HomeMy WebLinkAboutPermit Building 1995-10-4
COMM ERCIALlI N DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER
95/~~
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE 7263769
OFFICE 7263759
LOCATION OF PROPOSED WORK
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OWNER c.k-#~~~ .~~ ~?,~~7'" PHONE h~::::?2//
ADDRESS :=7'f" 4/~1"""TA,?", ~.?e::.-??:;q'7?,' _~/'S"c::>
~./~~.6<"e:- STATE C//'f. ZIP ~7 y~/
DESCRIPTION OF WORK ,~c;P~/-"? ~?>"'5 / 4.-/,,;;"~ ~ /? .~~/.c:~< ~
VALUE 5'~;.?
TAX LOT ~::?p~
ASSESSORS MAP
CITY
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
NAME
ADDRESS
PHONE
ARCHITECT
CONTRACTOR'S NAME
GENERA~ ./c4'.$-:~:" (~/
PLUMBING
CONST
ADDRESS CONTRACTOR' EXPIRES PHONE
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MECHANICAL
ELECTRICAl
PLUMBING
MECHANICAL
I
I"YARGi
I
1
I
I
1
I
I
I
I
$1000 I
I
NO
FEE
CHARGE
~n I:"~F
Single Fixture
Relocated Bldg
(new Ilx addlll
Water Service
Furnace/burner & vent
<100,000 BTUs
Furnace/burner & venl
> 100,000 BTUs
It
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
Statlonaryevap
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg
Mechanical exhaust
hood and duct
Sanitary Sewer
It
Storm Sewer
It
Backflow DeVice
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS
OUAD AREA
LAND US"
FLOOD PLAI N
# OF BLDGS
. OF UNITS
ZONING
OCCY GROUP
# OF STORIES
CONSTR TYPE
HEAT SOURCE
LIGHTING POWER BUDGET
WATER HEATER
SO FT
$/SO FT
VALUE
SO FTG MAIN
SO FTG ACCESS
x
X
X
SO FTG OTHER
TOTAL VALUE OF PROJECT
PLAN CHECK FEE
RCPT#
DAF
BY
I BUILDING PERMIT
15% Slate
Surcharge
I MECHANICAL
15% Stat.e
Surcharqe
i PAVING
~_ ')&7
1:~$
PLUMBING
DEMOLITION
5% State
SurCharQ8
I FENCE
VAl UF $
SIDEWALK
FT
SUBTOTAL
PERMITS,
SYSTEMS
DEVELOPMENT
CURBCUT
FT
TOTAL'PERMIT FEES I
EXCLUDING ELECTRICAl
5'?-:sS-
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
7263769 (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 to setu p of forms
UNDERSLAB PLUMBING,
'ELECTRICAL &
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
PAVING After gravel 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
facl ng matenals and before
framing Inspection
SPECIAL INSPECTIONS In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Ownerl Contractor dUring
construction of the following work A
copy of the special testing reports shall
be furnished to the BUilding DIVIsion
ATTIC DRAFT STOPS &
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 of 2500 PS I (306 a 1)
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
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 fdllng
trenches
INSULATION & VAPOR
BARRIER To be made after all
InsulatIon and required vapor
barriers are In place but
before any lath or gypsum
board Intenor wall covering IS
applied
HIGH STRENGTH BOLTING
DUring all bolt Installation and
tl ghtenl ng operations (306
a 6)
SPRAYED ON
FIREPROOFING
Standards 438
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
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,
Intenor 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 BC
STDS 2510,11)
FLOOR INSULATION &
VAPOR BARRIERS To be
made prior to InstallatlOn 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 matenal In
place
ROOF SHEATHING AND
NAILING Prior to Installing
any roof coverl ng
CURB AND APPROACH
APRONS After forms are
erected but prior to plaCing
concrete
"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
FINAL PLUMBING
FINAL MECHANICAL
,.V
; ,
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 ELECTRICAL
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 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 701055 will be used on thiS project
(
VALIDATION
AMOUNT RECEIVED
DATE PAID
/~- ~95
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RECEI PT .
RECEIVED BY