HomeMy WebLinkAboutPermit Building 1997-10-15
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COMMERCIALIINDUSTRIAL
PERMIT APPLICATION
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225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER
9'//.9d'~
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK: -::;'/ Sn, HillA) 4r.
ASSESSORS MAP' /-, ~ '2 -3/ -.::;:. C>
~FLLJ (A;t:-.I1/1I/t/T &a)
TAX LOT: .::7~ V~
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OWNER-
CITY'
STATF'
oK
ZIP:
9?~?~
DESCRIPTION OF WORK:
NEW REMODEL
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ADDITION DEMOLISH OTHER ~Al19 VALUE: ...sc:!!::-,:,
ARCHITECT-
NAME
.AJI)~
ADDRESS
PHONE
PLUMBING:
MECHANICAl'
I
CONST, /ltJ/3/ IO/'Jf{/o71
CONTRACTOR' Expmts f {V PHONE ,
10. W. 9rJ3 h;-~ /r/t::L . 72h (;,Z'1Cf
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CONTRACTO~'~ NAME ADDRESS
GENERAl' fitt5 (6~'T/rJ)1.J ::HIe
ELECTRICA' '
I PLUMBING J MEr.HANIr.AL
I NO FEE CHARGE J Nn I ~~~ r:U.o.Dr-c
I Single Fixture I Furnace/burner & vent
< 100,000 BTUs
I Relocated Bldg. I Furnace/burner & vent I
(new fix. addtll > 100,000 BTUs
I Water Service I Floor furnace and vent I
ft.
I I Sanitary Sewer I Suspended wall or floor I
It, mounted unit heater
I I Storm Sewer I Appliance Vent I
It. separate
I I Stationary evap. I
Backtlow Device cooler
I 1 Vent Fan/Single I
duct
'1 - I Vent System apart I
. from AC or htg,
I Mechanical exhaust I
hood and duct
I I
I Permit Issuance $10,00
I TOTAL PERMIT TOTAL PERMIT
- OFFICE USE - HANDICAP ACCESS'
OUAD AREA' LAND US~' FLOOD PLAIN:
. OF BLDGS' . OF UNIT~' ZONING' '
OCCY GROUP' CONSTR. TYPF' LIGHTING POWER BUDGET:
. OF STORIE~' HEAT SOURCE: WATER HEATER-
sa, FT, $/SO, FT. VALUE
sa, FTG MAIN X
sa, FTG ACCESS X
SO, FTG OTHER X
TOTAL VALUE OF ,PROJECT
PLAN CHECK FEF
RCPTN
DATF
BY
I BUILDING PERMIT
15% Slate 't.:"~
SurcharQe ;t~
I MECHANICAL
15% State
Surcharoe
I PAVING
?r5e>
. -73.
. ~ I,;'
PLUMBING
1
I
I
FT. I
n: -1-----.
DEMOLITION
5% State
SurcharQe
I FENCE
VAIIJF. ~
I slb-eWALK-
I CURBCUT
SUBTOTAL.
PERMITS
SYSTEMS
DEVELOPMENT
-
- I
TOTAL PERMIT FEES
EXCLUDING ELECTRICA'
Zh.~?
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 yo~r 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 7:00 a,m. will be made
the fOllowing work day, '\ '
SITE INSPECTION: To be, ROUGH PLUMBING,
made after excavation. but ELECTRICAL &
prior to setup of forms, MECHANICAL: No work Is to
be covered until these
Inspections have been made
and approved.
"In addition to the Inspec.
tlons epeclfled, the Building
Oftlclal may make or require
CURB AND APPROACH other Inepectlone of eny
ROOF SHEATHING AND APRONS: After forme are conetructlon work to eneure
NAILING: Prior to Installing erected but prior to piecing compliance with the Building,
f In concrete City or Development Code.
any roo cover g, _____________..:.____________________________
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SITE PLAN REVtEW BOARD: Must be requested 2 days In advence
of the date you wish Inspection, All project' conditions such as
landscaping, parking lot strIping, etc. must ~e completed before
requesting this Inspection,
FINAL BUILDtNG: Requeeted after the final plumbing, electrlcel,
mechanical and Fire Department Inspections are made and
approved, No occupancy of the premleee cen be mOde until a
Certlflcata of Occupancy has been Issued by the Building Division
and posted on the premises.
.
REQUIRED INSPECTIONS
, UNDERSLAB PLUMBING,
, ELECTRICAL &
MECHANICAL: To be made
before any work Is covered,
ATTIC DRAFT STOPS &
CURTAIN WAllS
,~
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel IfI p'lace, but
~',.. p.rlor 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.
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
f:on'crete Is pla'ced.
UNDERGROUND: Plumbing,
electrical. gas, sanitary sewer,
storm sewer, water and
drainage lines, To be made
prior to covering or filling
trenches.
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,
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation. decking or
floor sheathing.
FIRE & SEPARATION WALL:
located and constructed
according to plans.
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 e)(terlor, Is In
place but before any
plastering Ie applied or befora
gypsum board Joints and
fasteners are taped and
finished,
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing,
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within atreet right of
way, to be mada after all
e)(cavatlng complete and form
work and eub-base material In
place.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANtCAL
y
FINAL FtRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
.
PAVtNG: After gravel Is In
place but prior to placing
asphalt or concrete.
SPECtAL 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,
STRUCTURAL CONCRETE: In
excess of 2500 P.S,1. (306 a,l)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening 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 BEAMS: Inspection
Certificate by an approved
agency. furnlehed to the City's
BUilding Division before
beams are placed. (2501 U,B.c,
STDS, 25'10.11).
STRUCTURAL MASONRY: (306
a.7) ,
J A/~~~
~>~./~.
DATe
h com letad application and do hereby certify th/lt ell Information
By signature, I state and agree, that I have carefully examln;d I~ e rk p~r'ormed shall be done In aocordance with the OrdlnancGs
herein Is true and correct, and I further certify that any an a W~alnln to the work described herein. and that NO OCCUPANCY
of the City of Springfield. and the Laws of the Stale ~f ~~~I~f;gP;afety D'~'s'on, I further certify that only contractors and employees
will be made of any structure without permlssl~n ~ ~S~d on thla project.
who are In compliance with ORS 701.055 wll b tl e that project addreas la readable from the
t ure that all required Inspections are requested at the proper md 'set of plans will remain on the site at all
I further agree 0 ens I t d at the front of the property, and the approve
street, that the per t card Is oca e ~ ' /.
times during con ICW'\ 'II , /o/fs-/"'f 7
~/ 'A/VW Date f f
51 gnaturp
VALIDATION:
AMOUNT RECEIVED: g.?'. '7/"':>
RECEIPT #: ?::>-::>/..:;;-
DATE PAID. /I?V~~ .?
RECEIVED BY~ ~/----';---