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Home My WebLink AboutPermit Miscellaneous 1999-7-27 " . COMMERCIAL/INDUSTRIAL PERMIT APPLICATION . 225 Fifth Street. Springfield, Oregon 97477 ~ JOB NUMBER QQ'OI3 INSPECTION L1N E: 726,3769 OFFICE: 726,3759 LOCATION OF PROPOSED WORK: .I () 71f t. 11\ 4, "I (<; . U ' R '\ ASSESSORS MAP' II-a'!, - '35' - 3, I (\f) I "1Yt~ TAX LOT: o;;"<.Qd - "S"t. 00 , lo~~ : '[ OWNER' c::.,. LA ,K ADDRESS' 100 I /0/1 A ,,../ CITY: "bt>R..,rJl.C1'l!' " PHONE: 7 '2-1... - :>'1..Q.I ' STAT~' ,<) e.... ZIP: ") 7 c[.(b7 DESCRIPTION OF WORt<. ee. - AS;>N<1L 'T 7"'~.I::....~& Lr:;T NEW.. REMODEL ..... ADDITION DEMOLISH "'...._,.. OTHER VALUE: ADDRESS ADDRESS /QOJ., )/fit ,,/ ~T CONST. CONTRACTOR' PHONE 7'{q-':nr? ARCHITECT: NAME A,::r, :!;'.J,('Of3'bO,J CONTRACTOR'S NAME EXPIRES PHONE PLUMBIN'" MECHANICA' . (,1rJ .,.,12../..-'1"1" r ,,"^,~T 1'.1l...lrll.l2..L,N.... ~ GENERA' . ELECTRICA' . NO, FEE CHARGE Single Fixture Relocated Bldg. {new Ilx. addtll Water Service It. Sanitary Sewer ft. Storm Sewer ....0 It. 6iflr..- Backflow Device Nn FFF t'HARGc1 PLUMBING MECHANICAL Furnace/burner & vent < 100000 BTUs.._______ __,_" ....... ...._m.." Furnace/burner & vent > 100.000 BTUs Floor furnace and vent Suspended wall or floor mounted unit healer Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent System apart lrom AC or htg. Mechanical exhaust hood and ducl Permit Issuance $10,00 TOTAL PERMIT TOTAL PERMIT Alll:::j~I:'Jl\J("...lf' rI'."..........,.';...__ "_", fO!'OW ~Ules (HjI,I!IDI(~M1~0:r.;;}' Notification CenlAr, T!;1f~o rules are set forth ':; Sf,f: 952-o0~~88~cftn~oNJgo UAA 952-001- 0090. You ma'ZONrlliJI ""r;oe ^. ~.!:l: ~t:las :" callmg the center, ,~NC/1~,~,lP~ If.llfj ~llne J :;:;rr.ber for ttltl<t5}1!g&n Clfllliy i"Jofj~catlon CentewATER1HEI\'l:!i"',,?A 1). - OFFICE USE - NOTICE: QUAD AREA THISPERMITSHALLEXPIR~tN~WUHI'\, . OF BLDGS: AU'HUHILt:UUNUt::RTHIS~g!jf\\1fjlfsNe-;- OCCY GROUP: CvivJr.l;:r4Ct:E;3RtSABAN~IFC!lrq>E: . OF STORIES:~' 'Xl:J D,W PERIQD. HEAT SOURCF' so. FT. $IS0. FT. VALUE so. FTG ACCESS X X X SQ, FTG MAIN SQ. FTG OTH ER TOTAL VALUE OF PROJiCT PLAN CHECK FEF RCPTN DATE BY I BUILDING PERMIT I':: State SurcharRe I MECHANICAL I .. Stale Surcharae I PAVING PLUMBING 6. 1.0S' 't" ,y.S" DEMOLITION State Surcharge FENCE VALUE $_ SIDEWALK CURBCUT FT. FT, SUBTOTAL PERMITS " SYSTEMS , DEVELOPMENT ~ l\::>. '51l TOTAL PERMIT FEES I j,. I fa. '50 EXCLUDING ELECTRICA' '-P ......_--.-.._..~ . 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 mede the same working day, requests made after 7:00 a.m. will be mede the following work day. ' SITIli INSPSOTION, To b. ROUQH PLUMBINQ, PAVINQ, Aft.r gr.v.1 I. In made after excavation, but . ,ELECTRICAL It._ place but prior to placIng prIor to setup of forms. MECHANICAL: No work Is to asphalt or concrete. be covered until these inspections have been made and approved, UNDERSLAB PLUMBING, IiLIiOTR'OAL . MECHANICAL:,To be made before any work Is covered. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materlele end before framIng Inspection. FRAMING: To be made 'afte; the roof, all framing. fire blocking and bracing are In place and all pipes, chimneys and vents are complete end the rough electrical, plumbing and mechanical are approved. ,FO,OTINQS " FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel In place, but prior to placing concrete. CONCRETE SLAB: To be mede after alllnslab building service equipment, conduit, piping, accessories and other ancillary equipment items are In place but before any concrete Is placed. ~ \ INSULATION & VAPOR BARRIER: To be made after all Insulation and required 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. 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. 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, 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, 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. MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415. ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Coda a speclsllnspector shsll be employed by the Owner I Contractor during construction of the followIng work. A copy of the special testing reports ehall be furnished ,to the 6ulldlng Division. STRUCTURAL CONCRETE: In excess of 2500 P,S.1. (306 a,1) STRUCTURAL WELDS: Performed on the job, (2722 f) HIGH STRENGTH BOLTING: During all bolt installation and tightening operations, (306 a.6) SPRAYED ON FIREPROOFING: UB,C, Standaras 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 Clty's Building Division before beams are placed. (2501 U.BC. STDS. 25,10,11). l./"'" STRUCTURAL MASONRY: (306 a.7) -;;5h,(2.0V'0.. ~~ "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, 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 ELECTRICAL 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 MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' PLANS REVIEWED BY DAT" 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 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. \J '-(Slgnalure ~, I _ .A- I,) f / ;.,...... AMOUNT RECEIVED: cl> llo .SO 3Soo~ VALIDATION: RECEIPT ': , (6:te 7-27 - qq DATE PAID: '1-~-c;"'l ~ RECEIVED BY: