HomeMy WebLinkAboutPermit Building 1997-5-8
CO M M ERCIALlI N D U 5T RIAt
PERMIT APPLICATION
OWNER:
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CITY:
DESCRIPTION OF WORK:
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REMODEL
NAME
ARCHITECT:
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JOB NUMBER ~7~" 5 77 A
INSPECTION LINE: 726-3769
OFFICE: 726-3759
MECHANICAL
FEE CHARGE
NO
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
Stationaryevap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
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SPRINGFIEL;O
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PHONE: ~&~j 1~2."/ >"/5
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Permit Issuance
TOTAL PERMIT
_J?l.. \1 0
TAX LOT:
#- ?2-0
STATE: _I >>'4 ' ~
ZIP:
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VALUE: 36 d~ ~
PHONE
GENERAL:
JA.l, en
CONST. II.;J 'if, ' L.
ADDRESS CONTRACTOR # EXPIRES0198' PHONE
C?l'lfA y-g 1t?lotJ fI}.S3d srr '~M, eve? 7~fd314'7
CONTRACTOR'S NAME
PLUMBING:
MECHANICAL:
ELECTRICAL:
PLUMBING
NO.
Single Fixture
Relocated Bldg.
(new fix. addU)
Water Service
ft.
Sanitary Sewer
ft..
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
QUAD AREA:
# OF BLDGS:
OCCY GROUP:
# OF STORIES:
,"
SQ. FT.
SQ, FTG MAIN
SQ, FTO AC,CESS
~I .
SQ, F\:G'-OWiER
PLAN ~HECK FEi ---,;2. ~~: 1.3
I BUILDING PERMIT I #-ft.J
5% State ?JI..' J.-I.~1 ":2 >7
Surcharge~' -r.""I . ~.'
MECHANICA~ I -
15% Stat~,_.,\.:,--:-c"J._ ,
Surcharqe '.. .., \1, ,
I PAVING I
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$ ~l;':J
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ADDITION
DEMOLISH
OTHER
ADDRESS
- OFFICE USE -
1=1=1= r.I-IARnl=
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$10.00
LAND USE:
FLOOD PLAIN:
HANDICAP ACCESS:
# OF UNITS:
CONSTR. TYPE:
HEAT:SOURCE:-
ZONING: :
LIGHTING POWER BUDGET:
WATER HEATER'
.....,
$/SQ. FT.
"
" ' ,YALUC-
x
x
X
TOTAL VALUE OF PROJECT
RCPT# 2. _('7~ ~G. DAtE
f~;47
BY
I PLUMBING
15% State
Su rcharge
I FENCE
VALUE $
SIDEWALK
I CURBCUT
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FT. I
I DEMOLITION
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'-susTUTAL
, '" I ~~~MITS ,
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
, "
"
~ 52.. ~
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7~7 tro
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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,
made after excavation, but ELECTRICAL .& '
prior to setup o! forms. MECHANICAL: 'No work is to
be covered until these
inspections have been made
and approved.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
UNDERSLAB PLUMBING,
, ELECTRICAL &, ,
MECHANICAL: To be made
before any work is covered.
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SPECIAL INSPECTIONS: In accordance
Section (306 of the State Specialty Code
a~special inspector shall be employed
by the Owner! Contrac.t()rduring
construction of the"fo"llowing work. A
copy oUhe special,testing reports shall
be furnished to the Building Division.
ATl:IC 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.
. FIREPLACE: Prior to placing
facing materials and before
frami ng inspection.
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
conc'rete 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)
V
/.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
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
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.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. 25-10,11).
STRUCTURAL MASONRY: (306
a.7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
SIDEWALK & DRIVEWAY:
Requi red 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.
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FINAL PLUMBING
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All project conditions such as
Ia.ndscaplng, parking lot striping, etc. must be completed before
requesting this Inspection.
FINAL ELECTRICAL
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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 until a
Certificate of Occupancy has been issued by the Building Division
and. posted on the premises. .
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FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
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DATE c- /~ 7
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By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thft all information
herein is true ana co'rrect; and I further certi.fy that any and all work performed shall be done in"accordapce 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 requi red inspections are requested at the proper time, that proje9t 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'~~ ~~,~.
p'/ t/" /
Date
5/8"/"77
?~67
~~
VALIDATION:
AMOUNT RECEIVED: '77: ttt)
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RECEI PT #:
DATE PAID:
RECEIVED BY: