HomeMy WebLinkAboutPermit Building 1998-7-8
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LOCATION OF PROPOSED WORK' Lj h9,
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SPRINGFIELD
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HARLOW KD
JOB NUMBER
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COMM ERCIALlI N DUSTRIAL
PERMIT APPLICATION
INSPECTION LINE: 726.3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
OWNER'
ADDRESS:
CITY'
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TAX LOT:(J'L 'lO~
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ASSESSORS MAP:
PHONE:
STATF'
OR
ZIP:....9:l Llil
DESCRIPTION OF WORK:
NEW "'iZ REMODEL
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ADDITION
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DEMOLISH OTHER VALUE:
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I IN Wh'Le..
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NAME
ADDRESS
PHONE
ARCHITECT'
CONST.
CONTRACTOR' .
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EXPIRjS
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PHONE
CONTRACTOR'S NAME ADDRESS
GENERAl hl(",,'iP,AL ~\b0 -3 AuJt-.J\ fJe, CCl
2':>"{;:.{') AVlffT10~ OR.
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PLUMBIN("
MECHANICAl'
ELECTRICA' .
NO.
FEE
CHARGE
I MECHANICAL I
I ",n F"" "I:IARG.~
1 Furnacel burner & vent
< 100.000 BTUs
I . Furnace/burner & vent I
> 100.000 BTUs
I Floor furnace and vent I
I Suspended wall or Iloor 1
mounted unit heater
I Appliance Vent I
separate
I Stationary evap. I
cooler
1 Vent Fan/Single I
duct
I Vent System apart I
from AC or htg.
I" Mechanical exhaust I
hood and duCI
I
I Permit Issuance $10.00
I TOTAL PERMIT
PLUMBING
Sll1gle Fixture
Relocated Bldg.
Inew lix. addll\
Water Service
It.
Sanitary Sewer
It.
Storm Sewer
It.
BackfJow Device
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
OUAD AREA:
LAND USE:
FLOOD PLAIN:
ZONING:
. OF BLDG~'
. OF UNITS'
. OF STORIES:
CONSTR. TYPF'
HEAT SOURCE:
LIGHTING POWER BUDGET:
OCC)' GROUP:
WATER HEATER:
sa. FT,
$/sa. FT.
VALUE
sa, FTG MAIN
sa. FTG ACCESS
SO. FTG OTHER
X
x
X
TOTAL VALUE OF PROJECL'lQ/ 0l0.<~
1 BUILDING PERMIT
15% Slate rt5'
Surcharge .~
I MECHANICAL (
15% State
Surcharqe
I PAVING
PLAN CHECK FEE..w?'"
\I
/~ _I>
'.~
RCPT-
DAT"
BY
, PLUMBING
I DEMOLITION
5% State
Surcharge
FENCE
VALUE $
SIDEWALK
CURBCUT
, .
FT.
SUBTOTAL
PERMITS
SYSTEMS
, DEVELOPMENT
, ~. .2,P
#~.
FT.
. . I
TOTAL PERMIT FEES
EXCLUDING ELECTRICA'
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REQUIRED INSPECTIONS
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It Is the responsibility of the 'permit holder to see that all Inspections are ~~de 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 wilt 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
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
as phsl t 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 the special testing reports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
..
STRUCTURAL CONCRETE: In
excess of 2500 P.S,1. (306 a.1)
CONCRETE SLAB: To be
made after all Ins!ab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
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 WELDS:
Performed on the job, (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, san'ltary 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: U.B,C.
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)
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing,
LATH AND lOR 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 Clty's
Building Division before
beams are placed. (2501 U.BC.
STDS. 25.10,11).
.'
STRUCTURAL MASONRY: (306
a.7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or (Ioor sheathing.
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
excavatlng 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-
tions specified, the Building
Official may make or require
other Inspections of any
constructlon work to ensure
compliance with the Building,
City or Development Code.
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 Inspectlon.
FINAL PLUMBING
v
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department Inspections are made and
3pproved. No occupancy of the premises can be made until a
Certificate of Occupancy has been issued by the Building Division
an}.d~osted on the premises,
/Y/~~.P ..::1~/P7'~~7' ~
FINAL MECHANICAL
,
FINAL FIRE DEPARTMENT
ADDITIONAL COtvlMENTS:
PLANS REVIEWED BY
.--,
/' A'~'
-//'
OATE
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By signature, I state and agree, thaI I have carefully examIned the completed application and do hereby certify that alt information
horein 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 t~ Laws of the State of Oregon pertaining to the work described herein, and that,f'iO OCCUPANCY
will be made of any structure witJk>ut permission of the Building Safety Division. I further certl fy that only contractors and employees
who are In compliance with ORS 701.055 wilt 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, 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
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VALIDATION: AMOUNT RECEIV~p.:., J\~ A"StA,~ DATE PAID: \. ~ \ .<E; .J..-\,O
RECEIPT ': .~ ,\(}J\ "\ / RECEIVED BY: D \~ )