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Home My WebLink AboutPermit Building 1999-10-1 .' CO~ERCIAL/INDUSTRIAL .PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 ~ . JOB NUMBER 9q~~ INSPECTION LINE: 726-3769 OFFICE: 726-3759 ~ ' c' LOCATION OF PROPOSED WORK: ,::<)! q c( ,. ('rJ~/.-yJl..,,-, 'nn(J - ~ ( , ASSESSORS MAP' II I'J ~ ;:+;::)::LI\ ' .. I - - - ~ SJLp(1l '/ M-' tl--t-- .- OWNER: J,lvlil/ 0 ADDRESS' ;::}."2.,C')b q- J 1-A~A_'" ~-:--\. /1 DESCRIPTION OF WORI<' Sfe t1 rrL-f:/ CITY: 71)~ j}- NEW REMODEL ADDITION DEMOLISH NAME ADDRESS ARCHITECT' ('{I, CONTRACTOR'S NAME I GENERAl' (lr;lPAAIi n ,/' ADDRESS !J) fit'. . J PLUMBING' MECHANICA' . ELECTRICA' . '. PLUMBING NO' FEE CHARGE Single Fixture Relocated Bldg. lnew fix. addtl) Water Service ft. Sanitary Sewer Storm Sewer ft. ft. Backflow Device I TOTAL PERMIT aUAD AREI" # OF BLDG~' - OFFICE USE - LAND USF' # OF UNIT~' OCCY GROUP' CONSTR. TYP"' HEAT SOURCE: # OF STORIES: Sa. FT. $/sa. FT. sa. FTG MAIN x x sa. FTG ACCES~ sa. FTG OTHER x PLAN CHECK Fi'~ RCPT# .DAT" I BUILDING PERMIT I ....;; State 1""2 Surcharoe J/? MECHANICAL /~ of> -I.P~- _ VS-' I;;, State :::iurchar~e FENCE ,!A.LYE$ i:i1D~WALK , PLUMBING 7 ;.State Surcharoe I PAVING CURBCUT FT. FT. TAX LOT' 8,c=:.tY) PHONF' 3'-f 2-33 () . ZIP:~ /I{n ( OTHER I.t'/>-> VALUE: -/0 ~ 00 . ---' PHONE CONST. CONTRACTOR # EXPIRES PHONE MECHANICAL Nn "FF r.t-tARnF Furnace/burner & vent < 100.000 BTUs Furnace/burner & vent > 100.000 BTUs Floor furnace and vent Suspended wall or.floor mounted unit heater ApplIance Vent separate Stationary evap. c.ooler Vent Fan/Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duct Permit Issuance $10.00 TOTAL PERMIT HANDICAP ACCESS: FLOOD PLAIN' ZONING' , LIGHTING POWER BUDGET: WATER HEATER' I VALUE TOTA~ VA~UE OF .PROJECT BY , DEMOLITION I I I I I SUBTOTAL PERMITS SYSTEMS DEVELOPMENT TOTAL PERMIT FEES I EXCLUDINGELECTRICA' /6.~ . . '" It Is the responsibility of the permit holder to see that all Inspections are made at the proper time. To requeet an Inspectlon;,c~1I 728.3781 (recorder), etate 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. REQUIRED INSPECTIONS UNDERSLAB PLUMBING, . ELECTRICAL 8< MECHANICAL: To be made before any work Is covered. ROUGH PLUMBING, ELECTRICAL 8< MECHANICAL: No work Is to be covered until these Inspectlons have been made and approved. PAVING: After gravel Is In place but prior to placIng asphalt or concrete. FOOTINGS 8< 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. 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 CONCRETE SLAB: To be made after all Inslab building serylce equipment, conduit, piping, accessories and other ancillary equipment Items are In place but before any concrete Is placed. 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. STRUCTURAL CONCRETE: In excess of 2500 P.S,1. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 f) UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to Installation of 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 Installation 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. Sp'ECIAL 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 Certlflcate 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 prior 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: 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. '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, City or Development Code. ROOF SHEATHING AND NAILING: Prior to Installing any roof coverl ng. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. 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. FINAL ELECTRICAL FINAL MECHANICAL )( FINAL FIRE DEPARTMENT ADDITIONAL COMMENTf" 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 State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any stru without permission of the Building Safety Division. I further certify that only contractors and employees who are In compliance h 701.055 will be used on this orolect. red Inspections are requested at the ~me,-that project ad~ress Is readable from the d at the front of the property, and the approved set of plans will remain on the site at all Date~~ /.::>>/ ~"9-S> RECEIVED ,BY: ~ //~L- // c.- 'l- ~I Slgnatur VALIDATION: AMOUNT RECEIVED' /-" . S'c RECEIPT #. ~ ~ ::::>~ " - DATE PAID: . BANNER PERMIT COMMUNITY SERVICES DIVISION 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX(541) 726.3689 225 Fifth Street Springfield, Oregon 97477 Office: 726-3753 INSPECTION LINE: 726.3769 Assessors Map #: '2.,1 CJ c.j 0~~'"\~ ( \Ih~~ Owner of Property: IN\t~i J T-4~ ~C~b Address: ;:},-::Z.8A Uv(RJ..1- ,n/). City:~ I..J ContractorlInstaller: .A!"(TLMP;"'. Address: l{J Banner Location: Tax Lot A~T\ ~ City: n1~ 5.~<k/ ~oe State: Phone #: Co "1\7 - (9/6 Statc:SV' Zip: 9}:{~ / 6(LJn~r , Phone#:3C)C{ -,~~~') (loA Zip: Construction Contractors Registration Number: Expires: Description: Date of Installation: \t'l\(U Date of Removal: I rl~ (Cf9 Banner Permit Fee $40,00 Deposit Required $10,0.00 By signature, 1 state and agree that I have carefully completed this application and hereby certify that all infonnation herein is true and correct. 1 further agree and understand that the above described banner (s) is not larger than 60 square feet, and will be removed within 14 days from the date listed above. Ifthe banner(s) is not removed wi hin the timeline specified, I will forfeit the $ I 00.00 deposit. I also understand that this special penn it can be issu 0 Iy twice per calendar year per development area. I also agree to call the inspection line at 726-3769 by th en "0 the th day to request a' ion-to-verify.the removal of the banner(s). This inspection ~ ro'=~' .OOd'PO'",'."-*)""""~'''d.'f\rk hq .. - Date - f .______mmn______n___n___n__._________'--__._______________nn___.______m.______________n_________.___n___n_____._____________ - OFFICE USE Date of Application: /P~/ /'''9.::s ~ ~---'~/"? . , 1 t/-~- Job#: ~/3.~:t- Receipt#:::? ~<~ -- .. , Issued By: Amount Collected: / t./.t::J. ~