HomeMy WebLinkAboutPermit Building 1998-10-6
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COMM ERCIALlIN DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
SPRINOFIELO
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LOCATION OF PROPOSED WORK' /2 5?1
17632.7
/201/.1 bow'
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ASSESSORS MAP'
OWNER' f.t-.,tJ!J4W 1/; /!~
ADDRESS' /2 So fc. IN 6ov-J g
CITY: S 1J~,wl/
,
DESCRIPTION OF WORK' ~ ~
NEW
REMODEL
ADDITION
NAME
ARCHITECT:
CONTRACTOR'S NAME
CONST,
ATTENTION'O CONTRACTOR ~ EXPIRES
, regon law reqUIres you to
follow r"'A~ "rlOP19d Pi I" - ~
NT' - I..... -'Q~VII UlIIUY
, o~ll~allon Cenler, Those rules arA ~At fnrih
'" ""t'\n :1:>~-UU1-0010 Ihrough OAR 952-001-
0090. .Yn'l m!:'l!, "'~~~~~ e:;::;.;.,:., ...I. ~II'=' I ur~s 0
calling Ihe cenler, (Note: Ihe tA1At'hnno y
IIUrJ'Utff for tne Oreoon Iltilihl t\lnfl;,,......:..._
l.ier.t.....:s" B~:" -r- ~ -
1---. . v...-\J....'-c"~MECHANICAL
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I TOTAL PERMIT
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ADDRESS
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GENERAL:
PLUMBING'
MECHANICA' '
ELECTRICAl'
I PLUMBING
I Nq, I FEE
I 2) Single FIxture /0
I - Relocated Bldg, I
(new fix, add/I)
I," ') Water Service _----0 ft. 12-J"
I I Sanitary Sewer {.'Vft. I 2-S'
I Storm Sewer
ft.
I Backflow Device
CHARGE
'30
1--S- v
2-~
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I <lo,oo
J-':/P / 'i iJV
I i6,i../o
NOiICE: # OF UNITF'
- CONSTR, TYp.'
I n1:> PERMIT SHALL EXPIRE IF THE WORK
"-'=-< HEAl SOURC.'
t'lU I nOR/ZED UNUER THI~ Pi=PMIT ICl "''IT
sa, F-COMMENCED OR IS AEm~(MNED FOR
ANY 1Rn rHl( p~i:l'/"\n
TOTAL PERMIT
QUAD AREA'
# OF BLDGS:
OCCY GROUP:
# OF STORIES:
SQ, FTG MAIN
sa, FTG ACCESS
sa, FTG OTHER
PLAN CHECK FE!'
RCPP
I BUILDING PERMIT
15% State
Surcha':,qe
I MECHANICAL
15% State
Surcharae
I PAVING
<
LAND US.'
X
X
I PLUMBING
5% State
Surchal'ge
FENCE
VALUE $
I SIDEWALK
I CURBCUT
STATE: _/7/2.
DEMOLISH
ADDRESS
- OFFICE USE -
DAF
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1rJ/of;
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT: 6 Z (, " 2--
PHONF'
7'fb-. ~.)'is-
ZIP' 71 if7 7
OTHER
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V
VALUE:
PHONE
PHONE
7'1/- 59()(,
ccc
I"'U.o.Rn:c:
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/Stngle
duct
Vent System apart
from AC or hlg,
Mechanical exhaust
hood and duct
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13.W I
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Permit Issuance
$10,00
Z6,z..o
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
TOTAL VALUE OF ,PROJECT
BY
~o cry
'-(.Oo/2.<(iJ
FT,
FT,
I DEMOLITION
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
/IZ.(pO
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REQUIRED INSPECTIONS
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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 will be ready
for Inspection. Requests received before ?:oJa.m. W'II~be'rade the same working day, requests made after 7:00 a.m. will be made
the following work day, /
SITE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is In
made after excavation, but VELECTRICAL & place but prior to placing
prior to setup of forms, MECHANICAL: No work is to asphalt or concrete,
be covered until these
inspectIons have been made
and 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
co1rete Is placed.
UNDERGROUND: Plumbing,
ectrlesl, gas",sanltary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches. I
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.
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 the special testing reports shall
be furnished to the Building Division.
UNDERSLAB PLUMBING,
ELECTRICAL &..
MECHANICAL: To be made
before any work Is covered.
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 PS,I, (306 a,1)
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,
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations, (306
a,6)
SPRAYED ON
FIREPROOFING: U.S,C,
Standards 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.B,C,
STDS, 2S-10,11),
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing,
STRUCTURAL MASONRY: (306
a,7)
*In addition to the Inspec-
tions specified, the Building
Official may make or require
CURB AND APPROACH other Inspections of any
ROOF SHEATHING AND APRONS: After forms are construction work to ensure
NAILING: Prior to Installing erected but prior to placing compliance with the Building,
any, roof covering. concrete. City or Development Code.
;r~FI~L~UMBING-------------SITE~~N~EVIEW:OA;D:M:~~re~este:~ay~~:::;
( ./ of the date you wish Inspection. All project conditions such as
~ ... landscaping, parking lot striping, etc. must be completed before
FINAL ELECTRICAL requesting this Inspection,
~ FINAL BUILDING: Requested after the final plumbing, electrical,
L// r F.lNAL MECHANICAL 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 Bulldlng Division
FINAL FIRE DEPARTMENT and posted on the premises,
MASONRY: Steel location,
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.
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
OAT"
By signature, I state and agree, that I have carefully examined the completed appl1cation 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 durlng~on . cp~n. / / ,//
Signature c4-rvU--< -/,r;:;f;t~ Datp /O/{,Iry
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ID/Gfff /J
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AMOUNT RECEIVED: I (}...("o
j?j ? /66 ("
DATE PAID:
VALIDATION:
RECEIPT ':
RECEIVED BY'