HomeMy WebLinkAboutPermit Building 1991-10-14
COMM ERCIALlIN DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER
c/f I I -;;;"CA
225 Fifth Street. Springfield. Oregon 97477
INSPECTION LI N E 7263769
OFFICE 7263759
LOCATION OF PROPOSED WORK
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ASSESSORS MAP
TAX LOT
OWNER
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ADDRESS
CITY
STATE
onP.
ZIP
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DESCRIPTION OF WORK 'I '~y - V('V"1I
NEW
REMODEL
ADDITION
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DEMOLISH
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VALUE --'--
OTHER
NAME
ADDRESS
PHONE
ARCHITECT
CONTRACTOR'S NAME
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ADDRESS
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CONST
CONTRACTOR #
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EXPIRES
12- 5/-1 I
PHO},jE
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GENERA'
PLUMBING
MECHANICAl
ELECTRICAl
""
PLUMBING
MECHANICAL
NO
FEE
CHARGE
NO
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Single Fixture
Relocated Bldg
(new fix addtl)
Water Service
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
ft
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg
Mechanical exhaust
hood and duct
SanItary Sewer
ft
Storm Sewer
ft
Backflow DevIce
Permit Issuance
$1000
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS
OUAD AREA
# OF BLDGS
LAND USE
FLOOD PLAIN
# OF UNITS
ZONING
OCCY GROUP
CONSTR TYPE
# OF STORIES
HEAT SOURCE
LIGHTING POWER BUDGET
WATER HEATER
SO FT
$/SO FT
VALUE
sa FTG MAIN
x
SO FTG ACCESS
SO FTG OTHER
x
x
TOTAL VALUE OF PROJECT
PLAN CHECK Ff"
RCPT #
DAT"
BY
I BUILDING PERMIT
15% Slate
Surcharoe
I MECHANICAL
15% Stat.e
Surcharoe
I PAVING
!;'L 5 ()
':.l 2?,
I PLUMBING
5% State
Surcharoe
FENCE
VALUE $
SIDEWALK
I DEMOLITION
FT
SUBTOTAL
PERM ITS
SYSTEMS
DEVELOPMENT
CURBCUT
FT
TOTAL PERMIT FEES I
EXCLUDING ELECTRIC'"
$, Sf1 :3?:,
REQUIRED INSPECTIONS
It IS the responsibility of the permit holder to see that arllnspectlons are made at the proper time To request an Inspection, call
7263769 (recorder), state your Glty 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 to setup of forms
UNDERSLAB PLUMBING.
ELECTRICAL &
MECHANICAL To be made
before any work IS covered
ROUGH PLUMBING.
ELECTRICAL &
MECHANICAL No work IS 10
be covered until these
I nspect!ons 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
pnor to placing concrete
FIREPLACE Plior to placing
facing matenals and before
framing Inspection
SPECIAL INSPECTIONS In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Owner! Contractor dunng
construction of the following work A
copy of the specIal testing reports shall
be furnished to the BUilding DIvIsion
ATTIC DRAFT STOPS &
CURTAIN WALLS
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
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 PS I (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
pnor to covering or filling
trenches
INSULATION & VAPOR
BARRIER To be made after all
Insulation and required vapor
barners are In place but
before any lath or gypsum
board Intenor wall covenng IS
applIed
HIGH STRENGTH BOLTING
Dunng all bolt Installation and
tightening operations (306
a 6)
SPRAYED ON
FIREPROOFING
Standards 43 8
UBC
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
Dunng earthwork (306 a 11 &
Chap1er 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
plastenng 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 BC
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 nght of
way, to be made after all
excavatl ng complete and form
work and sub base material In
place
* In addition to the Inspec
tlons specified, the BUilding
OffIcial may make or require
other inspections of any
constructIon work to ensure
compliance With the Building,
CIty or Development Code
y
ROOF SHEATHING AND
NAILING Pnor to installing
any roof coverl ng
CURB AND APPROACH
APRONS After forms are
erected but pnor to plaCIng
concrete
FINAL PLUMBING
SITE PLAN REVIEW BOARD Must be requested 2 days In advance
of the date you Wish inspection AI! project conditions such as
landscaping, parking lot stnplng, etc must be completed before
requesting thiS inspection
FINAL ELECTRICAL
y
FINAL BUilDING Requested after the final plumbing, electncal,
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
DATF
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that alllnformat\on
herem IS true and correct, and I further certify that any and all work performed shan be done In accordance WIth the Ordinances
of the City of Springfield, and the Laws of the State of Oregon pertalnmg 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 701055 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
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VALI~ION AMOUNT RECEIVED .s </1 2,::1,
alC0;
DATE PAID
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02
RECEIPT #
RECEIVED BY