HomeMy WebLinkAboutPermit Miscellaneous 1994-9-23
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COMM ERCIALlI N DUSTRIAL
PE8MIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER
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INSPECTION LINE: 726.
OFFICE: 726.3759
LOCATION OF PROPOSED WORK'
ASSESSORS.MAP'
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TAX LOT: -1.' 02- '" 2 4-~ 0 2
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OWNER: I'AA-'lliJt:.. >t ~ I\AM..L.elW
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ADDRESS: ~ q flLAe.lS ((..D.
CITY' FFl-LL Cf1..ili {C
PHONE:
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STAT~' (')YZ....
ZIP: qt4<s8
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'NEW
REMODEL
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ADDITION ~ DEMOLISH OTHER VALUE: /.c;Ch!) ."0
DESCRIPTION OF WORK'
.'
NAME
ADDRESS
PHONE
ARCHITECT'
. CONST. J
CONTRACTOR'S NAME l.NUAi SfM-tS, ADDRESS '-l1/.t~ fv\!\ir.l S-(. CONTRACTOR' 91u,,1 EXPIRES II 'I'/- PHONE
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GENERA" liJ~uJI.-rID() of Q>n-"-UI---rF"_, "'n~ ---tniStt >; OOL-€. PiW~t.::.str);-. 1<1.1"16.
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PLUMBINr-.
MECHANICAl'
~
ELECTRICAl'
PLUMBING
NO
I FEE
. I
r:HARGF I
MECHANICAL
fl.
Furnace/burner & vent
< 100000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
StatIonary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
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$10.00 I
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...n
I
I
I
I
I
, I
I
I
I
I TOTAL PERMIT
Single Fixture
Relocated Bldg.
(new fix. addtll
Water Service
Sanitary Sewer
It.
Storm Sewer
ft.
Backflow Device
Permit Issuance
TOTAL PERMIT
- OFFICE USE -
LAND USE:
HANDICAP ACCESS:
FLOOD PLAIN'
QUAD AREA-
. OF BLDGS'
. OF UNIT~'
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER:
OCCY GROUP'
CONSTR. TYP~'
. OF STORIES:
HEAT SOURCE:
SQ. FT.
$/SO. FT.
VALUE
SQ. FTG MAIN
X
X
SQ. FTG ACCES~
SQ. FTG OTHER
X
TOTAL VALUE OF PROJECT
PLAN CHECK FU
RCPTM
DAT~
BY _
I BUILDING PERMIT :2.:S".~
15% State /..... .I
Surcha~p.e ., ~<_~, ,...
MECHANICAL;; . ~..
I-
I
I
I
I
5% State
Surcharae
I PAVING,
I PLUMBING
I 5% Stat.e
SurcharQe
I FENCE
V"'lI~ t
I SiDEWALK
I CURBCUT
FT.
I DEMOLITION
I
I
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAL
:z 7 01)
It Is the responsibility of the permit hoider to see that alllnspectlons are made at the pn;~per time. To request an Inspection, call
726.3769 (recorder), state your City designated job number, lob 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
the lollowlng work day.
SITE INSPECTION: To be
made after excavation, but
prior to setu p of lorms.
tit REQUIRED INSPECTIONS .
UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered untll these
Inspections have been made
and approved.
PAVING: Aller gravel Is In
place but prior to placing
asphalt or concrete: ,.
""2
8
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
pi pi ng, accessories and other
ancillary equipment Items are
In place but before any
concrete Is placed.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
FRAMING: To be made alter
the roof, all framing, lire
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
"X
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FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
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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 aller 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)
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UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U.B.C.
Slandards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
LATH AND/OR GYPSUM
BOARD: To be made aller 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.G.
STDS. 25.10,11).
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7)
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.
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ROOF SHEATHING AND
NAILING: Prior to Installing
any roof cover! ng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
'In addition to the Inspec.
tlons specified, the Building
Olllclal may make or require
other Inspections of any
construction work to ensure
compliance wilh the Building,
City or Development Code.
FINAL MECHANICAL
y
I' '
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: Requesled alter 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 premises. '
FINAL PLUMBING
FINAL ELECTRICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
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PLANS REVIEWED BY
A/ A'.-,
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DATE
7'/24 ~d .
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By signature, I state and agree, that I have carefully examined the completed application and do hereby certl fy that all Information
herein Is true and correct, and I further certify that any and all work performed shall be done In accordance with th&' OrsJlnances
of the City of Springfield, and the Laws of the Slate of Oregon pertaining to the work described herein, and that NO OCCUPANCY
will be made of any structure without permission of the.Bulldlng Safety Division. I further certify that only contractors and employees
who are In compliance with ORS 701.055 will be used on this project.
1 further agree to ensure U(at all required Inspections are requested at the proper time, that project address is readable from the
,.
street, that the permil card Is locatE;/} at the front of the property, and the approved set of plans will remain on the site at all
times during constRscrtlon. /1/ .
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Slgnaturo"",. / Dato 7 --; - 9'V'"
17 /./ /.
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RECEIVED BY: I ~~i
RECEIPT ..
"2- 7.
Jd B Ii?'
(7""0
DATE PAID'
VALlDATtON:
AMOUNT RECEIVED: