HomeMy WebLinkAboutPermit Building 1993-10-20
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COMM ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
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225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER 9'"3f#(t!)3
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK'
ASSESSORS MAP'
TAX LOT:
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OWNER: /7'/f"7r:4:;~?nT'/""" # ~ ~.-
ADDRESS: ~ ' .
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DESCRIPTION OF WORK: .4;?'? ~ ~y~ oy,d!$lf ~..- 7 r? ~,.?7"
AODITION Y OEMOLlSH OTHER VALUE: '2 '2..-
PHON~'
CITY'
STATF'
P/?o
ZIP'
"77S?-,
NEW
REMODEL
NAME
AODRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
GENERA" L!!!i!F ~c...r-
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CONST.
CONTRACTOR' EXPIRES PHONE
-::s?W'/v_ AP-~", 6B,8-:iYI ~
PLUMBING:
MECHANICAl'
ELECTR!r^ I. ~__,7,.r:'Y_/>
I PLUMBING
I NO. FEE CHARGE
1 Single Fixture
1 Relocated Bldg.
(new fix. addtl)
I Water Service
ft.
I Sanitary Sewer
ft.
I Storm Sewer
ft.
1 Backflow Device
1
MECHANICAL
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I
r:HARGE-
Furnace/ burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall 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 duel
Permit Issuance
$10.00
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOO PLAIN'
QUAD AREA:
. OF BLDGS:
LAND USF'
. OF UNITS'
ZONING:
OCCY GROUP:
CONSTR. TYP~'
LIGHTING POWER BUDGET:
. OF STORIE~'
HEAT SOURCE:
WATER HEATER'
i.
ih
1('
SQ. FT.
$/SO. FT.
VALUE
SQ. FTG MAl N
X
SO. FTG ACCESo
x
SQ. FTG OTHER
.X
,
TOTAL VALUE OF PROJECT ;;?'2t::1'7?
I BUILDING PERMIT
15% Stat,e
Surcharoe
I MECHANICAL
15% State
Surcharae
1 PAVING
'3J!. f!;>t!>
/-~3
1 PLUMBING
15% State
Surcharoe
I FENCE
VALUE $
I SIDEWALK
I CURB CUT
DATE /"-~~::r BY ~
~
DEMOLITION
PLAN CHECK FE!' zS-P~
RCPP~::?g
FT.
I SUBTOTAL
PERMITS
I SYSTEMS
_ DEVELOPMENT
7'~"O
//,4-
FT.
TOTAL PERMIT FEES I
EXCLUOING ELECTRICAl
65: 71b
l')
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REQUIRED INSPECTIONS
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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, job address, type of Inspection requested and when you will be ready
for Inspection. Requests received b6.tore 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be made
the following work ~ay.
SITE INSPECTION: To be
made after excavation, but'
prior to setup C?f forms. . .'
UNDERSLAB PLUMBING;:,
ELECTRICAL & , -" -."
MECHANICAL:~To be made
before any work is cover~d,_...~,,~..:'
)( )l9"'il! pi UMBING, _
-qtECTflJ(;~
MECllANICAL: 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
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.
ATTIC DRAFT STOPS &
-CUR'rAfN~,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 pi pes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
STRUCTURAL CONCRETE: In
excess of 2500 RS.1. (306 a,1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNOERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
INSULATION & VAPOR. .
,BARRIER: To be made after all
insulatlon 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
~ccording 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 ANO FILLING:
Ouring earthwork. (306 a.11 &
Chapter 29)
POST & BEAM: To be made
prior to Installation of floor
insulation, decking or floor
sheathing.
LATH ANOIOR 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.S.G.
STDS. 25.10.11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a.7)
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
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 ANO
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 stripil}g, etc. must be completed before
requesting this Inspection.
x'
FINAL ELECTRICAL
x
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 MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENT'"
PLANS REVIEWED BY
//~
4-
DAT~ /6-::;>~ -9:r
By signature; I state and agree, that I have carefully examined the completed application and do hereby certify 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 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 Sulldlng 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 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 co):)ruction.
Slgnatur~ ~J.J cR, '#. I J. R ~ Date /0- "2.0 - 93
VALlOATION:
AMOUNT RECEIVED: ~ ~--
RECEIPT': 1L962fi$
4r Y-'
DATE PAlO:
RECEIVED BY:
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