HomeMy WebLinkAboutPermit Building 1999-7-1
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COM M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
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225 Filth Street, Springfield. Oregon 97477
LOCATION OF PROPOSED WORK' g,;; 0 I
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ASSESSORS MAP'
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OWNER: ~h' 1.!rlI J'S~AC!<B
ADDRESS: IPtJq LYdJ--5;-
CITY: 6,,4v ;e:~L./6. .../)
STAT~' c4
DESCRIPTION OF WORI<'
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JOB NUMBER tfr ()q II
INSPECTION LINE: 726.3769
OFFICE: 726.3759
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TAX LOT: Ot:J/ CJO __..
PHONF'
ZIP: q4/~
NAME
ADDRESS
DEMOLISH _.._... OTHER
VALUE:5~ -;;;:l cJ ~
PHONE
NEW,
REMODEL, ..., ,... ADDITION
ARCHITECT:
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
GENERAl' 'Jl!V~ ~n~ "pal!.. /:>2 c~&":~.c~ (o/)/L/'?
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U~I J1lfueJ: Permit Issuance
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-~MFWlEJlJUE90R ISABANDONED.I500Ap ACCESS:
LAND USE:_dNV1RnnAYPERIOD. FLOOD PLAIN'
PLUMBING'
MECHANICA' .
ELECTRICAl'
PLUMBING
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I ATTE Nb:~rb~on law re~~;:; you. ~u
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fOliO'" rUie:H1UUJ-"" Ul"'" ' tf t
NotiliCl .;A'lqtl:I!Iffl.,lil"'ii!:\~se rules ar l se or.'
in OAF 952-001-001 ~ thro..~~~ ~t.~ ;~~~~~ :,
0090. 'ou may UULQn' vv....~" ~.. '
ealllnt' .ho ~r. (Note: the tell Iphone
num~'I;" for the Oregon Utility NO ITICBllU'
....~3c,... ....",,4.,{
t;enrer I" ,-ov"- ::r~ -
CHARGE
FEE
Single Fixture
Relocated Bldg.
lnew fix. addUl
Water Service
It,
Sanitary Sewer
II.
TOTAL PERMIT
aUAD AREA'
. OF BLDGP'
. OF UNITS'
CONSTR. TYPF'
OCCY GROUP'
. OF STORIES'
HEAT SOURCE:
SQ FT.
s/sa. FT.
sa. FTG MAIN
sa. FTG ACCESS
sa. FTG OTHER
X
X
X
PLAN CHECK FEf RePT' DAT"
I BUILDING PERMIT 5/3.. at> . PLUMBING
.: : State ),19/ / (1.'1 State
Surcharge Surcharge
MECHANICAL I FENCE
VALUe J
I 0, Stale SIDEWALK
Surcharoe FT.
I I PAVING CURBCUT
I I FT. I
EXPIRES
"';-/0 ()
PHON E
g (,tt.,/-/?I/5
I'jt~CHANICAL
"""
"HARGE-
Furnace/ burner & vent
< 100.000 BTUs
Furnace/burner&verit-" .--.---.
> 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
from AC or hlg.
Mechanical exhaust
hood and duct
$10,00
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
TOTAL VALUE OF PROJiOT
tJ)
S'1 J()O -
BY
, DEMOLITION
SUBTOTAL
PERM ITS
SYSTEMS
I DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAL
3Lftj.~o
. REQUIRED INSPECTIONS.
-It'ls 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,lob address, type of Inspection requested and when you will be ready
for Inspeotlon, Requeets received betore 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,
BITIi INBPICTION, To b.
made after excavation, but
prior to setup of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUQH PLUMBINQ,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
Inspections have been made
and approved.
PAVINQI After graver Ie In
place but prior to placing
asphalt or concrete.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all 8teel In place, but
prior to plaolng concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Owner I Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
mid. Ifllr III Inlllb building
service equipment, conduit,
piping, accessories and otMer
ancillary equipment items are
in place but before any
concrete II placed.
FRAMINQ: To be mede alter
the roof, all framing, fire
blocking and bracing are In
~IICI Ine III ~I~II, cnlmnlYI
ano venls are complete ano
the rough eleetrlcel, plumbing
and mechanical are approved.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Perform.d on In. lOb, (a7aa I)
UNDERGROUND: Plumbing,
electrIcal, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
INSULATION & VAPOR
!IAIIIIII!II~ 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.
HIOH STRENGTH eOLTINO:
During all bolt Installation and
tlght."I"g O~Qr.tlon.. (308
a.6)
SPRAYED ON
FIREPROOFING: U.B.G.
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)
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 material in
place.
-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,
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof coverIng.
CURB AND APPROACH
APRONS: After forms are
erected but prIor to placing
concrete.
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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 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 ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
DATF
By signature, 1 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 OAS 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 constructfon.
Slgnaturp ~a./C:..g~ Date 7~h~
VALIDATION:
AMOUNT RECEIVED: 3'1L/. 3D
RECEIPT" ()~t.(b '17
DATE PAID 7J1, /'f,1 /)
RECEIVED ~ tJr./