HomeMy WebLinkAboutPermit Building 1996-4-18
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CO M M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
.
JOB NUMBER ~~~~g
INSPECTION LINE: 726-3769
OFFICE: 726.3759
~
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK' 3..f()~ cf^~W4;lI
ASSESSORS MAP: J7~"'-=<,?-~
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TAX LOT: ~-:;>--'......
OWNER:~R'iT ~~~,
/r? 70 N" Cv.e-h.'5
.7(/)/_:"s
ADDRESS:
CITY'
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PHON~'
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ZIP: R_-:r 70h
STATF'
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DEMOLISH OTHER
".qq..e c:::L+.ss -4 :5 TAb
VALUE: $q"S.-a?O'dO
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DESCRIPTION OF WORK:
NEW REMODEL
ADDITION
NAME
PHONE
ADDRESS
ARCHITECT:
CONTRACTOR'S NAME
GENERA" /-#'/ - AZ.~
PLUMBING:
ADDRESS
A/1I) .&'J/f9 tI./..t1 1/.
/
. CONST.
CONTRACTOR'
EXPIRES
PHONE
"?r</a-4/77
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MECHANICAL'
ELECTRICAl'
I
I NO.
I
1
I
I
1
I
I
'1
I
I
I
I
PLUMBING
MECHANICAL
I
""/l.RGj
I
I
1
J
I
I
J
I
I
$10.00 . I
)
FEE
CHARGE
Nn I:'&:J:
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
Furnacel burner & vent
< 100.000 BTUs
Furnacel burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent FanfSingle
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
ft.
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
Permit Issuance
TOTAL PERMIT
OUAD AREA"
. OF BLDGS:
OCCY GRaUp'
. OF STORIES:
TaTAL PERMIT
- OFFICE USE -
LAND USE:
HANDICAP ACCESS:
FLOaD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
. OF UNIT!':'
CONSTR. TYPF'
HEAT SOURC.'
SO. FT.
$/SO. FT.
VALUE
SO. FTG MAIN
SO. FTG ACCES!':
X
X
SO. FTG aTHER
X
TOTAL VALUE OF PRaJECT
PLAN CHECK FEF
RCPP
DATF
BY
I BUILOING PERMIT
15% State
SurcharQe
1 MECHANICAL
15% State
SurcharQe
1 PAVING
I PLUMBING
I 5% State
SurcharQe
I FENCE
VAI_'lf- $
SIDEWALK
CURBCUT
FT.
FT.
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
Lj/$.~
~.?-
/'2..5-">"
, DEMOLITION
'. .,
.',
>
, I
TOTAL PERMIT FEES
EXCLUDING ELECTRICA'
'757. 5/7/'
. ......
.
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,lob 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
the following work day. "
SITE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel Is In
made after excavatIon, but ELECTRICAL &: place but prior to placing
prlo~ ~~se:tup. ..O! zorms. MECHANICAL: No work is to. asphalt or concrete.
be covered until these
Inspections have been made
and approved.
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
pi ping, accessories and other
ancIllary equipment items are
In Jllace but before any
concrete Is placed.
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.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specially 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.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FaOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
'.."erected, all.steel In place, but
prior to placing concrete.
. .\...
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
-,
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
Insulatlon 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 BaLTlNG:
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.ll &
Chapter 29)
POST & BEAM: 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.
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).
MASONRY: Steel iocation,
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.
STRUCTURAL MASONRY: (306
a.7)
/~~1/,~~~
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
v
/
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J1d;i"~ .~OIP/,,/~_
"In addition to the Inspec.
t10ns 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 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.
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 ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
,:",."
PLANS REVIEWED BY
DAT~
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that alllnformatlon
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 qregon pertaining to the work described herein, and that NO OCCUPANCY
will be made of any structure without permission of the Building S,!!~ty Division. I further certify that only contractors and employees
who are In compliance with ORS 701.055 will be used on this' project. --. .
":t' "
J 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~plans will remain on the site at all
times during construction.
SignaturE"
DatI'"
VALIDATION:
AMOUNT RECEIVED: q-r/. ~4
2../r7L/
RECEIPT ':
DATE PAID'
RECEIVED BY'
7" -/$-%
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