HomeMy WebLinkAboutPermit Building 1997-12-19
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COM M ERCIAL/I N DUST RIAL
PERMIT APPLICATION
JOB NUMBER
q 7 I ,=>, c,s--'
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LOCATION OF PROPOSED WORK' till /hrltJvJ fLc/
ASSESSORS MAP' t7 0 =5 2- ") _ Lf-4 () 7 ~o-v
225 Fifth Street, Springfield, Oregon 97477.
INSPECTION LINE: 726.3769
OFFiCE: 726.3759
TAX LOT'
OWNER' '/k ~...Jt.{(>.~ft~} 7-1/ J1or,';s
ADDRESS: ,1.8400 7 Z-".; ,i1J<.... (" r::.c...iJ=r
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PHONE: 7C?-79t. -7//1
'ZoG.
CITY'
STAT'"
vJ Mil.
.ZIP: q ~c~-z.
DESCRIPTION,OF WORI(:
NEW REMODEL
~. "'.../ 9J~~ SIJtci",,~ hU..-6-10..v..0_
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ADDITION DEMOLISH OTHER k G-O"!rU\...
VALUE: /~ -<t>
,
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
ADDRESS
CONST.
CO NT RACTO R #
EXPIRES
-nu.. /'1'9 I
PHONE
GENERA' .
q '1'I7-z....-
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ROOET caNST. co., 110'\,;.
.S2M ~'<u<lkJ:l<>"!1W Rd.
- FI;;'ence, OR 974394'"..
'5"'" nn"?_on1A" CI,
,,. 4,'00'^"1:!
(' ~~ '" ~
_, ,,.t. ,,~^ .
.
'<1 vA" 'Vf) ."t;;,,~
PLUMBING '/vt- :~/\ '{>^ 'i{) I
'FF,F '1-"CK~9l!Y" I ..n
vV' .....~' ~ '(Jt Furnacel burner & vent
<2:. <:I r> e>.... 1 ~ < 100,000 BTUs
',() -')'''' '1' ~ I Furnace/burner & vent
~Q 0' ~ '~O' ~ a.. > 100.000 BTUs
e> 'tt ,()<<.: 'Il>. Floor furnace and vent
. b.. '9~1 "<'/J Suspended wall or floor
..-~ ~ "v,... mounted unit heater
I <:I ~ r'O:'. -~:- Appliance Vent
n ..~. separate
I . ~ j' StatIonary evap.
cooler
I I Vent Fan/Single
duct
I I Vent System apart
from AC or' htg.
I I Mechanical exhaust
hood and duct
I
I
I TOTAL PERMIT
MECHANICAL
PLUMBING:
MECHANICA' .
ELECTRII" '.' '
NO,
"""
r1-l6An.1=
Single Fixture
Relocated Bldg.
(new fix. addll)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
I
I
I
I
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1 'TOTAL PERMIT
Backflow Device
Permit Issuance
S10.00
- OFFICE USE -
HANDICAP ACCESS:
aUAD AREA-
# OF BLDGS:
LAND US".
FLOOD PLAIN'
# OF UNIT~'
ZONIN(>' '
LIGHTING POWER BUDGET:
OCCY G RO U p.
# OF STORIE~'
CONSTR. TYP'"
HEAT SOURCF'
WATER HEATER'
Sa. FT.
s/sa. FT.
VALUE
SQ. FIG MAIN
x
X
sa. FTG ACCESS
sa. FTG OTHER
x
TOTAL VALUE OF .PROJECT
PLAN CHECK FF~
RCPT#
OAT"
BY
I BUILDING PERMIT
15% State ,."
SurchalJle ~
I MECHANICAL
15% Stat,e
Surcharoe
I PAVING
Se:;. ~
'7'. Q '?
::;>,50"2
, PLUMBING
, DEMOLITION
5% State
Surcharge
FENCE
VALUE S
SIDEWALK
CURBCUT
FT.
FT.
SUBTOTAL
PERMITS
SYSTEMS
, DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDINGELECTRI(" ,
86.9~
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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 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.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In p!ar':e, 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 Ownerl Con~ractor 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
service 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
cxceS3 of 1500' P.S.1. (306 2.1)
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 alter 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)
SPRAYED ON
FIREPROOFING: U.B.G.
Standards 43.8.
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SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
UNDERFLOOR: Plumbing,
electrical, mechanical. 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.
'xl
<
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).
STRUCTURAL MASONRY: (306
a.7)
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POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
LATH AND/OR GVPSUM.
BOARD: To be made after 'all.
lathing and gypsum board, '.- ~
Interior and exte'rlor, Is in.
place t?ut before any' ..: I
plastering Is applied or before
gypsum board Joints and
fa~ter:ll~rs ~r~ taped and
,finished. ,. >
'.~ . ~..)
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.
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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.
'In addition to the Inspec.
tlons' specified, the Building
Olllclal 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 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
OAT"
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.
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 pr~perty, and the approved set of plans will remain on the site at all
. times during cl\.structlon.
Slgnaturp '-+1-.-..;;~ ~).uJ Date J)..- n -17
VALIDATION:
AMOUNT RECEIVED: J<6 (p.'7 S-
RECEIPT .. d 'b $, ~
DATE PAID'
RECEIVED BY'
},;)- IS- 9,
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