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HomeMy WebLinkAboutMiscellaneous PLANNER 8/11/2010 (4) J., .J - 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 - 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 /$/~.62 \ ./1 , EXCLUDING ELECTRICAL - ~ ~J: '- C/) ~ (I);': a::Q.l (J)2 '0 Jg aQ. " -. .) REQUIRED INSPECTIONS It [s the responsibility ollhe permit holder to see-that all Inspections are made at the proper time. To request an InspectIon, call 726-3769 (recorder), stale your City designated lob number, job address, type of Ins peel ion requested and when you will be ready for Inspecllon. Requests received before 7:00 a,m. will be made the same workIng day, requests made after 7:00 a.m. will be made the following work day. - SITE INSPECTION: To be made aller excavation, _but prio~. ~o setup of f$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 ''''/II/''l'''i , . RECEIPT II: AMOUNT RECEIVED: N&:. ~2 /~~?' DATE PAID: RECEIVED BY: ~~= VALIDATION: ~ ""' , -- -i:i ~:::c .- (f) ~ Wi..; O::W (l)C ~C \,. <0 ",- Co.