HomeMy WebLinkAboutPermit Building 1998-5-27
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COM M ERCIAlIl N DUST RIAL
PERMIT APPLICATION
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JOB NUMBER~~'Y
INSPECTION LINE: 726.3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK'
ASSESSORS MAP' /?~~- ~~ C//
,>2.3.5.5111/1/11/ ,~o;r
TAX LOT'
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OWNER: Jo.sd()~
LUAI./fC.!!!. CL) .1SH2~. ~~A1~JIQPHON~'
ADDRESS'
CITY' ~FLa
STATE: -CJJ2.
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ZIP:
DESCRIPTION OF WORK: JLJ/1
I"~y
ADDITION X.
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,
NEW REMODEL
DEMOLISH
OTHER
VALUE: <('----~
ARCHITECT'
, I-NAME
AliA
ADDRESS
PHONE
ELECTRICAl'
JI,UJG
ADDRESS
19. "gJtK,ry JAJ(!. ~eNe
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pIA
CONST.
CO NT RACTO R N
CONTRACTOR'S NAME
GENERAL: K'ltHAA!,I!)
NOlie
MECHANICAl' Ald#J€
.~~o
EXPIRES
J. ,. qq
PHONE
3"i .1jI-S't.
PLUMBING'
PLUMBING
MECHANICAL
NO.
FEE
CHARGE
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Single Fixture
Relocated Bldg.
(new fix. addtll
Water Service
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
ft.
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
Irom AC or htg.
MeChanical exhaust
hood and duct
Sanitary Sewer
It.
It.
Storm Sewer
Backftow Device
Permit Issuance
$10.00
TOTAL PERMIT
TOTAL PERMIT
QUAD AREA
- OFFICE USE -
LAND USF'
HANDICAP ACCESS:
FLOOD PLAIN'
N OF BLDGf"
N OF UNITS:
ZONINC"
LIGHTING POWER BUDGET:
WATER HEATER'
OCCY GROUP'
N OF STORIES: ~
CONSTR. TYPF'
HEAT SOURCE:.
SQ. FT.
$/SQ. FT.
VALUE
SQ. FTG MAl N
SQ. FTG ACCESS
SQ. FTG OTHER
X
X
X
TOTAL VALUE OF .PROJECT
PLAN CHECK FEi' ?<"'.~_":;>
RCPTN ~';,('~
DATE
6' ":<?"9'ffL BY /'2-.....--.........
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I BUILDING PERMI;J
15% State
SurcharQe
1 MECHANICAL - I
15% State I
Surcharae
1 PAVING 1
3$.5~
/.. ~~
/. /2b
, PLUMBING
, DEMOLITION
5% State
SurcharQe
FENCE
VALUE $
I SIDEWALK
I CURBCUT
FT.
FT.
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
I '$// >9
I /V:4'.
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
7'./. 5'9
.
.
REQUIRED INSPECTIONS
It Is the responsibility of the permit holder to see that aI/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.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
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.ROUGH PLUMBING, ..".. .
\ 'eLECTRICAL &'."'; ~, ~/'.'.
MECHANICAL: No work Is to
be covered u ntll these
Inspections have been made SPECIAL INSPECTIONS: In accordance
and ~pproved. . Section 30B of the.State.Speclalty Code
:...\' " '" . ,,' ,..",...... :.. ,"'>:'a"s'peclall(lspectorshall be employed
ATTIC DRAFT STOPS & by the Owner/ Contractor during
CURTAIN WALLS construction of the following work. A
copy of the special testi.ng..'~ports shall
be furnished to the Bulltling Division.
PAVING: After gravel Is in
place but prIor to placing
asphalt or concrete.
x
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete: I. 't.
,.
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.FIREPLACE: Prior to placing
facing materials and before
.framlng In~pectlon.
. .' "~..'. '. ". '''. \.\\,-
FRAMING: To be made. after
the roof, all framing, fi'fe\
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 P.S.1. (306 a.1)
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
pi ping, accessories and other
ancillary equipment items are
In place but before any
concrete Is placed.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
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INSULATION & VAPOR
BARRIER:,Jo be made after all...~ ' .....
Insulation and'requlred'vapor '," ,,~ l~ .
barriers are In place but ., '\.
before any lath or gypsum
board Interior wall covering Is
applied.
HIGH STRENGTH BOLTING:
Du'i'lng all bolt Installation and
tightening operations. (306
a.6)
'UNDERGROUliID: 'Plumblng,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
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SPRAYED ON
FIREPROOFING: U.B.C.
Stand.ards 43.8.
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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)
POST & BEAM: To be made
prior to Installation of floor
Insulation, 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).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a.7)
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 materlal in
place.
'In addition to the Inspec.
tlons specified, the Bulidlng
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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL PLUMBING
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 ELECTRICAL
FINAL MECHANICAL
'(
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.
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY ~...?~ Pd""'~"'DATE L~-'7.e
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By signature, I state and agree, that I have carefully examined the completed applicatIon and do hereby certify that aI/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 profect 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 co~;:;? d ,. / -
Slgnaturp ~ . /~/ Datp
VALIDATION:
AMOUNT RECEIVED'
RECEIPT ': -,,/>-?.:a: /
ij/,?9'
DATE PAID:
RECEIVED BY:
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