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Home My WebLink AboutPermit Miscellaneous 1999-11-23 COM M ERCIALII N DUSTRIAL PERMIT APPLICATION ' ~. ~ L/ J-J-t/ ;: (' O<-It fc:-I "^- :)4 cd / 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK' 171')'3 ASSESSORS MAP' . OWNER: --r-r'1/rr-r-f Cn-rb / - ADDRESf" 4-2::J.l/ ;:: f"rN.. /:../:, II'-.. CITY' C;';)~ ~ IQ....lb.. I DESCRIPTION OF WORK: ~'JVL.~ NEW)G REMODEL ADDITION NAME ARCHITECT: CONTRACTOR'S NAME /J hU-r; ,.,.......^ ('GENERAl' PLUMBING' ~ECHANICAI .JJ foil... "M'("A4l\. ELECTRICAl' PLUMBING NO, Single Fixture Relocaled Bldg. lnew fix. addll\ Water Service Sanitary Sewer Storm Sewer Backtlow Device TOTAL PERMIT OUAD AREA' . OF BLDGS: OCCY GROUP' . OF STORIES' so. FT. SO. FTG MAIN SO. FTG ACCESS SO. FTG OTHER PLAN CHECK FF~ I BUILDING PERMIT I ""~Stale SurcharQe MECHANICAL -7%Slato J Surcharae'pr -f' rt- [ PAVING I'::JC/W /..-, t:J.O 1,)-oJ ' :I< I u-A_ STAT~' ~.Q ~-e;,1 (c.A' Itv\-'h.. c; DEMOLISH ADDRESS ADDRESS 7.~ f'\o" "A't"~~ I K.a...~II'\~~ FEE CHARGE ft. fl. ft. - OFFICE USE - LAND UOc. . OF UNITf" CONSTR. TYPF' HEAT SOURCE: $/SO. FT. x X X RCPTN DATC PLUMBING I~, Slate ~urcharpe FENCE VALUE' SIDEWALK FT. CURBCUT FT. I . JOB NUMBER ~7/6e7- INSPECTION LINE: 726.3769 OFFICE: 726-3759 rF.JUA- Il.i J.uJ<... /~' () 1'5' B-n /$t5rJ {j'fJo . / 7~/1-Y-'-/<:o '/ TAX LOT: PHONF' ov-- I 9' 7<:/ 77 ZIP' ,~-id 1-144-- OTHER VALUE: PHONE CONST. CO NT RACTO R . EXPIRES PHONE MECHANICAL I ""ARr::F 1 /S.~ I I I I I I ..n FFF j, 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 from AC or htg. Mechanical exhaust hood and duct 7,)"0 Permit Issuance $10.00 Z 5/;-4 TOTAL PERMIT HANDICAP ACCESS: FLOOD PLAIN' ZONING' LIGHTING POWER BUDGET: WATER HEATER' VALUE TOTAL VALUE OF ,PROJECT BY . DEMOLITION I I I I I j SUBTOTAL PE RM ITS SYSTEMS I DEVELOPMENT TOTAL PERMIT FEES I EXCLUDING ELECTRICA' Z&,~O ."~,". .______" _, ~"U _. _~~._" 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, lob address, type of Inspection requested and when you will be ready for 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 made after excavation, but ,prior to setup of forms. · REQUIRED INSPECTIONS ~ ,. UNDERSLAB PLUMBING, . ELECTRICAL & MECHANICAL: To be made before any work Is covered. ROUGH PLUMBING. ~ CL.~~' ....,\,.,M....~ -Mn.h~NI~.:;L~ work Is to D~~d untli these Inspections have been made and approved. ATTIC 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 to placing facing materials and before framing Inspection. 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. 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. INSULATION & VAPOR BARRIER: To be made after all Insulation and required vapor barriers are In place but. before any lath or gypsu"m board Interior wall covering Is applied. FIRE & SEPARATION WALL: Located and constructed according to plans. 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. 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. 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: Requ I red 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. MASONRY: Steel location; bond beams grouting or verticals In accordance with UBC 2415. ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. . PAVING: After gravel is In place but prior to placing . asphalt or concrete. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special Inspector shalt 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. STRUCTURAL CONCRETE: In excess ot 2500 P.S.L (306 a.1) STRUCTURAL WELDS: Performed on the Job. (2722 f) HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.B.C. Standards 43-8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) 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). /< STRUCTURAL MASONRY: (306 a.7) -pil4t- ~,iM5, >< a'M ;Lnp; I *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. 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 ELECTRtCAL x FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: ~~~ E?-~ dh..h?/ r /2' ~~tl4e4J . '7 r PLANS REVIEWED BY DATF By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th!lt 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 mape 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 constru~t1on. 7-~ t> ~J- C/ AMOUNT RECEIVED: Slgnaturp VALIDATION: ::;z..~ ra 3(", :2. 71 RECEIPT .. Datp /1-23-97 DATE PAID: J/j2.1a 5' ~~I RECEIVED BY: