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Home My WebLink AboutPermit Building 1995-9-27 ,/(1''''"'7/-7 . dOMM ERCIALlIN DUSTRIAL P:ERMIT APPLICATION 2~5 Fifth Street, Springfield, Oregon 97477 I - "OB NUMBER -25/5"'72 INSPECTION LINE: 726-3769 ~FFICE: 726.3759 ~ # --- - ~;;r -. I '/ TAX LOT: LOCATION OF PROPOSED WORK: ?~ S- ~ArAL ,,/ ~ , ASSESSORS MAP: /;:>-..&:>'"7 ~5"'-Y<- I O~NER:~LL_..t(/'?t~L.r~-&/~ ,'&~~ /r?:Jz:z--- ADDRESS' --:::2.~/? ~ ~:r.H' /;P/LL ~ ciTY: ~~~ ( .,. STAT'" ~/~. DESCRIPTION OF WORK: ~~~ , I ARCHITECT: I I C?NTRACTOR'S NAME _ ADDR~~~ CONTRACTOR' GENERALO~~~/..d ,J'?'--"-.o;-;:;;.. *. !~-3- 5"'<<6":5: pJUMBING' I MECHANICA' . , EUECTRICAI' I I I I I INO. I I I I I I I 1- [' I I' N~W , , c:::' -;~O PHON'" REMODEL ~ ?V? / - - - M.~~~~#:y ~~Y'~~~. DEMOLISH OTHER VALUE: ~ ADDRESS PHONE ZIP: ADDITION NAME CONST. EXPIRES /~..G.~5' / PHONE ~..,,....;;>.z,/ - . PLUMBING MECHANICAL I f'l:lARG.i I I I I I I I I I I I FEE I "'" I ~I=t= I CHARGE Single Fixture Relocated Bldg. (new Ilx. addU) Water Service Furnace/burner & vent < 100.000 8TUs Furnace/burner & vent >100.0008TUs It. 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 Sanitary Sewer It. Storm Sewer It. Backflow Device Permit Issuance $10.00 TOTAL PERMIT TOTAL PERMIT QUAD AREA' i , OF BLDGS: I OCCY GROUP: , OF STORIES: I I I SQ. FTG MAIN I SQ. FTG ACCESS ; SQ. FTG OTHER I I - OFFICE USE - HANOICAP ACCESS: FLOOD PLAIN' LAND US". # OF UNITS' ZONING' CONSTR. TYP'" LIGHTING POWER 8UDGET: WATER HEATER' HEAT SOURCE: SO. FT. $/SO. FT. VALUE x X X TOTAL VALUE OF PROJECT I PL:AN CHECK FFo RCPTN BY DAT" /$~~ .,..0 "-r--,,- <' <> ~5"2 PLUMBING DEMOLITION I BIUILDING PERMIT 5~/o Stale 17.2 Surcha~ge ,-- ~ ~ECHANICAL 5% State Surcharae . PAVING 5% State Surcharge FENCE VALUE $ SIDEWALK CUR8CUT FT, ." SUBTOTAL PERMITS SYSTEMS DEVELOPMENT FT. TOTAL PERMIT FEES I EXCLUDING ELECTRICA' /~8 ?~ . 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, Ie.> setup 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 a"sphalt or concrete. 'ATTIC DRAFT STOPS & CURTAIN WALLS SPECIAL INSPECTIONS: In acco'rdance 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, 'FOOTINGS & FOUN DATlONS: To be made after trenciles are excavated and forms are erect~d, 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, FIREPLACE: Prior to placing facing materials and before framing Inspectio.n, .... ", " 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) UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. "'INSULATlON &'VAPOR BARRIER: To be made after all- insulation and required vapor barriers are I n 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.c. 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 nished, GLU.LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed, (2501 U.B.C. STOS. 25.10,11). FLOOR INSULATION. & VAPO R BARRI ERS: 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, y STRUCTURAL MASONRY: (306 a.7) 4A6fi';Y~ /'-';Y e~~/:":-:;. <. p~c.. / 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, MASONRY: Steel location. bond beams grouting or verticals in accordance with U BC 2415. ,J' 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 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 str>lping, etc. must be completed before requesting this inspection. FINAL ELECTRICAL FINAL MECHANICAL FINAL BUILDING: Requested after tile 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 DATi= 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 ce_rtify 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 requir~d inspections are requested at the proper time, that project address!s 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 constr~/, Signature ~~, oate_9-.2:/- t::;.c; '9-.< ,/0"7> .~,-~ AMOUNT RECEIVED: /~ii!i', 7<- /9/'2at DATE PAID' VALIDATION: RECEIPT ': RECEIVED BY: