HomeMy WebLinkAboutPermit Building 1997-2-4
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COMM ERCIAL/lN DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER ~/&2_/J
INSPECTION LINE: 726.3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
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LOCATION OF PROPOSED WORK;
ASSESSORS MAP'
OWNER'
ADDRESS:
CITY:
TAX LOT:
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STATE:
ZIP:
Rrr""ove
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DEMOLISH OTHER VALUE: /~aOQ
DESCRIPTION OF WORK:
NEW REMODEL
ARCHITECT:
ADDITION
NAME
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ADDRESS /fSa..tC:VPIE. /lVtn. PHONE
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CONST'.a "t!'.J. _ _ .k'
CONTRACTOR 'C '~EXPIRES 1I'''-9~HONE
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CONTRACTOR'S NAME
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I NO.
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1 TOTAL PERMIT
GENERA' .
PLUMBING'
MECHANICA' .
ELECTRICA' .
ADDRESS
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. PLI) MBINl3 .
FEE
CHARGE
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MECHANICAL
Single Fixture
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Relocated Bldg.
(new fix. addtl)
Water Service
Floor furnace and vent
~uspenQeci wall or l(oor
mounted unit heater
Appliance Vent
separate
Stationaryevap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
II.
Sanitary Sewer
It.
Storm Sewer
II.
Backflow Device
Permit Issuance
$10.00
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
OUAD AREA:
# OF BLDGS:{!.
OCCY GROUP:
# OF STORIE~'
LAND USE:
FLOOD PLAIN'
II OF UNJT~'
ZONING;
LIGHTING POWER BUDGET:
WATER HEATER'
CONSTR. TYP'"
HEAT SOURCE:
so. FT.
$/SO. FT.
VALUE
so. FTG MAIN
SO. FTG ACCESS
SO. FTG OTHER
PLAN CHECK FEE
x
X
X
TOTAL VALUE OF PROJECT
-f".t:' . '2 "3
RCPP
DATf
BY
, BUILDING PERMIT J
5% State ~I
Surcharqe r;ifJ
'1 MECHANICAL I
15% State
Surcharqe
I PAVING
86, So
~.)r?
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, PLUMBING
, DEMOLITION
5% State
Surcharoe
FENCE
VALUE $
1 SIDEWALK
I CURBCUT
FT.
SUBTOTAL
PE RM ITS
SYSTEMS
DEVELOPMENT
<;fJ. y ~
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
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REQUIRED INSPECTIONS
It is the responsibility of the permit hold~r 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 19 set.up of forms.
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ROUGH PLUMBING,
r-t:.Lt::.l..:l KIL.~
--ri,.'fl:.l:HAN'IL.;AL: No work is to
be covered until these
inspections have been made
and approved.
PAVING: After graver is in
place but prior to placing
asphalt 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
faci ng materials and before
framing inspection.
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SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a'special inspe'ctor shall be employed
by the Owner} Contractor during
construction of the followi'ng 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 &
I'CURTAIN WALLS'
X'
,
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 01 2500 P.S.1. (306 a.1)
CONCRETE SLAB: To be
made after all Inslab building
service equipment, condu'lt~.
piping, accessories and other
. ancillary eq'uipment items are' '-'.
in place b.ut\.befo~e any
con.cret~ is placed.
'UNDERGROUND: PI~mbing, .
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
INSULATION & VAPOR
BARRIER: To be made after all
insu~lation and req'uired vapor
barriers are In place but
before any lath or gypsum
board interior wall covering is
applied.
FIRE & SEPARATION WALL
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
. SP.ECIAL GRADING,
.EXCAVATION AND FILLING:
During earlhworl<. (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.S.C.
STDS. 25.10,11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a.7)
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.
*In addition to the Inspec-
tions specified, t.he Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof coverl ng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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FINAL ELECTRICAL
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 PLUMBING
FINAL MECHANICAL
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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 unlll a
Certificate of Occupancy has been issued by the Building Division
and posted on the premises.
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
DAT"
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thp.t all Information
herein is true and correct, and I further certify that any and all work performed shall be dOlle 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.
Signature _ ~
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~.=:. -::::-
Date ;2- t.,L - 97
VALIDATION:
AMOUNT RECEIVED' .1" y4. 6i;:;
RECEIPT". '?- t./ Y"7~
DATE PAID'
RECEIVED BY:
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