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Home My WebLink AboutMiscellaneous PLANNER 8/11/2010 (2) COMMERCIAL/INDUSTRIAL' SPRINGFIE;I"O JOB NUMBER ?f (j ( Iff! Lt? ' PERMIT APPLICATION ~~ INSPECTION LINE: 726.3769 225 Fifth Street, Springfield, Oregon 97477 OFFICE: 726-3759 LOCATION OF PROPOSED WORK: VO Yo C,0/)1~fCit I ",""e. ASSESSORS MAP; J70}3/j L{ TAX lOT: ()'1"'(:)rJO OWNER: t2eeol' 5 li/e/ ~ '7'Y(/dc' ,r",q PHONE: 7'i"6'- 65'7-> ADDRESS: 'L//? 9'0 ~ / a,y CITY; )/Jr~, ~~~ /k, 10/' STATE: (/'A ZIP: V?4"7?' DESCRIPTION OF WORK: ..:Tn5>'zd'/ VO'<", C(::;l:I B'TV , 9<<5 P"""7e./ :lr /?'P',;"q -' NEW REMODEL ADDITION ~ DEMOLISH OTHER VALcf ~rrZ? NAME ADDRESS PHONE ARCHITECT: CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR /I EX?I RES PHONE GENEAAL: PLUMBING: &~nWAdHi I /Joy MECHANICAL: 1{O(p 5 I~ J2cj l/f?07C;- (2#,- 99 '/6I-1tf?2/ ELECTRICAL: lUMBING MECHA r A N FEE CHARGE I Single Fixture Furnace/burner & vent <100000 BTUs ~~I~Cff~~~dB~~p. Furnace/burner & vent >100000 aTUs Water Service Floor furnace and vent f1, Sanitary Sewer Suspended wall or floor f1, mounted unit heater Storm Sewer Appliance Vent fl. separate Stationaryevap. Backflow Device cooler Venl Fan/Single duct Vent System apart , from AC or htg. Mechanical exhaust hood and duel Willi IIC;./fn Permit Issuance $10.00 TOTAL PERMIT TOTAL PERMIT 12t;. Ol ., OFFICE USE - HANDICAP ACCESS: QUAD AREA: . LAND USE: FLOOD PLAIN: "OF BLDGS: " OF UNITS: ZONING: OCCY GROUP: CONSTA. TYPE: LIGHTING POWER BUDGET: "OF STORiES: HEAT SOUACE: WATER HEATER: SO.FT. Sf SQ. FT. VALUE , SQ. FTG MAIN X . SQ. FTG ACCESS X . , SQ. FTG OTHER X . TOTAL VALUE Of PROJECT : PLAN CHECK FEf RCPT" DATE BY BUILDING PERMIT PLUMBING DEMOLITION 5% State 5% Slate Surehar e Surcharn-e MECHANICAL jtJ ,(JV FENCE VALUE $ 5% State .~Va. 10 . 0-0 SIDEWALK SUBTOTAL Surchar e FT, PERMITS PAVING Q%'5ke. .7<:; CURBCUT SYSTEMS FT, DEVELOPMENT 3? C<:Jy ~""""','f~ TOTAL PERMIT FEES [ :<6, J() I EXCLUDI NGElECTRICAL ~ ~ a1 >:I: '1jj CI) o al..... Q::al OlE ,- CIl ('il._ :~ Dc 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), stale your City designated Job number, Job adoress, type of Inspection requested a'nd when you will be ready lOT 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 ROUGH PLUMBING, PAVING: After gravel is in made alter excavation, but Ell="rT~tr.AL-& place but prior 10 placing prior to setup of forms. (MECHANICAL) No work is to asphalt or concrete. be covered until these inspections have been made and approved. In addition to the [nspee- s 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 placing compliance with the, Building, any roof covering. concrete. City or Development Code. ------------------------------------------------------- _ SITE PLAN REVIEW BOARD: Must be reQuested 2 days In advance of the date you wish Inspection. All prolect conditions such as landscaping, parking lot striping, elc. 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. Occl.lpancy of the premises can be made until a C~rliflcate of Occupancy has been Issued by the Building Division and posted on the premises. .' .. REQUIRED INSPECTIONS UNDERSLAB PLUMBING, . ELECTRICAL & MECHANICAL: To be made before any work Is covered. AnlC DRAFT STOPS & CURTAIN WALLS. FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel In place, but prior to placing concrete. FIREPLACE: Prior 10 placing facing materials and before framing Inspection. FRAMING: To be made after the'roof, all framIng, lire blocking and bracing are In place and all pipes, chimneys and vents are complete and the rough electrical, plumbing and mechanical are approved. CONCRETE SLAB: To be made after all Inslab building service equlpmeni, conduit, piping, accessories and other ancillary eQuipment Items are In place but before any concrete Is placed. lNSULATION.& VAPOR BARRIER: To be made after all Insulation and re.Qulred vapor barriers are In place but before any lath or gypsum board Interior wall covering Is applied. UNDERGROUND: Plumbing, electrical, gas, sanltary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. FIRE & SEPARATION WALL: Located and conslructed according to plans. UNDERFLOOR: Plumbing, electrical, mechanicar. 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 ar'ld exterior, Is In place but before any plastering Is applied or before gypsum board joInts and fasteners are taped and flnlshed. 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 ~lthln street right of way, to be made alter all excavating complete and form work. and sub-base material in place. MASONRY: Steel location, bond beams grouting or verticals In accordance with USC 2415. FINAL pLUMBING FINAL ELECTRICAL ~ FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: PLANS REVIEWED BY SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special inspector shall be employed by the Owner! Contractor during construction of the following work. A copy of the special testing reports shall be furniShed to the Building Division. 'STRUCTURAL CONCRETE: [n excess of 2500 P.S.I. (306 B.l) STRUCTURAL WElDS: Performed on the lob. (2722 f) HIGH STRENGTH BOLTING: During all bolt Installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: StanClards 43.8. U,B.G. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.ll & Chapter 29) GLU.LAM BEAMS: Inspection Certificate by an approved agency, furnished to the CHy's Building Division before beams are placed. (2501 U.B.C. STDS.25-10,'1). STRUCTURAL MASONRY: (306 a.7) -1L- r~k ~5 K- DATE By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th~t 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 tile proper lime, that project address Is readable from t:-Je street, that the permit card Is located at the front of the pr!='perty, and the approved set 01 plans will remain on the sHe at arr times during construction. Signature VAUDATl N: AMOUNT RECEIVED: ht:tfJ1J 2~'1t:l/ RECEIPT It; DATE PAID: RECEIVED BY: <J "' , -.. \' ~:r: "- CJ) ~ Wi..: a::Ql OlE "~ III C'il_ co..