HomeMy WebLinkAboutPermit Signage 1993-6-11
CO M M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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LOCATION OF PROP07E\D WORI<' \ ~'6 mA;',:l.s\'
ASSESSORS MAP: "/{)335~~
OWNER' H~"H'\-<JR.. .( ~'--'~~ ~ cl:--ta~
ADDRESS: ~) c:... ~C'\ ,he, r-.If' S,\
CITY' ~. Cl { - STATF'
DESCRIPTION OF WORK:
~~')~l~
NEW REMODEL
NAME
ARCHITECT:
CONTRACTOR'S NAME
GENERAl' 0 \.'I~.",l(
PLUMBING:
MECHANICAl'
ELECTRICA" ~ V.(J t'\..c:"'c"h-,c.....r
PLUMBING
NO.
Single Fixture
Relocated Bldg.
lnew fix. addtl)
Water Service
It.
Sanitary Sewer
<e ft.
Storm Sewer
It.
Backflow Device
TOTAL PERMIT
QUAD AREA-
# OF BLDG~'
OCCY GROUP'
# OF STORIES:
SO. FT.
SQ. FTG MAIN
SQ. FTG ACCESS ___
SQ. FTG OTH ER
PLAN CHECK FfF
I BUILDING PERMIT
15% Slate
SurcharQe
MECHANICAL
- j<::::jt:JO
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5% State
Surcharoe
1 PAVING
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JOB NUMBER
q 30-.2:?-7
INSPECTION LINE: 726.3769
OFFICE: 726.3759
TAX LOT: --Q:!--. ~
PHONE: -Z '<\ -,- <;:,1 S"'1
C>€..
ZIP' C!(, /"'\ ,e,
/.J:>J--)-B_,'.-,,, td.4J(
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OTHER
G( l )~~ ,e;;cC' ~"'" .
ADDITION
DEMOLISH
ADDRESS
ADDRESS
VALUE:
PHONE
CONST.
CO NT RACTO R #
EXPI RES
PHONE
\<"-)~ ~Ft: ~,,(C,->>->S~,,\(',
FEE
I
I
I
I
1
1
1
I
CHARGE
MECHANICAL
I
('>:IARll1
I
I
1
1
I
1
I
1
I
I
1
FFF
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 Fan/Single
duct
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duct
Permit Issuance
$10.00
TOTAL PERMIT
- OFFICE USE -
LAN D USE:
# OF UNITF'
CONSTR, TypF.
HEAT SOURCF.
$/SO. FT.
X
X
x
RCPTN
DATF
, PLUMBING
5% Slate
SurcharQe
FENCE
VALUE $_
I SIDEWALK
I CURBCUT
FT.
FT.
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING'
WATER HEATER:
VALUE
/. ~O ~
TOTAL VALUE OF PROJECT-----':":
BY
, DEMOLITION
1 SUBTOTAL
PE RM ITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
-/5.75. {
I
.
.
REQUIRED INSPECTIONS
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. will be made the same working day. requests made after 7:00 a.m. will be made
Ihe following work day,
SITE INSPECTION: To be
made after excavation, but
pri or to setu p 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 gravei 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 inspection.
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 testing reports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
v
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.1. (306 a,l)
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.
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 after 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: UB.G
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 &
Chapler 29)
x
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
finished,
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the Clty's
Building Division before
beams are placed, (2501 U.BC.
STDS. 25.10,11).
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a,7)
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.
*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.
MASONRY: Steel localion,
bond beams grouting or
verticals In accordance with
UBC 2415,
ROOF SHEATHING AND
NAILING: Prior to installing
any roof coverl ng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL PLUMBING
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.
'X FINAL BUILDING: Requested after the final plumbing, electrical,
, ~echanlcal 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 ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
,1!/4
DAT~
By signature, I 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 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 CAS 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~hat~t~:rmlt card Is located at the front of the property, and the approved set of plans will remain on the site at all
times during cO'dtruc!n.
Slgnatu ~ " Date <....-({-O ~
VAll DATION:
AMOUNT RECEIVED:
RECEIPT N'
J ~, 7..F
S1S9 S- /
DATE PAID:
RECEIVED BY'
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