HomeMy WebLinkAboutPermit Building 1998-2-10
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COM M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER 9~~// A_
INSPECTION LINE: 726,3769
OFFICE: 726.3759
to ::?~ V
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225 Fifth Street, Springfield, Oregon 97477
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LOCATION OF PROPOSED WORK' <)' "3 e:> ~~--?/.:.-----
ASSESSORS MAP' .//-<::J =?...::?? ~
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OWNER: .#7:>-..u/"'7 ~~~ Afl?L:&f
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~;-;' , 'STATE:_~'
TAX LOT:
PHON'"
ADDRF"'"
DESCRIPTION OF WOR\<'
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ADDITION
A~
ZIP' .::::;>?~?-::>
,
~?"f~--- ~ /~/= .~~~'
VALUE:~
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER'
CITY'
NEW
REMODEL
OTHER
DEMOLISH
NAME
ADDRESS
ARCHITECT'
CONTRACTOR'S NAME
GENERAL:('?~~
PLUMBING'
ADDRESS
CONST.
CONTRACTOR.
MECHANICAl'
ELECTRICA' .
PLUMBING
I MECHANICAL
~ Furnace/burner & vent
1/, I < 100,000 BTUs
V"O", 1 Furnace/burner & venl
h. 'it! >100,000 BTUs
.."U)-.' 5',o(\: ~ Floor furnace and venl
l.Q' 'i, J. '94,;-, Suspended wall or 1I00r
'1. if.-A. ~.> / mounled unit healer
"'Yy "<'~, "--~O.7~ Appliance Venl
In>. I::.'.... 4 '(/. separale
:s'.:,1 <"()Q f(.l(\: ~~ Slallonary evap.
'1 r.- ~ '911. 7,@,oler
~'" '~~ "'>z. W!AAFan/Slngle
''''(' I I:9A SiC!~
'-:1 "tel I ~tgm aparl
!:"f }l\CW~lg,
!<'Mec1i~~al ~ausI
li'~ anIYt<luCf
'1' 7
NO.
FEE
CHARGE
Single Fixture
Relocated Bldg.
(new fix. addUl
Water Service
It.
Sanitary Sewer
ft.
Storm Sewer
It.
Backflow Device
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
OUAD AREA
- OFFICE USE -
LAND USF'
. OF BLDG'"
. OF UNITf"
OCCY GROUP:
Msi 07--=3
/
CONSTR. TYP'"
HEAT SOURC'"
:::j'../)/, 5~.
,
. OF STORIES:
SO. FT.
$/SO. FT.
VALUE
SO, FTG MAIN
SO, FTG ACCESf'
X
X
SO. FTG OTH ER
X
TOTAL VALUE OF.PROJECT
PLAN CHECK FEE /i,lL>, ds... RCPro
DATF
BY
I BUiLDING .PERMIT I
-;.~..
;2./~ ?,&>' PLUMBING
I~, 't'.l!!i 5% Stale
b" 4;'"7 SurcharQe
FENCE
VALUE $
SIDEWALK
, DEMOLITION
15% State
Surcha':.,Qe
1 MECHANICAL
15% State
Surcharae
I PAVI NG
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
FT.
CURBCUT
FT,
" I
TOTAL PERMIT FEES
EXCLUDING ELECTRICA'
PHONE
EXPIRES
PHONE
1='=.1=
("'i6Dr.1=
$10.00
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I
I
::.?~2. . 7~
I
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REQUIRED INSPECTIONS
It Is the responsibility of the permit holder to see that alllnspecilons 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 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
consfruction 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.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a,1)
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
I n place but before any
concrete Is placed.
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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 WELDS:
Performed on the job, (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
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)
SPRAYED ON
FIREPROOFING: U.BC,
Standards 43,S,
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. \ ..',
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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
made prior to Installation of
decking or floor sheathing,
STRUCTURAL MASONRY: (306
a.7)
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SIDEWALK & DRIVEWAY:
Required for all concrete
, paving wlthln'street right of
.' way, to be made after all
excavatlri'g complete and form
work and sub-base material in
place.
MASONRY: Steel location, '" .
bond beams grouting or .,' . ,
verticals In accordance wltti; .
UBC 2415. ;.
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CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
'In addition 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 covering.
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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 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 COMMENTS'
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 structure without permission of the BuHdlng 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
tlmes during constructlon.
~gnature ~.& ~"'A~('.p~~LLA )y~hd(iv (ll,{-VIA.)<Oate 2-/1D / /99e.
AMOUNT RECEIVED: .:1/ 37,). '8'~ DATE PAID: cf.-/b- 11
RECEIPT ': :J <;:; 7 c:, V RECEIVED BY: c:::r(u)
VALIDATION: