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Home My WebLink AboutPermit Demolition 1995-1-5 CO M M ERCIALlI N DUSTRIAL- PERMIT APPLICATION ~ \\\~-O f\ ~Mot- . TAX LOT, -C'f)4{Y ) 411[: ' JOB NUMBER q ~~ INSPECTION LINE: 726-3769 OFFICE: 726-3759 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK' 44BC\ , ASSESSORS MAP: \ I"') () ~ ~ ~4 ~ OWNER: ~ '_ \< ~t7-aflY'+- PHONE: Z(\ ': 1 ADDRESS'\\ ~ (\ NI \\ ~p \ {rtl -\ CITY' <f I ~ Q ...... - -suJrE: \ 'ikJA Q f"\ C1'f\ \.\ -- -\ DESCRIPTION OF WORK: \ \. \a ffirfl [)}\.. ~ ~~1ll.' r'-IuA!l.-- NEW REMODEL - ADDITION DEMOLISH ~ OTHER l~?_ 'ZIP: L{14O\ NAME ADDRESS ~ J...'Yt. VALUE, 'T PHONE ~ ARCHITECT' CONTRACTOR'S NAME GENERAL,\ \). ~~ ') PLUMBING> ):Jt.D\ ~ MECHANICAL' ELECTRICAl' ~DDRESS CONST, CONTRACTOR # EXPIRES PHONE PLUMBING MECHANICAL NO. FEE CHARGE "'n """ ('l--I4Rr.;c: It. Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent > 100,000 BTUs Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Statlonaryevap, cooler Vent Fan/Single duct Vent System apart Irom AC or htg, Mechanical exhaust hood and duct SIngle Fixture Relocated Bldg, Inew fix, add!l) Water Service Sanitary Sewer It, Storm Sewer It. Backflow Device Permit Issuance $10,00 TOTAL PERMIT TOTAL PERMIT QUAD AREA' - OFFICE USE - LAND USE, HANDICAP ACCESS, FLOOD PLAIN' # OF BLDG~' # OF UNITS, CONSTR. TYP"' HEAT SOURCF' ZONING' OCCY GROUP' LIGHTING POWER BUDGET: WATER HEATER' # OF STORIES: SQ, FT, $fSQ, FT, VALUE SQ, FTG MAL N X SQ, FTG ACCESS SQ, FTG OTHER X X TOTAL VALUE OF ,PROJECT PLAN CHECK F"" RCPTN DATF BY I BUILDING PERMIT 15% State Surcharae I MECHANICAL 15% State Surcharae I PAVING , PLUMBING 5% State Surcharae ~M A31n1 SIDEWALK ,I FT, FT, I \S~ ,lS ,4-S , DEMOLITION $0 ~O,1) I I I I J j "?; S -\o~ j \ <7- ,W ,erD ~C), CURBCUT SUBTOTAL PERMITS I SYSTEMS DEVELOPMENT TOTAL PERMIT FEES I EXCLUDING ELECTRICAl " , , . 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. wlll 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 PLllMBING, ELECTRICAL & MECHANICAL: No work Is to be covered until these inspections have been made and approved, ATTIC DRAFT STOPS & CURTAIN WALLS 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 Inspection. 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, )( 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, 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 15 applied, FIRE & SEPARATION WALL: Located and constructed according to plans, UNDERGROUND: '-;. ~ electrical, gas, anlta sewerC,Ah ) storm sewer, water an ~ 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, LATH AND/OR GYPSUM BOARD: To be made after all lathing and gypsum board, Interior and exterior, 15 In place but before any plastering Is applied or before gypsum board Joints and fasteners are taped and flnlshed_ 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, 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, ROOF SHEATHING AND NAILING: Prior to Installing any roof covering, CURB AND APPROACH 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 Ownerl 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 RS,I. (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,BC, 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,C, STDS, 25-10,11), STRUCTURAL MASONRY, (306 c1 \~l-hI ,AU r-b~ r (AU rt <U'Y\ ()UUJ: -In addition to the Inspec- tions specified, the Building Official may make or requIre other Inspections of any constructlon work to ensure compliance with the Building, City or Development Code. SITE PLAN REVIEW BOARD: Must be requested 2 days In advance of the date you wish Inspectlon_ All project conditions such as landscaping, parking lot striping, etc, must be completed before requestlng this Inspectlon, FINAL PLUMBING FINAL ELECTRICAL 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, ADDITIONAL COMMENTS' N ~~o 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 Bulldl09 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 15 readable from the street, that the permit card Is located at e front of the pr?perty, and the approved set of plans will remain on the site at all tlmesdurl ~ FINAL MECHANICAL FINAL FIRE DEPARTMENT PLANS REVIEWED BY VALIDA ON: I I' / ,; V "-lc:... \ 4- AMOUNT RECEIVED, 1 /'- J~, 0 \ RECEIPT#- \~1.:V DAT~ Dat" /Ir/~ / / DATE PAID: --r-J : (-:s - '-1"" RECEIVED BY:~Lo~