HomeMy WebLinkAboutMiscellaneous PLANNER 8/11/2010 (4)
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COM M ERCIAL/IN DUSTR.IAL SI"'RINCFIELO ?5"/~ ~8
~t@ JOB NUMBER
PERMIT APPLICATION INSPECTION LINE: 126-3769 ,
225 Fifth Street, Springfield, Oregon 97477 OFFICE: 126.3759
LOCATION OF PROPOSED WORK: 4->"'"' t"'~1HEJt.\- ~..j6rl=D . ()R- CH417
ASSESSORS MA~: /7-.!>2-3/-/Y TAX LOT: OY3'~ ,
OW~ER: ~~~..h-::-' ~)"E:.L.. c...o. PHON E: -t4G '&5'85"
ADDRESS: 4of3.n CcMMFPf1~L- ~
CITY: S'i'~4C,F-IELJ) STATE: r'?~ ZIP: Of,4,! i
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DESCRIPTION OF WORK: "'\"~1f ~~"U~ t""'...F-P1c....,'E-. ~UILO nJ6 S
NEW REMODEL ADDITION DEMOLISH OTHER VALUE:
NAME ADDRESS PHONE ,
ARCHITECT:
CONST. "~cp. .
CONTRACTOR'S NAME ADDRESS CONTRACTOR N EXPIRE PHONE
~'1""TEM"'::> ~, .,;~~ ' ,
GENERAL: ~"''''k q.,oz" "'II 77{n -"1165
'"1",,),. ~\t ll'Ct'..S5f' tlMf"..!6 i
PLUMBING: i
MECHANICAL:
ELECTRICAL: . "fe-r Jc'LDS -FJ-0"~L
,
PLUMBIN MECHANI AL
NO. F E CHARGE CHUGL
F:urnace/burner & vent
Single Fixt,ure <100000 BTUs
relocated 8:~IP' Furnace/burner & vent
new fix. addU > 100 000'8TUs
Wafer Service ,
It. FloOT furnace and venf :
Sanitary Sewer Suspended wall Qr floor
It. mounted unll heater
Storm Sewer Appliance Vent
It. separate
Stationaryevap.
Backflow Device . cooler
Vent Fan/Single
duct
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duel
,
Permit Issuance $10.00
TOTAL PERMIT TOTAL PERMIT
- OFFICE USE - HANDICAP ACCESS:
,
QUAD AREA: LAND USE: FLOOD PLAIN:
,
. OF SLOGS: . OF UNITS: ZONING:
OCCY GROUP: CONSTR..TYPE: LIGHTING POWER BUDGET:
N OF STORIES: HEAT SOURCE: WATER HEATER: I
SQ. FT. S/SO. FT. VALUE
SQ. FTG MAIN X =
SQ. FTG ACCESS X = I
SQ.FTG.OTHER ~. ~ C;7C. . 3""""""""- ,
/ /
TOTAL VALUE OF PROJECT
PLAN CHECK FEE :::?"S':~-=3 RCPP DATE BY ,
,
BUILDING PERMIT -;;j58.. ~ PLUMBING DEMOLITION
~~~c~~r~ee ~~ ~:~~ 5% St:r~E . JZ? ...0
Surchar e ;., . .
MECHANICAL FENCE
VALUE $
5% State SIDEWALK SUBTOTAL /::4/~
Surchame n PERMITS
PAVlNG CURB CUT SYSTEMS //,#.
FT. DEVELOPMENT
.
TOTAL PERMIT FEES I /$/~.62 \ ./1
, EXCLUDING ELECTRICAL -
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REQUIRED INSPECTIONS
It [s the responsibility ollhe permit holder to see-that all Inspections are made at the proper time. To request an InspectIon, call
726-3769 (recorder), stale your City designated lob number, job address, type of Ins peel ion requested and when you will be ready
for Inspecllon. Requests received before 7:00 a,m. will be made the same workIng day, requests made after 7:00 a.m. will be made
the following work day. -
SITE INSPECTION: To be
made aller excavation, _but
prio~. ~o setup of f$lrms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
FOOTINGS & FOUNDATIONS:
To be made afler trenches 'are
excavated and forms are
erected, all steel In place, but
prior 10 placing concrete. '
CONCRETE SLAB: To be
made after all Inslab building
service equl pment, 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.
UNDER FLOOR: 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 INSULATlo'N &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathIng.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
USC 2415.
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..
SPECIAL INSPECTIONS: In accordance
Section 306 of the Stale'Specially Code
. a special Inspector shall be employed
by the Ownerl Contractor during
construction of the following work. A
copy of the ~peclal testing reports shall
be furnished to the ~ullding Division.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.I..(306 a.1)
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placln'g
facing materials and before
framing .Inspectlon.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are In
place and all pi pes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
STRUCTURAL WELDS:
Performed on the Job, (2722 f)
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a,6)
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and reQuired vapor
barriers are'ln place but
before any lath or gypsum
board Interior wall covering Is
applied.
FIRE & SEPARATION WAL.L:'
Located and constructed
according to plans.
SPRAYED ON
FIREPROOFING:
Standards 43.8,
U.B.c:
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11' &
Chapter 29)
LATH ANC/OR GYPSUM
BOARD: To be made aHer all
'lathing and gypsum board,
InterIor and exterIor, Is In
place but before any
plastering Is applied or before
gypsum board lolnts 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.S.G.
STOS. 25.10,11).
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. .
STRUCTURAL MASONRY: (306
a.7)
----,K-;$~j~~?
"In addition to the Inspec.
tlons specllled, the Building
OfficIal may make or require
CURB AND APPROACH other Inspections of any
ROOF SHEATHING AND APRONS: Aller 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,
-------------------------------------------------------
---X- FINAL PLUMBING
~ FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
SITE PLAN REVIEW BOARD: Must be requested 2'days In advance
01 the date you wish InspectIon. All project conditions such as
landScaping, parking lot striping, etc, must be completed before
requesting this Inspection.
---X- FINAL BUILDING: Requested after th,e final plumbing, electrical,
. mecl1anlcal and Fire Department Inspections are made and
approved. No occupancy of the premises can be made until a
Certificate 01 Occup1;1ncy has been Issued by the Building DI'Jlslon
and posted on the premises.
PLANS REVIEWED BY
'DATE a#-~-~
By signature, I state and agree, that I have carefully examined the completed application and do hereby certlly that all Information
herein Is true and correct, and I further certHy that any and all work performed sh'all 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 01 any structure without permission of the Building Safety Division. I further c'ertlfy that only contractors and employees
who are In compliance with CAS 701.055 will be used on. this project..
I further agree to ensure that all ,requIred Inspections are requested at the proper'tlme, that project address Is readable from the
street, that the permit card Is located at th lronl 01 the property, and the apprO'Jed set of plans will remain on the site at all
times durIng construction. '
Slgnatyre
Date
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RECEIPT II:
AMOUNT RECEIVED: N&:. ~2
/~~?'
DATE PAID:
RECEIVED BY:
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VALIDATION:
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