HomeMy WebLinkAboutPermit Building 2000-1-13
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CO,MM ERCIALlI N d6sTRIAL
PE~MIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
JOB NUMBER~-~2.S-5-C?1
INSPECTION LINE: 726-3769
OFFICE: 726-3759
PHON F'
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NEW
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REMODEL
ADDITION
DEMOLISH
OT HER
STATE:
,OA?'
DESCRIPTION OF WORK:
NAME
ADDRESS
PHONE
ARCHITECT:
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CONTRACTOR'S N~E
GENER,td' (5\~~a/7
PLUMBING' ~;?C/~// /' t?~k,/?;'/>>d"
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ADDRESS
CONST.
CONTRACTOR #
EXPIRES
PHONE
MECHANICAl'
ELECTRICAl . ~
NO. '
FEE
CHARGE
I MECHANICAL
I NO I FEE CHARr.E
I Furnace/burner & vent I
<100,000 BTUs
I Furnace/burner & vent I
>100,000 BTUs
I Floor furnace and vent
I, Suspended wall or floor
mounted unit heater
I Appliance Vent'
separate
I Stationaryevap.
c,ooler
I Vent Fan/Single
duct
I Vent System apart
from AC or htg.
I Mechanical exhaust
hood and duct
I
I Permit Issuance $10.00
I TOTAL PERMIT
PLUMBING
" Single Fixture
Relocated Bldg.
(new fix. addtll
Water Service
ft.
Sanitary Sewer
Storm Sewer
ft.
ft.
, Backflow Device
TOTAL PERMIT
QUAD AREA'
- OFFICE USE -
LAND USE:
HANDICAP ACCESS'
FLOOD PLAIN:
# OF BLDGS'
# OF UNITS:
ZONING: .
OCCY GROUP:
CONSTR. TYPE:
LIGHTING POWER BUDGET:
# OF STORIES'
HEAT SOURCE'
WATER HEATER:
SQ. FT,
$/SQ. FT.
VALUE
SQ. FTG MAIN
X
SQ. FTG ACCESS
SQ. FTG OTHER
X
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEi:
RCPT#'
DATF
BY
I BUILDING PERMIT
I y % State
Surcharge
MECHANICAL
7 % State :.;
Surcharge
" PAVING-' ':::.
I.;; /il j"'l
~r.Z ." r..,
/10, State
~urcharge
FENCE
VALUE $
SIDEWALK
I F fit) ISfl4l~EMOLlTION
li()S- t I~r
I PLUMBING
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
I
I
I
I
I
CURBCUT
FT,
... ..- ......q
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c'::,j y i~;J- C~ :"':i
1,.--:' L.,.J ::J:.~ ,'1
-:: ~: ~:l ~~:; :~,
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
10.S-0
.' "~ ....
," I.: .} ~:.
REQUIRED INSPEOTIONS
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It is the responsibility of the permit holder to see that all inspections are made at the proper time. To reqljest ah'ihspe'ction, 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 INSPECTlON::Tg be
made after excavation, but
prior to setup 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.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOUNDA>rIONS:
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.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place an'd all pipes, chimneys
and vents. are complete and
the rough electricaJ, plumbing
and mechanical are approved.
CONCRETE SLAB: To be
made after all'inslab building
service equi pment, conduit,
pi pi ng, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and required vapor
barriElrs are In place but
before any lath or gypsum
board interior wall covering is
applied.
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.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
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.
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
excavating complete and form
work and sub.base material in
place.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
PAVINQ:.After gravel Is In
place but. prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In'accordance
, Section 306 of the State Specialty Code
a special Inspector shall be employed,
by the Owner' Contra9tor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
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 installati,on and
ti ghtenl ng operations. (306
a.6)
SPRAYED ON
FIREPROOFIN,G: U.B.C.
Standards 43-8.
S~ECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
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).
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.
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 ELECTRICAL
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 Oc'cupancy has been issued by the Building Division
and posted C!n the premises.
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
DATE
By signature, I state and agree, that I have carefully examined the completed application anddo hereby certify th!3-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 Laws of the State of Oregon pertaining to t!1e work described herein, and that NO OCCUPANCY
will be made of any structure without perll1ission of the'?uildlng Safety Division. I further certify that only contractors.and employees
who are in compliance with ORS 701.055 ~\iil~ b'e'ose~~ ,thi~~je6t. ' ,
I further agree to ensure that all required inspectLoms{r' .:re~~d~t the proper time, that project address Is readable from the
/7/ /.., '/ /
street, that the permit card is located at the, ~ont of er Rlog.erty, and the approved set of plans will remain on the site at all
times during constr~~~io'!~_....~ =~ :;.---/,.,./ ~~:I> :;3
~- -,-- =~ . ~A ~AR:I>
S' ",:::7' Date ~~ :z
Ignature ~ --~"7---- /' /- """,:,:::-
"---- ____ r' C"J .~. **
VALIDATION:
AMOUNT RECEIVED: ,/ ~ r 4f1
,j " RECEIPT #: '7 ! "2....
,-_.~). <..
DATE PAID:
RECEIVED BY:
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Job:
Address: 850 Beltline Rd
Owner: Sycan B Corp
"
99-00259-01
.;.::..
',"~11:
Received: 1/4/2000
Unit: BLOG:
FLR:
FEE SUMMARY
Type
Building
Subtotal
, Administrative Fee
Surcharge
Total
Mechanical
Subtotal
Administrative Fee
Surcharge
Total
Plan Check
Subtotal
Total
Plumbing
Subtotal
Administrative Fee
Surcharge
Total
Grand Total
'~1> .
"_1
Amount Due
Amount Paid
0.00 146.50
0.00 4.40
0.00 10.26
0.00 161.16
0.00 25.00
0.00 0.45
0.00 1,05
0.00 26.50
0.00 95.23
0.00 95.23
15.00
0.45
1.05
~
f' 16.50 )
I~/@
0.00
0.00
0.00
0.00
282.89