HomeMy WebLinkAboutPermit Building 1997-9-25
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CO M M ERCIAL/lN DUST RIAL
PERMIT APPLICATION
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JOB NUMBER q7/ f'2l
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK' Lj 7,39
ASSESSORS MAP' / '719 L ? ~
INSPECTION LINE: 726-3769
OFFICE: 726.3759
MAIN
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TAX LOT:
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OWNER' GA.RY MA1~Lo",^/ PHON~' ~3 7 -2(;'<5/
ADDRESS: 3 'B ~~-S PLA..G(::;- RD. ,~~
CITy.i="ALLC'R.r=r:::-/< STATE: rry R_ ~p:37'-t.3 l5"
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OTHER f?1.:--- (~of:' VALUE: ~ l'() (j .0<:.
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DESCRIPTION OF WORK'
NEW ~ REMODEL
ADDITION
DEMOLISH
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
GENERAL:_i<(")oFIN G
/.
ADDRESS
~L ~-u....
CONST.
CO NT RACTO R .
~RsD P l.c~:S/ 0 MArL-
EXPIRES PHONE
n - ~ 957-
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PLUMBING:
MECHANICAl'
ELECTRICAL:
PLUMBING
NO.
FEE I
r.HARGE I
I
itt Nn
I
I
I Floor furnace and vent
I Suspended wall or floor
mounted unit heater
I Appliance Vent
separate
I Stationary evap.
cooler
I I Vent Fan/Single
duct
_ . . I I Yr~nl SYS~~'JJOf\l\_
~U nCE~h S\\"'U/-~~"'5'~U\
\\"lIP PE.P; ~ \l~O"-t-I \. ~ E.O fOt-l
1.."'01'.\1. 0 reo' tlnO~
I'o\~"" 01'. \~ "". ,
~ t.'ME.N EO .J.;rmlt Issuance
~ ,eo or4t>ll~~ERMIT
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M!'CHANICAL
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I
I
I
Single Flxlure
Relocated Bldg.
(new fix. addtll
Water Service
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Sanitary Sewer
fl.
It.
Storm Sewer
fl.
Backtlow Device
$10.00
TOTAL PERMIT
- OFFICE USE -
LAND USF'
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER:.
QUAD AREA-
. OF BLDGS:
. OF UNIT'"
OCCY GROUP'
· OF STORIES:
CONSTR. TYPF'
HEAT SOURC~'
SQ. FT.
$/SQ. FT.
VALUE
.
SQ. FTG MAIN
x
X
X
SQ. FTG ACCESP
SQ. FTG OTHER
TOTAL VALUE OF PROJECT
PLAN CHECK FEF
RCPP
DATE
BY
I BUILDING PERMIT
15% State 11) /./~
Surcharge , '1-,
I MECHANICAL I
5% State I
Surcharae
PAVING . I
SB .)0
3,0'
l PLUMBING
,- 5% State
Surcharfle
I FENCE
VAl UE .~
I SID-EWAL-K
_ICURBCUT
FT.
I DEMOLITION
I
I
I SUBTOTAL
PE RM ITS
I ~YSTEMS
l...QiYELOPMENT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAL
1/ 5'/
.
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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, lob 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.
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.
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.
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
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the Job. (2722 f)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing.
INSULATION & VAPOR
BARRI ER: To be made after all
Insulation and required vapor
barriers are I n 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. (30fl
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer.
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: UB.C.
Standards 43.6.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
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
plastering Is epplled 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 UB.C.
STDS. 25-10,11).
POST & BEAM: To be made
. prior to Installation of floor
Insulation, decking or floor
sheathing.
MASONRY: Steel location,
bond beams grouting or':' .'
verticals In accordance with
UBC 2415. . ", :.' :-7:, .
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
.placl'. 'I
x:
STRUCTURAL MASONRY: (306
a.7)
1!b-cF- /A/7...
:",
~: ~r
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. CURB AND APPROACH
APRONS: After forms are
. , .erected but prior to placing
concrete. ",'
"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.
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FINAL MECHANICAL
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
and posted on the premises.
.7 LA/~ +~ S&:zr" /~5' ,4.)
~. -T ~ 7
FINAL PLUMBING
FINAL ELECTRICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS: ~t:>>"_l;;;~
PLANS REVIEWED BY
DAT~
By signature. I state and agree, that I have carefully examined the completed application and do hereby certify thflt alllnformatlon
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 Is located at the front of the property, and the approved set of plans will remain on the site at all
ytlmes during /fnstructlon. (:' n I " t'J -.2. ';)--9 7
.../ Slgnatur~ ~ L ~~ . DatF> '7
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VALI~N: AMOUNT RECEIVED: 1.../~? DATE PAID: 7/.2-J?? ?
RECEIPT#' 27~~/ RECEIVED BY' ~~\