HomeMy WebLinkAboutPermit Building 1995-10-18
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DESCRIPTION OF WORK .:1?~<:?~ )~..-:,,~~ 4-/~#V..cL~ ~~?"'l:"" ~>:-:.S~~~
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COMMERCIALlINDUSTRIAC. .
PERMIT APPLICATION
~
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: -:2.,4;;" ~""".A-' ~~
ASSESSORS MAP' /?-C:>'"3'- ?<;"-~.:?
OWNER'
ADDRESS:
CITY'
STATF'
NEW
REMODEL
ADDITION
DEMOLISH
NAME
ADDRESS
ARCHITECT'
CONTRACTOR'S NAME ."ADDRESS
, r'.o~~~
GENERAL:/./"w~ ';'"":3:::..:-"..- c.', ~.....:t:;:?:.:: ~"d1:'~
. .r.,1'. r - - r
PLUMBING'
MECHANICAL:
ELECTRICAl'
PLUMBING
I Nn
I
I I
1/'7/871
., . 1 I
1 I
I 1
1- 1
1 1
1
I
I
NO.
FEE
CHARGE
Single Fixture
Relocated Bldg.
Inew Ilx. addtl)
Water ServIce
Sanitary Sewer
It.
fl.
It.
Storm Sewer
-
Backflow Device
'.
TOTAL PERMIT
.
, JOB NUMBER
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..
INSPECTION LINE: 726.3769
OFFICE: 726.3759
TAX LOT:
a:::> ~~
PHONF'
/P-?
~ .
ZIP:
OTHER
PHONE
CONST.
CONTRACTOR'
EXPIRES
PHONE
~Y~5'.
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MECHANICAL
I
("HARG]
I
I
I
I,
J
I
1
I
I
$10.00 j
I
eee
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
Stationaryevap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duCI
. I
TOTAL PERMIT
Permit Issuance
- OFFICE USE -
QUAD AREA'
LAND USE:
. OF BLDGS'
. OF UNIT~'
OCCY GROUP'
CONSTR, TYPF'
. OF STORIEQ.
,
HEAT SOURce,
SQ. FT,
$/SQ, FT.
SQ, FTG MAIN
X
SQ, FTG ACCES~
SQ, FTG OTHER
X
X
PLAN CH ECK FEr RCPP OAT"
I BUILDING PERMIT /~:.?O ' PLUMBING
15% State -1:;~ 5% State
Surcha~Qe SurcharQe
MECHANICAL 1 FENCE
VALUE $
5% Stale I I SIOEWAL~
SUfcharae FT.
I PAVING I 1 CU RBCUT FT.
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
.:..,','.;,:L .
"
TOTAL VALUE OF PROJECT
. BY
, DEMOLITION
SUBTOTAL' "
PERMITS,
SYSTEMS
, DEVELOPMENT
[,
I
"
TOTAL P'ERMIT FEES
EXCLUDING ELECTRIC^L
//2.97
.
REQUIRED INSPECTIONS
.
'1
\
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, wilt 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.
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 Inspect.ion.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State 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
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 electrical, plumbing
and mechanical are approved.
STRUCTURAL CONCRETE: In
excess of 2500 P.S,I, (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
INSULATION & VAPOR- :
BARRIER: To be made alter all
Insulation and required vapor
barriers are In place but
before any lath or gypsum
board Interior wall covering is
applied.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
'.....
SPRAYED ON
FIREPROOFING: U.BC,
Standards 43-8.
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.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
POST & BEAM: To be made
prior to Installatlon 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.
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Bulldlng"Dlvlslon before
beams are placed, (2501 U,BC,
STDS. 25-10,11).
STRUCTURAL MASONRY: (306
a,7)
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4~/'--~r/&I!f/_
K '(5.' :P~.
'In ~tc1t~;;'eb.
tlons specified, the Building
Official may make or require'
CURB AND APPROACH other Inspections of any
ROOF SHEATHING AND APRONS: After forms are constructIon work to ensure
NAILING: Prior to installing erected but prIor to placing compliance with the Building,
____an~~~coverlng.__________~oncret~______________~~~~Develo~e~~~~_
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
excavatlng complete and form
work and sub.base material In
place,
MASONRY: Steel location,
bond beams grouting or
vertlcals in accordance with
UBC 2415.
FINAL FIRE DEPARTMENT
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 after the final plumbing, eiectrical,
mechanical and Fire Department inspections are made and
approved, No 9ccupancy of the premises can be made until a
Certificate of Occupancy has been issued by the Building Division
and posted on the premises. .
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
DATe
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information
herein Is true a'nd 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 GRS 701.055 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that project address Is readable from the
street, that the permit card is located at the fronI of the property, and the approved set of plans will remain on the site at all
times during con~tlon/ .
Slgnaturo /<</A.;~ Date--J.11 - /,11- 9.~-
DATE PAID' /O~~S-
RECEIVED BY: ~
VALIDATION:
AMOUNT RECEiVED' //7./fi'?
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RECEIPT ,"