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Home My WebLink AboutPermit Building 1995-5-16 COMM~RCIAL/INDUSTRIAL - PERMIT APPLICATION e q3)5 \1-. ~ INSPECTION LINE: 726.3769 OFFICE: 726.3759 225 Fifth Street, Springfield, Oregon 97477 JOB NUMBER LOCATION OF PROPOSED WORK: ..t::)fX) ,~(\\Qrm-\-$'")('{) 0 \ O"'n I ~ ASSESSORS MAP' \ f"\ {) ?N~\r1J . TAX LOT: ()?h () \ OWNER:' ~'\\()'\\O.\O~ VC\r'x.~_n~~ (PHON~' 7()b-8ll''-f-3'''~b (ADDRES'" 11<l>1 S~_ Dl1-\v.... !.-CITY: u..-l;(l.e,..Jc,,"- ~ ~TATE: C-ni+ ,( ZIP: is''' 'LfC DESCRIPTION OF WORK: llN\"\O<n ')\.1 \ ~\ro U$\Ur 1\0f\ -r~('\JJ1 0 p ~ NEW REMODEL ADD~I~N '-~OLlSH OTHER VALUE: NAME ARCHITEcT: ADDRESS PHONE CONTRACTOR'S NAME (GENERAL: C I-lA~~c;. (bJ,J<;'T/l. ~PLUMBING: T~lkI I";:\,,~.. PL."MP,,,..~.. MECHANICA' . CONST. ADDRESS CONTRACTOR' 22q~ ~./?l1uRr. !la. 001030 I SZ.C; :I<uIJ..o.t(; Ro, f..x.a..,t.., ~~I1.l11<; PHONE /.: 9?"7 ',' q (/(/('" b~8- 1l}11 : ( ELECTRICAL:--->LK GO f!'UK.17?ICM PLUMBING NO. Single Fixture Relocated Bldg. (new fix. addtll Water Service Sanitary Sewer It. It. Storm Sewer It. Backflow Device -" TOTAL PERMIT r . aUAD AREA/_- -, \ ltU \.-.J ,. , OF BLDGF' OCCY GROUP' . OF STORIES' sa. FT.. sa. FTG MAIN sa. FTG ACCES" sa. FTG OTHER PLAN CHECK FEf I BUILDING PERMIT 15% State Surcharoe I MECHANICAL I 15% State '. 'I Surcharae I PAVING I \ , EXPIRES G.lqf., Z/S7 ""AI So'- c;P~""FLn I FEE CHARGE I I I I ~S).cx;> I IA5.tJV I I I I I I I I I I I l...."SOFV I - OFFlC~~- LAND USE: ~G\'1 , OF UNITF' CONSTR. TYPF' HEAT SOURC~' $/50. FT. X X X RCPT' I PLUMBING I 5% State Surcharge II l -3FJy~ , I SIDEWALK - -- I FT. I CURBCUT 1 FT. 4B4-~4- MECHANICAL ~ ~HARGE1 J I I I I I I J I $10.00 I I M" '=t:t: Furnace/burner & vent < 100.000 BTUs Furnace/burner & vent > 100.000 BTUs Floor furnace and vent Suspended wall or floor mounted unit healer Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent System apart from AC or hlg. Mechanical exhaust hood and duct Permit Issuance TOTAL PERMIT HANDICAP ACCESS: FLOOD PLAI'" ZONING: ~ LI_ LIGHTING POWER BUDGET: WATER HEATER: Jf; VALUE DAT~ XTOTALVALUE OF PROJECT BY . rVV'\ cO \~\LLl J. '~O.W A.tfD -t.5o '\~\~:~ .!:PJO. 1 . ':)010" SYSTEMS DEVELOPMENT. \~~ j AJ'> ,O-J I ~,85 I ,\" " ~.\5.: '. ;. -' -). I '. '. TOTAL PERMIT FEES EXCLUDING ELECTRICAl 160 An e REQUIRED INSPECTIONS 6 II It is'th~ 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,lob 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. 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 piaclng asphalt or concrete. FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to placIng concrete. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before framln"g Inspection. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special Inspector shall be employed by the Ownerl C,ontractor during construction of (he following work. A copy of the special testing reports shall be furnished to the Building Division. CONCRETE SLAB: To be made after all Insrab building service equIpment, conduit, piping, accessories and oth~r ancillary equipment items are I n place but before any concrete is placed. FRAMING: To be made after the roof, all framing, /Ire blocking and bracing are In place and all pi pes, chimneys and vents are complete and the rough electrical, plumbing and mechanical are approved. STRUCTURAL CONCRETE: In excess 01 2500 P.s.1. (306 a.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 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,B. 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. GLU.LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 UBC. STDS. 25,10,11). v STRUCTURAL MASONRY: (306 a.7) )' \ ! ~ol'h\Ln:l:nr.~ ~~~ t'rltJD '.. ~itl!~f\:~~P~ tlons speclIl~'&)the Building Official may make or require other Inspections of any construction work to ensure compliance with the Building, City or Development Code. FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing.' MASONRY: Steel location, bono beams aroutina or verticals In accordan-ce 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.baS9 materia! In place. v ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. 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 01 the date you wish Inspection. All project conditions such as landscaping, parking lot stri ping, etc, must be completed before requesting this Inspection. FINAL ELECTRICAL FINAL FIRE DEPARTMENT 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 MECHANICAL i~~~~\J~~'0~lit.~hM-\1l1\ ~\I)lo A !ll5Q ~ PLANS REVIEWED BY DAT~ By signature, I state and agree, that J 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 th~o;1t~lt card Is located at the front of the property, and the approved set of plans will remain on the site at all ~:::t:~:lng7~~~ : Date~/rS I " I JjLJlO DATE PAID: 5 '(b_-:q<;~'-' RECEIVED BY:~ V VALlDATtON: AMOUNT RECEIVEr , . RECEIPT .:_:-~:~ n~