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Home My WebLink AboutPermit Miscellaneous 1995-10-26 COM M ERCIALlI N DUSTRIAL PERMIT APPLICATION . . 75JU-Z, ~ JOB NUMBER INSPECTION LINE: 726.3769 OFFICE: 726.3759 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: /7~2- ASSESSORS MAP' ~f!t, 5'". ~ "('~ ~tD ~A-h ) ,C)/'7~? PHONE: 7 2C, - ~ ?t;"? TAX LOT: OWNER: /? /?1' /I;=" ~.P"~Dr/~} ; ADDRESS: 2..2-)' /) c:;- 2:J . ~ r. CITY: -Sfi) ~ STATF' ~. , - ZIP: ;79.~7,7 ~A.c ~ 7?f'77,pA) ;rr 4- -, . NEW REMODEL DESCRIPTION OF WORK: ~6::'a&r ADDITION OTHER ~A/-"'{ VALUE: 47~t0 ,r!;JD NAME ARCHITECT' CONTRACTOR'S NAME GENERAL ~}'D ..F/I &-t'--..; PLUMBING' MECHANICAl' ELECTRICAl' PLUMBING NO. Single Fixture Relocated Bldg. (new fix. addtll Water ServIce It. Sanitary Sewer ft. ft. Storm Sewer Back flow Device TOTAL PERMIT QUAD AREA' . OF BLDG~' OCCY GROUP: . OF STORIE!" SO. FT. SO. FTG MAIN SO, FTG ACCES!' SQ. FTG OTHER PLAN CHECK FEF 1 BUILDING PERMIT 1 15% State..... 2' 3/.11 SurcharQe~. r .,. I MECHANICAL 15% State SurcharQe I PAVING 10-1, ~p $!? DEMOLISH ADDRESS PHONE CONST. ADDRESS CONTRACTOR' 8<t9oi lk-#k. C-/e. /t.{ '//J(,L/7, E..L....P~ ().... ~7Y02... " EXPIRES PHONE J/Y'T~ 9.?S(!)& I * MECHANICAL FEE I\In CHARGE ccc ""HA~nl= Furnacel burner & vent < 100.000 BTUs Furnace/burner & vent > 100.000 BTUs Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationaryevap. cooler Vent Fan/Single duel Vent System apart from AC or hlg. Mechanical exhaust hood and duct Permit Issuance $10.00 TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN: LAND USC. . OF UNITS: ZONING' CONSTR. TYPC' HEAT SOURCE: LIGHTING POWER BUDGET: WATER HEATER' $/ sa. FT. VALUE X X X TOTAL VALUE OF PROJECT RCPP DATC BY 1 PLUMBING 5% State Surcharqe FENCE VALlJF $ I SIDEWALK 1 CURBCUT , DEMOLITION FT. SUBTOTAL PERMITS SYSTEMS DEVELOPMENT FT. TOTAL PERMIT FEES EXCLUDING ELECTRICAl I /2 .'~7 . 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,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 (orms. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work Is covered. FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel In place, but prior 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. UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor Insulation, decking or floor sheathing. POST & BEAM: 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. MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415, ROOF SHEATHING AND NAILING: Prior to Installing any roaf covering. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and befare framing Inspection. FRAMING: To be made after the raof, all framing, fire biocking and bracing are In place and all pipes, chimneys and vents are complete and the raugh electrical, plumbing and mechanical are approved. INSULATION & VAPOR BARRIER: To be made after all Insulation and required vapor barriers are In place but be fare any lath .or gypsum baard interior wall covering Is applied. FIRE & SEPARATION WALL: Located and canstructed according ta plans. LATH AND/OR GYPSUM BOARD: To be made after all lathing and gypsum board, interior and exterior, Is In place but befare any plastering is applied .or befare gypsum board joints and fasteners are taped and finished. SIDEWALK & DRIVEWAY: Required far all concrete paving within street right of way, t.o be made after all excavating complete and farm wark and sub.base material In place. CURB AND APPROACH APRONS: After forms are erected but prior ta placing concrete. PAVING: After gravel is in place but priar ta placing asphalt .or cane rete. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a speclai Inspectar shall be employed by the Ownerl Cantractar during constructlan .of the fallawlng wark. A copy of the special testing reports shall be furnished to the Building Division. STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (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 by an approved agency, furnished ta the City's Building Division before beams are placed. (2501 U.BC. STDS. 25,10,11). STRUCTURAL MASONRY: (306 a.7) "In additi.on t.o the inspec. tians specified, the Building Official may make or require other Inspections of any canstruction w.ork t.o ensure campllance with the Building, City .or Development Cade. ------------------------------------------------------- FINAL PLUMBING SITE PLAN REVIEW BOARD: Must be requested 2'days in advance .of the date yau wish Inspectian. All praJect conditions such as landscaping, parking lot striping. etc. must be completed before FINAL ELECTRICAL requesting this Inspection. FINAL BUILDING: Requested after the final plumbing, electrical, FINAL MECHANICAL mechanical and Fire Department inspectl.ons are made and appr.oved. Na .occupancy .of the premises