HomeMy WebLinkAboutPermit Signage 1993-8-16
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JOB NUMBER533IC)-{L
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LOCATION OF PROPOSED WORi<' _ 32-Cr MAfA.l 5r.
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COMMERCIAL/I N DUSTRIAL
PERMIT APPLICATION
.INSPECTlON LINE: 726.3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
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PHONE:
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OWNER'
CITY'
STATE:
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.ZIP:
REMODEL
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ADDITION X DEMOLISH
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DESCRIPTION OF WORK'
NEW.
OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT'
/. .
. CONST.
CONTRACTOR'
L, 2-'"107 . .
EXPIRES PHONE
/2 -:- 2-.cJ - "I.., <f&r;- -c;c;'f-L
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CONTRACTOR'S NAME ADDRESS
GENERA' . (3//"1 f:-Mt.. '7 L"~ &- AIA/N I A/~
PLUMBING:
MECHANICAl'
ELECTRICA' .
.
NO
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"HARGi
I
I
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[
I
I PLUMBING. . I
I NO. I FEE CHARGE I
I Single, Fixture [ [
[ Relocated Bldg. I [
lnew fix. addll)
I Water Service I [
It.
I Sanitary Sewer I
It.
I Storm Sewer 'I
It.
I Backflow Device [
I I
I
I [
I [
I I
TOTAL PERMIT J
MECHANIr.AI
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 duct
Permit Issuance
$10.00
TOTAL PERMIT
OUAD AREA: .
. OF BLDGS'
\ ~1\ )\ l)
- OFFICE US~
LAND USE: ... ~Q.,N )
HANDICAP ACCESS:
FLOOD PLAIN'
. OF UNITS:
ZONING:
OCCY GROUP'
CONSTR. TYPF'
. OF STORIEF'
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER'
SO. FT.
$/SO. FT.
VALUE
SO. FTG MAIN
SO. FTG ACCESS~_
X
X
SO. FTG OTHER
X
TOTAL VALUE OF PROJECT
?,Bt:P.c:x>
PLAN CHECK F~~
RCPTN
DAT~
BY
[ BUILDING PERMIT
[5% State
Surcharge
I MECHANICAL
15% Slat.e
SurcharQe
I PAVING
.4';. ,':1..) PLUMBING
..~ '~'~ ~~~c~~rbee
- -- I FENCE
VALUE $
[ SIDEWALK
I CURBCUT
DEMOLITION
FT.
SUBTOTAL
PERMITS
SYSTEMS
I DEVELOPMENT
FT. I
~
, \. . I
'It.." ". '.
TOTAL pERMIT FEES .
EXCLUDING ELECTRICA'
L\lo.Cb
.
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 In'spectlon, call
. 726.3769 (recorder), state your Cit"y deslgnated"job number, job address, type of inspection requested and when you will be ready
for Inspection. Requests received bef9re 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
made after, excavation, but
prior to setup of forms.
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 ttie final plumbing, electrical,
mechanical and Fire "Department inspec'tlons are made and
approved. No occupancy of the premises can be made untll a
Certlficate of Occupancy has been issued by the Building Division
and posted on the premises. . .
UNDERSlAB PLUMBtNG,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
.ELECTRICAL & .
MECHANICAL: No work Is to
be covered until tliese
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WAllS
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.
,
FRAMtNG: 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.
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
I n pI ace but before any
concrete is placed.,
. 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.
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
floor sheathing,
FIRE & SEPARATION WAll:
Located and constructed
according to plans.
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.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
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. . .
ROOF SHEATHING AND
NAiliNG: Prlorto Installing
any roo~ covering,
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL PLUMBING
FINAL ElECTRICA.L
FINAL MECHANICAL.
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
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.
STRUCTURAL CONCRETE: In
excess of 2500 p,s.1. (306 a.1)
STRUCTURAL WELDS: '.
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
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SPRAYED ON
FIREPROOFING: U.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-
tlons speclfied,.the Building
. Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Deve.lopment Code.
DATF
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 a'ny and all work perfor:med 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 Building Safety Division. I further certify that only contractors and employees.
who are In- compliance wl'th GRS 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' construction. .
Signature _1~.L L Ev4/Mf' 'S/e::,,u .J=. AIA/.<t,/Vt:,
,
VALIDATION:
AMOUNT RECEIVED:
RECEIPT ':
JfX/ ~./ ?:,
CfotSS?
Date_"7-Z-'l-",
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DATE PAID:
RECEIVED BY:
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