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Home My WebLink AboutPermit Building 1996-12-4 . COM M ERCIALlI N DUST RIAL PERMIT APPLICATION ~ . JOB NUMBER ~ /6/0<:::> 225 Fifth Street, Springfield, Oregon 97477 INSPECTION LINE: 726.3769 OFFICE: 726.3759 LOCATION OF PROPOSED WORt<. ~'/ -s;./?,,~ ~ , TAX LOT: ~~b/ ASSESSORS MAP' OWNER' ADDRESS' CITY: PHONE-.6~7 ~$/~? STAT'" ~ ~~/>.s. ZIP' &7/4/~ - . - DESCRIPTION OF WORK: /'~~-r' -r..l'_~~ -) ,., , -~~ ,~~ VALUE: /->'C:>O NEW REMODEL ADDITION DEMOLISH OTHER NAME ADDRESS PHONE ARCHITECT: CONTRACTOR'S NAME GENERAL:~""':- !'IT"" ~~_~ PLUMBING: lffOFf' ?~ MECHANICAl' ELECTRICAL:(1~S;cr JI:C:?- CaNST. ADDRESS CONTRACTOR # EXPIRES PHONE ~~~~~~~>~ '.-i~.<->"2~ V'~'J,f ... . - r jj - r * PLUMBING I MECHANICAL _J NO, I FEE I CHARGE J Nn """ ~~ll.~(.n: j Single Fixture I Furnace/burner & vent 2- /; 2,t::' < 100.000 BTUs Relocaled Bldg. I Furnacel burner & vent j (new Ilx. addUI > 100,000 BTUs Waler Service I Floor furnace and vent j It. Sanitary Sewer I Suspended wall or floor I It. mounted unit heater Storm Sewer I Appliance Vent I I (t. separate I Stationary evap. IJ I Backflow Device cooler I I Vent Fan/Single I duct ~, /~ I Vent System apart I I Irom AC or hlg. I Mechanical exhaust ) hood and duct I I -J Permit Issuance $10.00 J TOTAL PERMIT ::U::J I TOTAL PERMIT /5:: --=1 - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN' QUAD AREA: LAND US". # OF BLDGS' # OF UNITS' CONSTR. TYP'" ZONING' OCCY GROUP' . OF STORIE~' HEAT SOURCF' LIGHTING POWER BUDGET: WATER HEATER:, SO. FT. $/SQ. FT. VALUE SO. FTG MAIN SO. FTG ACCES~ X X X SO. FTG OTHER TOTAL VALUE OF PROJECT PLAN CHECK FEE _/1;. '< 5 RCPY. DATE. BY I ,BUILDING PERMIT 1-' 15% Stale ~/' SurcharQe ~ I MECH~l/~> , ~d. 15% SI~le f~ I Surcharae ."...~ I PAVJNG . > I ~s:-- (-'"2.1>" '?~ /f/?';~ ~<:,,"""" "-'.~ l PLUMBING - ;2.t'. - /,,-- .~6 DEMOLITION ! J j ?y'. $0 I ::? 3' y: :::''7 I 5% State ~ Surcharae FENCE VALl)" $ "I SfDEWA-LK I CURB CUT I ~i __I FT. FT. SUBTOTAL PERMITS SYSTEMS DEVELOPMENT TOTAL PERMIT FEES I EXCLUDING ELECTRICAl 3?5', ?, . . 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. )(' 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 lnspec.tion. SPECIAL INSPECTIONS: In accordance Section 306 of the State Speciafty Code a special inspector shall be employed by the Owner I Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work Is covered. ATTIC DRAFT STOPS & CURTAIN WALLS y 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) CONCRETE SLAB: To be made after all Insiab building service equipment, conduit, piping, accessories and other ancillary equipment 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 alter 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.B.C. Standards 43.8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwo,k. (306 a.11 & Chapter 29) y 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: tnspectlon Certificate by an approved agency. furnished to the City's Building Division before beams are placed. (2501 U.B.c. STDS. 25.10,11). POST & BEAM: To be made prior to Installation of floor Insulation, decking or floor sheathing.. STRUCTURAL MASONRY: (306 a.7) FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installatlon of decking or floor sheathing. MASONRY: Steel location, bond beams groutlng or vertlcals 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 installing 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. ------------------------------------------------------- y )" l' A 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 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 MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: PLANS REVIEWED BY / /..-~ - (~ DATE /2 - ~, <3~ By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th~t 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 wlli 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 during c:~ /7 ~ /.'7 _ _ /_ G/ Slgnaturf' ../ ..,?.~ ,"', {/ ~ Date ^- L7" /Ct? , , ., /' AMOUNT RECEIVED: -=? '2 5":: .,.,. '7 '=i ~ <?-t::> RECEIPT N' RECEIVED BY: /2- Y"'--:?b ~~_.-e' /P" VALIDATION: DATE PAID: