HomeMy WebLinkAboutPermit Building 1998-6-11
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LOCATION OF PROPOSED WORK.
ASSESSORS MAP: /?I? L
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11 A /AI )' r. .,P FtO. 0 Por;
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JOB NUMBER C12Jf)C:;6~
INSPECTION LINE: 726.3769
OFFICE: 726.3759
COM M ERCIALlI N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
TAX LOT:
M2.m-:J
OWNER:12AY IAl/iD N, CAf!J.L~
ADDRESS: 1f1ft1t; . MA-l tV 5T
CITY- t;OFen
DESCRIPTION OF WORK: --.1rDD I!( T ~P..I ofJ.
NEW ,X REMODEL +- ADDITION
NAME
STATE: IJ IZ..
PHONE: 1/f7- J ).t{{(
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ZIP: /:t9.Lf7f?
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VALUE:
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
CONST.
CO NT RACTO R N
EXPIRES
PHONE
GENERA' .
PLUMBING.
MECHANICAl.
ELECTRICA' .
/
PLUMBING
NO.
Single Fixture
/ Relocated Bldg.
Inew fix. addtl)
Water Service
, ft.
Sa I ary ~wer I ft.
Stl' ster /--., It.
BJckfl oevick I
FEE
I
I Nn
I
I
I Floor furnace and vent
A~
.~.:o,...~ I Suspended wall "fl9t>r
~~ ,~ mounted unit y ttev A
'"Y. U, . I Appliance Vent /
I).. Vl.<. ~ .' separate
~l~~;~~, I ~~~V~rnary eva'p ; I
~.~ <;;.. S}. I Vent Fan/Single
I""O~ tJ<-. -vt'/ .~ duct
~ v "::>. <"( Vent System apart
:.t-.o ~ ~ ~ ~. from AC or hlg.
~. 'c.r'r ~ . % Mechanical exhaust
'S1n. . ~ '%> ~. hood and duct
'V '11<; 1:: '''''.;;
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I ~ _ ~t: .f?.rPermit Issuance
I 1lR~4-r.?'1fMIT
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MECHANICAL
CHARGE
I:'~l:; ru.o.ttn!:'
Furnacel burner & vent
< 100.000 BTUs
Furnace/ burner & vent
>100.000 BTUs
I
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$10.00
TOTAL PERMIT
QUAD AREA:
- OFFICE USE -
LAND USF.
HANDICAP ACCESS:
sa-FT.
'.
$/SQ. .FT.
FLOOD PLAIN.
ZONING.
LIGHTING POWER BUDGET:
,.. . Wi\!~R HEATER.
VALUE .
" OF BLDGS.
N OF UNIT"'.
OCfY.GROUp.
~ qF: STORIEf.
CONSTR. TYP".
.:,' . HEAT. SpURC".
SQ. FTG MAIN
SQ. FTG ACCESS
X
X
. =.
.' "" \.
. ,.
SQ. FTG .OTtJER
X
TOTAL VALUE OF .PROJECT / 12n ~ 0
PLAN CHECK FEZ-2-./. (:3
RCPTN
DAT"
BY
I BUILDING PERMIT '
I ~~~c~t:rr;e /.r,}+:7~,
I MECHANICAL
15% Stat.e
SurcharQe
I PAYI NG,
t.) P.) t , I
c> r' ! ! . \))"
J~" 1.'"-
.... -- ....".~~;.J:
3~.S-O
2.6/
, PLUMBING
, DEMOLITION
5% State
Surcharoe
FENCE
VALUE $
SIDEWALK
FT:
1J1~~('
;J~ tf~/~.
. SUBTOTAL
PERMITS
SYSTEMS
. DEVELOPMENT
~fV
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2/,/3
CURBCUT
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I .. ..,-' '. I,' J ~..
. , .... f'~ ,r1.,. I\...\.." I
\\ _\.-:-,1_.. \,)
.....' TOTAL'PERMIT FEES
EXCLUDING ELECTRIC'" .
7>6.2.';:
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REQUIRED INSPECTIONS
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It is the respon.slblllty 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.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placIng concrete.
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.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor Insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with -
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof coverl ng. '..,'
~ B.OJ.l.GH...EL!M B IN G,
cELECTRICJU:>&
MECHANICAL: No work is to
be covered until\the~e ,
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
~RA~ING: To be made after
the roof, all framing, fire
blocking and bracing are In
place and all pipes, chimneys
and vents are com plete and
the rough electrical, plumbing
and mechanical are approved.
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.
~IRE & SEPARATION WALL:
Located and coristructed
according to plans.
~ 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.
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SIDEWALK & DRIVEWiIY:"
Required for all concrete ,~~-'
paving within street right of.~
way, to be made after all:, J'
excavating complete and form
work and sub-base material in
place.
CURB.AND Ap,p,ROACH
APRONS: After;-forms are
erected but prior to placing
concrete.
PAVING: After gravel is In
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty 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.
STRUCTURAL CONCRETE: In
excess of 2500 PS.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operatIons. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
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).
STRUCTURAL MASONRY: (306
a.7)
*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,
FINAL PLUMBING
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~ FINAL ELECTRICAL
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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
FINAL FIRE DEPARTMENT and posted on the premises. (?$"8CAJ
A~DITIONAL~MMEN~,,:;:;~~ e. <'-'~ ~JJn 7Jj, )~~T ?jB'~p~ (~/.b~/M
., A~ ~ :rJlh C)A;;. /U.<u(lcv/~) O~~~-)7T" ,-_ .fi'.z('&
~'fi:es,. 5~~ efL:T:.;r. ~/r /", ~A .
v' FINAL MECHANICAL
a- ..-?
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PLANS REVIEWED BY
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DATE-17(/9~
By signature, I state and agree, that I have carefully examined the completed applicatIon and do hereby certify that 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 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~ls loc.sted at the front of the property, and the approved set of plans will remain .on the site at all
times during construction.' . ~ - .
;X: Sig~ature \II. \)L.~~~ \~
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AMOUNT R~EIVED:, ~ "1:~ Bt
RECEIPT ': ':.J.OcLJ.()
VALIDATION:
Date 1." ....... \ f........1~
DATE PAID: +--/)10,'[ \ .L( ($.
RECEIVED B~~._..!