HomeMy WebLinkAboutPermit Building 1996-2-28
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CO M M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fiflh Street, Springfield, Oregon 97477
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JOB NUMBER
~d)3??
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK: -:Z '7 5"'0 ~~~A7 0;...;>
ASSESSORS MAP: /?...o..,.-2~-c:e,
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TAX LOT'
/'92~
CITY-
7:4~~ '7:P ~W)") CeA:::~
-9?5o /S~~/"y~~ 1f7 .
C;:;PF~
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PHON'" 7'//~C:> $//0
OWNER'
ADDRESS'
STATE:
~A.
ZIP'
q?y?./
DESCRIPTION OF WORK:, ~~ /7?#~:~""- :--;:;~~r ~ .P~A.-r ~~~So-:.
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT:
CONST.
CONTRACTOR'S NAME ADDRESS CO~RA~ .
A,u: ~ ~~';?...::> ~......,/..?'/..:....-., ~
GENERAL:)"I4'~:""1'#/ /..f~/----,.P/L/~'JIIJe>~~. .
PLUMBING'
EXPIRES PHONE
~~;rK V~ -=<?1iI~,1
MECHANICAl.
ELECTRICAl'
It.
I MECHANICAL " ~ARG~
FEE CHARGE I Nn , """ I
I Furnace/burner & vent
<100.000 BTUs
1 Furnace/ burner & vent I
> 100.000 BTUs
I Floor furnace and vent I
1 Suspended wall or floor I
mounted unit heater
1 Appliance Vent I
separate
I Stationary evap. I
cooler
I Vent Fan/Single I
duct
I Vent System apart I
from AC or hlg.
I Mechanical exhaust I
hood and duct
I I
I Permit Issuance $10,00 I
I TOTAL PERMIT I
PLUMBING'
NO
Single Fixture
Relocated Bldg.
(new Ilx. addtll
Water Service
It.
Sanitary Sewer
It.
Storm Sewer
BackfJow Device
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
QUAD AREA:
LAND USF'
FLOOD PLAIN'
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER'
. OF BLDGS'
. OF UNITS'
OCCY GROUP'
CONSTR. TYP'"
. OF STORiES'
HEAT SOURCF'
sa FT.
$1 SQ, FT.
VALUE
SQ, FTG OTHER
x
X
X
SQ. FTG MAIN
sa. FTG ACCES~
TOTAL VALUE OF PROJECT
PLAN CHECK FEf 9.. 7~
RCPT'
DAT"
BY
I BUILDIN~W. I
15% Stale ~
Surcharqe ~"3
I MECHANICAL
15% State
SurcharQe
I PAVING
/~-
- ::;;> '5~ ,
_ t;o .,.,--
. ~
PLUMBING
DEMOLITION
.t
5% State
Surcharge
FENCE
VALUE $
SIDEWALK
CURBCUT
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
1k,..2~
FT,
TOTAL PERMIT FEES I
EXCLUDiNGELECTRI~' ,
~5'..,5
.
REQUIRED INSPECTIONS
.
It Is the responsibility of the permit holder to see that alllnspectlons 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 wlIl'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.
.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.
ATTIC DRAFT STOPS'&
CURTAIN WALLS
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SPECIAL INSpECTIONS: In accordance
Section 306 of Ihe State Specialty Code
a special Inspector shall be employed
by Ihe Ownerl Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to Ihe Building Division,
,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. . '
STRUCTURAL CONCRETE: In
excess of 2500 PS.1. (306 a.1)
h,
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 after
the roof, all framing, fire
blocking and bracing are In
place and all pipes, chimneys
and vents are complete and
the rough eleclrlcal, plumbing
and mechanical are approved.
STRUCTURAL WELDS:
Performed on the job, (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
d ral nage II nes. To be made
prior to covering or filling
trenches.
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 ail bolt Installation and
tightening operations, (306
a,6)
r
SPRAYED ON
FIREPROOFING: U,B.C.
Standards 43.6,
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)
POST & BEAM: To be made
prior to Installation 01 fioor
Insulation, decking or floor
sheathing.
LATH AND lOR 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: Inspection
Certiflcale by an approved
agency, furnished to the City's
Building Division before
beams are placed, (2501 U,B.G.
STDS. 25.10,11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior 10 Installation of
decking or floor shealhlng.
STRUCTURAL MASONRY: (306
a.7)
MASON RY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415,
SIDEWALK & DRIVEWAY:
Required for all concrete
paving wllhln slreet rlghl 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.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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FINAL PLUMBING
SITE PLAN REVIEW BOARD: Musl 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 ELECTRICAL
FINAL MECHANICAL
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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
X Certificate of Occupancy has been Issued by the Building Division
FINAL FIRE DEPARTMENT", _ _ and P~d on the premises,
ADDITIONAL COMMENT'" 7.t7~~~V ,?~/..x;-7'_;zye-_7'~ ~~~
/B-t!P ~~-?
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PLANS REVIEWED BY / / --~ DATE "3-;;b ~
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By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th?t 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 Ihe Laws of the State of Oregon perlalnlng to the work described herein, and thai 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. .
J further agree to ensure that u d Inspections are requested at the proper time, that. project address Is readable from the
street, that the permit c ated at the frQnt of the property, and the approved set of plans will remain on the site at all
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tImes during constructl. ~~
Slgnatur~ ~~/~< ~ '~ Date 2~2.5s ~9..f.,
'~
VALIDATION:
AMOUNT RECEIVED' ? ~':..&J~
'Z-=~?-c./ '
RECEIPT ':
DATE PAID:
RECEIVED BY:
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