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Home My WebLink AboutPermit Miscellaneous 1996-11-22 . COMMERCIAL/INDUSTRIAL PERMIT APPLICATION . 225 Fifth Street, Springfield, Oregon 97477 ~ ?7"'-. " JOB NUMBER --;2::.--??/~ INSPECTION LINE: 726,3769 OFFICE: 726,3759 LOCATION OF PROPOSED WORK: ??.t!'5 ~~~/ ASSESSORS MAP: I~ <-~.,.....t:$iZ> TAX LOT: c:7??e::> 2 A '* OWNER: EL.,/ 9~~ /"~/~~/~ ~~n~ /7'>2:>. ?6'~~ PHONE: ADDRESS: CITY: / -~~ ~~~ , STATE: ~, --) , ZIP: DESCRIPTION OF WORK: NEW REMODEL ~,p..;'...,t::L /~' -''''; ADDITION r~,..., ~' 6~ ~ -.d-""'~ v DEMOLISH 8.A~ ~ c:~ VALUE: L.:;/-o OTHER NAME ADDRESS PHONE ARCHITECT: CONTRACTOR'S NAME ADD RESS CONST, CONTRACTOR' EXPIRES PHONE GENERAl' _ _ _. _ PLUMBING:?N~'~~-r- ~~~.~~,. f'''?/:2~ MECHANICAl' ELECTRICA" y~,~~ Single Fixture Relocated Bldg, (new fix. addll) Water Service i FEE I CHARGE I '-In MECHA'-IICAL PLUMBING Wl 000 rl:l.ft~n:1: Furnace/burner & vent < 100.000 BTUs FurnaceJ burner & vent > 100.000 BTUs ft. V& Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationaryevap. cooler Vent Fan/Single duCI Vent System apart from AC or htg. Mechanical exhaust hood and duct ft. Sanitary Sewer It. ,(C; j Storm Sewer Backflow Device Permit Issuance $10,00 TOTAL PERMIT TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN' ZONING: LIGHTING POWER BUDGET: WATER HEATER' OUAD AREA: . OF BLDGS: LAND US.' II OF UNITe:., OCCY GROUP' CONSTR, TYpo, . OF STORIES: HEAT SOURCE: ,. ..,i' SQ. FTG MAIN SQ, FTG ACCESS SQ, FT, $/SQ, FT, VALUE x SQ, FTG OTHER x X TOTAL VALUE OF PROJECT_ PLAN CH ECK FE.E RCPP DATE BY I BUILDING PERMIT 15% Stale Surcharae I MECHANICAL 15% State Surcharoe I PAVING PLUMBING J ~ ~~ oS'C> :<-"'='" /. :::?&::i> , DEMOLITION 5% State Surcharae FENCE VAlcUE $--_._,~,- SIDEWALK - CURBCUT FT, FT, SUBTOTAL PERM ITS SYSTEMS . DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL ~. ~ce> . 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 place, but prior to placing concrete. FIREPLACE: Prior to placing facing materials and 'before framing Inspection. SPECIAL INSPECTIONS: In accordance Section 306 01 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 rep,orts 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 bef.ore 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 01 2500 P,S,I. (306 a,1) STRUCTURAL WELDS: Performed on the job, (2722 f) UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, d'rurm seweJ:)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. HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a,6) y SPRAYED ON FIREPROOFING: U,BC, 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,l1 & Chapter 29) FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of 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.a.G. STDS, 25.10,11), POST & BEAM: To be made prIor to Installation of floor insulation, 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. ------------------------------------------------------- ROOF SHEATHING AND NAILING: Prior to Instafling 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 MECHANICAL SITE PLAN REVIEW BOARD: Must be requested 2 days In advance of the date you wish Inspection. All project conditions such as landscaping, par~lng 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 ELECTRICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' PLANS REVIEWED BY ~ //~ {, /F. DATE /.....-.<2~ By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th:3t 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 certi fy 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 ~er it ~ard is located at the front of the proper:y,_ and the approved set of plans will remain on the site at all times during conj r cllon. Signatur~ :Mr.;---. "~ . DatLJ/ /z.-z../7.k- I~ ' VALIDATION: AMOUNT RECEIVED: _~ - ~ 6 RECEIPT" ;;Z"3 e~~ DATE PAID: -1/ - ~:? ~ RECEIVED BY: ,~.-. ~