can be made untii a Certificate .of Occupancy has been Issued by the Building Dlvlsi.on FINAL FIRE DEPARTMENT and posted on the premises. ADDITIONAL COMMENTS: Vt(~/':/"""5'r -# ~/()/ z.s (~) cL~s A (lV'0r/' c~ PLANS REVIEWED BY DATF By slgnature,l state and agree, that I have carefully examined the cempleted applicatlen and de hereby certify that ail infermatian herein is true and c.orrect, and I further certify that any and all wark performed shall be done in accardance 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 withaut permissi.on of the Building Safety Dlvlslan. I further certify that .only cantract.ors and empleyees who are in compliance with ORS 701.055 will be used on this project. I further agree te ensure that all required Inspectiens are requested at the preper time, that preject address Is readable frem the street, that the permit card is lacated at the front .of the praperty, and the approved set .of plans will remain an the site at all tlmes durIng constructlen. Slgnatur"y _~ s.:- ~ VAll DATION: AMOUNT RECEIVED' //2.- .~1 17'f0t'L7 RECEIPT N' Date JD!,;2/.. )?j /Y;"6/f.r ~~~ DATE PAID: RECEIVED BY: e COM M ERCIALlI N DUST RIAl PERMIT APPLICATION ~ S'icf3 . JOB NUMBER u.ro\Q}r.l?_ - 225 Fifth Street, Springfield, Oregon 97477 INSPECTION LINE: 726,3769 OFFICE: 726.3759 LOCATION OF PROPOSEA WO~K:. _ __ . __ fiR'i:J ASSESSORS MAP" l' \ OJ!: ~~ ) MAin St1'eeT. TAX LOT (}\~rt2- OWNER: ADDRESS: CITY' City of Springfield(Fire 201 S. 18th Street Station #4 ) PHON'" 726-3654 Sorinofield STATE: nl'l ZIP: 07A]} DESCRIPTION OF WORK' Replace two roof too oas packaoe units NEW REMODEL ADDITION DEMOLISH OTHER VALUE: il NAME ADDRESS PHONE ~. ~ ARCHITECT: CO NST. CONTRACTOR'S NAME APPRESS CO NT RACTO R , EXPIRES PHONE GENERA' . PLUMBING' MECHANICAL:--I~m~nJ't Flow ~~et;ng 855 W ~;J'~t ~T ""gene 97402 on4l';n RI2.l./QR 342-8101 ELECTRICAl' PLUMBING MECHANICAL NO. FEE CHARGE ...n """ ("1-I.6Rnl= ( Single Fixture Relocated Bldg. (new tlx. addtl) Water Service 2 Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent > 100.000 BTUs Floor furnace and vent Suspended wall or 1I00r mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent System apart from AC or hlg. Mechanical exhaust hood and duct It. Sanitary Sewer It. It. Storm Sewer Backflow Device Permit Issuance $10.00 TOTAL PERMIT TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: QUAD AREA' LAND US". FLOOP PLAIN' ZONING' LIGHTING POWER BUDGET: , OF BLPGS' , OF UNITS' OCCY GROUP' CONSTA. TYP'" , OF STORIES: HEAT SOURC'" WATER HEATER' SQ. FT. $/SO. FT. VALUE SO. FTG MAl N SO. FTG ACCES" X x SO. FTG OTHER x TOTAL VALUE OF PROJECT PLAN CHECK FEf RCPT' OAT" BY I BUILDING PERMtT 15% Slate SurcharQe I MECHANICAL 15'10 Slate -t?:AI SurcharQe 'ID I~ PLUMBING DEMOLITION ~~ [.z-O /O.DU 5% State Surcharge I FENCE VALUE $. I SIDEWALK I CURBCUT FT. FT. SUBTOTAL PERMITS SYSTEMS DEVELOPMENT TOTAL PERMIT FEES I EXCLUDING ELECTRIC,I' cYW .9D . REQU;RED ;NSPECTlON~ 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 aC/m. W /I be made the same working day. requests made after 7:00 a.m. will be made the following work day. SITE INSPECTION:'T~ be ROU lNG, PAVING: After gravel is In made after excavation, but & place but prior to placing prior to setup of forms: ECHANICA: 0 work is to asphalt or concrete. .~ COy til these Inspections have been made and approved. 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. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special inspector shall be employed by the Ownerl Contractor during construction of the following work. A copy of the special testing reports shall bf: furnished to the Building Division. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work is covered. 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 excess of 2500 P.S.1. (306 a.1) STRUCTURAL WELDS: Perlormed 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.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 in.stallatlon 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 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: 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. ~ 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. 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 of the date you wish Inspection. All project condlllons 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 ELECTRICAL /' FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: PLANS REVIEWED BY DATF 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 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 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 times ring rtUJC~i~/ ~ ';J /--'~7/ Datp ? ~ d- -C(-5 AMOUNT RECEIVED: RECEIPT ': ~fo. ;:)[) ( KSb -::L-., DATE PAID: ~ R.;:)'9':::> RECEIVED BY:~~