HomeMy WebLinkAboutPermit Building 1993-5-12
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COM M ERCIALlI N DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER 98~?'=2'/
INS~ECTION LINE, 726.3769
OFFICE: 726.3759 ,
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: 5'2~~ .AI/~A.h'~~
ASSESSORS MAP: / 7"W1!72.-:2!!ft-~
h.
TAX LOT
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OWNER ,A-?~/~R j~~
AD~RESS: 9???~ _~~ ;J"9
CITY: p1~#?..lY~ L/r?- STATE:
DESCRIPTION OF WORK: .R'~nA:,)";..~
NEW ~ REMODEL ADDITION, ('
NAME
ARCHITECT:~.t ~~ ~..., .,
CONTRACTOR'S NAME
GENERAL: ~~~~
PHON'" '?~/-//2tt:>
7f./1-////
~ . ZIP, 9?tT7"..Q:
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DEMOLISH
OTHER
VALUE:
ADDRESS
PHONE
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ADDRESS
CONST,
CONTRACTOR #
EXPIRES
PHONE
PLUMBIN'"
MECHANICA' '
ELECTRI,CA' .
I PLUMBING
I NO, FEE CHARGE
I Single Fixture
I Relocated Bldg.
Inew Ii x, addtl)
I Water Service
It.
I Sanitary Sewer
It,
I Storm Sewer
It.
Backflow Device
MECHANICAL
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Furnace/burner & vent
<100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit Issuance
$10,00
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS'
QUAD AREA-
LAND USE:
FLOOD PLAIN'
ZONING: UY\ \
LIGHTING POWER BUDGET:
# OF BLDGf'
# OF UNIT'"
OCCY GROUP'
# OF STORIES:
CONSTR. TYP'"
HEAT SOURCE:
WATER HEATER'
S9, FTG MAIN
SQ, FT.
~.e.~~'
$ISQ, FT,
VALUE
/2 J!.._'"
r
X
SQ, FTG ACCESS_
SQ, FTG OTHER
X
X
TOTAL VALUE OF PROJECT
PLAN CHECK F""
RCPTN
OAT"
BY
I BUILDING PERMIT
15% State
Surcharge
I MECHANICAL
15% State
Surcharae
I PAVING
~2 $e::>
~c:r
I PLUMBING
I 5% State
Surcharae
I FENCE
VALUE $
SIDEWALK
I DEMOLITION
a/~ -:;~f/' /?c::?
I
T
I
L
FT,
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
r,
CURBCUT
,
FT,
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
~7,1S
-./~./3"
6REQUIRED 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 b~ made the same working day, requests made after 7:00 a.m. will be made
the foll?wing 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.
k.
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 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 alter
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 PS,I. (306 a,1)
x
STRUCTURAL WELDS:
Performed on the job, (2722 f)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulatlon, decking or
floor sheathing.
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.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations, (306
a,6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U,B,C,
Standards 43.8.
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 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 City's
Building Division before
beams are placed, (2501 U.B.c,
STDS, 25.10,11),
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a,7)
MASONRY: Steel location.
bond beams grouting or
verticals in accordance with
UBC 2415,
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.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
-------------------------------------------------------
FINAL ELECTRICAL
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 MECHANICAL
FINAL BUILDING: Requested after the final plumbing, eiectrlcal,
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 FIRE DEPARTMENT
ADDITiONAL COMMENT~'
DATE ~../2-<3?
VALIDATION:
/ //
AMOUNT ~VE( - ~ 0'
RECEIPT .' ?? 7b~
DATE PAID:
RECEIVED BY'
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