HomeMy WebLinkAboutPermit Building 1995-8-15
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COMM ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER
9?.:::r?~
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726,3759
LOCATION OF PROPOSED WORK'
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OWNER f5/~F/I/~ y_;;>7~~ 0 "-":t":> q
ADDRESS' ::2"7;:;?6 ~A7"!z~.:y- .-77 -
C; - :'?.P_ . '/ STATE:
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DESCRIPTION OF WORK' . n<c_~~g
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ADDITION
PHONE'
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ZIP: '9-?Y'//
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CITY'
NEW
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REMODEL
DEMOLISH
OTHER
VALUE: L~2'~_O<b
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NAME 3~~.f""" /ff~ PHONE
:ftC(j:.. / ~A~f?~ ~~/'">?(7?//-41'l;~~~'2$. 9/~ ~/g) 95/~
CONST,
CONTRACTOR'S NAME ADDRESS CONTRACTOR · EXPIRES PHONE
GENERAL /"'--~4~L?"? 1?1i;::j'Y~rc5' ,6''75'77 /&Vz..-9,,;,/ (~\S'Y>-~~'
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PLUMBING: r
MECHANICAl'
ELECTRICAl'
PLUMBING
MECHANICAL
NO
FEE
CHARGE
Nn
FFI'
~1-I,6.Rr::F=
Sanitary Sewer
It.
It.
Furnace/burner & vent
<100.000 BTUs
Furnacel burner & vent
> 100,000 BTUs
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 hlg,
Mechanical exhaust
hood and ducl
Single Fixture
Relocaled Bldg.
Inew Ilx, addlll
Water Service
It.
Storm Sewer
Backflow Device
Permit Issuance
$10,00
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
QUAD AREA'
LAN D USE:
. OF UNITS'
CONSTR. TYpo.
. OF STORIES:
HEAT SOURCE:
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER:
. OF BLDGo,
OCCY GROUP'
SQ, FT.
$/SQ. FT.
VALUE
SQ, FTG MAIN
X
SQ. FTG ACCESS X
SQ, FTG OTHER ;:A~ ..-s~~~"5~ ;:,,-c2_
TOTAL VALUE OF PROJECT /~~
PLAN CHECK FEiO .:J,./. ~~
RCPP
DATI'
BY
I BUILDING PERMIT
15% Slate
Surcharge
I MECHANICAL
15% State
Surcharae
I PAVING
II"',~
?:~3
~.':;l~
I PLUMBING
I DEMOLITION
5% Stale
Surcharge
FENCE
VALUE $
SIDEWALK
CURBCUT
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
1/7. 35"
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
/~ 1./8
.
REQUIRED INSPECTIONS .
I
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
made after excavation, but
prior to setup o! forms.
UNDERSlAB PLUMBING,
, ELECTRICAL &
MECHANICAL: To be made
before any work Is cov-ered.
ROUGH PLUMBING,
ELECTRICAL & .
MECHANICAL: No work Is,to
be covered until these .
inspections have been made
and approved.
ATTIC 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
framing Inspection"
'.
"
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are In
place and all pipes, chimneys
... and vents a're complete and
the rough electrical; plum.l?lng
and mechanical are approved.
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
pIping, accessorIes and other
anclllary"equlpment Items are'
In place but before any
concrete Is placed.
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.
UNDERGROUND: Plumbing.
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
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.
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.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
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.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
ROOF SHEATHING 'AND
NAiliNG: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specially 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.
STRUCTURAL CONCRETE: In
excess of 2500 PS,I, (306 a,1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
- HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43,8.
SPECIAL GRADING,
EXCAVATION AND FilliNG:
During earthwork. (306 a.11 &
Chapter 29)
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),
STRUCTURAL MASONRY: (306
a,7)
"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.
FINAL PLUMBING
-------------------------------------------------------
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 afler 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,
By signature, I state and agree, that I have carefully examined the completed applicatIon and do hereby certify thfit 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 701.055 will be used on this project. ',' .
I further agree to ensure that all re~ulred Inspections are requested at the proper time, that .pr9jec.t ~ddress 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. .
slgnatC7. ~.
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VALlDATION\
FINAL ELECTRICAL
FINAL MECHANICAL
iY
FINAL FIRE DEPARTMENT
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ADDITIONAL COMMENTS:
PLANS REVIEWED BY / ~~
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AMOUNT RECEIVED: \q t \~
. RECEIPT': ~<t1r]O -
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DATE ---Z?~/-:>' 9~
Datp
DATE PAID 't1\t)!/ ,?,S
RECE'VEDBY: /