HomeMy WebLinkAboutPermit Building 1999-2-10
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"B NUMBER qcr 020 L
COM M ERCIALlI N DUST RIAL
PERMIT APPLICATION
INSPECTION LINE: 726.3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK' 5L 5' Co
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ASSESSORS MAP'
TAX LOT'
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OWNER JR.~E /VI, tJUr;TZPEC...k
ADDRESS: PD. 00-,( gl '6'
CITY: ,^,IA-L IC--R.. V \ 1I €-
PHONE: .:141- ttq ~ 2...
STATF'
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ZIP' on '{ ~<j
ADDITION
KGP~Lrt. I R.~M6tlE. h<<ot-.J-r DU67<..~A.J-9
DEMOLISH ;'/'. OTHER f(pP., r.t.- 1}t.'1 ~J;E: ~
~
DESCRIPTION OF WORK'
NEW REMODEL
i~..5P ECT ,
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
GENERAl' {7/dAJ-P1L
ADDREi~OTICE:
CONST.
CONTRACTOR #
EXPIRES
PHONE
MECHANICA' '
nile:: Pi=I'lUIT 9U.,\' b. E'("Ir:[ ,- "'11- "'-E' .
-.., - }" j 1I t ~ HVnl'\
AUTHORI7i=n i IMnl:1'l TU'!:, f"''''''I'I~ ," . ,,,_
, -.. .. ..- . -. "'" I IV . '!IV I
COMMENCFn OR Ie:: A><AMnm,cl'I Ct"In
_. ._- , ....,.
ANY 180 [JAY PERlon
'*
PLUMBING'
ELECTRICA' '
PLUMBING
I
I Nn
I Furnacel burner & vent
< 100,000 BTUs
I I Furnace/burner & vent
> 100.000 BTUs
ATTE~ TION:Orego 1 law re~Uires Y'l'U~!9or furnace and vent
'UIIUW I' lies <I00pleO by the ~egon 1IIti~p,~pended wall or floor
ft. Mtifir:~ti, m rlOnt,o.r Tt ose I - - _ J[ 'l1o\J.nted unit heater
. ru ...........~,. A:p'plfance Vent
It, Ir OAR9'i2-001-0010 hrough AR95~-OO$rale
v }':'U.lO~ may oOlamlcopies )f the n le~l~jpnary evap,
~~lIinnlthc f"lOntor Ij Jote" th-~ -,-!' 0 ler
- ,. ~. ~,",I"",",II ""'Tent Fan/Single
Inumbel for the Oreg, In Utilit\ Notific, Iti<!Q~1
I ,emer IS l-HC.O-332-2I.~44). Vent System aparl
T from AC or hlg.
I Mechanical exhaust
hood and duct
I
I
I TOTAL' PERMIT
MECHANICAL
NO.
FEE
CHARGE
FFF
r:1-lb.Rr::F
Single Fixture
Relocated Bldg.
(new fix, addtl\
Water Service
ft.
Sanitary Sewer
Storm Sewer
Backflow Device
Permit Issuance
$10.00
TOTAL PERMIT
QUAD AREA:
- OFFICE USE -
LANO USF'
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
. OF BLOGS:
# OF UNIT'"
OCCY GROUP:
CONSTR, TYp.,
LIGHTING POWER BUDGET:
# OF STORIE~'
HEAT SOURCF'
WATER HEATER'
SQ. FT.
$/SQ. FT,
VALUE
SO. FTG MAIN
SQ, FTG ACCESS
X
X
SO, FTG OTHER
x
TOTAL VALUE OF PROJECT
PLAN CHECK FFF RCPP OAF
I BUILDING PERMIT /).{)V I PLUMBING
15% Stale -'If( ,7\ 5% State
Surcharoe Surcharge
I MECHANICAL FENCE
VALUE $
15% State SIDEWALK
Surcharoe FT.
I PAVI NG CURBCUT
FT.
BY
I DEMOLITION
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRIC'"
/~. 2:;
.
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.
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: . FIREPLACE: Prior to lacin
To be made after trenches are . p g
excavated and forms are facin,g m.atenals and before
erected, ali steel In place, butQmmg mspection.
prior to placing concrete. RAMING: To be made after
. ,the roof, all framing, fire
CONCRETE SLAB: To be blocking and bracing are in
mad,e after ~II Inslab building place and all pipes, chimneys
s~r~rce eqUlpme~t, conduit, and vents are complete and
prpJ,ng, acce~sones ~nd other the rough electrical, plumbing
ancrllary equrpment Items are and mechanical are approved.
in place but before any
concrete Is placed.
STRUCTURAL CONCRETE: In
excess of 2500 PS,1. (306 a,1)
STRUCTURAL WELDS:
Performed on the job, (2722 t)
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
:barrlers 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,
UNOERFLOOR: 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
'Iathing 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.B.G,
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.
tlons 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
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
req sting this inspection.
FINAL MECHANICAL
FIN L BUILDING: Requested after the final plumbing, electrical,
chanlcal 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 FIRE DEPARTMENT
ADDITIONAL COMMEN
Note:
Building Inspector may require
additional plans information,
andlor fees e eo ~letiori of
this proj ee \ '
DAT~
By signature, I state and "agree, th-at I have-carefully ~xa'mlnecith~e comPleted application and do hereby certify thfit aI/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 inspectlon~ 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 construction.
Signaturp ,.huv {)mAPpL
I " y
Date
vkJ199
J.(rcOjf'f '.
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VAliDATION:
AMOUNT RECEIVED: If,. 24
t?3z...~ ~ L-
RECEI PT N'
DATE PAID:
RECEIVED BY'