef~OOr
e,,,,,,,,, j" 1-8 10-332-; :i>....). Appliance Vent
separate
Stationary evap.
cooler
Vent FanfSingle
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
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$10.00 I
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PLUMBING
NO
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
Sanitary Sewer
It.
Storm Sewer
It.
Backflow DevIce
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE - HANDICAP ACCESS:
QUAD AREA: LAND USE: FLOOD PLAIN'
. OF BLDG~' . OF UNITF' ZONING'
OCCY GROUP' CONSTR. TYP~' LIGHTING POWER BUDGET:
# OF STORIEF' HEAT SOUR~~' WATER HEATER:
SQ. FT. $/SQ. FT. VALUE '. . .
SQ. FTG MAIN X
SQ. FTG ACCESS X
SQ. FTG OTHER X
TOTAL VALUE OF.PROJECT
PLAN CHECK FEF RCPTN DATF BY
I BUILDING PERMIT /':)- PLUMBING DEMOLITION
15% State 5% State
Surcha~Qe SurcharQe
I MECHANICAL I FENCE
VALUE $
15% State I SIDEWALK SUBTOTAL
Surcharae FT. PERM ITS
I PAVING I CURBCUT SYSTEMS
FT. DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICA'
/1,.~
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It is the'resPOnslbillty of the permit holder to see that alllnspectlons 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 Inspectton. 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.
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
concrete Is placed.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
d ral nage Ii nes. 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 groutfng or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installfng
any roof covering.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMJ'l1IT
ADDITIONAL COMMENTS' ra "', Co
I D 0 3. 3. /. '1 1'1 f 7 t/ Be
REQUIRED INSPECTIONS
ROUGH PLUMBING.
ELECTRICAL & .
MECHANICAL: No work Is to
be covered until these
I nspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
cing materials and before
fra lng-Inspection.
:x. . ": . ..: ~...
MING: To be ;"ade after'
t roof, all framing, fire
locking and bracing are In
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
'l\',d ~echa"-Is:al aje approved.
1/ e' /fA IJ-e.-r-'
INSU ATION & 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.
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.
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 materia! in
place.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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PAVING: After gravel is in
place but prior to placing
., a~phC!:lt or concrete.
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SPECIAL INSPECTIONS: In accordance
Section 306 of.the S.tate Specialty Code
"a'speciaI inspecto'r 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.
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'. STRUCTURAL CONCRETE: In
'.' excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
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SPRAYED ON
FIREPROOFING: U.SG
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
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
~questlng this inspection.
FI :A.L BUILDING: Requested after the final plumbing, electrical,
echanical 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.
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PLANS REVIEWED BY
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 GRS 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 aJJ
times during con truction.
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Sig
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ture
VALIDATION:
AMOUNT RECEIVED: It.
63s , Vi
w
RECEI PT ':
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DAT~
Date
~ .Z-;r-F~
DATE PAID tf/zi,,!'f' /l
RECEIVED ;;;-;;7cJJ