HomeMy WebLinkAboutPermit Building 1996-3-22
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK. IC'Z 1.,1
ASSESSORS MAp. 17."p~~-:z::;z.~C5
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ADDR""".
CITY.
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JOB NUMBER ~ 7'9
INSPECTION LINE. 726.3769
OFFICE: 726.3759
TAX LOT: CJ2 ~~:s-
PHON".
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ZIP. q/L.to~
DESCRIPTION OF WORK:
NEW REMODEL
/~N1?~
,.II ADDITION
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DEMOLISH ~THER VALUE.1:if:~.....s
NAME
ARCHITECT: Jk-=w..wk">./I~/fACC:: /,..)
CONTRACTOR.'S NAME l3..tP. ~/{j>~~
GENERA~~T'7:;/ ~!'~ ~.~.. g,-:z? ~ ~
PLUMBING. ~
MECHANICA'. ~A~~', or ~~~~-
71-._... 7;i~h~,~ >",.
ELECTRICAL:J~-Z:"~-".f:;;~~~ 4~""2... 9?..--=-
PLUMBING
NO
FEE
CHARGE
Single Fixture
Relocated Bldg.
(new fix. addUl
Water Service
fl.
Sanitary Sewer
fl.
Storm Sewer
II.
Backllow Device
TOTAL PERMIT
ADDRESS
OUAO AREA
# OF BLDGS.
OCCY GROUp. 13'- ?
# OF STORIES:_/ 7- ME2 2
LAND USf.
- OFFICE USE -
CONST.
CO NT RACTO R #
PHONE
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E ES PHONE
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MECHANICAL
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"HAB.Gi
FFF
Furnace/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
Stationaryevap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
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Permit Issuance
$10.00
/'S:1"e
TOTAL PERMIT
HANDICAP ACCESS.
FLOOD PLAIN.
ZONING.
LC-.
# OF UNIT~.
CONSTR. TYPE: 2# ~
,
HEAT SOURCE:
so. FT.
$IS0. FT.
so. FTG MAIN
SO. FTG' ACCESS
SO. FTG OTH ER
J
x
x
x
PLAN CHECK FEi: ?,t.73
RCPT' ::(~ /-:> -:>
I BUILDING PERMIT
15% Slat.e
Surcharae
1 MECH~~
. {'7'
15% Slate ~,
Surcharae ~
I PAVING
I PLUMBING
S6: S--
~_l!I!--;5
J.?C
/f~;:e,
.7~
.1'7
5% State
Surcharae
FENCE
VALUE $
SIDEWALK
CURB CUT
LIGHTING POWER BUDGET.
WATER HEATER.
VALUE
TOTAL VALUE OF PROJECT
/1..o~. -
DATE ~ .'2"<~% BY {' / ~A#'7
~ PJ /./'7'
,;
I DEMOLITION
FT.
FT.
....
SUBTOTAL
PE RM ITS
SYSTEMS
OEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDiNG ELECTRICAl
/2 7. ~b
.
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 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.
/'!'
ROUGH. ~"-U'VIOrHGii,
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.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
SPECIAL INSPECTIONS: In accordance
Section 306 of. the State Specialty Code
a special Inspector shall be employed
by the Owner I Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
"STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
.erected, all steel In place,but
pr.lor to placing concrete.
/.
FIREPLACE: Prior to pfacing
facing materials and before
fram~ng Inspection:
FRAMING: To be made alter
the roof, ail 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)
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"
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
piplng,'.acc~l?sorles and other
ancillary equipment items are
in place but before any
concrete Is placed.
- . (- ! ~ ,.... ....
UrilbERGR'6uND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
d ral nage II nes. To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U.S.c.
Standards 43-8.
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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'ls . ,
applied... . . "
FIRE & SEPARATION WALL:
located and constructed
according to plans.
, HIGH STRENGTH BOLTING:
During all bolt Installation and
. tightening operations. (306
a.6) '-..
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SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
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LATH ANDIOR 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 prlo'r to installation of
decking or floor sheathing.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after ail
excavating complete and form
work and sub-base material In
place,
-In addition to the Inspec-
tions specified, the Sulidlng
Official may make or require
other inspections of any
construction work to ensure
compilance with the Bulidlng,
City or Development Code,
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
.,
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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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.
V FINAL ELECTRICAL
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FINAL BUILDING: Requested after the IInai 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 Sullding Division
and posted on the premises.
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS.
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VAll DATION.
PLANS REVIEWED BY ..-/" ,;:....~ '
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By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th!'lt aI/Information
herein Is true and correct, and I further certify' that any and all work perfor-med shall be done In accordance with the Ordinances
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 re~lred Inspections are requested at the proper time, that'project address Is readable from the
street, that the permit card Is loca d at the front of the property, and the approved set of ,plans will remain 01 the site at all
tImes during construction. fJ . ~ . ( I
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Signature ~ Date_
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AMOUNT RECEIVED. /'2'? ,~~ DATE PAID. 9, <?,~
RECEIPT N. "/4> 7'3~ RECEIVED BY: // ~
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DAT~ 7-c:;;;. ~
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