HomeMy WebLinkAboutPermit Building 1997-8-19 (2)
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/ COMMERCIAL/lNDUSTRIAL
PERMIT APPLICATION
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.'JOB NUMBE~\'\ \ ?~G::
INSPECTION LINE: 726-3769
OFFICE: 726-37S9
225 Fifth Street, Springfield, Oregon 97477
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ASSESSORS MAP: ~. .. .
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LOCATION OF PROPOSED WORK: =? <::; 7 S- c'c:r 1'l1,L
/702, /5 4n
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OWNER: ~~/I7 vy/",,;r c;:,.,-!--,,/-J."t'A1<.-,t-
ADDRE5:~~~;?f~~()N'^~'M~1 UJhd
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CITY: ' ' STAT'"
DESCRIPTION OF WORK: f. J '}1(J i r l.f~/t'tJ,'VJ ~
NEW REMODEL L ADDITION DEMOLISH
NAME
TAX LOT:
.L-/~.::P
PHONE: 9'7?,g -r;r/,J/7C/'
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"{Auf. (/I S", (e, 1-.. (P-1
OTHER
ADDRESS
ARCHITECT:
CONTRACTOR'S NAME ADDRESS
GENERAL: ( "'" ~ C..r(..~/ rJ'rh,rt-""f .) I.J () L",!.L/l
PLUt,lBINr..
MECHANICA' .
ELECTRICAl'
PlIIMBING
NO.
Single Fixture
Relocated Bldg.
(new fix. addtll
Water Service
Sanitary Sewer
Storm Sewer
Backflow DevIce
TOTAL PERMIT
QUAD AREk
o OF BLDG'"
OCCY GROUP'
o OF STORIES:
sa FT.
SO. FTG MAIN
SO. FTG ACCESR
SQ. FTG OTHER
t:.-'1 '0;""
PLAN CHECK FEf We . .J
I BUILDING PERMIT I
15% State
Surchar~.e
I MECHANICAL
15% State
Surcharae
I PAVING
CONST.
CONTRACTOR'
<>u;WJ~ 1'f1J1
ZIP: CJ 7'-f...tl/
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VALUE. :J ~,-iIS/Jg
PHONE
EXPIRES PHONE
nlJhLj <j9?, 'V;J,'i'~
'\~~)- b't?-nlfJ
IECHANICAl
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I 7v~/l762f ~ "
I I b~~/, '/4-A'/ Ie
I I I~. ~ ~rt
I ?~C'~ U/'7~ :haus!
I I j)~;?j:) ~6~~ I
I I /~ _ lee
I I ,:/,t/C:::' . I
I j;f;c..p ~i~:~~~:>~~-; HANDICAP ACCESS'
~~ . FLOOD PLAIN'
/7~//?OV~. .ZONINr.:,
LIGHTING POWER BUDGET:
,,~
~G~V?5
7?-~-~:;)~ ~(
C:;;$")--~C5> C/ ff:
[
~<::;<,~...,('"""--~ md vent
I'~ / ';/,,/ /..-/ I P7-Z~ i~~[ef;OOr
i' & vent
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f & vent
ft.
ft.
ft.
WATER HEATER'
~~
ILUE
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TOTAL VALUE OF .PROJECT
RCPT: )1ll t)
f"1-I6hn&:
$10.00
,..
DATER. \<{-y,CBY\.......~... -
I PLUMBING
I 5% State
Surchan~e
I FENCE
VAIUF. $
I siDEWALK
I CURBCUT
. PEMOLlTION
FT.
FT.
I SUBTOTAL
PERMITS
I SYSTEMS
OEVELOPMENT
TOTAL PERMIT FEES I
EXCLUPING ELECTRICA'
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REQUIRED INSPECTIONS
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It Is tha responslblllly of the parmi! holder to see that all Inspections ara made at tha proper time. To.requestan Inspection, call
726.3769 (recorder), state your City designated job number, Job address, type of Inspection requested and when you will be ready
for Inspection. Requests received before 7:00 8.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.
UNDERSLAB PLUMBING.
ELECTRICAL &
MECHANICAL: To ba made
before any work Is covered,
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.
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,
FIREPLACE: Prior to placing
facing materials and bafora
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,
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Ownerl Contractor during
construction of the following work. A .
copy of tha special testing reports shall
be furnished to the Building Division.
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.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.L (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERFLOOR: Plumbing,
electrical, mechanicaL To be
made prior to Installation of
floor Insulation, decking or
floor sheathIng.
INSULATION & VAPOR
BARRIER: To be made alter all
Insulation and required vapor
barriers are In place but
bafora any lath or gypsum
board Interior wall covering Is
applied.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
SPRAYEO ON
FIREPROOFING: u.se.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
POST & BEAM: To ba mada
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
plastarlng Is appllad or before
gypsum board Joints and
fasteners are taped and
finished.
GLU.LAM eEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building DivIsion befora
beams are placed. (2501 U.B.C.
STDS. 25-10,11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a.7)
MASONRY: Steallocallon,
bond beams grouting or
verticals In accordance with
UBC 2415.
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.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof coverl "g.
CURB AND APPROACH
APRONS: Alter forms ara
erected but prior to placing
concrete.
.In addition to the Inspec.
tlons specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compllanca with the Building,
City or Development Code.
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FINAL ELECTRICAL
SITE PLAN REVIEW BOARD: Must ba requested 2 days In advance
of the date you wish Inspection. All project condltlons such as
landscaping, parkIng lot striping, etc. must be completed before
requesting this Inspection.
FINAL BUILPING: 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 tha premises.
FINAL PLUMBING
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
DATF
Sy signature, I state and agree, that I have carefUlly examined the completed application and do hereby certify thi't alllnlormatlon
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 wltl be usad on this project.
I further agree to ensure that all required Inspections are requested at the proper time, that p~oject address Is readable from the
street, that the permit card Is located at the front of tha property, and the approved set of plans will remain on the site at all
times durlng7/stru':lon. /J
Signature . _' _. . S (~ 1./1 A _ Date ~ ~ 19- :? ~
V" '-'
VALIDATION:
AMOUNT RECEIVFn,.
RECEIPT ':
DATE PAID:
RECEIVED BY'