HomeMy WebLinkAboutPermit Building 1996-10-18
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COMM ERCIAL/lN DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER 9o/'/&/S/
INSPECTION LINE: 726.3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: /9"? /.) Ot!. ~/\.4 P/C
ASSESSORS MAP' /7-CJ3-25- 3/
5T
TAX LOT: /'J 77~
OWNER:
ADDRESS'
WARE/I4AR-r
.-
-:3?CJI <rATe
--?AlC.Ekt
, ,
/./VL: .
57:
. . .
PHONE: (6'b'3) C:;$S/~tbl.co
CITY:
STATE:
OR.
ZIP' 97309
DESCRIPTION OF WORK: _1A~,R,,(;'JZjt5<YL:C-- h .?~/T ~'5 ;2)L/L!!!: ~ ~.h,.- ~/ 7.)
NEW)( REMODEL ADDITION DEMOLISH OTHER VALUE:2. W~_ 7"~
NAME'",,,v.J-Y-J.J>~ES~<,,, ~~. 3-
ARCHITECT:~h~ ~N.4:.$ ~~'I ~~"""'~-';?_ ~. ~.72.o9..
CO NST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR' EXPIRES PHONE
<:....... ~ 7790 VIr .M~y~' (Z~3<:~.P<:>"''''
GENERAL:bw-......AAI"~..!"2:>..h"~~. ~~_ /L>.B=37.o9. 77/~_ /""-/6=-??~ ~..~.II'3
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PHONE
,r?o3) 27S- Od!6c6
PLUMBING'
MECHANICAl'
ELECTRICAL'
PLUMBING
MECHANICAL
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NO
I FEE I Cf<ARGE
Nn
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Single Fixture
Relocated Bldg.
(new Ilx. addtl\
Water Service
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stat Jonary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg,
Mechanical exhaust
hood and duct
It.
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
Permit Issuance
TOTAL PERMIT
TOTAL PERMiT
- OFFICE USE -
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('HAaG I
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$10.00 I
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FLOOO PLAIN:
HANDICAP ACCESS: v~.
,.(/4.
Cc.
ZONING'
L1GHTlNG'POWE'R BUDGET,' c:?.f"
QUAD AREA:
. OF BLOGS'
-:2<::::. #j-</
/
M
. OF UNITS'
CONSTR. TYPE: ~N. "':'7>;z?'
HE'iT.SOURC~;~ -
WATER HEATER:
LAND USE:
OCCY GROUP:
. OF STORIES: _/ 7'-ME2 Z
sa. FT. S/SO. FT.
1\1- 11i'>"?
SQ. FTG MAIN '5"J'? ~'" r M~:z::z. X ~ . ~'I' 79. Ii'
~~'CEiSG 5''': //"2 ;<M~22.x
sa. FTG OTHER ~~.~AI.c~ X
F?R~!3ft.~ ~'~/.~~4~ PlPP.
VALUE
= 2" "2-cJZ. 7~~
= 2. //7 &:. 7S<'
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~4f~{/
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TOTAL VALUE OF PROJECT
PLAN CHECK FEE -.a.'3 -*-5" RCPP OAT~ BY
I BUILOING PERMIT I /29.00 PLUMBING ~.4-6 OEMOLlTION
15% State 1':S"1 G. '11> 5% Slate ~N~L"'AIV
SurcharQe ,.." !? .!iI17 SurcharQe B=?S?:>
I MECHANICAL I FENCE
'S,fN~ VA1IJI= $, I
15% Stale I SIO-EWALK I I SUBTOTAL I
Surcharae FT. PERMITS /~"l.32
I PAVING ~;>""'~T4- I CURBCUT I I SYSTEMS I
T,;/D FT. OEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
'2.'2'?17
· REQUIRED INSPECTIONS
It 15 the responsi'blllty 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.
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UNDERSLAB PLUMBING,
.ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
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FOOTINGS & FOUNDATIONS:
To be made a'fter trenches are
excavated and forms are
erected, all steel. In place, but
prior to 'placlng concrete.
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CONCRETE SLAB: To be
made after all Inslab building
service equipment, condult,-
pipIng, ,accessories and other
. ancIllary equipment items are
In place but before any
corycrete is placed.
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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 installatlon of
floor Insulation, decking or
floor sheathing.
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.
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MASONRY: Steel location.
bond beams grouting or
verticals In accordance with
USC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
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ROUGH PLUMBING,
ELECT'RICAL & .
MECHANICAL: No work Is to
be covered until these
inspections have been made
~d approve~
1<-V4~ P9~ .
ATTIC DRAFT STOPS & .
CURTAIN WALLS
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PAVING: After gravel is In
place but prior to placing
asphalt or concrete.
'FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
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FRAMING: To be made after
the roof, all framing. fire
blocking and bracing are In
place and atl pi pes. chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved. '
SPECIAL INSPECTIONS: In accordance
Section 306 of .the State Specialty Code
a special inspector .shall' be employed
by the pwnerJ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to' the' Building Division.
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STRUCTURAL CONCRETE: In
excess of 2500 PS.1. (306 a.1)
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INSULA't:ION & VAPOR
'BARRIER: To be made after all
Insulation 'and reCij.Jired'vapor'
barriers are in place but
before any lath or gypsum
board interIor wall covering is
applied.
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FIRE & SEPARATION WALL:
Located and constructed
according to plans.
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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.
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STRUCTURAL WELDS:
Performed on the job. (2722 f)
V HIGH STRENGTH,BOLTlNG:
During all bolt installatlon and
tightening operations. (306
a.6)
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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.
SPRAYED ON
FIREPROOFING: U.SC.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.ll &
Chapter 29)
GLU.LAM BEAMS: Inspection'
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.BC.
STDS. 25.10.11),
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STRUCTURAL MASONRY: (306
a.7)
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CURB AND APPROACH
APRONS: After forms are
erected but prior to piaclng
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 PLUMBING
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X FINAL ELECTRICAL
X 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.
IV FINAL BUILOING: Requested after the final plumbing, electrical,
Y FINAL MECHANICAL mechanical and Fire Department Inspections are made and
F/IY",' t:::;,4-"'7 approved. No occupancy of the premises can he made until a
Y e9~ "7~V/4CE Certificate of Occupancy has been issued by the Building Division
FIN'AL FIRE DEPARTMENT and posted on the premises. '
ADDITIONAL COMMENTS: -!,/db~1:'A.<t:. #: 9<y-t:'~ -6$,' L ~n./.4 ~./i.(
)?jt!>Y/"?OP
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PLAN"S' REVI EWED BY
~
,/?~ '" _ ..;%...-',-.,. DATE
//...... .'"'' "r'.
/~- q. 9':::;
By signature, I state and agree, that I have carefully examined the completed application and do h~rebY certify thfit all Information
herein Is true and correct, and I further certify that any and all work performed shall be done in accordange 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 proJe~t address Is readable from the
street, that the permit dud Is located at the front of the property, and the approved set or plans w1l1 remain on the. site at all
~:::t:~~~\;;;'~ \J\ptJ ~ nil IT kto ~
VALlDATI~N:' AMOUNT RECEIKS.Ii': ~~~ \\
RECEIPT ": ti"QC()'?1 (I
. - r
Date
DATE PAID~\'-h .U.l?--
RECEIVED SY:'G'\\lJ-\...,