HomeMy WebLinkAboutPermit Building 1996-10-11
COM M ERCIALlIN DUSTRIA~
PERMIT APPLICATION
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JOB NUMBER
9C?/30b
225 Fifth Street, Springfield, Oregon 97477
INSPECT]ON LINE: 726.3769
OFFICE: 726,3759
ASSESSORS MAP'
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TAX LOT:
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LOCATION OF PROPOSED WORK:
OWNER:
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~?JI STATE: ~,
PHON~'
ADDRF"'"
CITY:
ZIP:
~-?d"7 ?
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DESCRIPTION OF WORK:
NEW ~ REMODEL
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ADDITiON
DEMOLISH
OTHER
VALUE:
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NAME ADDRESS
ARCHITECT: >>(t!/ff/'f77 h~t f &,oc>; #r /.P'~}
CO NST,
CONTRACTOR'S NAME , ADDRESS ~.P~ ~NTRACTOR . EXPIRES PHONE
GENERAL:~~~C,~. /\.-;:; --:;. ~4~:;""".-~"r 4::)~~~/~,~~~.r~
PLUMB]NG'
PHONE
/ G"lJ.S) 2 '\L.. ~.2./ /7
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MECHANICAL'
ELECTR]CAL:
PLUMBING
Single Fixture
Reloca]ed Bldg,
Inew fix, add]]1
Water Service
I FEE
MECHAN]CAL
NO
CHARGE
IOn
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""ARGJ
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$10,00 j
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Furnacel burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
II.
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 duel
Sanitary Sewer
fl.
Storm Sewer
II.
Backltow Device
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1/ I TOTAL PERM]T
Permit Issuance
TOTAL PERM]T
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
ZON]NG'
QUAD AREA:
LAND US.'
II OF BLDG~,.
. OF UN]T~'
OCCY GROUP:
CONSTR, TYPE'
liGHTING POWER BUDGET:
. OF STOR]ES:
HEAT SOURC'"
WATER HEATER:,
SO, FT,
$ISQ, FT,
VALUE
SQ, FTG MA] N
x
SO, FTG ACCESS
SQ, FTG OTH ER '
x
x
~1ffi..C~J,E~ -IJ..;t..~ RCPP
I BUILDING PERMIT :::z."7&!i': lit>
15% S]ale t 7' '';71?
SurcharRe . $2..-;(/
I MECHAN]CAL 7
15% Slale
Surcharae
I PAV]NG
1!-'34<1~
TOTAL VALUE OF PROJECT~~""
DATE--.!fJ/'I//,c. BY /~
I I -l
PLUMB]NG
DEMOliTION
5% Stale
Surcharqe
FENCE tt {}IV
VALUE $ ,
SIDEWALK
? ,'"
~" I ;:v .~9'
.SUBT6~
, PERMITS ., ~Zt:.."g 50'
I SYSTEMS
DEVELOPMENT
I CURB CUT
FT,
FT,
TOTAL' PER~IT FEES I
EXCLUD]NG ELECTRICAL
'?r$. 2~
. 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 INSPECT]ON: To be
made after excavation, but
prior to ,setup of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
Y ,fW,\I.r.t! PLUMB]NG, '
, .akECTR]~~
MECHAI\I AL: No work is to
be covered until these
inspections have been made
and appr~ved.
PAV]NG: After gravel Is In
place but prior to placl n9
asphalt or concrete.
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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
framing Inspection.
SPECIAL ]NSPECTIONS: 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 speclal"testlng reports shall
be furnished to the Building Division.
ATT]C DRAFT STOPS &
CURTAIN WALLS
v
STRUCTURAL CONCRETE: In
excess of 2500 P.S,1. (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.
FRAM]NG: 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 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 re.Quired 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
F]REPROOFING: U.S.G,
Standards 43.8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
F]RE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRAD]NG,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
FLOOR INSULATION &
VAPOR BARR]ERS: To be
made prior to installation of
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: ]nspectlon
Certificate by an approved
agency, furnished to the City's
Building DivIsion before
beams are placed, (2501 U,B,c.
STDS, 25.10,11),
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a,7)
MASONRY: Steel location,
bond beams groutIng or
vertIcals In accordance with
USC 2415,
S]DEWALK & DR]VEWAY:
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 ]nstall]ng
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
* in addition to the Inspec-
tions specified, the Bu]]dlng
Official may make or require
other inspections of any :-
construction work to ensure
compliance with the Building:
City or Development Code,
.~
----~NAL~UM~NG-----------/-SI~~:N~EV~:~~R;::~~re~:te:~ay~~=::~
of the date you wish inspection. All project conditions such as
landscaping, parking lot striping, etc. must be completed before
requesting this inspection.
y
FINAL ELECTRICAL
FINAL F]RE DEPARTMENT
Y FINAL BUILD]NG: Requested after the final p]umblng, electr]ca],
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.
F]NAL MECHAN]CAL
ADD]TIONAL COMMENTS'
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PLANS REV]EWED SY /7 AI!'.... r
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By signature, I state an~ agree, that I have carefully examined the completed application and do hereby certify thflt all Information
herein is true and correct, and 1 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 complla w tORS 701,055 will be used on this project.
ensure th t all requIred Inspections are requested at the proper time, that project address Is readable from the
permit c d Is located at the front of the property, and the approved set of plans wIll remaIn on the site at all
':";;"~~ o."fr0
DATE
/P-~~
Signaturp
VALIDATION:
AMOUNT RECEIVED: ..2..-t/S, '2 ~
"'2 <-I ~"2 ~
RECE] PT ':
DATE PAID' '2,-$- 9'?
RECE]VED BY:,#-4tI--',.----