HomeMy WebLinkAboutPermit Building 1998-8-18
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JOB NUMBER!fCtf/OSI
INSPECTION LINE: 726.3769
OFFICE: 726.3759
2~5 Fifth Street, 9pringfield, Oregon 97477
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LOCATION OF PROPOSED WORK' J 0(> A4 JL ~ri
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CO M M ERCIALlI N DUSTRIAL
PERMIT APPLICATION
ASSESSORS MAP:
OWNER: --'5 e /L
:f! 0_ Acx
E,- q.e-k-o .~
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DESCRIPTION OF WORK: J.",. ftlpA/ j:Ph/ ",h,Pv
NEW REMOD~L ~ ADDITION
ADDRESS:
CITY'
STAT~'
. (j);.:,
ZIP'
~? Y-YD
DEMOLISH
U/r2..~/"~f_.J/. :~yd..
OTHER: ." . VALU( ? /) ) )--:~.' .
. ARCHITECT:
f'cI> h
NAME
IvAI!:v-f
ADDRESS
PHONE
PLUMBIN("
MECHANICA' .
CONST.
- ~DRES\;l ?('/2-w-/j,t~.r/oCoz.r#-R' .
fA~;/ Cq// C,;,.u/I~7.,,_. W/t?tt6
. , '1'-1
. 71 ~'l.t
EXPIRES PHONE
.J//]/Oe. 9'.J)-J,Y/f'
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CONTRACTOR'S NAME _
!; 70C ih.'.......
GENERAL:
ELECTRICA' .
I PLUMBING I I MECHANICAL I'
I NO . FEE CHARGE I I ..n """ r~.4~nl= I
I Single Fixture I I . Furnace/burner & vent
<100.000 BTUs..
I Relocated Bldg. . I 1 Furnace/burner & vent 1
Inew fix. addtl) > 100.000 BTUs
1 Water Service I 1 Floor furnace and vent I
ft:
1 Sanitary Sewer I 1 Suspended wall or floor I
ft:. mounted unit heater
I Storm Sewer I I Appliance Vent 1
It: separate
I I 1 Stationary evap.. I
Backflow Device cooler
1 I 1 Vent Fan/Single I
duct
I I 1 ' Vent System apart 1
ATTI=MTI01\1.nr'9.QOO- !:lVI' rOfl' l!es4JnII tn from AC or htg,
1 I 1 Mechanical exhaust I
follow rules adopted b , the Or gon Utility . hood and duct
I NotlTlCatlon \jemer. I no ;e rUle are set tonnl 1 I
;',,().AR o<:?_nn1_nn'11)jb' AR o<:?_nn1_'
-I 0090. You may obtain C Jpies 0 the r\lles by I I Permit Issuance $10.00 1
I TOTAL 'PERMlfalltng me.cemer. (Note.: me elepnone I TOTAL PERMIT 1
nllrnhor for tt"e Oregnn IIHlit~' .
V~lllt:lll~ l-OU\J-,;)':JI:.-'~).
- OFFICE USE -
HANDICAP ACCESS:
OUAD AREA'
LAND USE:
NOTICE: FLOOD PLAIN'
TJ.J12 o'=Cl'."T SHALL E!~I'lIf'l@:IC nil;; \\lGRY.
AI mmBlZED UNDERLT$tl6lfl!3A1\)~i;S l:IQI:I"GET:
COMMENCED OR is iWAi16flQ6AfriiOR
. OF BLDG~'
. OF UNITS:
. OF STORIES'
CONSTR. TYPE:
HEAT SOURCE:
OCCY GROUP'
SO. FT.
$/SO. FT.
--.' --- ..""
'''1111 IVVU."'\1 r "'l'l~"',
VALUE
SO. FTG MAIN
SO. FTC> ACCESS
X
x
SO. FTG OTHER
X'
TOTAL VALUE OF .PROJECT
PLAN CHECK FF"
RCPP
DAT"
BY
.1 BUILDING PERMIT
15% Slate
Surcharoe
1 MECHANICAL
15% Slate
Surcharoe
I. PAVING
/~ (rU
.1'{ /.'fC;
, PLUMBING
, DEMOLITION
1
1
1
5% State
. SurcharQe
FENCE
VALUE $
SIDEWALK
FT.
SUBTOTAL
PERM ITS
SYSTEMS
DEVELOPMENT
. FT.
1
CURBCUT
TOTAL PERMIT FEES I. If., U
EXCLUDING ELECTRICA'
..
.
REQUIRED INSPECTIONS
, . .
, . It Is the responsibIlity of the permIt holder to see that alrlnspectlons are made at the proper time. To request an Inspection, call
726.3769 (recorder), state your City designated job number. lob address, type of Insp~ctlon 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. \oYlIl be made
the fOllowing work day.
SITE INSPECTION: .To be
made after, excavation, but.
prior to setup of forms.
UNDERS'LAB PLUMBING;
. ELECTRICAL &
MECHANICAL: To be made
before" any work Is cove~ed.
ROUGH PLUMBING, .
ELECTRICAL &
MECHANicA'L: No work is to
be covered until these .
inspections have been made
and approved.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placIng' concrete.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIRJ;PLACE: Prior to placing
r. . 'TaCIn"g~I'!l:zla.IS and before
. framlng'.lnsp ctlon.
. .
FRAMIN 0 be made after
,f the .ro ,all framing, fire
,blo n9 and bracing are In .
ace and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
B;nd mechanical are app'roved.
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.
CONCRETE SLAB: To be
made after all Inslab bulldin
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
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 ,andexterlor, Is In
. place but b.efore any
plastering Is applied or befor.e
gypsum board joints and
fasteners are taped and
finished.
POST & BEAM: To be made
prior to Installation o.f 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 grouting or
verticals In accordance with
USC 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 covering.
CURB.AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete. . .
PAVING: After gravel Is In
place but prior to placing
asphal.t or concrete. I
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owner I Contractor during
construction of the following work. A
copy,of the special testing reports shall
. be furnished to the Building Division.
STRUCTURAL CONCRETE: In
ex.cess 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
ICIREPROOFING: U.B.C.
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 Clty's
Building Division before
beams are placed. (2501 U.B.C.
STDS. 25'10,11). J
,
STRUCTURAL MASONRY: (306
a.7)
*In addition to the Inspec-
tions specified, )heBullding
Official may make or require
other inspections of any
construction ~ork to en~ure
compliance with the Building,
City or Development Code. .
FINAL PLUMBING
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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
~-::o;-~ Ing this Inspection.
F"NAL ELECTRICAL
(~
FINAL ILDING: Requested after the final plumbing, electrical,
me nlcal and Fire Department Inspections are ,made and
'pproved. No occupancy of 'the, premises can. be made until a
Certificate of Occupancy has been Issued by, the Building Dlvisl.on
and posted on the premises.
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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 ORS 701.055 will be used on this project,' . .
. , . . .
J 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 rerrialn on the site at all
times d~rlng constJuctlo . . / L
Signature. .~ ~ ,.L", / ~i/ Date >>,f/Ytl'
fltr! q,c! /!
. RECEIVED BY: . d MP><I/
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
I
ADDITIONAL COMMENj
I
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Note:
Building Inspector may require
additional plans information,
andlor fees for the completion of
this proj eeL
VALIDATION:
AMOUNT RECEIVED: /(P.'l-rJ
RECEIPT .; b 31.1.D
OAT"
. I
DATE PAID:
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