HomeMy WebLinkAboutPermit Building 1997-2-3
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
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JOB NUMBER
9:;"7/.c>
225 Fifth Street, Springfield. Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK: ~/.t} ~A/.A/ _57/5'~
A~SESSORS MAP: /7-~":3- '3"- ~/
1~4."Y:' / __~_ ._._ ----_- _~_.
O~ER ~ ~~
ADDRESS'
TAX LOT:
o"?~~
PHONF'
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CITY' STATE"
ZIP:
DESCRIPTION OF WORK: ~/-: ~-~~"'-- ,~ ~~ ~)?-'.?>-~ -#1"'-
NEW REMODEL ADDITION DEMOLISH OTHER VALUE: ~.
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NAME
ADDRESS
PHONE
ARCHITECT'
CONST.
CONTRACTOR'S NAME ~ ~~ y~ ~ CONTRACTOR' EXPIRES PHONE
GENERAL~# ~~. _ ~~- '9?"&r/ ... - .J5'~ ?~ ~-' '?-- ~~-::. ~ </:2 ..e:;;=,.Y'2...
PLUMBING'
MECHANICAl'
ELECTRICAl'
PLUMBING
MECHANICAL
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"'''ABGi
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$10.00 I
/hrk. ~I
IT ,..-
NO.
FEE
CHARGE
Mn
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Floor furnace and vent I
Suspended wall or floor I
mounted unit heater
Appliance Vent I
separate
Stat ionary evap. I
cooler
Vent Fan/Single I
duct
Vent System apart I
Irom AC or hlg.
I Mechanical exhaust I
hood and duel
.~A'?'r-~ ~<~"
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Single Fixture
Relocated Bldg.
(new fix, addUl
Water Service
It.
Sanitary Sewer
It.
Storm Sewer .
It.
Backftow Device
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
~UAD AREA-
LAND US.'
FLOOD PLAIN'
ZONIN'"
.'
. OF BLDG~'
. OF UNIT~'
OCCY GROUP:
CONSTR. TYPF'
LIGHTING POWER BUDGET:
. OF STORIES:
HEAT SOURO"
WATER HEATER'
SO. FT,
$/SO. FT.
VALUE
SO. FTG MAIN
X
X
X
SO. FTG ACCES"
SO.FTG OTHER
TOTAL VALUE DF PROJECT
PLAN CHECK FEF 2.c;-;,o =J
RCPT'
DATF
BY
I BUILDING PERMIT
15% State 7'5"'
SurcharQe ~
I M HAN CAL.{j..71
I 'IoStali, ~1'
Surcharae i'~
I PAVING I
'3.,-: ~
{.~
/:C>. IV I FENCE
:/"S' . - VALUE $
: ~ I SIDEWALK
I CURBCUT
PLUMBING
DEMOLITION
5% State
Surcharoe
FT.
I SUBTOTAL
PERMITS,
I SYSTEMS
DEVELOPMENT
.&7 7"7
A/#.
FT,
TOTAL PERMIT FEES I
EXCLUDING ELECTRW^'
9~ ..82.
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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 followln9 work day.
SITE INSPECTION: To be
made after excavation, but
prior to seJu p of forms.
. REQUIRED INSPECTIONS ·
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UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms afe
,erected, all st~elln pla~e;,b~t
prior to placing concrete. -
FIREPLACE: Prior to placing
facing materials and before
fr~mlng lnspectl:>~:
k
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are In
place and all pi pes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
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CONCRETE SLAB: To be
made after all lnslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
In place but before any
concrete is placed.
INSULATION & VAPOR
BARRIER: To be mace after aii"
lnsulation and req"ulred 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 pians.
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UNDERGROUND: Plumbing,
electrical, gas, sanItary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prIor to installation of
floor Insulation, decking or
1I00r sheathing.
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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.
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
SIDEWALK & DRIVEWAY:
Required for all concrete
pavln9 within street right of
way, to be made after all
excavating complete and form
work and sub-base material In
place.
MASONRY: Steel location,
bond beams grouting or
vertIcals in accordance with
UBC 2415.
ROOF SHEATHING AND-
NAILING: Prior to Installing
any roof covering.
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CURB AND APPROACH
APRONS: After forms are
erected but prior to placIng
concrete.
PAVING: After gravel Is In
place but prior to placing
asp~alt or concrete,
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SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special:lnspec'tor shall be employed
by the Ownerl Contractor durln9
construction of the followln9 work. A
copy of the special testln9 reports shall
be furnished to the Bulldln9 Division.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
Durln9 all bolt installation and
tightening operations. (306
a.6)
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SPRAYED ON
FIREPROOFING: V.B.C.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a.11 &
Chapter 29)
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).
STRUCTURAL MASONRY: (306
a.7)
"In addition to the inspec-
tions specified, Ihe Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Bulldln9,
City or Development Code.
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FINAL PLUMBING
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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
v
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FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENT""
PLANS REVIEWED BY / ....~...v-~ r ~ ~ATE :?--c;"-CS>"")
By sIgnature, I state and agree, that I have carefully examined the completed application and do hereby certify thp,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 10 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.
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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
times durIng construction.
Slgnatur.~, '.. /L_ "r<_uL~
VALIDATION:
AMOUNT RECEIVED' ??:J? =2
" RECEIPT N' -z.7"Y::Y
'.' "Date ~~ /77-
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DATE PAID: 2-7~9:::>
RECE!VED BY: /~,..<- -2'
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