HomeMy WebLinkAboutPermit Building 1998-7-22
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COMMERCIALIINDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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.
q 'X075 0
JOB NUMBER
INSPECTION LINE: 726.3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP'
59~n t11LfrtU SJ: .sPt-1ifJfCLIJr, 42.
) 1o:n 3 t.J} TAX LOT cJ;qoo
OWNER' L~ <t j,4AJIL i--b~
ADDRESS ;Z.rq-y !f)(c.;IAfIt' gf:
CITY' C;P!Zr ).1c..FrELJ')
PHONE 7Cf6 -1/1h<::;," ,
STATF'
CJ'(Z.....
ZIP: 97c.cz."'7
DESCRIPTION OF WORK:
NEW REMODEL r
AE}{J Ccrxz ~..ulAJ0- /tV rX-f<JTftuCr
Cwr LL UJALL
If?. -'
VALUE: :::2. ,d:::rJ.
r
ADDITION
DEMOLISH
OTHER
NAME , L- ADDRESS PHONE
ARCHITECT: EvqIWBd". ~~~1:. gf~I.M..A UX\J Sl'tS-3.5D5
f / CONST.
CONTRACfOR:S NAME . ADDRESS CONTRACf.1 # EXPIRES PHONE
GENERAL: UU), r;: <f CJ*fArC/1 CJi!f1{ Gih,.,., e1.J.u.~.r~, Yz?1.R. 12cJ 3?o .?-!3-19 3'I!/S"la
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I
CHARGE I
1
1
1
1 Suspended wall or floor
mounted unUjl\\~\llI: VOU to
I ATTE ~110N:' ~r~;rh:aregon Uti\i~ h
101l0w~U1e" '" al'APilill ~s al" ~gt la.
I \otiliC'~;""" (;ei"t~o'~l"'- 'r.f"6R !=l52-O0
. AR'1952-00 _OObU~IIIl~)\gle I the rules' 'Y
In 0, -11.~"\n "OOles 0 '-.c
0090. 'OU II'" -Wenl ~W) \11l~lI'el"I'''v'.-
1 II ~~ the , nl8m l<\e'tlrm&..~ 1"l'tilicatlOII
1 ca tile~t;l(lapw~ )J~tA
num lerlor hpq~.IIG9' ~),
I I \""'''',,.-
I I
~ vb I TOTAL PERMIT
'^.'L EXp,n: Ir TI I[ ~ RK
NDER THIS PERMI'Fi5>~O~E USE -
-JR IS ABA~F()R
,.>SRIOD, # OF UNITe'
PLUMBING
NO.
FEE
Single Fixture
Relocated Bldg.
(new Ilx. addtl)
Water Service
It.
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
TOTAL PERMIT
NnTlrr:.
T~I=H
AUTHOl" .
COW"
A~I'
aUAD AREA:
# OF BLDGi"
OCCY GROUP'
# OF STORIES:
sa. FT.
sa. FTG MAl N
sa. FTG ACCESS
sa. FTG OTHER
,. X
MECHANICAL
I
("'1-Ib,Rfn: I
I
I
I
1
I
I
1
I
1
1
I
1
Nn
FOO
Furnacel burner & vent
< 100.000 BTUs
Furnace/burner & vent
>100.000 STUs
Floor furnace and vent
Permit Issuance
$10.00
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING:
CONSTR. TYPF'
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER'
s/sa. FT.
VALUE
x
X
,
PLAN CHECK FEE
Z1./~
.
RCPT# ()~ D '7 ()(
DATE
TOTAL VALUE OF.PROJECf /I
7 j-;, }- /ti' Y BY d/ {.J.... (/
I BUILDING PERMIT
5% State
Surcharge
MECHANICAL
, 32-5V
15% Stat,e
SurcharQe
I PAVING
, PLUMBING
. DEMOLITION
5% State
Surcharge
FENCE
VALUE $.
SIDEWALK
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
CURBCUT
FT.
FT.
TOTAL PERMIT FEES I
EXCLUDINGELECfRICAI
.
.
. .
REQUIRED INSPECTIONS
It Is the responsibility of the permit holder to see that all Inspections are made at the proper time. To r~quest 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.
ATTIC DRAFT STOPS &
CURTAIN WALLS
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
be furnished to the Building Division.
FOOTINGS & FOUNDATIONS:
To be made aft"er trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
FIREPLACE: Prior to placing
~~ ".CA....' Is and before
i,ramlng Inspe t1on.
FRAMING: be made after
the roof, framing, fire
blockl and bracing are In
pia and all pipes, chimneys
d vents are complete and
the rough electrical, plumbing
and mechanical are approved.
STRUCTURAL CONCRETE: In
. excess of 2500 P.S.1. (306 ..1)
CONCRETE SLAB: To be
made after all Inslab building
service equl pment, conduit,
piping, accessories and other
ancillary equi pment Items are
In place but before any
concrete Is placed.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing.
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.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U.S.C.
Standards 43.8.
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 U.SC.
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
USC 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
pl~ce.
*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 ELECTRICAL
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish Inspection. All project conditions such as
landscaping, parking lot striping, etc. must be completed before
~equest 9 this !ns~e~t1on. '..
FINAL ILDING: Requested after the final plumbing, electrical,
mech leal and Fire Department Inspections are made and
ap ved. No occupancy of the premises can be made until a
rtlflcate of Occupancy has been issued by the Building Division
and posted on the premises.
FINAL PLUMBING
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
Note:
Building Inspector may require
additional plans information,
and/or fees for the completion of
PLANS REVIEWED this project.
I
~E~/2 ~/cr;?
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By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that aI/Information
here!n 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 the permit card Is located at the front of the property, and the approved set of plans will remain on the site at all
~:::t:~:;;~u:;n. $~H!dL~;r ~ ~:e4/~L Date .f~,b
VALIDATION: AMOUNT REC~IVED: sz,.. 2-1{ DATE PAID: ~ /;2;;'/7 9 .
RECEIPT': /'J 31J qO/ RECEIVED ~J
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