HomeMy WebLinkAboutPermit Building 1996-10-7
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COM M ERCIALlI N DUSTRIAL
PERMIT APPLICATION
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225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER "'7.t::/7 5""/
INSPECTION LI N E: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK'
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ASSESSORS MAp.
TAX LOT: _ ~~6?
OWNER: .
ADDRESS:
CITY.
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PHONE 2L17~ 52.. 41
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DESCRIPTION OF WORK:
NEW REMODEL
1? 'It lLc:>o -r u i-l- M-
~ ADDITION-
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DEMOLISH
drHER
VALUE:
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NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
GENERAL: -lA' ~ VI " ~"I k-t-f,
PLUMBING.
ADDRESS
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CONST.
CONTRACTOR' EXPIRES PHONE
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MECHANI,....~ I.
ELECTRICAl.
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PUIMRING
MECHANICAL
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f:HARnE
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Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
Furnacel burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
It.
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationaryevap.
cooler
Vent FanfSingle
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duel
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
Permit Issuance
$10.00
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN.
ZONING:
OUAD AREA"
LANO USE:
. OF BLDG~.
. OF UNITS.
OCCY GROUP:
. OF STORIES.
CONSTR. TYPF.
HEAT SOURC~.
LIGHTING POWER BUDGET:
WATER HEATER.
SO. FT.
$IS0. FT.
VALUE
so. FTG MAl N
SO. FTG ACCES~
X
X
so. FTG OTHER
X
TOTAL VALUE OF PROJECT
PLAN CHECK FE.E.
RCPP
DAT~
BY
I BUILDING PERMIT
15% Stale
Surcharqe
I MECHANICAL
15% Stale
Surcharae
I PAVING
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PLUMBING
DEMOLITION
5% State
Su rcharqe
FENCE
VALUE $
SIDEWALK
CURBCUT
FT
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
FT.
TOTAL PERMIT"FEES I
EXCLUDING ELECTRICAl
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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 witl 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.
UNDERSLAB PLUMBING,
ELECTRIC!l.L &,. \ .,. \
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
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FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel.in place, but
. prior to placing concrete.
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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.
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UN DERG ROUN D:'.PI umbl ng,
electrical, gas, sanitary sewer,
storm sewer, water and .
d ral nage I I nes. To be made
prior to covering or filling
trenches.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
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FIREPLACE: Prior to placing
facing materials and before
framing inspection.
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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.
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INSULATION & VAPOR
/ < '. BARRIER:' To b'e made after:, all.\.
ins-ulation and 're<wired-vapor'
.../ qarriers are In place but
before any lath or gypsum
board Interior wall covering is
applied.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
LATH ANDIOR 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.
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.
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.
PAVING: After gravel is In
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Sectiont306 of the State SpecIalty Code
a special.inspector'shall be employed
by the Ownerf.Contractor during
construction of the following work. A
copy of the special testlng reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
"I '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)
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SPRAYED ON
FIREPROOFING: U.BC.
Standards 43-8.
SPECIAL 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).
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STRUCTURAL MASONRY: (306
a.7)
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* In addit10n to the inspec- -
lions specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
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FINAL PLUMBING
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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 Occupancy has been issued by the Building Division
and posted on the premises.
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS.
PLANS REVIEWED BY
DAT"
By signature, I state and agree, that I have carefully examined the completed applicatlon and do hereby certify th!it 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 during construction.. /7
Slgn~:/LL.-<-- ffo_ ;;Vd} Date / Q- 7 ~ 1/'
7' 'i - - -- ,.-r VL-/ 7
V~TION: AMOUNT RECEIV;;;;-:
RECEI PT ..
//'7. "? S-
:<~'379
DATE PAID:
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RECEIVED BY.