HomeMy WebLinkAboutPermit Miscellaneous 1998-5-19
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COMMERCIAL/lNDUSTRJAL SPRINGF'ELD
PERMIT APPLICATION ~~
225 Fifth Street, Springfield, Oregon 97477 k.~
LOCATION OF PROPOSED WORK' '" ~~fL4 \. \ (\ ~ro-b
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JOB NUMBER ~CNLl 0 A-
INSPECTION LINE: 726,3769
OFFICE: 726.3759
ASSESSORS MAP:
TAX LOT: O'Lcc{)
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OWNER: ~ Q U l\.)\C:;~ .f> t
ADDRE:\ ~~i 1JV). \ f\[\(\ Lf\ ~
CITY' ~~9-- ". STATE:
DESCRIPTION OF WORK' Iz.:>>(\ ~ ~
NEW REMODEL ADDITION.' DEMOLISH
PHONE:
l Q'6Y ll-l..fl5
ZIP ~!4/8'
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OTHER
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VALUEld5UU
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACT<f\'~ NAME
GENERA\:' -'0 \ l/'YI ~()
PLUMB]N""' ~
MECHANICAl'
ELECTR]CA"
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CONST,
0\ r9\'T~l}~TOR # E?fIRrn <y PHONE
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FEE I CHARGE j
I
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MECHANICAL
PLUMBING
NO
IIln
Single Fixture
Relocated Bldg.
Inew Ii x, addtl]
Water Service
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100.000 BTUs
S=~J:
"'1-I11~n:s=
It.
Sanitary Sewer ~ /
/"7 It.
Storm Sewer
Floor furnace and vent
Suspended wall or floor
mounted unlt healer
Appliance Vent
separate
Stat ionary evap.
coorer
Vent, Fan/Single
duCI
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Backflow Device
Permit Issuance
$10,00
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING:
OUAD AREA:
LAND US.'
# OF BLOGS:
. OF UNIT'"
OCCY GROUP'
CONSTR. TYP.'
LIGHTING POWER BUDGET:
# OF STORIES:
HEAT SOURCE:
WATER HEATER:
SO, FT,
$/SO, FT.
VALUE
SO, FTG MAIN
SO, FTG ACCESS
X
X
SO" FTG OTHER
X
TOTAL VALUE OF PROJECT
(p:j[)(),CO
PLAN CHECK FEr
RCPT#
DATE
BY
I BU]LOING PERMIT
15% Stale
Surcharae
I MeO] IAIHOAt
15% State
Surcharae
I PAVING
.--...... _r.........-
7"~. ~C1#
~_U",...
/.20
I DEMOLITION j
I" J
,J1')f\0Y #L 4-{ )./ O~
SUBTOTAL 1\ /,''-- .....,......
PERMITS ) /_-, _ "....,
I SYSTEMS 5'~,,"~E'::T~..l" ./
J DEVEl.()PMJ=NT 'i4,~." ....,.,....... _ 0/ _ ~ ~
-- --."'"J" 'J...Y'7~/r----"-.,. ''l~
PLUMBI NG
I
~I
5% State
Surcharqe
I FENCE
VALUE $
, SIDEWALK
bZ. "7b
CURBCUT
FT.
FT,
....
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
/r~. ??
. REQUIRED INSPECTIONS
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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
made after excavation, but
prior to setup of forms.
UNOERSLAB 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.
y
PAVING: After gravel is In
place but prior to placing
asphalt or concrete.
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 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 ORAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
made after all Inslab building
'servlce equipment, conduit,
piping, accessories and other
ancillary equipment items are
In place but before any
concrete Is placed.
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.
STRUCTURAL CONCRETE: In
excess of 2500 PS,I. (306 a,l)
STRUCTURAL WELOS:
Performed on the job, (2722 f)
UNOERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing,
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and reCUJlred vapor
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.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations, (306
a,6)
x
UNOERGROUNO: Plumbing,
electrical, gas, sanitary sewer,
f'S'lorm sewer.)Nater and
dralnaYI;J .",(s. To be made
prior to covering or filling
trenches.
SPRAYEO ON
FIREPROOFING: L1,B,C,
Standards 43.8.
SPECIAL GRAOING,
EXCAVATION ANO FILLING:
During earthwork, (306 a,11 &
Chapter 29)
POST & BEAM: To be made
prIor to Installation of floor
insulation, decking or floor
sheathing,
LATH ANO/OR GYPSUM
BOARO: 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,
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),
STRUCTURAL MASONRY: (306
a,7)
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,
SIOEWALK & ORIVEWAY:
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.
-------------------------------------------------------
ROOF SHEATHING ANO
NAILING: Prior to Installing
any roof covering.
CURB ANO 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.
FINAL MECHANICAL
i'
SITE PLAN REVIEW BOARO: 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.
IV FINAL PLUMBING
FINAL ELECTRICAL
FINAL FIRE OEPARTMENT
AODITIONAL COMMENTS'
PLANS REVIEWEO BY 4-.4JI1:ao
DATE
5",.. /~ - ~
By signature,l state and agree, that I have carefully examined the completed application and do hereby certify thflt 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 o(the property, and the approved set of plans will remain on .the site at all
times during construction.
Slgnature~ ~,~-~,.,,-
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Date
4)' / /,;('1 ~
VALlOATION:
AMOUNT RECEIVED: I y.c;:::;. ~3'
;Z'7g.:c~
RECEIPT ':
DATE PAlO'
RECEIVED BY:
<\Y~ .0;:;;
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