HomeMy WebLinkAboutPermit Building 1998-1-16
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COM M ERCIAL/I N DUST RIAL
PERMIT APPLICATION
LOCATION OF PROPOSED WORK'
318/
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JOB NUMBER '71fI!!i,!")1?c6 5'
INSPEGrION LINE: 726.3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
ASSESSORS MAP: / '7/) .3 ? "2-
OWNER: -:::;;;JvI1 ,fire//! '3
ADDRESS: ~
CITY: 1~ J3t~
'2. r-,
TAX LOT: _n ! / /'Tr--.
PHONE:-.!:2!tf -' 6/-:fJh~-;Y
STATE:
(!;:fOe; On ZIP:
NEW
DESCRIPTION OF WORK' T'nS'fAU-. DtJtJe
REMODEL ~ ADDITION
DEMOLISH
OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITEGr'
. CONTRACTOR'S NAME \
- ~GENERAI'~/ LAAl5/J../C..
PLUMBING'
ADDRESS
~1~ RJ
s>p,=, F:) ,
CONST,
CO NT RACTO R #
/17--0(;,1
EXPI RES
3~#-9r
PHONE
"7'7-&;. hi#--'
MECHANICAl'
ELECTRICA' .
PLUMBING
MECHANICAL
NO.
FEE
CHARGE
Nn
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(":~6Rnl=
Single Fixture
Relocated Bldg,
Inew fix, addtll
Water Service
Furnacel burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100.000 BTUs
It.
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate _ II'
_i'ila!.ionaryevap, 1"1\ IC- '('l0f'<1'.
Oil I(~er "yoll=\C- r I _ ~
" . V~Ql\~~ ,. C-~~" I;) n
-\\Ie PI!I\lOO . -n ,I-IIS f' ,-n
\ - .V.e.\Il,IllVl'I9111\Spatt N rv' , .
nf' ,.\{!)'clhI-'At:: or !J)g" ~f\"NOO
_~~&lJ~ust
CO JlllIllG'lMli'ia 9 u<<l..f'\l'\.
O~'( rf.. "'-"
~t-'t \&0
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
Permit Issuance
$10.00
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING: .
LIGHTING POWER BUDGET:
WATER HEATER'
OUAD AREA
# OF BLDGS'
LAND US'"
# OF UNIT!"
OCCY GROUP'
# OF STORIE'"
CONSTR. TYPF'
HEAT SOURCF'
SO. FT,
$/SO. FT,
VALUE
SO. FTG MAIN
SO, FTG ACCESS
X
X
X
SO, FTG OTH ER
TOTAL VALUE OF.PROJECT /1 ~D ~
PLAN CHECK FEE--1I/"\-
RCPT'
DAT"
BY
1 BUILDING PERMIT I '2-<? :'50
1 ~~~c~':r~e Itl1..t. .~I 1 t. ~
I MECHANICAL . , -
15% State
Surcharae
1 PAVING .1
PLUMBING
DEMOLITION
5% State
SurcharQe
FENCE
VALUE $
SIDEWALK
CURBCUT
,,-, .
I.
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
FT,
FT.
,
" TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
-22 (~
.
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REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all InspectIons are made at the proper tlme. 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 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,
ATTIC DRAFT STOPS &
CURTAIN WALLS
, SPECIAL INSPECTIONS: In accordance
, . 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 & 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 b'raclng 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 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 Placef :~
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines, To be made
prior to covering or filling
trenches,
STRUCTURAL WELDS:
Performed on the job. (2722 f)
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.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
SPRAYEO ON
FIREPROOFING: U.S.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
finished,
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U,B.C.
STDS. 25.10,11).
FLOOR INSULATION &
VAPOR BARRIERS: To be . SIDEWALK & DRIVEWAY:
made, prior, to Installation of ,", ,Required for all concrete
decking-or floor.sheathin'g:. ,', .', ,paving within street right of
~, 'J :~~.',..' ",1/' '):'i': . I - 'Way:to be made after all
MASONRY: Steel..I,C?c.~~_lon.!.' I' ,r.".. I-i !=txcavatlng complete and form
bond beams grouting or , I I, - work and sub-base material in
verticals In accordance)with . " ".,;q ""I.ll place,
UBC2415, ....~l:q:;.. "'JYfUJ
.' , I"...; /',;, \"'.CURB AND APPROACH
~. APRONS: After forms are
erected but prior to placing
concrete.
STRUCTURAL MASONRY: (306
a,7)
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
"In addition to the inspec.
t10ns specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
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FINAL PLUMBING
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish Inspection, All p~oject conditions such as
landscaping, parking lot striping, etc,:mustbe completed before
requesting this Inspection,
FINAL ELECTRICAL
FINAL MECHANICAL
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,
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENT""
PLANS REVIEWED BY
DATF
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 thatNO 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 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 Conuctlon. , J ~ _ ') _.
Signature (;/IU12i#~}Jff
- I 1/
AMOUNT RECEIVED' :z "2.. ,I J
~5'/J/
RECEIPT N'
Dat~ (~ ) J 9crK
DATE PAID: ?'0~11;:>~~)
RECEIVED BY' ;{! /A-L
VALIDATION: