HomeMy WebLinkAboutPermit Miscellaneous 1995-2-27
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' COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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~iOB NUMBER 9.~6' =< .'"5 -:
INSPECTION LINE: 726,3769
OFFICE: 726,3759
LOCATION OF PROPOSED WORK' /~/~ /,,?A~A" ~
ASSESSORS MAP: />-6'3"-2-5'-"3"5
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TAX LOT: ~8~
OWNER:
ADDRESS'
CITY'
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ZIP'
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DESCRIPTION OF wORK,l1~re:;f<;. ~ .fj-ry;;-;;...X""" .1'/':.'5" /"' .?~
. NEW REMODEL ADDITION DEMOLISH OTHER I
NAME ' ADDRESS *..' '._
ARCHITECT'
CONST. ~
ADDRESS CONTRACTOR'
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VALUE:
PHONE
CONTRACTOR'S NAME
EXPIRES
PHONE
GENERAl' ~ /!l.:
PLUMBING:~pQ7=-:/ ~/tE=~ ~~~~....~g~' 7~ :(h.2<~ ~'7' -,. ~ '="1;>
MECHANICAl'
ELECTRICA' '
It,
I "'~CHANICAI. I
I=FF r:HARnF INn ~~~ ~~I
Furnace/burner & vent
< 100.000 BTU s
I I Furnace/burner & vent I
> 100.000 BTUs
I I Floor furnace and vent j
f/L:> I I Suspended wall or tloor j
mounted unit heater
. I I Appliance Vent
separate
I I Slatlonary evap.
cooler
I I Vent Fan/Single
duct
I I Vent System apart
from AC or htg,
I I MeChanical exhaust
hood and duct
I I
I I Permit Issuance $10.00
I I TOTAL PERMIT
PllIMRINn
NO
Single Fixture
Relocated Bldg,
(new fix. addUl
Water Service
I .... - Sanitary Sewer
//~ ., It.
Storm Sewer
It.
Backflow Device
TOTAL PERMIT
aUAD AREA'
. OF BLDG~'
- OFFICE USE -
LAND USE:
HANDICAP ACCESS'
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET: '
WATER HEATER'
, OF UNIT!"
OCCY GROUP:
.
. OF SiORIE~'
CONSTR. TYP~'
HEAT SOURC~'
sa. FT.
$/sa. FT.
VALUE
sa. FTG MAIN
sa. FTG ACCESS
sa. FTG OTHER
x
x
x
'=
TOTAL VALUE OF .PROJE"T
PLAN CHECK F~~
RC PTN
DAT~
BY
I BUILDING PERMIT
15% Slate
Surchame
I MECHANICAL
15% State
Surcharae
I PAVING
I PLUMBING
5% State
Surcharge
FENCE
UAIUE ~
Slo"E"WALK
CURBCUT
;:j.
t-/t:J. -=, DEMOLITION
2.. -----
/-2.0
FT.
FT.
SUBTOTAL
PERMITS
SYSTEMS
, DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUOING ELECTRICA'
Y3. 2.c!?
. REQUIRED INSPECTIONS.
It Is the responsibility of the permit holder to see that all Inspections are made at the proper time, To requeat an Inapectlon, call
726,3769 (recorder), state your City designated Job number, Jab address, type of Inspection requested and when you will be ready
lor 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
made after excavation, but
prior .to setu p of forms.
f
UNDE.RSLABPLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICAL & "
MECHANICAL: 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,
FOOTINGS & FOl1NDATlONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but.
prior to placing concrete.
., CONCRETE SLAB: To be
. msde eller all Inslsb building
service equipment, conduit.
piping, accessories and other
enclllary equipment Items sre
. In place but before any
concrete Is placed,
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.
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,
ATTIC DRAFT STOPS &
CURTAIN WALLS
STRUCTURAL CONCRETE: In
excess, of 2500 P.S.I. (306 a.1)
STRUCTURAL WELDS:
Performed on the Job, (2722 f)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor 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 snd
tightening operations. (306
a,6)
y
UNDERGROUND: PllllJ1blnCJ.....
electrical, ga~anltsfV sewe1:-o.,
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 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 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 boerd joints and
fasteners are taped and
finished.
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,
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.n
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 wi th
UBC 2415,
ROOF SHEATHING AND
NAILING: Prior to Installing
any roo' covering,
CURB AND APPROACH
APRONS: Aller forms are
erected but prior to placing
concrete.
'In addition to the Inspec.
tlons specified, the Building
Official may make Dr require
other Inspections of "ny
construction work to ensure
compliance with the Building,
City or Development Code.
-------------------------------------------------------
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 BUILDING: Requested after the final plumbing, eleclrlcal,
mechanical and Fire Department Inspections are made and .
approved. No occupancy of the premises can be made until a
Certl flcate of Occupancy has been Issued by the Bulldl ng Division
and posted on the premises.
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS-
PLANS REVIEWED BY
OAT"
By slgnalure, I slate 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 pertslnlng to th.e work described herein, snd 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 ORS 701.055 will be used on this proJect.
I further agree to ensure that all required Inspecllons 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 cons~ ~ (] _
SIgnatur4 /O/"~ ~~ Date;;' --cJ.7 -:-./~
//
VALIDATION:
AMOUNT RECEIVEP' en.::2o-
/h sl2~
RECEIPT N'
DATE PAID'
RECEIVED BY:
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