HomeMy WebLinkAboutPermit Building 1992-11-9
COMMERCIAL/INDUSTRIAL ·
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER 77../--5..Z2...
. INSPECTION LINE: 726.3769
. OFFICE: 726.3759
LOCATION OF PROPOSED WORK'
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TAX'LOT'
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ASSESSORS MAP: / ?~-~
O~NER: '7)01.) CAt"~
ADDRESS: ~2t"':) II. /, ;:; ~ ~ T.
'55.6' A
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PHONE:
7 ~-4- -c:; &:} ~ 4-
CITY'
STATE: ~
ZIP:
~74'77.
DESCRIPTION OF WORK:
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NEW
REMODEL
ADDITION
DEMOLISH
OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRAC10R'S NAME
ADDRESS
CONST.
CONTRAC10R .
'EXPIRES
PHONE
GENERA' .
PLUMBING'
MECHANICAL: ~ ~~_
ELEC1RICAI .
.3sa> t:P /,v"q., ~
~~~'!:,
J(~.,.h2. /..,gg-SOt1.t.
I i I"
Furnacel burner & vent
< 100.000 BTUs
Furnacel burner & vent
> 100.000 BTUs
MECHANICAL.
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I
1
I
/"HARG1
I
I
I
I
I
1
I
I
1
1
I
I
1
I 1
I I'
I TOTAL PERMIT
PLUMBING
NO.
Single Fixture
Relocated Bldg.
. (new lix. addti)
Water Service
It.
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
FEE
CHAr:lGE
Nn
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Venl Fan/Single
duel
Vent System apart
Irom AC or hlg.
Mechanical exhaust
hood and duct
TOTAL PERMIT
/?J.11U
1
I
1 I
1 I
1 I
I $10.00 I
I /60-01
Permit Issuance
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
OUAD AREA:
-::).r. ^l\AJ
LAND US"'
. OF BLDGS:
. OF UNITF'
ZONING'
LIGHTING POWER BUDGET:
. , .
OCCY GROUP'
. OF STORIEF'
CONSTR. TYPF'
HEAT SOURCE:
WATER HEATER'
sa. FT.
$/sa. FT.
VALUE
*
sa. FTG MAl N
x
sa. FTG ACCESS
sa. FTG OTHER
x
x
TOTAL VALUE OF PROJECT
PLAN CHECK. F."
RCPT'
OAT"
BY
I BUILDING PERMIT
15% State
SurcharQe
I MECHANICAL
L(~I,,/;;'.
15% State -
Surcharae
I PAVING
PLUMBING
I DEMOLITION
I
I
1
1
,1
-
l-.;t.....-
/= DO
,7S
51% State
SurcharQe
FENCE
VALUE L
SIDEWALK
CURBCUT
FT.
FT.
I SUBTOTAL
PERMITS
I SYSTEMS
. DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELEC1RICA' .
25 ?.r
r':~'r'7'
. ,
.
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 X' ROUGH PLUMBING,
made after excavation, but ELECTRICAL &
prior to setup of forms. <.MECHANic~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.
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 Speclaity 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.
AITIC DRAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
made after all inslab 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 CONCRETE: In
excess of 2500 P,S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary 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 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.BC.
STDS. 25.10,11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installatlon of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a.7)
MASONRY: Steei location,
bond beams grouting or .
verticals In accordance with
UBC 2415.
SIDEWALK & DRIVEWAY:
Required for all concrete
pavin9 within street right of
way. to be made after all
excavating complete and form
work and sub.base material In
place.
-In addition to the Inspec-
tions specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance. with the Building,
City or Development Code.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
-------------------------------------------------------
'it'
.
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.
FINAL ELECTRICAL
x
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
and posted on the premises.
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
DAT~
By signature, I state and agree, that I have carefully examined the completed application and do hereby certi fy 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 Ordinances
of the City of Springfield, and Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY
will be made of any struct wlth6ut permission of th din y Division. I further certify that only contractors and employees
. / . /
who are in compllan with OAS 701.055 ill used Is/project.
requested at the proper time, that project address is readable from the
the property, and the approved set of plans will remain on the site at all
I further agree to
street, that th
tlmes durin
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Date
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VALIDATION:
AMOUNT RECEIVED:
RECEIPT #:
r -./..., 70
/-.,?/~
DATE PAiD'
RECEIVED BY: