HomeMy WebLinkAboutPermit Building 1994-12-13
OWNER' "" ~'f\ t.1 \. \ \~ ~ PHONE'
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CITY- t ~ ')C)( J\ o. -, - '~TATE: 11 ~
DESCRIPTION OF WORK: _(I J1n ~ C11~~
'NEW '\LJ REMODEL ADDITION DEMOLISH U) OTHER
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~OMMERCIAl/INDUSTRIAL. SPRINQFIELD -JOB NUMBER Cf4 I~{)
PERMIT APPLICATION L~ INSPECTION LINE: 726.3769
225 Fifth Street, Springfield, Oregon 97477 ~ ~ OFFICE: 726.3759
LOCATION OF PRO PC/SED WORK: -09 ~ ill.n..d..mm d t:P Yn..J. I P rJ--,
ASSESSORS MAP' I '1110 \ ~n() , TAx:2f161CO
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ZIP:
crl4r\1
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
CONST.
CO NTRACTO R .
EXPIRES
PHONE
GENERAl,
PLUMBINf"
MECHANICAl'
ELECTRICAL:
PLUMBING
NO,
I FEE
I MECHANICAL
J I
CHARGE I .", ~~~ "U6Qr-e I
I I Furnace/burner & vent I
< 100.000 BTUs
I I Furnace/burner & vent I
> 100.000 BTUs
1f),ro I I Floor furnace and vent I
I fl{)CO I I Suspended wall or floor I
mounted unll heater
I I I Appliance Vent I
separate
I I StatIonary evap. I
cooler
I I Vent Fan/SIngle I
ducl
I~~I I Vent System apart I
Irom AC or htg.
I I I Mechanical exhaust I
hood and duct
I I I I
I I I Permit Issuance $10.00 I
I' I I TOTAL PERMIT 0' I
Single Fixture
Relocated Bldg.
!new Ilx. addUl.
Water Service....f\~
lJr..r J fl.
Sanitary Sewer' 1\0. c:.
NDllt.
Storm Sewer
I
I
, I
I
I
I
I TOTAL PERMIT
I
I Backflow Device
I I
lllnl1tt n 1 l,h II frJ
1(' r\ " ~ I MJt'\ r .m.J
i(')ti)"{' b.t.n. \ Mm()~d~
II.
- OFFICE USE -
HANDICAP ACCESS'
aUAD AREA:-5Q~\\.)U ')
LAND US.'
FLOOD PLAIN'
. OF BLDGS'
· OF UNITS'
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER:
OCCY GROUP'
· OF STORIES:
CONSTR. TYPF'
HEAT SOURCF'
sa. FT.
$/ sa. FT,
VALUE
sa. FTG MAIN
X
X
X
sa. FTG ACCESS
sa. FTG OTHER
TOTAL VALUE OF PROJECT_
PLAN CHECK FE~ RCPT' DATE BY
I BUILDING PERMIT ' PLUMBING I \SI::\p0 DEMOLITION
/5% State 5% State I -4'~1
Surcha!{Je Surcharge
I MECHANICAL I ~I~'JRK
15% State I I SUBTOTAL \ lo1 AD
Surcharoe FT. PERMITS
I PAVING, I CURBCUT I I SYSTEMS
FT. DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
\UflAD I
,
,
It Is the responsibility of the permit holder to see that all Inspections are made at the prC!>per time. To request an Inspe~t1on, call
726.3769 (recorder), state your City designated job number,lob 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.
. REQUIRED INSPECTIONS
.
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 Bre
excavated and forms are
erected, all steel In place, bul
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/ 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
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 aller
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.I. (306 a.1)
STRUCTURAL WELDS:
Performed on the Job, (2722 f)
-+-
INSULATION & VAPOR
BARRIER: To be made aller all
Insulation and required vapor
barriers are In place but
before any lath or gypsum
board Interior wall covering Is
applied.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
UNDERGROUND'
electrical, gas, Itary sewer,
storm sewer, a e ano
drainage lines. 0 be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: UB,C.
Standards 43,8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a.11 &
Chapter 29)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
LATH AND/OR GYPSUM
BOARD: To be made aller 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).
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing,
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.
v
STRUCTURAL MASONRY: (306
a,7) .
~Itm ~t-ru. ~bo uff
ID. 'I \ ;)\\~ (\ 1\tl....
~'~fo. i~'i\aft\N~
'In a Itlon to the Inspec.
tlo peclfled, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
-------------------------------------------------------
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL MECHANICAL
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 aller 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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72.. 6 -So /S t:)"- ~YJ" :544--
FINAL PLUMBING
FINAL ELECTRtCAL
ADDITIONAL COMMENTS'
FINAL FIRE DEPARTMENT
>~,--.'r7'1 ~;,j/
"7'4;::/ /h 70 tJ,.,.7-"/ ~~//
/-11/1 M/':C? ~;..,..?'<;
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72...1'7- z: ~ +0
PLANS REVIEWED BY
DATe
By slgnature,l state and agree, that I have carefully examined the completed application and do hereby certify that all Information
herein Is true and correct, and 1 further certify that any and all work performed shall be done in accordance with thE.Orstlnances
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 certlly 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 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
limes during co~structlo . f$~
Signature' , - ~Z-- Date ~~~/
, -- , , ,
AMOUNT RECEIVED: \ \ Q,'1 41)
\S'I5)\
VALIDATION:
RECEIPT .'
DATE PAID: ~(E~~
RECEIVED BY: