HomeMy WebLinkAboutPermit Building 1997-2-4
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COMMERCIAL/I N DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER ~~.:2/~
INSPECTION LINE: 726.3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK'
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ASSESSORS MAP'
TAX LOT:
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OWNER K5V /1;tJ,(jK ",c Wr.;>
ADDR""'" / .?.:J..3 3' y~ A /#,t!? E,a.s 7-
PHONF'
CITY' -rAtZo.u III
STATE: _'::'I' IQ .
ZIP: 9,.g~Z'y
DESCRIPTION OF WORK'
NEW REMODEL
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ADDITION
WI""lld~, Z-rJ::;//9.c,- 47/h/ .<<
DEMOLISH
OTHER
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VALUE: //,J't't t?
.,
NAME
" ADDRESS
,(1)';160
ZAl~Ar/dIll9L -US. i/~ S?; Sb.rn; :l()tP-~-97"'3'
CONST,
CONTRACTOR #~a.:~ EXPIRES""""" ,:?PHONE
t:..~t)()P 7W~?HAt.O-e~ r4lCt1_lIvJ-<J. AP.."'.~: $'31"~
PHONE
ARCHITECT:
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CONTRACTOR'S NAME
GENERA" ~ ;:'n(..L/<
ADDRESS
ELECTRICAL'
~a.~/'P:~
/'2(, ,;:? CT/2 /' Co
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PLUMBIN'"
MECHANIC^' '_..
PLUMBING
MI'CHANICAL
NO.
Single Fixture
Relocated Bldg,
(new lix, addtl)
Water Service
It.
Sanl,tary Sewer It.
Storm Sewer
It.
Backflow Device
FI'I'
.CHARGE
Nn
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100.000 BTUs
... I ('~'Qn.
I
I
I
I
I
I
I TOTAL PI'RMIT
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
Stationaryevap.
cooler
Vent Fan/Single
duel
Venl System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit Issuance
$10,00
TOTAL PI'RMIT
- OFFICI' USE -
HANDICAP ACCESS:
QUAD AREA'
LAND USF'
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER:
# OF BLDGS'
# OF UNITS'
OCCY GROUP'
CONSTR, TYp.'
# OF STORIES:
HI'AT SOURCE:
SQ, FT,
$/SQ, FT,
VALUE
SQ, FTG MAIN
SQ, FTG ACCESS
SQ, FTG OTHER
X
X
X
TOTAL VALUE OF PROJI'CT
PLAN CHECK FEE ~.0
RCPP
OAF
BY_
I BUILDING PERMIT
[5% Stale ~.
Surcharge ".q
I MECHANICAL
15% State
Surcharae
I PAVING
92. 7-="
Zj<, "-;:::I:
2,?~
[ PLUMBING
5% State
Surcharge
FENCl'
VALUE $
SIDI'WALK
DEMOLITION
FT,
SUBTOTAL
PI' RM ITS
SYSTEMS
DI'VI'LOPMENT
?? ~/
CURBCUT
FT,
"
'. I
TOTAL PERMIT FEES
I'XCLUDING ELECTRICAl
/~~'f
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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 /" ROUGH PLUMBING,
made after excavation, but - &,t::..lifRIl;AI..>&
prior to setup of forms. 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.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Sp'ec.ialty Code
a special Inspector shall be employed
by the Owner! Contractor-during
. construction of the following work. A
copy of the special testing reports shall'
be furnished to the' Building'Divlsion.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
er,ected, all steel in place, but
prlo'r.~tCi plaCTnQ corlcrete. '.
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
X;) ~R~~ING: T~' be ~a~e after
;' the roof, all framing, fire
blocking and braclng are in
place and all pipes, chimneys
and vents are complete and
th'e rough electrical" plumbing
and mechanical are approve'd.
STRUCTURAL CONCRETE: In
excess of 2500 PS.r. (306 a.1)
CONCRETE SLAB: To be
made after all inslab bulfding
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 ')
UNDER'GROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
t'renches.
INSULATION & VAPOR
BARRIER: To be made after all
insulation' and requirec{ 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 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
plasterlng 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.?)
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 conditions such as
landscaping, parking lot striping, etc. must be completed before
requesting this inspection.
;>C
FINAL ELECTRICAL
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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 MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
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PLANS REViEWED BY /' /,,~
(; #'7',,; -
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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 certi fy that only contractors and employees
who are in compliance with ORS 701.055 will be used on this project.
DATE
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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 cons~ _ )
.4 "'::, -- ---.....
Signature ~ - --
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Date.,;2 -h'-tJ 7
VALIDATION:
AMOUNT RECEIVED' /~..:57"
2c/~'::;;-
RECEI PT #:
DATE PAID'
RECEIVED BY'
7-7'..-::::7-:>
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