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Home My WebLink AboutPermit Building 1996-3-1 . COMMERCIALIINDUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 SPRINGFIELD ~ . JOB NUMBER ?6't::::!? <:-Y - . INSPECTION LINE: 726-3769 OFFICE: 726.3759 LOCATION OF PROPOSED WORK' </.~..;--I Yij/~ ASSESSORS MAP- ~ -J'2..- ~ / OWNER: ,~7.h?.#~ L . ~~~~ ADDRESS: -? ~ / / ~~ ~ ~V~_ CITY' ~V~/E~ STAT~' h?A-//</ 57. TAX LOT' ~'"36V PHON"- </~~~ ~. ZIP' q:;>cy&:>~ DESCRIPTION OF WORK: NEW REMODEL 7E.N~/""'}?~~~...~_,,? /~LL-/ 7~p~ Y ADDITION DEMOLISH OTHER VALUE: ..2~'?'?- - NAME ADDRESS PHONE ARCHITECT: CONST. CONTRACT)OR'S N.AME ADDRESS ....__ ...'" CONTRACTOR' /" SflCQe> .,.",......... ,//41 ~JlI . GENERA'. ,..,../",,/" "?/~/A/~1';z:....",~</~~.-,:>;:>q~2, ~~~- PLUMBING' MECHANICAl' ELECTRICAL: eY/C,y~ EXPIRES PHONE ~:~~i-~ ; ~ PLUMBING MECHANICAL NO_ f Single Fixture Relocated Bldg. Inew lix. addtl) Water Service It. Sanitary Sewer It. Storm Sewer It. Backflow Device FEE CHARGE Nt) "~" rH6~r::1= I Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent > 100.000 BTUs Floor furnace and vent Suspended wall or floor mounted unit healer Appliance Vent separate Stationary evap, cooler Vent Fan/8ingle duct Vent System apart from AC or htg, Mechanical exhaust hood and duct Permit Issuance $10.00 ~"'7, ~~""'1 TOTAL PERMIT ~#. I /"'5:40 I TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: QUAD AREA- .--''oF BLDGS' ;. \ '. OCCY GROUP' , OF STORIES: LAND US"' FLOOD PLAIN: ZONING' L1G HTlNG POWER BUDGET: WATER HEATER' , OF UNITS' CONSTR. TYP~' HEAT SOURCE: SQ, FT, $/SQ. FT. VALUE SQ. FTG MAl N SQ. FTG ACCES~ x X SQ, FTG OTHER X TOTAL VALUE OF PROJECT PLAN CHECK FE.E :2/. /;'? RCPP ?'b~ ~ DAT" ..::;:.../-~ BY ./? ...~:...., ~. ~ ~/- - , I DEMOLITION .~ I BUILDING PERMIT 15% State ,..~ SurcharQe J"? I MECHA~::> _ 5% State - :' 1 Surcharae .- I PAVING . I ?g~ $"&=' I PLUMBING / . "T,;f 5% Slate I . /.t; SurcharQe /-6- FENCE 1"';:::' ~ VALUE $ v - :~ _SIDEWALK - CURB CUT -P; 19- /'-. '.~ FT, FT. SUBTOTAL PERMITS SYSTEMS OEVELOPMENT S3.?9 9/. :<0 .' TOTAL PERMIT FEES EXCLUOING ELECTRICAl /~6. f =< . REQUIRED INSPECTIONS . It Isthe 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. wilt 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. X ,ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. 4' PAVING: After gravel Is In place but prior to placing asphalt or concrete. I . 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 framlng,lnspectlon. 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. ATTIC DRAFT STOPS & CURTAIN WALLS . , . Y' FRAMING: To be made after the roof, all framing, fire blocking and bracing are In place and aI/ pi pes, chimneys and vents are complete and the rough electrical, plumbing and mechanical are approved. STRUCTURAL CONCRETE: In excess of 2500 PS.L (306 a.1) CONCRETE SLAB: To be made after all Inslab 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) 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 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) " '. 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. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) x 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 approvedl agency, furnished to the City's Building Division before beams are placed. (2501 U.B.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) FLOOR INSULATION & VAPOR BARRIERS: To be made prior to instal/at Ion of decking or floor sheathing. 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. MASONRY: Steel location, bond beams grouting or verticals In accordance with UBC 2415. 'In addition to the Inspec. tlons specified, the Building Official may make or require CURB AND APPROACH other Inspections of any ROOF SHEATHING AND APRONS: After forms are construction work to ensure NAILING: Prior to installing erected but prior to placing compliance with the Building, any roof covering. concrete. City or Development Code. ------------------------------------------------------- x PINAL P~UMBING SITE PLAN REVIEW BOARD: Must be requested 2 days In advance of the date you wish Inspection. All project condltlons such as landscaping, parking lot striping, etc, must be completed before requesting this Inspectton. .{ -+- FINAL ELECTRICAL x 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 y FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: PLANS REVIEWED BY./' .;~~ ~<'? OAT" "37"-"% // // By signature, I state and agree, that I have carefully examIned the completed application and do hereby certify th~t 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 Bul/dlng 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 requestea 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 wil/ remain on the site at all times durIng construction. .... Signat~re" ~~ 'f O~. Date ~ -, - '1 (p ,- ~ " VALIDATION: AMOUNT RECEIVED' ~"5:;i!:::>. ~':2..... RECEIPT N' ~C;; "/ DATE PAID' RECEIVED BY' 9'-/'~ ~~~ /7-