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HomeMy WebLinkAboutPermit Building 1997-5-13 LOCATION OF PROPOSED WORI<' \ 0;)..0 :r C\ 1'\ V'~ >!ASSESSORS MAP: 11 . () ~ ~?"'L/'.:l...1 Ch UV' cJ... S;+y "... t- COMMERCIAL/INDUSTRIAL e PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 1=Y"~e. (lk~O'cl,5t ADDRESS: \ O~O To. ('\ II " CITY: _ Sp (' \ Y'ICJt:I' e\d.. 'Ro.n.p OWNER' OESCRIPTlON OF WORK' NEW ,/ REMODEL ADOITION NAME ARCHITECT' CONTRACTOR'S NAME GENERA" () W Y'\e..... PLUMBING: MECHANICA' ' ELECTRICAl' ~ . . JOB NUMBER q 7/) '7?~ , ' - ~ . INSPECTION LINE: 726,3769 OFFICE: 726,3759 q.."..p..z.\- S,P't'1 "~+II',\d C)(""\(\(\ \ I I -,- TAX LOT' ;;).OC PHONF' 72(P- '1050 STAT~' Ore.QOR. -...) -m C.~vN~""- - CJ,Y11 ZIP' ~o.- "Y'\\-fo~ OEMOLlSH OTHER VALUE: 3;')~ ,0-0 AODRESS PHONE ADDRESS CONST, CONTRACTOR' EXPIRES PHONE I, MECHANICAL I FEE CHARGE I "If' F~F "HARi I Furnace/burner & vent < 100.000 BTUs 1 Furnacel burner & vent I >100,000 BTUs I Floor furnace and vent I Suspended wall or floor mounted unit heater I Appliance Vent separate ] I Stationary evap. cooler 1 I Vent Fan/Single duct 1 I Vent System apart from AC or htg. 1 I Mechanical exhaust hood and duct I I I I Permit Issuance $10,00 1 I TOTAL PERMIT I PLUMBING I NO I Single Fixture I Relocated Bldg. (new fix. addti! I Water Service It. I Sanitary Sewer ft. I Storm Sewer It. I Backflow Device I TOTAL PERMIT OUAD AREA: . OF BLDG~' OCCY GROUP' . OF STORIES: SQ, FT, SO, FTG MAIN SO, FTG ACCESS SO, FTG OTH ER PLAN CHECK FEiO ---7-/. I ~ I BUILDING PERMIT 15% Stale ,Q:> If< Surcharge /.' +/. I MECHANICAL 15%State Surcharoe I PAVING 3 ~ ,.5"'0 ,<_<:1'7 " RCPTN - OFFICE USE - HANDICAP ACCESS: LAND USE: FLOOD PLAIN: ZONING' LIGHTING POWER BUDGET: WATER HEATER: . OF UNIT~' CONSTR. TYPF' HEAT SOURCE: $/SQ, FT. VALUE x X X 3~,4>"Z] ,,-.,- - ::>,.:l ,;--,~(.......I, TOTAL VALUE OF ,PROJECT ?c:.,'/ s- -!' ? - l? BY ~~ \ DATF , PLUMBING I DEMOLITION I 1 1 5% State Surcharge FENCE VALUE $ SIDEWALK , , SUBTOTAL PERMITS SYSTEMS DEVELOPMENT '. CURBCUT FT, FT, . , ' I " TOTAL PERMIT FEES EXCLUDING ELECTRICA' ~2. 72.. ,~ ~ 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 work!ng 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. ATTIC DRAFT STOPS & CURTAIN WAllS 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 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. 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. 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. 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. 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. 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. SIDEWALK & DRIVEWAY, Required for all concrete paving within street right of way, to be made after ail excavating complete and form work and sub-base material in place. MASONRY, Steel location, bond beams grouting or verticals In accordance with UBC 2415. ROOF SHEATHING AND NAiliNG: Prior to Installing any roof covering. CURB AND APPROACH APRONS, After forms are erected but prior to placing concrete. 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 Owner' 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,I. (306 a,1) STRUCTURAL WELDS: Performed on the job, (2722 f) HIGH STRENGTH BOLTING: During all bolt installation and tightening operations, (306 a,6) SPRAYED ON FIREPROOFING, U,B,C. Standards 43.8. SPECIAL GRADING, EXCAVATION AND FilliNG, Ourlng 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.BC. 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, 91ty or Development Code. 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 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. By signature, I state and agree, that I have carefully ~xamlned the completed application and do hereby cer.lify th~t all information herein is true.and correct, and I further certify that any and ail work performed shall be done In accordance with the Ordinances of the City of Springfield, and the laws of the St'ate 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 en re that all required Inspections are requested at the proper time, that p~~ject address Is readable from the street, that the per It card Is located at th7lofr t of the property, and the approved set of plans will rem~ln 9" the site at all times during con uJtlon, R ',..J ' ~ ~lgnaturQ'......_)/IP-//J ,_ Date 5"-/.1'-)'7 OATE PAlO: <:;" -/.J -~ 7- RECEIVEO BY: f~- FINAL ELECTRICAL FINAL MECHANICAL x FINAL FIRE DEPARTMENT ADOITIONAl COMMENTS: PLANS REVIEWEO BY VALlOATlON: u.2,rL "') r-7 J / -oJ r AMOUNT RECEIVED: RECEI PT .' DAT~