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Home My WebLink AboutPermit Building 1992-12-9 lB NUMBER t::7:2/ih?9 COMMERCIAL/lNDUSTRIAL PERMIT APPLICATION r ~ INSPECTION LINE: 726,3769 OFFICE: 726,3759 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROP/If WORK.\ '2C>'Z'? ?~~;;?:>/c..... 5r:.. ..~~ '~ ASSESSORS MAP: ' / (J.S ~'Sf;/:$\ ,/ TAX LOT" 01/ W OWNER: k~ ~r .~'';A<:r~/C4Z-//;F~~ PHON'" ADDRESS:..:2r"'>'?~ ~;,.rrhl,p.r?- ~"... e:?;pF?P, CITY' STATE: _~~, ZIP' t:77V?? r DESCRIPTION OF WORK' NEW REMODEL /~ ~~5"~ K ADDITION DEMOLISH OTHER VALUE: ift?"t:>..- NAME ARCHITECT: ~,,~-.:;. A. SAM o.1c,.L$o", ADDRESS 'ib'-T..,.... 'i7~. 'Z.. ."., '36" "'.e.. I7Aur:. CONST. co NT RACTO R . ~ '!~O EXPIRES PHONE '2.. '3'l-7S~ r- CONTRACTOR'S NAME ADDRESS GENERA" M.<....:t;,s(~ <-'-'",10-1 PLUMBING' MECHANICAl .~En- b"",,,, 5e>1l .5 ~et...[ __.."....'- ELECTRICAL: -=esLJ~' ~L."c:c... ~ '- , PLUMBING MECHANICAL NO, ..n """ FEE CHARGE Single Fixture Relocated Bldg, (new lix. addtll Water Service Furnace/burner & vent < 100.000 BTUs Furnace/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 duct Vent System apart Irom AC or htg, Mechanical exhaust hood and duct "...,-q., 4'l"f ~77'""p, 7:Hh~ rW~P( 'I~N It. Sanitary Sewer It. Storm Sewer ft. Backflow Device Permit Issuance TOTAL PERMIT ,)/.,1. TOTAL PERMIT OUAD AREA:d ~ f/J I). ') - OWCE.l!>Sk~ LAND USE: '--~ 1 ) HANDICAP ACCESS' FLOOD PLAIN:~ _'. ) ZONING' ~ LIGHTiNG POWER BUDGET: WATER HEATER: . OF BLDG~' OCCY GROUP: -G' "2- . OF STORIES: L/ . OF UNITF' CONSTR. TYPE: -;z-/~ HEAT SOUR"'" sa, FT. $/sa, FT. VALUE sa, FTG MAl N X sa, FTG ACCES~ X .,q'~.D~ ~~- sa, FTG OTHER b-e-R/~)Ij" TOTAL VALUE OF PROJEC"T PLAN CHECK FEE _ -::?SI:,9~ RCPP 6~~ C/ DATE /7.q.q= BY ~~ ,~ - ~ .....- I BUILDING PERMIT 7"0/ 50 PLUMBING 15% Slate '2.2? 5% State SurcharQe Surcharge I MEC~/P /6". ;v I FENCE /s-:- VALUE $ 15% State .7~ I SIDEWALK Surcharae FT, I PAVING I CURBCUT FT. DEMOLITION l''4A' ...... rN' SUBTOTAL' PERMITS SYSTEMS DEVELOPMENT TOTAL PERMIT FEES I EXCLUDING ELECTRICAl I tt?/. 'II PHONE &.~ 7'-~'( I L{e.l.t.~~'l -S'f'3-n,..., i CHAB.Gi I I '---1 1 I I I I -rs,-I $10.00 I I 2R.QS 72..~f!5,. #A. I - r 1 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~'1I be made the same working day, requests made after 7:00 a.m. will be made the following work day. " SITE INSPECTION: To be R lNG, PAVING: After gravel is in made after excavation, but LECTR place but prior to placing prior to setup of forms. /,"1'-';': No work is to asphalt or concrete. ~ be cover ntil these "'';'1-'0'';' ons have been made and approved. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work Is covered. 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. 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, 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. MASONRY: Steel location, bond beams grouting or verticals In accordance with UBC 2415. ATTIC DRAFT STOPS & CURTAIN WALLS SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special inspector shall 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. {) I FIREPLACE: Prior to placing facing materials and before framing inspection. STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (306 a,1) 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. INSULATION & VAPOR f/, BARRIER: To be made alter all Insulation and required vapor barriers are in place but before any lath or gypsum board Interior wall covering Is applied, STRUCTURAL WELDS: Perlormed on the job, (2722 I) HIGH STRENGTH BOLTING: During all bolt Installatlon and tightening operations. (306 a,6) ~ SPRAYED ON FIREPROOFING: U.BG. Standards 43.8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) () I FIRE & SEPARATION WALL: Located and constructed according to plans. GLU,LAM BEAMS: tnspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed, (2501 UBG. STDS. 25,10,11), LATH AND/OR GYPSUM BOARD: To be made alter 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. STRUCTURAL MASONRY: (306 a.7) 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. *In addition to the inspec- tions specified, the Building Official may make or require CURB AND APPROACH other inspections of any ROOF SHEATHING AND APRONS: After forms are construction work to ensure NAILING: Prior to installing erected but prior to placln9 compliance with the Building, any roof covering. concrete. City or Development Code. ----........-------------------------------------------------- FINAL PLUMBING t FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENT"" cj) ( 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 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. 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. / l ~ I"' j' .--- / //4 :.. Signat ~, '1'~ f\ (- VALIDATION: Oat"" AMOUNT RECEIVE!)' ~~,~ I) RECEIPT': n I (~ . , - DATE PAID:~ Lf:..J.... RECEIVED :, ./