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Home My WebLink AboutPermit Building 1996-11-12 - COMM ERCIALIIN DUSTRIAL PERMIT APPLICATION j H' .."; '~J ",. ... ~;.Mf.'.i-t.i'" )- .'k ~'.,-~' " . 9cP/~"]J ~ JOB NUMBER INSPECTION LINE: 726.3769 OFFICE: 726.3759 225 Fifth Street, Springfield, Oregon 97477 LOCATiON OF PROPOSED WORK: /7o<?"? "7 // ~-2 #1A7",; 4/ sr TAX LOT:_n~2 ()z) ASSESSORS MAP' OWNER' ADDRESS' CITY: y.:;;)j,h/""".J "-/ U //";;-2 ~~A'J 57:~ PHONE: '7~ -5&,? / .~T~ ZIP' '5'7<2'77 , /2Jf'" STATE: .-eCf'?,?,.I?~ u )~..k ~j)q/c. tD_ /~40#:? / hYA-t:_/"I/Jo /S'..1=:) -= -"'-- ,043 VALUE: ~ );/.1,-- DESCRIPTION OF WORK: NEW REMODEL CONTRACTOR'S NAME GENERAl. /1V/)/J~ ARCHITECT' PLUMBINI" ADDiTION DEMOLISH' OTHER NAME PHONE ADDRESS ADDRESS CONST. CO NT RACTO R . PHONE EXPIRES MECHANiCAL: ELECTRICAl. _. II ~ " i I NO I I I I i I I I 1 I I PLUMBING MECHANICAL . J FEE CHARGE Nn 1:'1:1= ("U^Qnl:: Single Fixture Relocated Bldg. Inew lix. addll) Water Service Furnace/burner & vent < 100.000 BTUs Furnacel burner & vent > 100.000 BTUs Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duCI Vent System apart from AC or htg. Mechanical exhaust hood and duct II. Sanitary Sewer II. Storm Sewer II. Backflow Device Permit Issuance $10.00 TOTAL PERMtT OUAD AREA" . OF BLOGS: OCCY GROUP: . OF STORIES: SO. FTG MAIN TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: ~ FLOOD PLAIN. ZONING' LAND US.' . OF UNITS' CONSTR. TYPF. HEAT SOURC.' LIGHTING POWER BUDGET: WATER HEATER:_. SO. FT. $/SO. FT. VALUE X SO. FTG ACCESS X x SO. FTG OTHER TOTAL VALUE OF PROJECT PLAN CHECK FEE I BUILDING PERMIT T /5% Stale ?....L A t SurcharQe I J 'fTJ I MECHANICAL I 15% State I Surcharqe I PAVING I RCPP DATE BY /5 Gr-O /,2.'0 PLUMBING I DEMOLITION 5% State Su rcharqe FENCE VALUE $ ~_ _ SIDEWALK -- SUBTOTAL PERMITS SYSTEMS DEVELOPMENT CURBCUT FT. FT. TOTAL PERMIT FEES I EXCLUDING ELECTRICAL ~6,2.0 . REQUIRED INSPECTIONS . r~ 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 vyork 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. 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. ATTIC DRAFT STOPS & CURTAIN WALLS SPECIAL INSPECTIONS: In accordance ,Sect.ion 306 of the State Specialty Code a special inspector shalt 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. FOOTINGS & 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 made after all Inslab 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. Y 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 P.S.1. (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 required 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) SPRAYED ON FIREPROOFING: U.BG. 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) 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. ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. .In addition to the inspec. tlons 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 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 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 DATF By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th:at alllnformatlon 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. ~ . ~~gnatur~ ~ ~4--A ' l' Date /(/14~6 I VALIDATION: AMOUNT RECEIVED: 2..27~P, / /.-, 2-D , - DATE PAID: RECEIVED BY: /1 -/2 - 5 k, Q /2:>:!2 /~ - I RECEIPT ..