HomeMy WebLinkAboutPermit Building 1996-10-16
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COM M ERCIALIIN DUSTRIAL
PERMIT APPLICATION
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225 Fifth Street, Springlieid, Oregon 97477
LOCATION OF PROPOSED WORK: ~~7?~ ~~~___.c"P
ASSESSORS MAP' /?......? 3" '/2-67::>
OWNER'
NAME
ADDRESS
ARCHITECT:
CONTRACTOR'S NAME
GENERAL: "l!~ }k/w...;-<>:;:
PLUMBING'
ADDRESS
MECHANICA' .
ELECTRICAL:
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JOB NUMBER ~/.,?::>g
INSPECTION LINE: 726.3769
OFFICE: 726.3759
. TAX LOT: .d::>.::::>/=5
PHONF'
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CO NST.
CONTRACTOR #
ZIP:
VALUE: ~~~
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PHONE
~PIRES . .eJ-lQtI.E.
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ADDRESS' q-3~-=i ;j?~Vt5"-?C~ ,7(7/
CITY' ;fkp~.A'-~ ~..::-~<; STAT"'./c:.. _
DESCRIPTION OF WORK' ~G~~...c7 ~~O~ ~
NEW REMODEL Y ADDITION DEMOLISH OTHER
NO
FEE I CHARGE
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I TOTAL PERMIT
PLUMBING
Single Fixture
Relocated Bldg.
Inew fix. addtll
Water Service
It.
Sanitary Sewer
It.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
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 heater
Appliance Vent
separate
Stationaryevap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit Issuance
-- OFFICE USE --
QUAD AREA'
LAND USE:
# OF BLDGS:
# OF UNIT~'
OCCY GROUP:
CONSTR. TYPE:
HEAT SOURC'"
# OF STORIES'
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
SQ. FT.
S/SQ. FT.
VALUE
WATER HEATER: _
SQ, FTG MAIN
SQ. FTG ACCESS
X
x
SQ,. FTG OTHER
x
TOTAL VALUE OF PROJECT
PLAN CHECK FEE _/ '<' 5: Y-:;- RCPP
DATE,
BY
I BUILDING PERMIT"I
15% Stale 1':5J
Surcharpe r-i
I MECHANICAL
5% State
Surcharoe .
PAVING
PLUMBING
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'<' 79
5% State
Surcharqe
FENCE
VALUE S
SIDEWALK
FT.
I CURB CUT
FT,
jDEMOLlTlON
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
TOTAL PER~IT FEES I
EXCLUDING ELECTRICAL
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=73"?&'7'
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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 be!ore 7:00 8.m. will be made the same working day, requests made after 7:00 8.m. will be made
the following work day.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
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Rnllr.:1-j PIIlMBING,"
<lfLECTRICA~ '
ME:.{,;HANICAL: 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 .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 tt:e sp~qi.?l testing reports shall
be-'furnished to"the Building Division,
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work 15 covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS -
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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)
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.
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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 re,quired 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)
FLOOR INSULATION &
VAPOR BARRIERS, To be
made prior to Installation of
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
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)
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.
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ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
-In addition to the Inspec-
tions specified, the Building
Officlal may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
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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, 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,
FtNAL PLUMBING
X FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWEO BY
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By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th~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
of the City of Sprlngfleld, 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. ~
Dat,/t1- /&-'f'~
VALIDATION:
AMOUNT RECEIVED: '7 '7=3. .8 ~
27 '-/"7 "=3
RECEI PT ':
DATE PAID'
RECEIVED BY,
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