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Home My WebLink AboutPermit Building 1995-11-15 ,,:.::'--''" "-:'-:::.';'1 . COMM ERCIALIIN DUSTRIAL PERMIT APPliCATION ", '. t....'... )-'c ~'~~;~-~ -./ '/' -.' .' 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: _ ~$ ASSESSORS MAP:~()=~~~ \ OWNER: \\01~m \52). ~~-~f\((l.cQ~rSi ADDREs~(<)::l \,~ Mf- J:I ' ~ oW ~ CITY" \l\ \ r\r\ ) ~(O n) STATE: f\ \ \ (\ t'\P<<\ - . ~ \ \ - ~1\ DESCRIPTION OF WORK ('If) Wor) (1 )frv{~/ ~ 0 mcr:;Lo j ( ~ UC\ ~ 1\ '- IJ1iQ t JOB NUMBER q~.\J~ INSPECTION LINE: 726,3769 OFFICE: 726,3759 TAX LOT: Cf)LcfX.) PHONE'J2-l 0 <~lS~ NEW REMODEL ADDITION DEMOLISH OTHER ZIP: q,'14 II ~ VALUE in ('(Y) , NAME ADDRESS PHONE ARCHITECT' CONTRACTOR'rfAME GENERAl" A()! 1 In ~:J ADD RESS CONST, CONTRACTOR' '''''''*'' PLUMBING: MECHANICAl' ELECTRICA" NO. FEE I MECHANICAL j r.HA R(:: 1= I "'n eee ~HARGEI I Furnacel burner & vent < 100,000 BTUs I Furnace/burner & vent I > 100.000 BTUs I Floor furnace and vent I I Suspended wall or' floor I mounted unit heater I Appliance Vent J separate I Stationaryevap. I cooler I Vent FanlSingle I duct I Vent System apart I from AC or htg. I Mechanical exhaust I hood and duct I I I Permit Issuance $10,00 ) I TOTAL PERMIT I PLUMBING Single Fixture Relocated Bldg, (new fix, addtl) Water Service It. Sanitary Sewer It. Storm Sewer ft. Backflow Device TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS' QUAD AREA' . OF BLDG'" LAND USE: FLOOD PLAIN: ZONING: . OF UNITS' OCCY GROUP: CONSTR. TYPF' LIGHTING POWER BUDGET: . OF STORIES: HEAT SOURCE: WATER HEATER: SQ, FT, $(SQ, FT, VALUE SQ,.FTG MAIN SQ, FTG ACCES" SQ, FTG OTHER X X X TOTAL VALUE OF PROJECT I f\ nnt) ~ PLAN CHECK Fer RCPT' DATF BY I BUILDING PERMIT 15% State SurcharQe I MECHANICAL 15% State '": Surcharae I PAVI NG , PLUMBING I DEMOLITION i<'.: , . \J SUBTOTAL" , PERMITS (__--I- I SYSTEMS DEVELOPMENT I . j' I I I I I ,. '1-.// --I 5% State Surcharoe I FENCE VALUE $ SIDEWALK 1-, FT, CURB CUT FT, , \' l' t .. """)., I'J'" _c' 1,1 I .:" ,--: "/ TOTAL PERMIT FEES EXCLUDING ELECTRICA' 12' / I ; f I . I . . . . I REQUIRED INSPECTIONS It Is the rksPonSibititY 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 setu'p -of forms. J' .# I.' .. . UNDERSLAB PLUMBING, ELECTRICAL &. ',; MECHANICAL: To be made before any work Is 'covered. I,. , \FOOTINGS & FOUNDATIONS:I To be made after trenches are excavated and forms are erected, all steel In plac,e, but 6 ~t \ ,",pr.i~r\to placing concrete. " .., 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. . .. P I~ p' , 'i ROUGH PLUMBING. . ELEcTRICAL 8.' .' MECHANICAL: No work is tol be covered until these t.. inspections have been made and appr~";ed. " .'., " PAVING: After gravel is in place but prior to placIng asphaft 'or concrete. . , v 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. 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 Pivision. t STRUCTURAL CONCRETE: In excess of 2500 P,S,I, (306 a,1) .' , J ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before framlng'lnspectlon. , I STRUCTURAL WELDS: Performed on the job, (2722 f) UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and d rai nage II nes. 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,B.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 ail 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.Be. 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: Requ I red for all concrete pavJng 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 instailing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. *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. FINAL ELECTRICAL v SITE PLAN REVIEW BOARD: Must be requested 2.days In advance of the date you wish Inspectlon. 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 PLUMBING FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: v) 1'\:\:', 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 tothe work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. J further certify that only contractors and employees who are il.1 compliance with OAS 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 5.treet, that the permit c Iv.....;;,~ea at me l~nd the approved set of plans will remain on the site at c;1.V'" trme~.-,,,, __..":'.,' on. \ /) /' Signature{.. ~ - \, --.......... \. Date\ \ - \~ - C\ '\_ VALIDATION: AMOUNT RECEIVED: ~ RECEIPT' \ 4 c:-../..AA\ DATE PAID: ~II' la' ~ RECEIVED B : I f'V'\ ') --- - - --