HomeMy WebLinkAboutPermit Building 1995-6-9
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COMM ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
LOCATION OF PROPOSED WOR~' r!Jf)~n
ASSESSORS MAP \"ta~A. 'rl..i-Y1 ~
OWNER ~f\Or(\G. (~~ J,
ADORE"" \ S~()~ \)0 r\\tl~(). ~ \2\\\''(')
CITY ~~M ~V'\ lU\ t.D ) STATE: ~
DESCRIPTION OF WORK \ (} 'Xtc f\ ~ ,<1\ f\ ~
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JOB NUMBER
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225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
TAX LOT:t2al{\~
PHONE:
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ZIP:
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NEW
REMODEL
ADDITION
DEMOLISH
OTH ER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
ADDRESS
CONST.
CONTRACTOR'
EXPIRES
PHONE
GENERAl'
PLUMBING'
MECHANICA' .
ELECTRICAl'
FEE
I
CHARGE I
I
I
J
OD~I
I
I
I
I
I
I
I
l()1Q QUI
MECHANICAL
PLUMBING
NO
Nn CI:J:
Single Fixture
Relocated Bldg. ..
(new fix. addti\
Water Service
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & venl
> 100.000 BTUs
l"'iARGE_
Backllow Device
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationaryevap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duCI
I
I
I
I
I.
I
I
I
I TOTAL PERMIT
It.
~~\l'.~\6'\ n.~~~
Stoi~~~7su
ft.
Permit Issuance
$10.00
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN:
QUAD AREA:
LAN D USE:
, OF BLOG'"
, OF UNIT'"
ZONING'
LIGHTING POWER BUDGET:
OCCY GROUP'
CONSTR. TYPF'
"OF STORIES'
HEAT SOURCF'
WATER HEATER'
SQ. FT.
$/SQ. FT.
VALUE
SQ. FTG MAIN
SQ. FTG ACCE'S"
SQ. FTG OTHER
X
X
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEE RCPP OAT"
I BUILDING PERMIT I PLUMBING '<~~~
15% State 5% State c:J. ')5
Surcharoe SurcharQe
I MECHANICAL .~ ,.loS
15% Stale SI6~tK
SurcharQe FT,
I PAVING CURBCUT
FT.
BY
, DEMOLITION
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
~~~
. REQUIRED INSPECTIONS .
It Is the responslblllly of the permit holder to see that all Inspections are made at the proper time. To request an Inspecllon, call
726.3769 (recorder), slate your City designated Job number, Job address. type of Inspeclion requesled 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.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
piping, accessories and other
ancillary equi pment Items are
In place but before any
\ j) concrete Is placed.
Y--J UNDERGRO~', ,:;UI-'IUJrrg-;--....,,~
i electrical, 9 /sanltary sewer,
\ storm sewer, tAr ~f'l0_
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,
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor shealhlng.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
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.
SPECIAL INSPECTIONS: In accordance
Section 306 of Ihe Slale 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
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
FRAMING: To be made after
the roof, all framing, fire
blo~king 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.1. (306 a.1)
STRUCTURAL WELDS:
Performed on Ihe Job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
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.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPRAYED ON
FIREPROOFING: U.BG.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board, (
Interior and exterior, Is In
place but before any
plasferlng Is applied or before
gypsum board Joints and
fasteners are taped and
finished.
GLU.LAM BEAMS: Inspecllon
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.C,
STDS. 25-10,11).
STRUCTURAL MASONRY: (306
a.7)
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.
*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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL PLUMBfNG
-------------------------------------------------------
FINAL ELECTRfCAL
FfNAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENT'"
SITE PLAN REVIEW BOARD: Must be requesled 2 days In edvance
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: Requesled afler the final plumbing, eleclrlcal,
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 Ihe Building Division
and posted on the premises.
PLANS REVIEWED BY
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thpt aI/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 Ihe Slale 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 contractC?rs and employees
who are In compliance with ORS 55 will be used on this project.
I further a to ensure that all equlred Inspections are requested at the proper time, that project address Is readable from the
t the ermlt card Is I ated at the front of the property. and the approved set of plans wlJl remain on the site at all
g co structlon\ Date 6AJs
/
AM~CEIVED: ~ .<\(}
RECEIPT N' \ f) lo - In ~
. ~
VALI~AT~N:
OAT"
.
DATE PAID: ~(n. G(~CS
RECEIVED BY. \ ~ J
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