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Home My WebLink AboutPermit Building 1991-9-30 CO M M E RCIAL/I N DUST RIAL PERMIT APPLICATION JOB NUMBER 9/L? / -::f 9' - - , 225 Fifth Street, Springfield, Oregon 97477 INSPECTION LINE: 726.3769. . OFFICE: 726.3759 "... " LOCATION OF PROPOSED WORK: /20/ k' ASSESSORS MAP: / 7...o-g.::<~-/S/ 7/A.R'c ~L /9- OP A..? R' ~~"7' OWNER:~4~ 'Y" ~.~/77~~E ADDRESS: ~~ q ~#~"73R/z)&; C ~T. -- , ", - ,- ~~!"!>'~.F/ELD -S~~C~: t:/Ai"//"~ /,,2_~ 31 Y TAX LOT:' "3'h~ PHONE: 7"2~- 9CJ~b CITY: STATE: CJ>R. -ZIP: 977///. DESCRIPTION OF WORK: NEW ~ REMODEL t.j -,P~€7 ADDITION DEMOLISH OTHER VALUE: j::s--r: ~ 7?'- ~tt!> NAME ~~~~~n 2/~~T ~" ~, - ADDRESS PHONE CONTRACTOR'S NAME ADDRESS "GENERAL: #~~~/77.~/E" PLUMBING: ~4~t!:~-,tE;.5 CONST. CONTRACTOR # EXPIRES PHONE MECHANICAL: ELECTRICAL: 6~~ /5 I PLUMBING I MECHANICAL I I NO. FEE CHARGE I NO 1=1=1= rl-lARnl= I Iz.?> Single Fixture 2~.~1 Furnace/ burner & vent I /1> <100,000 BTUs I Relocated Bldg. I' I Furnace/burner & vent I I (new fix. addtl) > 100,000 BTUs I< S-cS ' Water Service I :Z~"'6 I Floor furnace and vent I I ft. 1/:<'0 / Sanitary Sewer I ~tP,-DI Suspended wall or floor I I ft. mounted unit heater k~oll Storm Sewer I '2S": c::sG>1 Appliance Vent I' I ft. separate I / I /o.~1 Stationaryevap. I I Backflow Device cooler I I '" I LJ I Vent Fan/Single I /::?,~I duct "3 I I -, I Vent System apart I from AC or htg. I I I 'I I Mechanical exhaust /f.~ 18.~1 hood and duct I I I I I I 1 I I I Permit Issuance I $10.00 I I TOTAL PERMIT I .g~P.ee1 TOTAL PERMIT I q6'~~nl - OFFICE USE - HANDICAP ACCESS: QUAD AREA: ~p_)S/ bC/ ./ OCCY GROUP: ;z?-/ 2. LAND USE: / /-::1'/ .. - - - - Lj. ~AI FLOOD PLAIN: /'1..4- ~ , , ZONING' ,M P"A> # OF BLDGS: # OF UNITS: # OF STORIES: CONSTR. TYPE: HEAT SOURCE: e;?'4:c::r- ~~L LIGHTING POWER BUDGET: WATER HEATER: E Lc<::::::::..r- _ SQ. FT. $/SQ. FT. SQ. FTG MAIN "?"?92 X ~~.~O SQ. FTG ACCESS X SQ. FTG OTHER .P#ru~/~ X VALUE / ...:?.t:'. '2 s-'2 . .90 ; r;; 7"'2"2. $"" ~ TOTAL..VALUE OF PROJECT /-::J.~ tC7.t;; ":3"0 .. , - - PLAN CHECKFEi: iI~, ~p RCPT# DATF BY I BUILDING PERMIT 15% State Surcharge I MECHANICAL 15% State SurcharQe r, . I PAVING 5""tJ~ ~~7S' ~~/'7' ~ PLUMBING j 5% State '1 Surcharge FENCE r1 c::::"i"\. '-;/O.'p ./ VALUE $ . ,~ "::2~~O " SIDEWALK It?LJ FT. ~ I CURBCUT ::;> "6, ..>6 v ?V- FT. --? 6i!:/> DEMOLITION -::>O(!).. ".,- /5.""'~ ./ 5.~~ j SUBTOTAL ~$'.- v PERMITS SYSTEMS /Y'- S'c> ,I, DEVELOPMENT' I j I ) , I " _. ~~S.&!l_ I. ":2~~Si~ I TOTAL PERM'IT FEES EXCLUDING ELECTRICAL 3t)~/.(/z 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, job address, type of inspection requested and when you wi,'1 be ready for inspection. Requests received before 7:00 a.m. wil' 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. UNDERSLAB PLUMBING, . ELECTRICAL & MECHANICAL: To be made before any work is covered. x FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to placing concrete. >,.-f REQUIRED INSPECTIONS x J PAVING: After gravel is in place but prior to placing asphalt or concrete. CONCRETE SLAB: To be made after all inslab building service equipment, conduit, pi pi ng, 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. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. 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. )- UNDERFLOOR: Plumbing, electrical, mechanical. To be . made prior to installation of floor insulation, decking or floor sheathing. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before frami ng inspection. STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (306 a.1) A POST & BEAM: To be made prior to installation of floor insulation, decking or floor sheathing. x FRAMING: To be made after the roof, all frami ng, fi re blocking and bracing are in place and all pipes, chimneys and vents are complete and the rough electrical, plumbing and mechanical are approved. HIGH STRENGTH BOLTING: During all bolt installation and ti ghteni ng operations. (306 a.6) )( FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. STRUCTURAL WELDS: . Performed on the job. (2722 f) ~ INSULATION & VAPOR BARRIER: 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. - SPECIAL GRADING, EXCAVATION AND FILLING: Du ri ng earthwork. (306 a.11 & Chapter 29) MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415. ROOF SHEATHING AND NAILING: Prior to installing any roof coveri ng. SPRAYED ON FIREPROOFING: U.B.c. Standards 43-8. x FIRE & SEPARATION WALL: Located and constructed according to plans. y 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). 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. X 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) .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. ) CURB AND APPROACH APRONS: After forms are erected but prior to placi ng concrete. ------------------------------------------------------- x FINAL PLUMBING x FINAL ELECTRICAL ,X y FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: x 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. y 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. - ----'- PLANS REVIEWED BY d~~ , '/ .. - /"' DATE 7-S<G3/ By signature, I 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 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 construction. Date 9,.. 30-9> / Signature ~1V~ . u - C VALIDATION: AMOUNT RECEIVED' ""3-~2'_? -:? i RECEIPT #: 7/'7'S-_~ DATE PAID: 9-~~/ RECEIVED BY: ~~ ,.