HomeMy WebLinkAboutPermit Building 1996-1-10 (2)
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COMMERCIALIINDUSTRIAL.
PERMIT APPLICATION
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JOB NUMBER ~~_,
INSPECTION LINE: 726.3769
OFFICE: 726,3759 :..
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: --:;;;.2 / M~//V?r
ASSESSORS MAP- /'7~3-~?~ ~/
OWNER: ~~ 4A;.?/~.
?7~h ~R ~ A?:>
5~;Z::--L /':) . STATE: ~ . ZIP ~2D:t!!...
DESCRIPTION OF WORK: ~ K-r.?.,z::- ~ 2:;::? h> ". C:::;:~22..# .A9"~~,a. C'r:.
NEW REMODEL /'; ~~cc- l- DEM~ISH OTHER VALUE: .::Z~<::E
TAX LOT: J<t:;:c::>c>______..
PHONE:
~ '>' 7' ~/"Z~
ADDRESS:
CITY:
NAME
ADDRESS
,
.
PHONE
ARCHITECT:
CONTRACTOR'S NAME
GENERAL: At... ~~ ~h/.'_
~ I' ,
PLUMBING:
MECHANICAL:
ELECTRICA' .
.'
CONST.
~...e7~ CONTRACTOR. EXPIRES
. j'/~ ,2Z':~~9-:Z~ ?~?__'Y/.??
PHONE
I . PLUMBING I MECHANICAL I
I NO. I FEE I CHARGE 1.0 I I F.EE_j_CHABG.i
I I Furnace/burner & vent
Single Fixture < '00.000 BTUs
I Relocated Bldg. I I I I Furnace/burner & vent I I
(new fix. addtll > 100,000 BTUs
I Water Service I I I I Floor furnace and venl 1
, II.
I Sanitary sewer I I I Suspended wall or lIoor I
ft. mounted unit healer
I Storm Sewer I I I Appliance Vent 1 I
It. SCP,lr<l(C
I I I I Stationaryevap. I j
Back flow DevIce cooler
I I I I Venl Fan/Single I I
ducl
'I I I I Vent System apan I I
from AC or hlg.
I I I I Mechanical exhaust I I
hood and duel
I I I I I I
I 1 I I Permit Issuance -"0,00 I
I TOTAL PERMIT I I TOTAL PERMIT -I
- OFFICE USE -
HANOICAP ACCESS:
OUAD AREA-
. OF BLDGS:
LANO USE:
FLOOO PLAIN:______.,
ZONING:
. OF UNITS'
OCCY GROUP'
. OF STOAIEf'
CONSTR, TYPE'-
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER:
SO, FT.
$/SO. FT.
VALUE
'*
SO. FTG MAIN
SO, FTG ACCESS
SO, FTG OTHER
X
X
X
TOTAL VALUE OF PROJECT
PLAN CHECK FFF
RCPT'
DATE _, . __
BY
I BUILDING PERMIT
15% State I'?.'
Surcharge 7<7
I MECHANICAL" I,
15% Stata I' .
Surcharoe
I PAVING I
~g': y-~ PLUMBING
I . 7 ~ 15% State '
/_ /2;:; SurcharQe'
. I FENCE
VAt IJI= ~
SiOEWALK-., I
FT.
FT, I
DEMOLITION
."
I SUBTOTAL
PERMITS
I SYSTEMS
__.. ..QEVELOPMENT
I
1__.., ....._.........
o_...._u_o._
Lfj..5?
I:
I
I
I
I
CURBCUT
,
"
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAL
~\
REQUIRED INSPECTIONS
It Is the responsibility of the permit holder 10 see t~at all Inspections are made at the proper time. To request an Insp~ctlon, call
726.3769 (recorderi. 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
t,he following work day.
SITE INSPECTION: To be
made after excavation, but
prior ~? setup of forms.
.
.
.l
UNDERSLAB PLUMBING,
,ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICAL & .
MECHANICAL: No work Is to.
be covered until these, '
insp~ctlons have been made
and approved.
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
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/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms afe
erected, all steel In place, but."
prior to placing coner'ete. '.,
_.____ .'FIREPLACE: Prior to placing
facing materials and before
framing Inspactlo'!:
CONCRETE SLAB: To be
made after all Inslab building
service equIpment, conduit,
piping, accessories and other
ancillary equi pment j lems 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.
"
cSTRUCTURAL CONCRETE: In
excess of 2500 P,S,I. (306 a.l)
, .
STRUCTURAL WELDS:
Performed on the job, (2722 f)
UNDERFLOOR: Plumbing.
eleclrical, mechanical. To be
made prior to Installation or
floor Insulation, deckIng or
Iloor 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)
. . .
UNOERG'ROUND:. Plumbing.::
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prlor to covering or filling
trenches,
. .-
"
SPRAYED ON
FIREPROOFING: U.B.C,
Standards 43,6.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.ll &
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 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),
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.
y
STRUCTURAL MASONRY: (306
a.7) .
~/~4/~
~d~5
,/Y/'y~ '~~~,
:f.(adCil~on to Ih;i~spec" ...
tlons specified, the Building
Official may make or require
other Inspectlons of any'
construction work to ensure
compliance with the Building,
City or Development Code.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Ins'tallation of
decking or floor sheathing.
A
ROOF SHEATHING ANO
NAILING: Prior to inslalllng
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL MECHANICAL
SITE PLAN REVIEW BOARD: Must be reques,ted 2 days In advance
of the date you wish Inspection. All proJect conditions such as
landscaping, parking lot st,lplng, 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 .premlses.
FINAL PLUMBING
FINAL ELECTRICAL
.. FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
.
PLANS REVIEWED BY
DATF
By signature. I st,te 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 cerli fy that any and all work performed shall be done In accordance with the OrdInances
of the City of Springfield. and the Laws ollhe Slale 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 GRS 701.055 will be used on this project.
i furttH:n agree to ensure that all required inspections are requested at the proper time, thatproject address Is readable from the
street, that the R ard Is located at the nt of the property, and the approved set of ,plans will remain on the site at all
times during nstru Ion. ~
-ft( L.~ 1Iw.
Date
/-IO-t?6
VALIDATION:
AMOUNT RECEIVED: 4/. 5"'7
RECEIPT ': 2"~"3""3
DATE PAID'
RECEIVED BY:
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