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Home My WebLink AboutPermit Building 1997-9-4 'V COMMERCIAL/INDUSTRIAL PERMIT APPLICATION JOB NUMBER '?? I~ ==' INSPECTION LINE: 726-3769 OFFICE:' 726-3759 225 Fifth Street, Springfield, Oregon 97471 ~' LOCATION OF PROPOSED WORK: ~ ?~..,- ~ ,. - XASSESSORS MAP' /7~"":?~--'3/ . .-s'~r- -, , ''\ \ ; TAX LOT: ~:?/~S- OWNER: In..\fy'1 e fY\(A, \ ~'^ V K:j ADDRESS: ;}$ S"" lQ, >' r.. . CITY' 9-') ~ 1 ~ ( cP ,v ~ DESCRIPTION OF WORK: IY'~P..S',.~ , ~(/~ PHONE: scr/"'" 74",( -f?tL~ ( J REMODEL O,.r~~ t! ADDITION ~JOLlSH STATE: ~ 5" rfav 4"'f'''' I I L OTHER ZIP: q 7</ 7 7 I NEW VALUE: ~>t::> r , NAME ADDRESS PHONE ARCHITECT' o CONTRACTOR'S NAME . . ADDRESS GENERAL: VV\.. (/ i /?t-P, ( I....{ ~lA (' Ie - . I - I C> o o .J CONST. 76S v~At~C~JTRACTOR 1/ fi"~f~~" ~. 97~ EXPIRES PHONE ;$''7.2. 6fl7 PLUMBING: MECHANICAl' ELECTRICAl' PLUMBING . MECHANICAL NO. . FEE CHARGE !\In FFF r.I-IA~j Sanitary Sewer fl. fl. fl. 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 Single Fixture Relocated Bldg. (new fix. addtl) Water Service Storm Sewer Backflow Device Permit Issuance $10.00 TOTAL PERMIT TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN: ZONING: aUAD AREA- # OF BLDGS: LAND USE: # OF UNITS: OCCY GROUP: CONSTR, TYPF' LIGHTING POWER BUDGET: # OF STORIES: HEAT SOURCF" WATER HEATER: sa. FT. $/sa. FT. VALUE SQ. FTG MAIN SQ. FTG ACCESS sa. FTG OTHER, X X .X TOTAL VALUE OF .PROJECT PLAN CHECK F~ 2./,,/3 RCPT# DATF BY I BUILDING PERMIT 15% State -r'b', Surcharge r-~ I MECHANICAL 15% State SurcharQe I PAVING ?2~ I'~ :? ..~~ PLUMBING DEMOLITION '. -J. I 5% State Surcharge' FENCE VALUE $ SIDEWALK CURBCUT FT. FT. SUBTOTAL PERMITS' ., SYSTEMS. DEVELOPMENT I 1,'3~// .1 ~ . .,', " ~ . ~. TOTAL PERM'IT FEES' EXCLUDING ELECTRICAl ?6.~ /r_ REQUIRED INSPECTIONS It is t~'e respo~sibility 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 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. 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 contractorsand 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, tha'tp[oject addrel:!s')'s readable from the street, that the permit card Is located at the front of the property, and the approved set of plims will remain on the site at all times during c"on. / ~ ' ' , ' Slgnatu,{ l' ~~~ /JtlI11, Date~1 tj1;7 . AMOUNT RECEIVED: ~- -:2 ~ DATE PAID: 9- S>9 "::> ~.~ RECEIPT #: L-./ -::U:1> "7 RECEIVED BY: 0~~ UNDERSLAB PLUMBING, . ELECTRICAL: &':. . ME'CHArincAL: To be made before any work Is covered. FOOTlNG$' &' FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel In place, but . prior to placing concrete, t'" ~ CONCRETE SLAB: To be made after all Inslab building service equipment, conduit, pi ping, accessories and other ancillary equipment items are in place but before any conc~~te !.~ placed. ~... " .>, '. 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. 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, MASONRY: Steel location, bond beams grouting or verticals In accordance with USC 2415. ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' / VALIDATION: " , ROUGH PLUMBING': , . ELECTRICAL & MECHANICAL: No work Is to be covered until these . inspections have been made and approved, . ': . ; ".. '. . t- .,~', PAVING: After gravel is in place but prior to placing asphalt or concrete. SPECIAL INSPECTIONS: In accordance . Section 306 of the $tate Sp'ecialty Code ) a special'. inspector shall be employed by the Ownerl Contractor during construction of the folfow"ing. work, A copy of the sp~cial testing reports shall be furnished.tO the Building Division, ATTIC DRAFT STOPS & , CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before ',' _...Jraming.I,nspecti,~n.,.. \ ..', ~. '.. if' FRAMI~G: To be ni'~lde.'af.;er . 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 meqhanlcal are approved. , I..... . MStlL.ATlON ,&'''APOR I" .;<: \ BARRIER:.To:.be made "after.all(' : Insulation and required' vapor barriers are in place but before any lath or gypsum board Interior wal.1 covering is applied. STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 f) HIGH STRENGTH BOLTING:. During all bolt Installation and tightening operations. (306 a.6). \ , \ .i:i ;o..~,', . SPRAYED ON FIREPROOFING: U.B.c. Standards 43.-8, SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) FIRE & SEPARATION WALL: Located and constructed according to plans. V. / 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. STRUCTURAL MASONRY: (306 a,7) 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, * 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 placing concrete. A" 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 BUI,LDING: 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 .---. / /....,~ { ~/ -- - DATF ~9'-~ ~ -