HomeMy WebLinkAboutPermit Building 1996-7-23
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CO M M ERC IALI i N DUST RIAL
PERMIT APPLICATION
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- TAXLOT:O~
JOB NUMBER L\lom~-)~~
225 Fifth Street, Springfield, Oregon 97477
. LOCATION OF PROPOSl'hWORK' \,Ai4CL c\).
ASSESSORS MAP: . \. I DO'Jf")L :)
OWNER\ ~I\N~ - . PHONE: rOflf}.......'t\\?~
ADDRE~-f3\gC\~ ,~)\_,_) ~('O ) U.ut-~ 20~ --
CITY\_~ . STATE: l\}\_O ~('JY) ZIP:
DESCRIPTIO'N bF WORI\J1.QJ~\D\~)')_^9_) \.YQJ}- ~ \~o. )\ ~,__
INSPECTION LINE; 726-3769
OFFICE: 726,3759
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
~dJ
VALUqCfi~. .
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOfl~~... l Q ,').l~DDRESS
GENER~~~~ f\f\(J, )
CONST.
CONTRACTOR #
EXPIRES
PHONE
PLUMBING:
MECHANICAL'
ELECTRICAL:
PLUMBING j I MECHANICAL 1 J
j
NO. I FEE CHARGF I I ,Nn I FFF r.HAIH~F I
Single Fixture I ---'I I Furnace/burner & vent I I
< 100,000 BTUs
Relocated Bldg, I I I Furnace/burner & vent I I
(new fix, addtl) . > 100,000 BTUs
Water Service .1 I I Floor furnace and vent I I
ft.
Sanitary Sewer I I I Suspended wall or floor. j
ft. mounted unit heater
Storm Sewer , ) Appliance Vent J
ft. separate
J I Stationaryevap,
Backflow Device cooler
I- I Vent Fan/Single
duct
I I Vent System apart
I from AC or htg,
I Mechanical exhaust
hood and duct
,I I
I I I Permit Issuance $10,00
TOTAL PERMIT I I TOTAL PERMIT
- OFFICE USE - HANDICAP ACCESS:
QUAD AREA;, LAND USE: 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 X
SQ, FTG OTHER X
TOTAL VALUE OF PROJECT
PLAN CHECK FE!:
N~
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RCPT#
DATE
BY
I BUILDING PERMIT I~~-. r:!f)
15% State ~,)'rOI I.Lo~
SurcharQe ]I, % . C\B
I MECHANICAL" I.
15% State
Surcharge \\ '" ,\
I PAVING
I
I
DEMOLITION
I PLUMBING
/5% State
Surcharge
I FENCE
VALUE $
I SIDEWALK
i CURBCUT
\,
, ',\
FT,
FT, 1__
SUBTOTAL '
, PERMITS' '
I SY.STEMS
DEVELOPMENT
, 1
. \ I
'I
....
\ .
..
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
3~-' \
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REQUIRED INSPECTIONS
'" . .-
,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 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 ROUGH PLUMBING, PAVING: After gravel is in
made after excavation, but ELECTRICAL & place but prior to placing
prior to setup of forms. MECHANICAL: No work is to . asphalt or conc~ete.
be covered until these
inspections have been made
and approved,
FOOTINGS & FOUI'IIDATlONS:
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,
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owner/ Cpntractor 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
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
pi pi ng, accessories and other
ancillary equipment items are
in place but before any
concrete is placed,
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 of 2500 P'S,1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines, To be made
pri or to coveri ng or fi II i ng
trenches.
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
ti ghteni ng operations. (306
a,6)
SPRAYED ON
FIREPROOFING: U.B,C,
Standards 43-8.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing,
FIRE & SEPARATION WALL:
Located and constructed
jaCCOrding to plans,
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.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a,11 &
Chapter 29)
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,
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) .
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,
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering,
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
'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 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 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 PLUMBING
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
DATF
By signature, I state and agree, that I have carefully examined the complete,dapplication and do hereby certify thf-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 pregon 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 th ORS ,701,055 will be used on this project.
I further agree to ens ~at II equired inspections are requested at the proper time, that project address Is readable from the
street, that the per' ard s I cated at the front of the property, and the approved set of plans will remain on the site at all
times during co u 10 I / /
Signature 1ta1a/.' Date 1ft.) /tJ~
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I
VALIDATION:
. - /(
AMOUNT RECEIVED: ? 5 '
2 2..':;- 5' L
DATE PAID:
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RECEIPT #:
RECEIVED BY: