HomeMy WebLinkAboutPermit Building 1994-10-10
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COM M ERCIALlI N DUSTRIAL
PEBMIT APPLICATION
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JOB NUMBER '5'cf/ ~ '77\
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INSPECTION LINE: 726.3769 j.
OFFICE: 726-3759
225 Fifth Street. Springfield, Oregon 97477
LOCATION OF PROPOSED WORt<.
~SESSORS MAP' /7 6J ~
5&20
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/'7k7~
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TAX LOT'
V/2..bO
OWNER: ~I":- ])J~/ <-~7
ADDRESS: 3620 Gateway St.
CITY' Springf ield
~.7J..p /Jr //I,/4?tJ
PHONE: 986-2770 or 976':'3147
. STATF'
Oregon
ZIP' 97477
'NEW
REMODEL
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J ~DDITION
~ F/~ A7t1Wn
DESCRIPTION OF WORK'
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DEMOLISH OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME ADDRESS
GENERAI')K Mark Fletchall, ODOr Facilities, 355
PLUMBING'
CONST.
CONTRACTOR · EXPIRES PHONE
Capitol Street NE, Rm #10, Salem, OR 97310
1.
MECHANICA' .
ELECTRICA' .
I PLUMBING j MECHANICAL
I NO I FEE CHARGE I NO EEF ,.....ARG.j
I Single Fixture I Furnace! burner & vent
< 100.000 BTUs
1 Relocated Bld9. I 1 Furnace/burner & vent J
(new fix. addtl) > 100.000 BTUs
1 Water SerVice 1 I Floor furnace and vent I
fl.
I Sanitary Sewer I V I Suspended wall or floor I /' 1
fl. mounted unit healer
I Storm Sewer '/1 I Appliance Vent 1 /1 I
ft. separate
1 I I I StatJonary evap. / 1 I
Backflow Device cooler
1 /1 1 1 Vent Fan/Single ,/ I I
duct
, I / I 1 1 Vent System apart 1 I I
, from AC or htg.
I I I I Mechanical exhaust I I 1
hood and duct
1 1 I I I I I
I I I I Permit Issuance I $10.00 I
I TOTAL PERMIT I I TOTAL PERMIT ~ 1!- I
~ vU.r
- OFFICE USE -
HANDICAP ACCESS'
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
QUAD AREA-
LAND USF'
. OF BLDG~'
. OF UNIT~'
OCCY GROUP'
CONSTR. TYPF'
. OF STORIEi"
H EAT SOURCE:
SQ. FT.
$/SQ. FT.
VALUE
SQ. FTG MAIN
SQ. FTG ACCES"
sa. FTG OTH ER
X
X
X
TOTAL VALUE OF PROJECT
~1'5D~
PLAN CHECK FfF
RCPTN
DATF
BY
I BUILDING PERMIT
15% State
Surcharoe
I MECHANICAL
15% State\-.
SurcharQe
I PAVING.
I m/lfh
I
I
I'.
I
'-/~ PLUMBING
,?J 15% Slate
. d r SurcharQe
FENCE
VAlliE $
SiOEWAii(,-
I CURBCUT
FT.
':
I DEMOLITION
I
I .~,
I. SUBTOTAL,..... ......
PERMITS" . ,
I SYSTEMS
~VELOPMENT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
/0 ;~.v
r . REQUIRED INSPECTIONS
I~j~ t\he responsibility of the permit holder to see that all Inspections are made at the pr0.per time. To request an inspection, call
72,.3769 (recorder), state your City designated lob number,job address, type of Inspection requested and when you will be ready
for~nspectlon. Requests received before 7:00 a.m. will be made the same w,orklng day, requests made after 7:00 a.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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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.
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ATTIC DRAFT STOPS &
CURTAIN WALLS
PAVING: After gravel Is In
place but prior to p,laclng
asphalt or concrete. ,.
'><
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 Specialty 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.
FOOTINGS & 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)
CONCRETE SLAB: To be
made after all Instab building
service equipment, conduit,
pi pi ng, accessories and other
ancillary equipment items are
In place but before any
concrete Is placed.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERFLOOR: Plumbing,
electrical, mechanIcal. To be
made prior to Installation of
floor Insulation, 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 boll 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)
'Y---..
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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).
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.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
SIDEWALK & DRIVEWAY:
Required for all'cuncrele
paving wllhln street right of
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: After forms are
erected but prior to placing
concrete.
'In addition to the Inspec.
tlons specified, the Bufldlng
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
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FINAL ELECTRICAL
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish Inspectlon. All proJect conditions such as
landscaping, parking lot striping, etc. must be completed before
requesting this Inspection.
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-"'. F,INAL PLUMBING
FINAL MECHANICAL
;z
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 FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
OAT"
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'Or9lnances
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 ORS 701.055 will be used on this project.
I further agree to ensure that all requIred Inspections are requested at the proper tim'e, tl)at project address Is readable from the
street, that the permit card Is loca~ed at the fro t of the property, and the approved set of plans will remain on the slle at all
times d~9 <;9nstruction.
X //// 4 / ,/
Slgnatur~ . '/ .; Date / ~ . / ~ . '7 '-T
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VALIDATION:
AMOUNT RECEIVED:
RECEIPT N:
/,h,?-O
;,7,72
DATE PAID:
RECEIVED BY:
/1/) />'c/
, .vI} /i11.
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<OCT-Ob~94 THU 16:40
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