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HomeMy WebLinkAboutPermit Building 1996-10-11 . COMM ERCIALlI N DUSTRIAL PERMIT APPLICATION ~ . JOB NUMBER ~b/:?&? 225 Fifth Street, Springfield, Oregon 97477 INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK' ::2'c?::>::5 ASSESSORS MAP: /7-d??l- .=5~- $0"<' /W4//V '5;7. . TAX LOT' C> "3~ OWNER: AODRESS' (A'..( A V...v~ J( A J c:-:; F/&,.;::r-- -::n.$"? ~~//l/ -,,);;>~D PHON'" -:ry"? -L?8,f? ~ .~ ZIP: CITY' STATE: _~ ' DESCRIPTION OF WORK: A-n --..,_ l;:'>~::'_'- ':"---~"~,??c::::-~. NEW REMODEL ADDITION DEMOLISH OTHER VALUE: ?3.::2:::? cocO NAME ADDRESS PHONE ARCHITECT' CONTRACTOR'S NAME GENERAL: ~~~ /!. PLUMBING' MECHANICAl' CaNST, ADDRESS .,!- ~ ~.!:!TRACTOR " - Ji~l-l~~~ft~. ~~ - . . ".. . EXPIRES V""'3 =' PHONE ?:::?;:'-V~ ..::...: ELECTRICA" I I MECHANICAL , PLUMBING J I NO. FEE CHARGE iD I """ ,....ABG, I Single Fixture Furnacel burner & vent < 100,000 BTUs I Relocated Bldg, I Furnace/burner & vent I Inew fix, add/II > 100,000 BTUs I Water Service I Floor furnace and vent I It. I Sanitary Sewer I Suspended wall or floor ] It. mounted unit heater I Storm Sewer I Appliance Vent I It. separate I Stationaryevap. I Backflow Device cooler I ~" Vent Fan/Single I duct I I " Vent System apart I from AC or htg. I Mechanical exhaust I hood and duct I I I Permit Issuance $10,00 I I TOTAL PERMIT TOTAL PERMIT I - OFFICE USE - HANDICAP ACCESS' QUAO AREA: LAN D USE: FLOOD PLAIN' ZONIN'" " OF BLDGS: " OF UNIT~' OCCY GROUP' CONSTR. TYPF' LIGHTING POWER BUDGET: " OF STORIES: HEAT SOURC"' WATER HEATER: SO, FT, $/SO, FT, VALUE SO, FTG MAIN X SO, FTG ACCESS X SO, FTG OTHER X TOTAL VALUE OF PROJECT PLAN CHECK FEE RCPT' DAT" BY_ 1 BUILDING PERMIT 15% Slate SurcharQe I MECHANICAL 15% State Surcharae I PAVING s-v- ,50 '2."" :;So /. "7'/, PLUMBING I DEMOLITION 5% Stale Surcharoe FENCE VAltlF~ _ ----._- SIDEWALK CURB CUT FT, FT. I SUBTOTAL . PERMITS I SYSTEMS DEVELOPMENT '. TOTAL PERMIT FEES EXCLUDING ELECTRICAL Cf&. C) ? . 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. 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 .l?etup 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 alllnslab 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 30601 the State Specialty Code a special inspector shall be employed by the Owner! CO('ltractor during construction of the foHowing 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 01 2500 P,S,I, (306 a,1) STRUCTURAL WELDS: Performed on the job, (2722 f) UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. INSULATION _& VAPOR , BARRIER: To be 'made after all insulation and re.quired vapor barriers are In place but before any lath or gypsum board interior wall covering Is applied, HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a,6) SPRAYEO ON FIREPROOFING: U,B,C, Standards 43-8. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor Insulation, decking or floor sheathing. FIRE & SEPARATION WALL: Located and constructed according to plans. 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 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 U,B.c, STDS, 25-10,11), POST & BEAM: To be made prior to Installation of floor Insulation, decking or floor sheathing, )' STRUCTURAL MASONRY: (306 a,7) -;tj ~?"'.a.c- M-/ I-~~ " /' ,~~~5 L://f(.AlL ;?~/"ffi~ In 'ad'drt1on to {he 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. MASONRY: Steel location, bond beams grouting or verticals In accordance with UBC 2415. 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. y ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. ------------------------------------------------------- FINAL ELECTRICAL 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 PLUMBING FINAL MECHANICAL FINAL BUILDING: Requested alter the final plumbing, electrical, mechanical and Fire Department Inspectlons 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. FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: PLANS REVIEWED BY OAT" By signature, I 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 projecLaddress 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 durin: 7~uctlon, /} , Slgnatura ""7- 4/~ Date /i::J' 11.7''''' / VAll DATION: AMOUNT RECEIVED: t./8.0:/ RECEIPT .' '7 ":j' 7-"'7""'). DATE PAID' /O-//-"'5'b RECEIVED BY' . *~