HomeMy WebLinkAboutPermit Building 1991-11-12 (2)CO M M E RCIAL/ I N DUSTRIAU
PERMIT APPLICATION
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
SPRIHGFIELO ,2
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:
225 Fifth Street, Springfield, Oregon n
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CITY:
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ADDRESS:
OWNER:
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Lf ,0tt 0VALU
L0tlJDESCRIPTION OF WORK:
ADDITION DEMOLISH OTHER*.* /REM.DEL
A'EAUATIIA I.
PHONENAMEADDRESS
EXPI RES PHONE
GENERALIUzaA/54
6
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PLUM BI NG
ELECTRICAL:
CONTRACTOR'S NAME
ARCH ITECT:
ADD RESS
CONST.
CONTRACTOR #
PLU MBING
No. I FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
It
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
Nr)trFF CHA FIG F
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100.000 BTUs
Floor furnace and vent
Suspended wall or f loor
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 lssuance $10.00
TOTAL PERMIT
ZONING
- OFFICE USE _
LAND USE:
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
* OF UNITS:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
$/sQ. FT.SQ. FT.
65aooTOTAL VALUE OF PROJ
X
X
VALUE
Z6*SQ. FTG MAIN
SQ. FTG ACCESS
SO. FTG OTHER
2/3ZL 7e90RCPT#DATEPLAN CHECK FEE
BUILDING PERMIT 3z*-e PLUMBI NG DEMOLITION
5% State
Surcharge /a.72 5% State
Surcharge
MECHANICAL FENCE
VALUE $
5% State
Surcharge
SIDEWALK
FT,
SUBTOTAL
PERMITS
PAVI NG CURBCUT
FT.
SYSTEMS
DEVELOPMENT /r./.
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
{uL'rr?
,0/6- s7
BY
7//.le
V REOUIRED INSPECTIONS V
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:O0 a.m. will be made
the following work day.
stTE INSPECTTON: To be x EATTSH-eLUMBING, PAVTNG: After gravet is in
made after excavation, but <E!.gRlCAtr& place but prior to placing
prior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB pLUMBING, inspections have been made SpEC;AL INSpECTIONS: ln accordance
ELECTRICAL & and approved. Section 306 of the State Specialty Code
X
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.
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.
UNDERGROUND: PIumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or f illing
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
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.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
uBc 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
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.
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.
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
f inished.
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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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.
f STRUCTURAL CONCRETE: tn
excess of 2500 P.S.l. (306 a.1)
x
STRUCTURAL WELDS:
Performed on the job. (2722 t)
HIGH STRENGTH BOLTING:
During all bolt installation and
ti ghteni ng operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMST lnspection
Certif icate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.C.
STDS. 25-10J1).
STRUCTURAL MASONRY: (306
a.7,
)(
*ln 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.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
FINAL BUILDING: Requested alter the final plumbing, electrical,mechanical and Fire Department inspections are made andapproved. No occupancy of the premises can be made until acertificate of occupancy has been issued by the Building Divisionand posted on the premises.
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such aslandscaping, parking lot stri ping, etc. must be completed beforerequesting this inspection.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY axz112^/*-7r/_
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all informationherein is true and correct, and I further certify that any and all work performed shall be done in accordance with the ordinancesof the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that No OCCUpANCywill be made of any structure without permission of the Building safety Division. I further certify that only contractors and employeeswho are in compliance with oRS 70i.055 wiil be used on this project.
I further agree to ensure that all required inspections are requested at the
Signature Date
roper time, that project address is readable f rom theapproved set of plans will remain on the site at all
p
street, that the permit card is located at the front of the property, and thetimes during co ction.
VALIDATION AMOUNT RECEIVED
RECEIPT g:v2??RECEIVED BY:
DATE PAID:
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