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Home My WebLink AboutPermit Building 1996-5-13 ./'. -, '. . . COMMERCIAL/INDUSTRIAL PERMIT APPLICATION . . 7---/ JOB NUMBER-24'5l52+-- INSPECTION LINE: 726-3769 OFFICE: 726.3759 ~ ,')T~ 225 Fifth Street, Springfield, Oregon 97477 '977 ~ I'!-/~ S \" -72... OWNER: HtrrC/f/1J5 1/U/d'J(~ J11t;-,71Xl\ ADDRESS.% '3 ~~A 7 s,"r: -"?1d.Rl -r' - LOCATION OF PROPOSED WORK' AS~ESSORS MAP' ) 7 f:) 3 D~ '5.3 TAX LOT' e-- , PHONE: ~7 -;~:s 7f z,P:.......27;.'77 /)1;,// ~ /'J.:'1 " I- ~ ;=/04.7 CITY' STATE: UJA(1?#t. l//{Z?o DESCRIPTION OF WORK: NEW REMODEL ADDITION DEMOLISH OTHER VALUE: NAME ADDRESS PHONE ARCHITECT: CONTRACTOR'S NAME CONST. CONTRACTOR' ADDRESS EXPIRES PHONE 1'$~ -~."'~;' h'~ ?~.~c;'.('''''-:: ~"C -r"'fD? ~9:~1 /.y9-<'. rt~._ . lJ/I*r:-k~ S"<r-t.J/'c..c GENERAl' -:) -: 1 -L_ l..L:.L4-~ PLUMBING' [<..l-: "\. , tl , MECHANICA' ' ELECTRICAl' I ~i I I I I I I I I PLUMBING Furnace/burner & vent I <100000 BTU:ECHANICAI. Furnace/burner & vent I > 100,000 BTUs Floor furnace and vent I Suspended wall or floor mounted unit heater Appliance Vent separate Stationaryevap. cooler Vent Fan/Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duct I .. _ur:"'A.RGEI I I 40 I I I I I I Z-DI I I I I I I ~<) I , eEL_CHARGEI NO. F'EIE Single Fixture Relocated Bldg. (new fix. addtll Water ServIce t:.O ft. Sanitary Sewer It. Storm Sewer ft. Backflow Device -::2.. Permit Issuance $10,00 TOTAL PERMIT TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: OUAD AREA: . OF BLDGS' LAN D USE: FLOOO PLAIN' ZONING' . OF UNIT~' OCCY GROUP' . OF STORIES: CONSTR. TYP'" LIGHTING POWER BUDGET: WATER HEATER: HEAT SOURCF' SO, FT, $/SO. FT. VALUE ,* SO, FTG MAIN x X X SO. FTG ACCESS SO. FTG OTHER TOTAL VALUE OF PROJECT PLAN CHECK FEr RCPTN DAT" I BUILDING PERMIT ' PLUMBING 'lJ!(J CO 15% State 5% State . .OU Surcharge SurcharQe .,,0/,... I. <;<--/) I MECHANICAL I FENCE I VALUE $ --- 15% State I SIDEWALK I SurcharQe FT. I PAVI NG I CURBCUT FT. I BY , DEMOLITION SUBTOTAL PERMITS I SYSTEMS DEVELOPMENT . . I TOTAL PERMIT FEES EXCLUDING ELECTRICAl \eft ,CfO . REQUIRED INSPECTIONS . "i . < It Is the responsibility of the permit holder to see that ~lI.lnspectlons are made at the proper time. To request an Inspection, call 726.3769 (recorder), state your City designated job number, jbb address, type of Inspection requested and when you w~1I ~e ready for Inspection. Requests received before 7:00 a.m. will be m'ade 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. STRUCTURAL MASONRY: (306 Va.7) ~NJ\fltJ ~ J\ (\Q.../ *In addition to the Inspec- tions specified, the Building Official may make or require CURB AND APPROACH other inspections of any ROOF SHEATHING AND APRONS: After forms are construction work to ensure NAILING: Prior to installing erected but prior to placing compliance with the Building, any roof covering. concrete. City or Developm~nt Code. ------------------------------------------------------- UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work Is covered. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work Is to be covered u nUl these inspections have been made and approved. ' ATTIC DRAFT STOPS & CURTAIN WALLS 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 bracing are In place and all pipes, chimneys and vents are complete and the rough electrical, plumbing and mechanical are approved, 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, V' UNDERGROUND: Plumbing, electrical, ga~'tary sewer, storm sewer wat and drainage lines. 0 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. 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. 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. FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. 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. MASONRY: Steel location, bond beams grouting or verticals In accordance with UBC 2415. PAVING: Afler gravel is in place but prior to placing asphalt or concrete. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special lnspect"or 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, STRUCTURAL CONCRETE: In excess of 2500 PS,I, (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 f) HIGH STRENGTH BOLTING: During all bolt Installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.B.c, Standards 43.8, SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) GLU.LAM BEAMS: Inspection Certificate b'y an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B.c. STDS. 25-10,11). SITE PLAN REVIEW BOARD: Must be requested 2 days in advance of the date you wish Inspection. /.'.11 project conditions such as landscaping, parking lot striping, etc. ,must be completed before requesting this Inspection. FINAL PLUMBING FINAL ELECTRICAL FINAL BUILDING: Requested after the final plumbing, eiectrlcal, 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 MECHANICAL 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 ot 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. t further a"fYf to ensure that all reqUired Inspections are requested at the proper time, that project address Is readable from the street'l th t t e permit card Is located at the front of the property, and the approved set of plans will remain on the site at all times q.~ ng ~o.nstr tlon. ~ /7 /7 Slgnature"-) ~ - ~ Date VALlDATDN: AMOUNT RECEIVE9i ~1\: .1.,u RECEIPT': r)/fr::iY7 DATE PAID: ---td., c~}:~.crB- RECEIVED BY~V_" )