HomeMy WebLinkAboutPermit Building 1994-7-22
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER
/~/// 7
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATIO~ OF PROPOSf) NPv, . :J. ~ A
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TAX LOT'
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OWNER'
NEW
ADDITION
. STATE: e>I'-C:9'D"<. '--
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DEMOLISH
ZIP' c; /(; -)~.
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DESCRIPTION OF WORK:
0", loA b r:; -II,; lA,
r -
REMODEL
OTHER
VALUE:
NAME
ADDRESS
PHONE
i
ARCHITECT:
CONTRACTOR'S N~
GENERAL: \ ,,-A l? ~
PLUMBING'
CONST.
ADDRESS CONTRACTOR ·
c::: M El€hAd,1AAJDrWrr 4.jJ7J
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EXPIRES PHONE
1~~- r 4'01'-051'-:
'*
MECHANICA' .
ELECTRICA' .
-
.<
PLUMBING
MF~HANICAL
NO
FEE
CHARGE
..n
FFF
"'~6ar.:1:
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
Furnace/ burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Ste:rm Sewer
It.
ft.
It.
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
Irom AC or htg.
MechanIcal exhaust
hood and duct
Sanitary Sewer
Backflow Device
Permit Issuance
$10.00
I
I
I
TOTAL PERMIT
TOTAL PERMIT
,
. OF STORIES'
- OFFICE USE -
LAND USE:
. OF UNITS'
CONSTR. TYPF'
H EAT SOURCE:
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING: '
LIGHTING POWER BUDGET:
WATER HEATER'
QUAD AREA'
. OF BLDGS'
OCCY GROUP'
So. FT.
$fSo. FT. .
VALUE
SQ. FTG MAIN
SQ. FTG ACCES"
SQ. FTG OTHER
X
X
X
TOTAL VALUE OF .PROJECT
.'
PLAN CHECK FEF
RC PT'
OAT"
BY
,
\
J
I BUILD1~/~~MIT
5% State
Surcharp~
MECHANICAL
I~
, PLUMBING
5% Slate
Surcharae
I PAVING
5% State
SurchargA
FENCE
VALUE $
SIDEWALK
CURBCUT
I DEMOLIrION
'5 '7?I'7C
't?c9 A7~..J
/1J:,.~
H~
'<"'f
I
I
I
I
I
FT.
SUBTOTAL
PERMITS
SYSTEMS
. DEVELOPMENT
FT.
TOTAL PERMIT FEES I
EXCLUDINGELECTRICA'
)'t:; ///
. 1/1 t
'.REQUIRED INSPECTIONS
.
It Is the responsibility of the permit holder to see that all Inspections are made at the proper time. To request an Inspsctlon, call
726.3769 (recorder), state your City designated job number, job address,type of Inspection requested and when you will bs rsady
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 msds
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.
ATTIC DRAFT STOPS &
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 Inspection.
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.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
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.
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.
POST & BEAM: To be made
prior to Installation of floor
InsulatiOn, decking or floor
sheathln'g.
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.
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 Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 P,S.1. (306 a.l)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH ,BOLTING:
During all bolt Installation snd
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B,C.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a,ll &
Chapter 29)
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 UBe.
STDS. 25.10,11).
STRUCTURAL MASONRY: (306
a.7)
.In addition to the Inspec.
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 prl.or to placing compliance with the Building,
any roof covering. concrete. City or Development Code.
-----------------------------~-------------------------
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish Inspection. All project conditions such as
landscaplng~ parking lot striping, etc. must be completed before
requesting tnls.lIlspectlon.
't'.~.,.
FINAL BUILDING: Requested after the final plumbing, electrical,
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 the Building Division
and posted on the premises.
FINAL PLUMBING
FINAL ELECTRICAL
/'
FINAL MECHANICAL
,
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTI"
PLANS REVIEWED BY
OAT"
By slgnature,l state and agree, that I have carefully examined the completed application and do hereby certify 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 Ordlna~yes
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 will be used on this project.
I further agree to ensure that all required Inspections are requested at the proper lime, that project address 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 con~ctlon. f
Slgnatura /j/(--!"/-/k~
VALIDATION:
AMOUNT RECEIVED: .-::; 9,-rL-F-
/dD :Ss
, I
l
RECEIPT ..
Date _/ h::> /5'd.
( 7' '(
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