HomeMy WebLinkAboutPermit Building 1996-6-4
225 Fifth Street, Springfield, Oregon 97477
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COMM ERCIALlI N DUSTRIA~
PERMIT APPLICATION
JOB NUMBERS Cl7t')<:::;"
INSPECTION LINE: 726.3769
OFFICE: 726.3759
ASSESSORS MAP:
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LOCATION OF PROPOSED WORK:
TAX LOT:
0"2.,90.:/
OWNER:_LYJ'CPC i//.otIP/&:;#-/
ADDRESS: &.0n / ~h-/ _ L./ ~
CITY: ~r) STATE:~
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PHONE: ~fL-~ - <;:2, 2,S-4":>
ZIP: Q7~77
NEW REMODEL
ADDITION
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DEMOLISH
OTHER
VALUE:
DESCRIPTION OF WORK:
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
GENERA' .4-1 hc>r/~
PLUMBING:
MECHANICAl'
ADD RESS
CONST.
CONTRACTOR'
EXPIRES
PHONE
ELECTRICA' .
PLUMBING
NO. ' FEE
Single Fixture
Relocaled Bldg.
Inew Ilx. addtl)
Water Service
MECHANICAL
Furnacel burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
CC:I= I
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("I:IARGi
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I
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I
I
I
$10.00 I
I
CHAR.GE
"'n
II.
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 htg.
. Mechanical exhaust
hood and duct
Sanitary Sewer
Storm Sewer
II.
II.
Backllow Device
".Perml! Issuance
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS'
OUAD AREA:
. OF BLDGS:
LAND US.'
FLOOD PLAIN:
ZONING'
OCCY GROUP'
. OF UNfTS:
CONSTR. TYp.,
HEAT SOURC.'
LIGHTING POWER BUOGET:
. OF STORIES:
WATER HEATER:
sa. FT.
$/SO. FT.
,
, VALUE
,
,
sa. FTG MAIN
X
X
"
.'
sa. FTG ACCESS
sa. FTG OTHER
X
= /.
TOTAL VALUE OF PROJECT 4ci:J7J.'1J'O
PLAN CHECK FEE
RCPTN DATE
BY
I BUILDIN, G PERMIT ~ 1?-,5"0
15% State :z,~3+-/." .... f:7
SurcharQe . ~.
I MECHANICAL
5% Stale
Surcharae
PAVING
PLUMBING
DEMOLITION
5% Slate
Surcharge
I FENCE
VAlN~ ~_
SIDEWALK
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
I
CURBCUT
FT.
'.
-, I
TOTAL 'PERMIT FEES
EXCLUDING ELECTRICAl
-/8 ,~7
.
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 will be ready
for Inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:09 a.m. will be made
the following work day.
SITE INSPECTION: To be
made after excavation, but
. prlqr 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.
ATTIC DRAFT sTCiPS &".
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 inspectio~.. '~.'
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 electrical, plumbing
and mechanical are approved.
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.
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
dralnage'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 Specialty Code
a special inspector shall be employed
by. the OwnerJ Contractor during
construction of the following work. A
copy of the special.testlng reports shall
be furnished to the Building DivisIon.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (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.B.C.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 8.11 &
Chapter 29)
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed, (2501 u.se,
STDS. 25.10,11).
STRUCTURAL MASONRY: (306
a.7) .
v
--.l?b?<<2F
r
* In addition to the lnspec-'
tlons specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City oT Development Code.
FINAL PLUMBING
-------------------------------------------------------
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish inspection. All project conditlons such as
landscaping, parkIng lot striping, etc. must be completed before
requesting this Inspection.
FINAL ELECTRICAL
FINAL BUILDING: Requeste~ after the final plumbing, electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
Certiflcate of Occupancy has been issued by the Building DIvision
and posted on the premises.
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
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PLANS REVIEWED BY
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DATE ~/rG.-
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 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 witl be used on this project. ~
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I further agree to ensure that all required InspectIons are requested at the proper time, that project addres's 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.
-,
Signature.
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VALIDATION:
AMOUNT RECEIVED:
RECEI PT ':
~
Date
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DATE PAID: b/.,f~6
RECEIVED BY:~~