HomeMy WebLinkAboutPermit Building 1996-7-15
COMMERCIALIINDUSTRIAtI SPRINGFIELD
PERMIT APPLICATION l~
225 Fifth Street, Springfield, Oregon 97477 ~ ~
LOCATION OF PROPOSED WORK:.J.pl~ ~1(\ ~Qo-r..J
ASSESSORS MAP' I f')()~?'r:)~. . -
OWNER:~lmDm )~^~:t.J 1
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DESCRIPTI~N OF WOR'i(. _ D qj nil .\ _ t....~
NEW REMODEL -~DITION -~;MUH
NAME
ARCHITECT'
,
JOB NUMBER
L\ \ii'AlO l
INSPECTION LINE: 726.3769
OFFICE: 726.3759
. TAX LOLO <i<. ~ DO
PHONE:$ln ~
ZIP:
-
Ul,4-1-'
OTHER
-c.lJ
VALUE ICVlf).
ADORESS
PHONE
CONTR~~,S,N..t~ of'rlCf\^
GENER~\O ,( . ~,
PLUMBING: ~
CONST.
AD~~3 ~l\.mp&LmR'
EXPIRES
53\151
4. I?"L{')
MECHANICA' .
ELECTRICAL:
t,ln
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*'
MECHANICAL , ;
I m I ~HARGI
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$10,00 j
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PUJ M91NG
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Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
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, FEE I CHARGE J
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Sanitary Sewer
It.
Storm Sewer
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Backflow Device
TOTAL PERMIT
Furnace/burner & vent
<100.000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Floor furnace and vent
Suspended walt or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
MeChanical exhaust
hood and duct
Permit Issuance
TOTAL PERMIT
- OFFICE USE -
OUAD AREA:
LAND USE:
· OF BLDGS:
OCCY GROUP'
· OF STORIES'
. OF UNIT~'
CONSTR. TYPF'
HEAT SOURC~'
sa. FT.
$/sa. FT.
sa. FTG MAIN
sa. FTG ACCESS
X
X
sa. FTG OTHER
X
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
TOTAL VALUE OF PROJECT.
PLAN CHECK FEf
DAT~
BL
RC PT'
I BUILDING PERMIT
/5% Slate_--,- -:27\1
Surchar~!,"" t ; T"tn
I MECHANICAL
15% Stale
Surcharoe
I PAVING
I~SO
:-'r.~
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PLUMBING
5% State
Surcharoe
FENCE
VAlliE ~
I SID-EWALK
I CURBCUT
FT.
FT.
I DEMOLITION
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I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
~~ . \.'
, REQUIRED INSPECTIONS ..
It Is the responsibility of the permit holder to.see that alllnspectlons 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 ~fter 7:00 a.m. will be made
the followln9 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 phalt 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
Seclion 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.
AITIC DRAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
made after all Inslab bulldln9
service equipment, conduit,
pipIng, accessories and other
ancillary equl pment 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 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 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 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.11 &
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 15 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).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
deckln9 or floor sheathing.
STRUCTURAL MASONRY: (306
a.7)
MASONRY: Sleel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street rl9ht of
way, to be made after all
excavating complete and form
work and sub-base material In
place.
vi
ROOF SHEATHING AND
NAILING: Prior 10 Installing
any roof covering. .
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
Oln addition to the Inspec.
tlons specified, the Building
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 Inspection. All project condItions such as
landscaping, parking lot striping, etc. must be completed before
requesting this InspectIon.
FINAL PLUMBING
FINAL MECHANICAL
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
\~'~':1o:C;lilI}.l\ ~
FINAL FIRE DEPAR~~~ ...L--
ADDITIONAL COMMENTS~J.U.1.J--'! ,
PLANS REVIEWED BY
DAT~
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 Springfield, and the Laws of Ihe 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.
1 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 VJIII remain on the site at all
times during construction.
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VALIDATION:
Date
Z. /-s- - 7'~
RECEIPT ':
DATE PAID: ~9(1h
RECEIVED BY'