HomeMy WebLinkAboutPermit Building 1996-7-10
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COMMERCIAL/INDUSTRIA'
PERMIT APPLICATION
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JOB NUMBER ~..$Ol:.
INSPECTION LINE: 726-3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK' 4/2C7'5" /:??.4??/ '$;><
ASSESSORS MAP' /? .~:::? -?-l ~-7:?
TAX LOT: O~r.::>
OWNER'
ADDRESS:
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/h<9~"'/"~/51'/~ ~
E/.~t!E::':' iF STATE:
PHON'"
CITY:
,??,4>.
DEMOLISH
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O~HE~.
ZIP:
=t/qC) /
OESCRIPTION OF WORK:
NEW
REMODEL
AODITION
VALUE: /$>~-"""
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
GENERAL:.~Z'A/E'"~~: ~-_
PLUMBIN'""
ADO);IESS
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/- -" - - ,~ ,
CONST.
CONTRACTOR' EXPIRES PHONE
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MECHANICAl'
ELECTRICA' .
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I NO.
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PUJMBING
MFr.HANICAI.
FEE
CHARGE J
Nn
ft.
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
Irom AC or htg.
Mechanical exhaust
hood and duct
."" I ""'R,","
Single Fixture
Relocated Bldg.
(new Ilx. addtl)
Water Service
Sanitary Sewer
It.
Storm Sew~r
II.
Backflow Device
Permi! Issuance
$10.00
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
LAND USF'
HANDICAP ACCESS'
FLOOD PLAIN:
QUAO AREA'
, OF BLDG'"
· OF UNITS'
ZONING'
OCCY GROUP'
CONSTR. TYPE'
, OF STORIES:
HEAT SOURC'"
LIGHTING POWER BUDGET:
WATER HEATER: ,_
SQ. FT.
$fSQ. FT.
VALUE
SQ. FTG MAIN
X
X
X
SQ, FTG ACCESf'
SQ. FTG OTHER
TOTAL VALUE OF PROJECL
PLAN CHECK FEF
RCPT'
DATE ._.
BY
-:2."7. ?'C/
I:~
, OEMOLlTION
I BUILDING PERMIT
15% State .-1:~
Surchar~.e ,."
I MECHANICAL I
15% State I
Surcharae
I PAVING I
l PLUMBING
I 5% Stat,e
Surcharae
I FENCE
VAIIJE $
I SIDEWALK
CURB CUT
FT.
FT.
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
5/.$7
"'lI
. REQUIRED INSPECTIONS ·
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 ,equested 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 following work day.
SITE INSPECTION: To be
made after excavatlon, but
prior ,to setu p of forms.
UNOERSlAB PLUMBING,
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 g,avel Is In
place but prior to placing
asphalt or concrete.
x
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
FRAMING: To be made after
the roof, all framing, fire
biocklng and bracing are In
place and all pi pes, 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 Olvlslon,
ATTIC DRAFT STOPS &
CURTAIN WAllS
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, ali steel in place, but
prior to placing concrete.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
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.
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 and
tightening operations. (306
a.G)
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.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION ANO 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 board joints and
fasteners are taped and
finished.
GlU.lAM BEAMS: Inspection
CertifIcate by an approved
agency, fu'rnished to the City's
BuildIng DivIsion before
beams are placed, (2501 U.B.C.
STOS. 25.10,11).
STRUCTURAL MASONRY: (306
a.7)
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 materlal In
place.
ROOF SHEATHING AND
NAiliNG: Prior to Installing
any roof covering.
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 the Building,
City or Development Code.
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FINAL ELECTRICAL
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 PLUMBING
K
FINAL BUilDING: Requested after 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 MECHANICAL
FINAL FIRE DEPARTMENT
AODITIONAl COMMENTS'
PLANS REVIEWED BY
DAT~
By signature, I state and agree, that I have carefully examined the completed applicatIon and do hereby certify th~t 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~hat only contractors and employees
who are In compliance with ORS 701.055 will be used on this project.
I further agree to ensur that all required Inspections are requested at the proper time, that project address Is-readable from the
street, that the perml card Is located at the front of the property, and the approved set of plans will remain on the site at all
times during constr don. } l '
Slgnatu~ \ (I L1 J?Jtv.AJ.e"L- Datp J- !()r 7~
-ril /'
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VALIDATION:
AMOUNT RECEIVED: ""3/.:fi>?
72 .yy'~
DATE PAID:
?-/eP -%
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RECEIPT ':
RECEIVEO BY: