HomeMy WebLinkAboutPermit Miscellaneous 1998-5-22
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COMMERCIALIINDUSTRIAL
PERMIT APPLICATION
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225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK' '1-808 11'1...., III
ASSESSORS MAP: I"?~-=< -?'<.'- y/
OWNER: Ro8clL.A..s..,J. 8eJ6l!.J-i
ADDRESS: tf1l tJi M A-J N S".
CITY- s:. pr;: I...Il
DESCRIPTION OF WORK'
.(JPr II I to.! (..
NEW
REMODEL
DEMOLISH
ADDITION
NAME
ARCHITECT:
CONTRACTOR'S NAME
GENERAL: iE 1..,ft.Al.E
ADDRESS
4....4> u-4~1 PIlrIl,.J 4. I Ale...
PLUMBING:
MECHANICA' '
ELECTRICA' '
NO,
I
CHARGE I
I
I
I
1
I
Backflow Device I
NQ'i'It"!:. 1 I
~l-lIC:'~~~;IT C:I-I~II FXPI~F IFTHE Wa,K
AII;HORIZED UNoER THI~ PERMIT IS N )T
COMMENCED ORlS ABAN )ONED FOR I
ANY 180 DAY PERloD.' 1
1
PLUMBING
FEE
SIngle Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
It.
Sanitary Sewer
It.
Storm Sewer
It.
TOTAL PERMIT
JOB NUMBER
~5'5~
INSPECTION LINE: 726.3769
OFFICE: 726-3759
.s T'iI..He 7"
,s-pr;:L.D . oR... '/7&/7f-boS'1o
TAX LOT: ~L)~...-?
STATE:
o~~,,'., PHON~'
i '
.
r
.'
':;';'1- 74/, ~.l7/. g
ZIP: ..!l-<P, f' -&. r. .d...
OTHER ../
VALUl~ 7:5'.
ADDRESS
PHONE
CONST.
CO NT RACTO R .
/) ,:z..4-s't. 7
EXPIRES
8!J:1./ff
PHONE
1'/.30//
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I
I Nn
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MECHANICAL
~~~
rl-lb~r.&:
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
Stationary evap.
cooler
Vent FanlSingle
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct .
-I
I
I
1
I
I
$10,00 1
1
Permit Issuance
TOTAL PERMIT
~UAD AREA-
- OFFICE USE -
HANDICAP ACCESS:
. OF BLDG~'
LAND'US~:
. OF UNITS'
CONSTR. TYP.'
HEAT SOURCF"
OCCY GROUP'
. OF STORIES:
SO. FT,
$ISO. FT.
SO. FTG MAl N
SO, FTG ACCES"
X
x
SO, FTG OTH ER
X
PLAN CHECK FE.!: s~(iIz"v"'~')CPT'
1 BUILDING PERMIT
15% State
Surcharge
MECHANICAL
1
I
I
I
I 7tz.?'c>
I PLUMBING
15% State
SurcharQe
1 FENCE
VALUE $_
I SIDEWALK
I CURBCUT
5% State
Surcharae
I PAVI NG
FT.
FT,
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
TOTAL VALUE OF ,PROJEC'T
DAT.
BY
, DEMOLITION
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
:? L/. $!?
~~
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
/~7< 5"C/
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 .
, madela.f.te"r excavation, but'
prior to setup of forms.
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UNDERSLAB PLUMBING,
ELECTRICAL & ,"
MECHANICAL: To bemade
before any work Is covered.
FOOTINGS & FOUNDATIONS:
To be m'ade after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
~ I:. .
'CbNCRETE 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 covering.
,FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENT""
REQUIRED INSPECTIONS
ROUGH PLUMBING,
; ELECTRICAL &' ".,1',
MECHANICAL: No work Is to
be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing ~nspectlon.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are In
place and all pi, pes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
1','
INSULATION & VAPOR
, ' BARRIER: To,be made after all ' '.
Insulation and requ'lred' va'por
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:
LATH ANDIOR 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.
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. ~" VI .' 'r,' "
;1 (,
. .. I" .
CURB AND APPROACH
APRONS: IAfter:form~ B;re :,J'
erected but prior to placing'
concrete.
.
,
x
PAVING: After gravel Is In
place but prior to placi ng
asphalt or concrete.
".J'\
SPECIAL INSPECTIONS: In accordance
.Section 306 of.the. S.tate Specialty Code
a .special inspector shall be employed
- by,the OwnerJ ContractoI during
.construction of the following work. A
copy of the special testiQgreports shall
be furnished to the BUilding Division.
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STRUCTURAL CONCRETE: In
" excess of 2500 PS,I. (306 a,1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
,
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HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations, (306
a.6)
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...'~ :, ' ; ~'t. ;'.~'
SPRAYED ON
FIREPROOFING: U.S.G,
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
. :.. :,'1 (' construction work to ensure
. . - c'omplla."nce'wlth the Building,
;i~..l City o~ Development Code,
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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 ~~~ReQUested after the final plumbing, electrical,
mechanical and Fire Department Inspections are made and
approved. No occupancy of the pre'mlses can be made until a
Certificate of Occupancy has been issued by the Building Division
and posted on the premises,
PLANS REVIEWED SY
OAT"
By slgnature,l 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 Is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction. .
Signatur~
VALIDATION:
AMOUNT RECEIVED: /'>1.
(}7.-f9?<
::;-u
RECEIPT ':
Oatf'
DATE PAID:
RECEIVED SY:
S/J-J-./q<r /1--
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