HomeMy WebLinkAboutPermit Building 1996-4-17
COMMERCIALlINDustlAL
PERMIT APPLICATION
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JOB NUMBER
9~Y,s;i"'9'
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726,3759 "~,
LOCATION OF PROPOSED WORK' 54- /5
ASSESSORS MAP: 17-c>5'-=?~ "72
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TAX LOT: c:P~~
OWNER'
PHON'"
*
ADDRESS'
,
CITY:
STATF'
ZIP'
DESCRIPTION OF WORI<' flh(;<Y'~Y
NEW REMODEL -.JL. A~DITION
e)(CC1nIOp'1U~~ d~_~.,. &A7~ .y)
I _
DEMOLISH OTHER VALUE: 2;..SOO
NAME
ADDRESS
'PHONE
ARCHITECT
CONTRACTOR'S NAME ADDRESS
GENERA" Vh/few""f-eveOV'!. 'L6//-A
CONST,
CONTRACTOR'
tv sH. 7/'i5B1
EXPIRES
S -/J-0/6
PHONE
lfpS-3'13?
PLUMBING'
MECHANICAl'
JlO/'}'<A r--e.
5 kn f'r
?.3y-36J f
ELECTRICA" .
PLUMBING
MECHANICAL
NO,
? Single Fixture
Relocated Bldg,
(new fix, addtll
Water Service
It.
Sanitary Sewer
It,
Storm Sewer
ft.
Backflow Device
FEE
It?
CHARGE
~..-
'In
000
,_I
"!:lIlRG1
-I
Furnacel burner & vent
< 100,000 BTUs
Furnacefburner & vent
> 100,000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
ducl
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
PermIt Issuance
I
I
I
u1
I
I
$10,00 j
I
TOTAL PERMlr
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS'
FLOOD PLAIN'
OUAD AREA:
LAND USF'
, OF BLDG~'
, OF UNITF'
ZONING:
OCCY GROUP:
, OF STORIES:
CONSTR, TYPF'
HEAT SOURC'"
LIGHTING POWER BUDGET:
WATER HEATER'
SO, FT,
$/SO, FT,
VALUE
SO, FTG MAIN
SO, FTG ACCES~
X
X
SO, FTG OTHER
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEE -::;2";- ~ '3'
RCPT' ~/O//
DATE
-r:-~.~
BY ...---;:7~~
,4'/-
I BUILDING PERMIT
15% State +-z..
Surcharoe r.JI
I MECHANICAL'
15% State
Surcharae
I PAVING
=?3'.5~
I '~2
/. /7-..
I PLUMBING
5% State
Surcharge
FENCE
VALUE $
SIDEWALK
~-
~.-
t' '..z~
."70
DEMOLITION
FT,
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
CURB CUT
FT,
, ,
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
\ '
7'3 ~<1
. . ..
~UIRED INSPECTIONS
.
It Is the responsibility of the permit holder to see that alllnspectlons are made at the proper time. To request an inspection, call
726.3769 (recorder), state y,?ur City designated job number, job address, type of Inspection requested and when you witl 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
the following work day, '
, "
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
y
ROUGH PLUMBING,
ELECTRICAL &
MESJIAfUeAL. No work is to
be covered until these
inspections have been made
and approved.
PAVING: After gravei is in
place but prior to placing
asp~alt or co~cr~te.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Ownerl 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 are
erected, all steel. in place, but
prior to placing concrete.
;(
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.
STRUCTURAL CONCRETE: In
excess of 2500 PS,I. (306 a,1)
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
pi ping, accessories and other
ancillary equipment items are
in place but before any
concrete Is placed.
STRUCTURAL WELDS:
Performed on the job, (2722 I)
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 and
tightening operations. (306
a,6)
" .
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines, To be made
prlbr to covering or filling
trenches.
SPRAYED ON
FIREPROOFING:, U,B.G,
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
Du ri ng earthwork, (306 a,11 &
Chapter 29)
y
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 UB.G,
STOS, 25,10,11),
POST & BEAM:'To be made
prior to Installation of floor
insulation, decking or floor
sheathing,
STRUCTURAL MASONRY: (306
a,7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or 1I00r sheathing,
MASONRY: Steel location,
bond beams grouting or
vertlcals 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: Prior to Installing
any roof coverl ng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
*In addition to the Inspec-
tions specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with th~ Building,
City or Development Code.
-------------------------------------------------------
Y FINAL PLUMBING
.Y
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 alter the final piumblng, 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.
V FINAL ELECTRICAL
FINAL MECHANICAL
{I FINAL FIRE DEPARTMENT
,
ADDITIONAL COMMENTS'
PLANS REVIEWEO BY /" ~ -
Eg-
DATE 4"-/.c:~
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 Building Safety Division. I further certify that only contractors and employees
who are In compliance with ORS'701,055 wlli 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:strucuo~ ~~(
Signature .....--X.... Date if- /'1- ,It
//',
VALlOATION:
AMOUNT RECEIVEO' 79 99
2//V"")
RECEjPT .'
DATE PAID:
RECEIVED BY:
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