HomeMy WebLinkAboutPermit Building 1996-1-5
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COMM ERCIALIIN DUSTRJAL
PERMIT APPLICATION
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JOB NUMBER 9 0 OC?_~
INSPECTION LINE: 726.3769
OFFICE: 726.3759 ..,
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OWNER: M(~.dFPt94 J0d-A- PHONE~~7-/<)~.
ADDRESS: "272 7 C:;/J'""/<=r:-,~
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225 Fifth Street, Springfield, Oregon 97477
CITY'
DESCRIPTION OF WORK:
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ZIP:-2Z~7?
, STATE:
NEW
REMODEL
ADDITION
DEMOLISH
PHONE
NAME
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
GENERAL:
PLUMBING: ~r~r~ ~_-"'<
MECHANICAL:
.p/)'~:Y 7"t,~
ELECTRICAl'
ADDRESS
onlEn ...______ VALUE: ........ .
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CONST.
CONT RACTOR '
EXPIRES
PHONE
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. PLUMBING
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I Sanitary Sewer
I I Storm Sewer
I / .3 I Backflow Device
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I TOTAL PERMIT
Single Flxlure
Relocaled Bldg.
(new fix. addf/\
Water Service
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I FEE J CH~~GE I
'!:;;'-'.-+.. ~i
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ft.'/ I I
I/o 1/3>19,""1
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1/3b~1
ft.
ft.
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10 I
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I TOTAL PERMIT
MECHANICAL
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F.EE..J_CHAa~1
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separ<Jle
Stationaryevap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit Issuance
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$10.00
OUAD AREA
LAND USE:
- OFFICE USE -
, OF BLDGS:
. OF UNIT~'
OCCY GROUP'
, OF STORIES:
CONSTR. TYPE'
HEAT SOURCE:
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER:
SO. FT.
$/SQ. FT.
VALUE
SQ, FTG MAIN
SO. FTG ACCESS
SO. FTG OTHER
x
X
X
TOTAL VALUE OF PROJECT.
PLAN CHECK FEr RCPT' DATE___
/ BUILDING PERMIT I PLUMBING /.3D fO
/5% Sfale I 5% Sfate GS"or3$JO '0 -('0
SurcharQe Surcharoe' . I ,
MECHANICAL I I FENCE I
'!~~l.!: ~_
5% Slate I SIDEWALK FT"I ,"
SurcharQe
I PAVING I CURBCUT I
FT.
BY
[DEMOLITION
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRIC^L
~7D.'.~~.. _~
REQUIRED INSPECTIONS
It Is Ihe lesponsibilily of the permil holder 10 see that all Inspections are made at the proper time. To request an Insp?ctlon, call
726.3769 (Iecordel), slale your Cily deslgnaled 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 B.m. will be made
the following work day.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
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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 concrele.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
l!xcavated and forms are
erected, all steel In place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection,
SPECIAL INSPECTIONS: In accordance
Seclion 306 of the State Specialty Code
a special Inspector shall be employed
by Ihe Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
made after all lnslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete 1s placed.
FRAMING: To be made after
Ihe 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.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERFLOOR: Plumbing,
electrlcal, mechanical. To be
made prior to Installation of
floor insulation, decking or
floor sheathing.
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.
HIGH STRENGTH BOLTING:
During all bolt Ins lallation and
tightening operallons. (306
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to cover1ng or filling
trenches.
SPRAYED QN
FIREPROOFING: U.B.C,
Standards 43.B.
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
lalhlng and gypsum board,
1nterlor 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: 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).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams gruuting or
verticals in accordance with
UBC 2415.
STRUCTURAL MASONRY: (306
e.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.
ROOF SHEATHING AND
NAILING: Prior 10 Inslalllng
any roof covering.
CURB AND APPROACH
APRONS: Afler forms are
erected but prior to placing
concrete.
'In addition to the Inspec.
tlons specified, the Building
Offfclal may mak6 or require
other Inspections of any'
constructlon work to ensure
compliance with the Building,
City or Developmenl Code.
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FINAL ELECTRICAL
SfTE PLAN REVIEW BOARD: Must be reques,ted 2 days In advance
of the date you wish Inspection. All project conditions such as
landscaping, parking 101 stplplng, elc. must be completed before I
requesting this Inspection. .'
FINAL PLUMBING
ADDITIONAL COMMENTS:
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FINAL BUILDING: Requested afler Ihe final plumbing, eleclrlcal,
mechanical and Fire Deparlment Inspections are made and
approved. No occupancy of the premises can be made until a
Certificate of Occupancy has been Issued by the Building Olvlslon
.. FINAL FIRE DEPARTMENT and posled on the premises.
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"/#4/ F 3% #<.j(..., ~ 23 . #5"t!J. #2(;, .$/S- JJ!6. #2 ~ 3<]/.
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FINAL MECHANICAL
PLANS REVIEWED BY
DAT~
6y signature, I st8te and agree, that I have carefully examined the completed application and do hereby certlfy,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 ttle Stale 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 furtllCr agree \0 ensure that all required Inspections are requested at the proper time, that project address Is readable from the
slreet, ltlat the permit c d Is located at the frO~'1 9f the roperty, and the approved set of plans will remaIn on the site at all
times tlurl,OnSlrUC n.. ct 4 / '
. . Slgnalllle d. (~I'/A.--/ ./ Date /-;;,- - 7'~
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VALIDATION:
AMOUNT RECEIVED:
REOEIPT ':
/10</0
jQ95'11
DATE PAID'
RECEIVED BY:
J/ 5/J6 .
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