HomeMy WebLinkAboutPermit Building 1997-1-31
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COMMERCIAL/INDUSTRIAL SPRI"OFIELD JOB NUMBER q?~~
PERMIT APPLICATION ~
INSPECTION LINE: 726.3769
225 Fifth Street, Springfield, Oregon 97477 ~ OFFICE: 726.3759
L!C~f{; 01t~~ W:;~ -On IJ C Ie; ~ bo~ d I' '" II ~-. c" fa /__
ASSESSORS MAP: -LX- a / L..L ~ n !-5? (520 (,/2- TAX LOT: /r14'<1Cl1 Cl
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OWNER C~:::l~,v:")/iL.< Ii -S:.c:..-f( / /2:1
ADDRF"'" ,\::JS- 1r1. -;1 "i'
CITY' ( <).0/,;"., /:.: IJ STATE: ~ /t".. d=
Q / .
DESCRIPTION OF WORK:f<ej7/0r'p ilvrr. wand .s..s (uJi~dl)<<n &7D~ JS{i..~)
NEW ~ REMODEL ,..;.-- ADDITION DEMOLISH OTHER
PHONE:
7~c,c c: ? 7 'i-
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ZiP'
NAME
ADDRESS
J#JJ 0"" J r~t', de
. VALUE:~
~ L~{JI"J C<.
PHONE
ARCHITECT:
CONTRACTOR'~AME
GENERA" (./uJ,-'I "",....
ADDRESS
CONST.
CONTRACTOR'
EXPIRES
PHONE
PLUMBING:
MECHANICAl'
ELECTRICA' .
PLUMBING
MECHANICAL
fe
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I
I
I
I
I
I
I
I
Furnace! burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor lurnace and vent
Suspended wall or lIoor
mounted unit heater
Appliance Vent
separate
Statlonaryevap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duel
""F I
J
"l:lARGE-,1
NO.
FEE
CHARGE
Nn
Single Fixture
Relocaled Bldg.
(new Ilx. addtll
Waler ServIce
Sanitary Sewer
Ie
Storm Sewer
Ie
8acl<llOw Device
I
I
I
I TOTAL PERMIT
Permit Issuance
$10.00
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
OUAD AREA"
LAND USF'
FLOOD PLAIN'
, OF BLDGS:
OCCY GROUP"
, OF UNITS:
ZONtNG'
LIGHTING POWER BUDGET:
WATER HEATER'
, OF STORIES:
CONSTR. TYPF'
HEAT SOURCF'
SO" FT.
$/SO" FT.
VALUE
SO. FTG MAIN
X
X
X
="
SO" FTG ACCESS
SO. FTG OTHER
TOTAL VALUE OF PROJECT
PLAN CHECK FEE --'..1. 7t2.
RCPT'
OAT"
BY
I BUILDING PERMIT
15% Slate +"2
SurcharQe ~
MECHANICAL I
I
I PAVING I
~//; A /U~rj (-
"If 7Cf<f-c'3 7J--
/7. '20
-/1&
.~~
PLUMBING
DEMOLITION
5% State
Surcharoe
5% Slate
SurcharQe
FENCE
\I"~~~ ~_
SIDEWALK
,
CURBCUT
FT.
FT.
SUBTOTAL
PERMITS
SYSTEMS
OEVELOPMENT
/B.9/
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
'Jo.'ZC:
. REQUIRED INSPECTIONS. .
It Is the responsibility 01 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. w"lfl 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.
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
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
framing Inspectlon.
.
SPECIAL INSPECTIONS: In accordance
Section 306 01 the State Specially Code
a special Inspector. shall be employed
by the Ownerl Contractor during
construction of the following wor~. A
copy 01 the.speclal testing reports shall
be lurnlshed to the.Buildlng Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
x
FRAMING: To be made after
the roo', 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:
Perlormed on the job" (2722 I)
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.
UNDERFLOOR: Plumbing.
electrical, mechanical. To be
made prior to Installation 01
floor Insulation, decking or
floor sheathing.
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.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt Instatlatlon and
tightening operations. (306
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43-8.
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
finished.
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U"BC.
STDS. 25-10.11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prlo, to Installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a"7)
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
SIDEWALK & DRIVEWAY:
Requir<<3d for all concrete
paving within street right of
way, to be made after all
excavatlng'complete and form
work and sub.base material in
place.
"In addl tlon to the Inspec.
tlons specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building.
City or Development Code.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covenng.
CURB AND APPROACH
- APRONS: After forms are
erected but prior to placing
concrete.
FINAL MECHANICAL
}'
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 Inspectlons 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 PLUMBING
FINAL ELECTRICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY ~~~~ DATE I-~-?;;>
By slgnature,l state and agree, that I have carefully examined the completed application and do hereby certify th~t 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 01 the State of Oregon pe,talnlng to the work described herein. and that NO OCCUPANCY
w!1I be made of any structure without permission of the Building Safety Division. I further certlly 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 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 construction.
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RECEIPT N'
3..0.:2 ..,
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RECEIVED BY: ~~-
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Signature
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VALIDATION:
AMOUNT RECEIVED'
DATE PAID: