HomeMy WebLinkAboutPermit Building 1997-4-25
COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
JOB NUMBER 9 ?elil~
INSPECTION LINE 7263769
OFFICE 7263759
225 Fifth Street, Springfield, Oregon 97477
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34
TAX LOT
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LOCATION OF PROPOSED WORK
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)o\SSESSORS MAP
/70' S
OWNER S~ Sck\e.-vdIMCl4\. /Jo ilIA l"'(j ""
ADDRESS q /0 (lIuv"b CLJ~1 DI2
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CITY!?" ,c. ~ f
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PHONE C-,~ ~- ZZ-7 (
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ZIP 97%7
STATE
DESCRIPTION OF WORK
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NEW REMODEL
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OTHER
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ADDITION
DEMOLISH
NAME
-
PHONE
ADDRESS
ARCHITECT
CONTRACTOR'S NAME
GENERAL ~~/W\Lr
CONST
CONTRACTOR'
EXPI RES
SI14./~7
ADDRESS
30':;- u.llull\"A e~'A""
Ot/38'14
PLUMBING
MECHANICAL r~N'<;61 r.tiv
ELECTRICAL ;(>""" i?IU~(.
1'*f5:1.r.JI... IU. ~ '1140? 11007<;
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8'iQ1(., 01>.., l..kR. ~"""'. '1'l40z
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PLUMBING
MECHANICAL
FEE
CHARGE
Nn
!:"EI= I
Furnace/burner & vent
< 100,000 BTUs
Furnacefburner & vent
> 100,000 BTUs
Single Fixture
Relocated Bldg
(new fiX addl!)
Water ServIce
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
sepa,ate
Slat lonary evap
cooler
Vent Fan/Single
duct
Vent System apart
rrom AC or htg
Mechanical exhaust
hood and duct
It
Sanitary Sewer
II
Storm Sewer
II
Back flow DeVice
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Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS
OUAD AREA
LAND USE
FLOOD PLAI N
, OF BLDGS
, OF UNITS
ZONING
OCCY GROUP
CONSTR TYPE
H EAT SOURCE
LIGHTING POWER BUDGET
WATER HEATER
, OF STORIES
SO FT
$ISO FT
VALUE
SO FTG MAIN
X
SO FTG ACCES~
X
SO FTG OTHER
x
TOTAL VALUE OF PROJECT
PLAN CHECK FIT ~~ ftJ"'3 RCPP
OAT"
BY
I BUILDING PERMIT (''/2.,,rO PLUMBING
15% Slate 13 :) 5.0r 5% Slale
Surcharge 3. ~/.8. Surcharqe
I MECHANICA~ /5".t!rO FENCE
'/.. I VALUE $
15%State. </.- 1:2. 0 SIDEWALK
Surcharae; 7J"-f. :.I , FT
I~~ 15$f,(~ci; /t).~ CURBCUT
FT
,
, , '-
,
DEMOLITION
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
P~ONE
343-t/.4l,2
(",4' -4f,z.1
GBf.-cY{o-5"
J
rl:JABGj
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/ S. IJ"C I
$1000 I
I
'TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
1.31)-1 ~J. ;;./-
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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
7263769 (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
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL To be made
before any work IS covered
'>.t!' ROil"" PlUMBING .
r '~'CTRIC~ '
f,,;HAN1~NO work IS to
- be coverea until these
inspections have been made
and approved
PAVING After gravel IS In
place but pnor to placIng
asphalt or concrete
7Z.
FIREPLACE Prior to placing
faCing matenals and before
framing lnspeq,tlon
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 electncal, plumbing
and mechanical are approved
SPECIAL INSPECTIONS 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 Building DIvISion
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOUN DATIONS
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prlo'r to placing concrete
STRUCTURAL CONCRETE In
excess of 2500 PS I (306 a 1)
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
, I '
,
UNDERGROUND plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines To be made
prior to covering or filling
trenches
STRUCTU RAL WELDS
Performed on the Job (2722 f)
INSULATION & VAPOR
BARRIER To be made after all
Insulation and reqUired vapor
barrters are In place but
before any lath or gypsum
board Interl'or wall covering IS
applied
HIGH STRENGTH BOLTING
DUring all bolt Installation and
tightening operations (306
a 6)
SPRAYED ON
FIREPROOFING
Standards 438
,
U BC
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)
FLOOR INSULATION &
VAPOR BARRIERS To be
made prior to InstallatIOn of
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
finished
GLU LAM BEAMS Inspection
Certificate by an approved
agency, furnished to the City s
BUilding DIVISion before
beams are placed (2501 U Be
STDS 2510,11)
POST & BEAM To be made
prior to InstallatIOn of floor
Insulation, decking or floor
sheathing
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
-------------------------------------------------------
ROOF SHEATHING AND
NAILING Prior to Installing
any roof coverl ng
CURB AND APPROACH
APRONS After forms are
erected but prlor to plaCing
concrete
In addition to the Inspec
tlons speCified, the Budding
OffiCial may make or require
other Inspections of any
construction work to ensure
compliance With the Building,
CIty or Development Code
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD Must be requested 2 days In advance
of tile date you WIsh lnSpectlon All project condItions sucil 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 BUlldtng O\Vls\on
and posted on the premises
FINAL PLUMBING
"'7--
'><--
FINAL ELECTRICAL
FINAL MECHANICAL
ADDITIONAL COMMENTS
PLANS REVIEWED BY
DAT"
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 Slate 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 gnly contractors and employees
who are In compliance With ORS 701055 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 caId Is 10 ated at the front of the property. and the approved set of plans will rem~aln on the site at all
limes dU"Ag~ con(tructl~n . \
)<'SI9nalureIV\u.J.-, G..'J , Date ~( ,2b, 'C6+-
OATE PAID 412- d: ?
RECEIVED BY /_~~ ~ .
,
RECEIPT'
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'Lc;.dt!i3S
VALIDATION
AMOUNT RECEIVED