HomeMy WebLinkAboutPermit Signage 1997-3-20 (4)
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COMM cRCIALlIN DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER q70~5 3
225 Fifth Slreet, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726,3759
LOCATION OF PROPOSED WORK: y, 3JD-
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ASSESSORS MAP'
TAX LOT:
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OWNER' 6LJ~ "J'nhrv-,oYl
ADDRESS: 4~"'J() fY\fl J (\ '5+
CITY: "Sor', f\9Ji ~Irb
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PHONE: L\X'~-O~l 0
ADDITION
STATF' (') I'L
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DEMOLISH
ZIP:.EbL/ 27
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OESCRIPTION OF WORK:
NEW $- REMODEL
OTHER
c: 9' NAME ADDRESS
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CONTRACTOR'S NAME , ADDRE9S CONTRACTOR 1
G.tIERA" C;;~ '!:y,ci- I) I 0 1X!.~oafrf\~, F1 ){bUlL \ II ~~11
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PLUMBING:
PHONE
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I FEE
CHARGE
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In
Furnace/burner &.vent.
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
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PHONE I.
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MECHANICAL II
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EXPIRES
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MECHANICA"
ELECTRICAL: E:1J/-I:r: r)(!, ~ J;)/() ()nJ!.. Ocdr 11 ir:l P1J{}J.L/U. -
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PLU MBING
Single Fixture
Relocaled Bldg.
(new rix, addU\
Waler Service
Sanitary Sewer
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Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate .
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duct
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Storm Sewer
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Backflow Device
Permit Issuance
$10,00
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TOTAL PERMIT
TOTAL PERMIT
QUAD AREA:
IJIMr(1
- OFFJCE USE,-
LAND USO. fJ?Jt'Jl)'
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING: & mmJ, veioJ'
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. OF BLDGf'
. OF UNITS:
. OF STORIES:
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER'
OCCY GROUP:
CONSTR..TYpO.
SQ, FT.
$/SQ, FT,
VALUE
SQ, FTG MAIN
X
X
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SQ, FTG ACCEf'"
SQ, FTG OTHER
X
.1"
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TOTAL VALUE OF PROJF"T
PLAN CHECK FEE RCPTI DATF
I BUILDING PERMIT /0'1-. '5b I PLUMBING
15% State 1);./1 5% Slate
Surcharae Surcharge
I M.E('~'1',I~; I. C(1 FENCE
VALU~,$ _ -- ---
15% Slate SIDEWALK
Surcharoc FT.
I PAVING CURBCUT
FT.
BY
DEMOLlTJON
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SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
L1~ .Inl]
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,. TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
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It Is the responsibility of the permit holder to see that all Inspections are made at the proper lime, To request an Inspection, call ".
726,3769 (recorder). stale your City designated job number, job address, type or Inspection requested and when you will be readY:
lor Inspection, Requests received before 7:00 a.m. will be made the same working day. requests made alter 7:00 a.m, will be made,
the following work day.
SITE INSPECTION: To be
made after exkcavatlon, but
prior to setup of forms.
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REQUIRED INSPECTIONS
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PAVING: Alter gravel Is In
place but prior to placing
,asphalt or concrete.
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UNDERSLAB PLUMBING,
, ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
ROUGH PLUMBING,
ELECTRtCAL &
MECHANICAL: No work is to,
be covered until these :
Inspections have been made
and approved.
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FOOTINGS & FOUNOATIONS:
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.
SPECIAL INSPECTIONS: In accordance
Section 306 of the Stale Specialty Code
a special Inspector shall be employed' . '
by the Ownerf 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
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items arc
In place but before any
concreto is placed.
FRAMING: To be made alter
the roof, all framing, fire
blocking and bracing are In
place and all pipes, chimneys
and vents are complete and
tho rough electrIcal, plumbIng
and mechanical are approved.
STRUCTURAL WELDS:
Performed on the job, (2722 f)
UNDERGROUND: plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior \9 covering or filling
trenches.
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and required vapor
barriers are In place but
be (ore any.lath or gypsum
board Interior wall covering Is
applied,
HIGH STRENGTH BOLTING:
During all bolt installation and ~
tightening operations, (306
a,6)
UNDERFLOOR: plumbing,
electrical, mechanical. To be
made prior to installat.ion of
floor insulation, decking or
flo.or sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
, SPRAYED ON
FIREPROOFING: U,B.G,
Standards 43-8.
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SPECtAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
POST & BEAM: To be made
prior to Installation of (lOOf
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 ioints and
fasteners are taped and
Onished.
GLU,LAM BEAMS: Inspection
Certificate by an approved .
agency, lurnlshed to the City's
Building Oivlslon before .'
beams are placed, (2501 U,B.G, '
STDS. 25,10,11),
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STRUCTURAL MASONRY: (306'
a,7) ,
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or (loor sheathing. .
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
SIDEWALK & ORIVEWAY:
Required for all concrete
paving with"ln street right of
way, to be made after all
excavating complete and form
work and sub-base material In
place.
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ROOF SHEATHING AND
NAILING: Prior to installing
any roof coverl ng.
CURB AND APPROACH
APRONS: After (orms are
erected but prior to placing
concrete.
"In addition to the Inspec- . t
tions specified, the Building : l.
Official may make 'or requl~e
other Inspections o~ any .
construction work to ensure .
compliance with the Building"
City or Development Code. :
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FINAL ELECTRtCAL
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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
\, '.r~Q~estlng this Inspection.
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FINAL BUILDING: Requested after the final plumblng"electrlcal,
mechanical and Fire Department inspections are 'made and
approved. No occupancy of the premises can be made until a
CertlCicate of Occupancy has been issued by the Building Division:
and posted on the premises.' . ~.
FINAL PLUMBING
FtNAL MECHANICAL
FINAL FIRE DEPARTMENT
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AODITIONAL COMMENTS:
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PLANS REVIEWEO BY
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DATE
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By signature, I state and agree, tha,tl have carerully 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
olthe City of Springfield, and the Laws or the State of Oregon perlalnlng to the work described herein, and that NO OCCUPANCY
will be made or any structure without permission of the Building Safety Division. I further.!'erlify thai only contractors and employees
who'arc in compliance with ORS701,055 will be used on this project. ' , '
I further agree to ensure that'all.reQuired Inspections are requested at the proper timei,that project address Is readable from the
street, Ihat the permit card"is Ibcated at the front of the property, and the approved'sot ;'1 plans will remain on the site at all
times during construction, . ,
Signature CJrvh/JI ~ ~Jr-u/lll./1"_
AMOUNT REcr"~"D:.,;;::;,\N-0
RECEIPT N: ': ,. d:~"'f\.
Oat.. 3-1-01 .
DATE PAID: ~ -2iJ.Jtf
RECEIVED BY:~ ~
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