HomeMy WebLinkAboutPermit Building 1995-11-16
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COM MERCIALlIN DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK'
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ASSESSORS MAP' /7~~-7<<;:--:::S~
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JOB NUMBER
INSPECTION LINE: 726,3769
OFFICE: 726,3759
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OWNER fM:--Ap~H'/7~/,;).s
ADDRESS' ~/,~o?$~
CITY' ~~~
STATE:
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ZIP:
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DESCRIPTION OF WORK: hv-:,,~~_L 2 _<)~.P",!!,~7?~Z;> "...c~ V-;<?/? .#,.c-~ -~s
NEW
REMODEL
ADDITION
DEMOLISH
NAME
ARCHITECT:
CONTRACTOR'S NAME
AODRESS
GENERAl'
PLUMBING:
, ,
MECHANICAL: <~.N~.#n:::;-.
- . - - ""
OTHER
ADDRESS
,
CONST,
CONTRACTOR'
EXPIRES
VALUE:
PHONE
PHONE
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ELECTRICA' '
PLUMBING
I
I
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I
I
I
I
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NO, FEE
Single "Fixture
Relocaled Sldg,
Inew II x, addtl)
Water Service
fl.
Sanitary Sewer
II.
Storm Sewer
fl.
Backflow Device
CHARGE
TOTAL PERMIT
- OFFICE USE -
OUAD AREA'
LAND USE:
. OF SLDGS:
. OF UNIT~'
OCCY GROUP'
CONSTR TYPF'
. OF STORIES'
HEAT SOURCE:
SQ, FT.
$/SQ, FT,
SQ. FTG MAl N
x
SQ, FTG ACCES~
x
SQ, FTG OTHER
x
PLAN CHECK FEr
RCPT'
, BUILDING PERMIT
I PLUMBING
15% State
Surcharge
FENCE
VALUE $
SIOEWALK
5% State
SurCharQ8
I MECH~~:?
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5% Stale r-
SurcharQe 1"-
I PAVING 1
/v.--
/':>.-.
:~
FT,
- ,
I CURBCUT
FT,
MECHANICAL
"'''
2
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationaryevap.
cooler
Vent FanfSlngJe
duct
Vent System apart
from AC or hlg.
1 Mechanical exhaust
hood and duct
14-M r~ 1
Permit Issuance
TOTAL PERMIT
HANOI CAP ACCESS:
FLOOO PLAIN:
ZONING'
'/...-7 -sY?- <.
I
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1
I
I
7,;-oJ /7,.."1
1
I
I
I
I
2.-1
$10,00 J
/7 _po J
LIGHTING POWER BUOGET:
WATER HEATER'
VALUE
TOTAL VALUE OF PROJECT
OAT"
BY
OEMOllTION
SUBTOTAL
PERMITS
SYSTEMS
OEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
*'
:<8 )><6'
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REQUIRED INSPECTIONS
.
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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~nspection 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 atter 7:00 B.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 & "
t'MECHANI'-'''9No work is to
oe c~V~1 ~a 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 I!'spe.ctlon.
FRAMING: To be made alter
the rool. 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 atter all lnslab 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. gypsu'm
board Interior wall.coverlng-Is
applied,
UNDERGROUND: Plumbing.
electrical, gas, sanitary sewer,
storm sewer, water and
drainage Ilne's..!o be m,ade ,
prior to covering 'or filling
trenches.
UNDERFLOOR: Plumbing.
eiectrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
a'ccording 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 alter 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
Ilnlshed,
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking lOr Iloor sheathing,
MASON RY: Steel location.
bond beams grouting or
verticals in accordance with
UBC 2415,
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right 01
way, to be made after all
excavating complete and form
work and sub-base material In
place.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: Alter forms ,are
erected but prior to placing
concrete.
, ",.
PAVING: After gravel is in
place but prior to pl~cing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section '306 of the State Specialty Code
a special Inspector shall be employed
by the Owner I Contractor during
construction'o(the following work. A
copy of the'special testing reports shall
be furnished to the Building Division.
'-,
STRUCTURAL CONCRETE: In
excess of 2500 PS,I, (306 a,1)
STRUCTURAL WELDS:
Performed on the job, (2722 I)
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 a,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,BG.
STDS, 25.10.11),
v
STRUCTURAL MASONRY: (306
a,7)
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*In addition to the inspec-
tions specllled. the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building.
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
landscaping, parking lot striping, etc. must be completed before
requesting this Inspection.
FINAL PLUMBING
FINAL ELECTRICAL
y
FINAL BUILDING: Requested alter 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 MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
DATF
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th:3-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
01 the City 01 Springfield. and the Laws 01 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 time, 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 pians will remain on the site at all
times during construction.
Signaturo:>
VALIDATION:
AMOUNT RECEIVED: '2 E. ~
.RECEIPT ': /~~//
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Datp.
DATE PAID:
RECEIVED BY:
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