HomeMy WebLinkAboutPermit Building 1999-9-8 (2)
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~OMMERCIALIINDUSTRIAL
PERMIT APPLICATION
SPAIHQIFIELD
.~
ZZ5 Fifth Street, $pringfleld, Oregon 97477
LOCATION OF PROPOSED WORK' \\1<\ C"'-\.<."'~ \..,." ~
ASSESSORS MAP' 1'1-()~. '2"1. -1..0
OWNER'
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.STATO:'
CITY'
~
_OB NUMBER'
99/2~
INSPECTION LINE: 726-3769
OFFICE: 726,3759
TAX LOT'
2~oo
PHONF'
ofl^
ZIP:
q1~1"
DESCRIPTION OF WORK'
NEW REMODEL
12., -Iro.'t - ~ r:I"""-,,
/...
c;rG. ~ It ~
DEMOLISH )( OTHER
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VALUE: "0 64Zl
ADDITION
NAME
ADDRESS
ARCHITEct'
CONTRACTaR'S NAME
r- \ .
GENER~" fv" 1t.1:M'I,1lt
"
ADDRESS
(;., "'w<..~ {~{ Cn.1,..,J.,V!
PLUMBING'
MECHANICA' '
ELECTRICA' '
\.\.,,-~ ~ f '" i~ (",
PLUMBING
NO.
FEE
CHARGE
Single Fixture
Relocated Bldg,
(new fix, addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
TaTAL PERMIT
aUAD AREA'
- OFFICE USE -
LAND USF'
. aF BLDG""
. OF UNITf'
aCCY GROUP'
CONSTR. TYpo:,
HEAT SOURCE:
. OF STORIES:
Sa. FT,
$/SQ, FT,
SQ. FTG MAIN
SQ, FTG ACCESS
SQ, FTG aTHER
X
X
X
PLAN CHECK FFO:
'DATO:
RCPT' '
I BUILDING PERMIT
I .,;t,State
Surcharoe
MECHANICAL
7 % State
Surcharoe
I PAVING
T}/'"::j'"e>
-:<.l.q/.
q-~:.::;.
I PLUMBING
11'.., Stete
::iurcharQe
I FENCE
VALUE $
I SIDEWALK
I CURBCUT
FT,
FT,
PHONE
CONST,
CONTRACTOR'
4~n~
EXPIRES
711AllJll(J
I
PHONE
14$- 71<f.3
NO
MECHANICAL
I
I
I
r.:J.f6R~1=
0:0:0:
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
Statlonary evap.
c,oaler
Vent Fan/Single
duct
Vent System apart
from AC or htg,
Mechanical exhaust
hood and duct
Permit Issuance
$10,00
TOTAL PERMIT
HANDICAP ACCESS:
FLaOD PLAIN.
ZONING: .
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
TaTAL VALUE OF ,PROJECT
BY
I DEMOLITION
I
I
I
I
I
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TaTAL PERMIT FEES I
EXCLUDINGELECTRICA'
?7~, ~~
-
.
REQUIRED INSPECTIONS .
II
It Is the responsibility of the permit holder to see that all.lnspectlons 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 will be ready
for Inspection. Requests received before 7:00 a.m. will be made the same working day, requests made atter 7:00 a.m. will be made
the following work day,
SITE INSPECTION: To be
made after excavation, but
prior to setu p of. forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be 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
~sphalt or concrete.
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.
SPECIAL INSPECTIONS: In accordance
Section 306 o(the State Specialty Code
a special Inspectot shall 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,
ATTIC DRAFT STOPS &
CURTAIN WALLS
j
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.
STRUCTURAL CONCRETE: In
excess of 2500 P.S,1. (306 a,1)
CONCRETE SLAB: To be
made after alllnslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment Items are
In place but before any
concrete is placed.
STRUCTURAL WELDS:
Performed on the job, (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
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,
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations, (306
a.6)
SPRAYED ON
FIREPROOFING: UB,C,
Sta'ldard~ 43.8,
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a,11 &
Chapter 29)
POST & BEAM: 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,
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed, (2501 U,BC,
STDS, 25,10,11),
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415,
)/
STRUCTURAL MASONRY: (306
a,7)
~/O:~~~ fi7'
~~..../:'..--.....,
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IOI'r/.fcrciltlon"to the Inspe{T-
tlons specified, the Building
Official may make or require
pther Inspections of any
constructlon work to ensure
compliance with the Building,
City or Development Code,
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing,
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavatlng complete and form
work and sub-base material In
place.
If
/
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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 Inspectlons 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 ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENT'"
PLANS REVIEWED BY
DATF
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th~t 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 Lawa 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 per car Is located?jt th front of the property, and the approved set of plans will remain on the site at all
times during co tru I~'A 0 ~
Signature ~/J Date r f '19
I / '
AMOUNt/RECEIVED' -:ro/"..;I."7o
RECEIPT" ~ _.t:;'9 si5-~
VALIDATION:
DATE PAID' ~~
RECEIVED BY: .,..--~
IV -. ~
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