HomeMy WebLinkAboutPermit Miscellaneous 1992-12-11
COMMERCIAL/INDUSTRIAL ·
PERMIT APPLICATION
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JOB NUMBER "7' A; -- /
INSPECTION LINE: 726.3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK' "8 '2 *9 0/' ~.('~ ~ -
ASSESSORS MAP: / 7--c:? z.. -? /-; / TAX LOT: , Yb~
OWNER: lc;;."5 5~'-._~, L77,7?tT;' ~Af/~PHONE:....2.Y/-C/2~
,;PP~667 .
,Z?f~W"--LF STATF' O~
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ADDRESS:
CITY:
ZIP:
DESCRIPTION OF WORK: ~~~<...
NEW REMODEL ADDITION
DEMOLISH
OTHER
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VALU~ , ( ,~
, '7/......~
NAME
AODRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
CONST.
CONTRACTOR' EXPIRES
*:
, ~
PHONE
GENERA' .
PLUMBING: tfb?c::r~~ q%~,~ ~
MECHANICA' .
ELECTRICAl'
PLUMBING
MECHANICAL
NO,
FEE
CHARGE
Nn
~~~
1'\.ol.Q.t:I(.:1=
It.
V :-Storm Sewer
",~It.
I ~
Backflow Device
1
I
1
I
I
PfJ
Furnace/burner & vent
<100.000 BTUg
Furnace/burner & vent
> 100.000 BTUg
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Single Fixture
Relocated Bldg.
Inew lix. add! 1\
Water Service
It.
Sanitary Sewer
TOTAL PERMIT
6'5
I
I TOTAL PERMIT
Permit Issuance
$10.00
- OFFICE USE -
HANDICAP ACCESS:
FLOOO PLAIN'
ZONING'
aUAD AREA'
LAND USF'
. OF BLDGc'
. OF UNIT~'
OCCY GROUP'
CONSTR. TYPF'
L1G HTlNG POWER BUDGET:
. OF STORIES:
HEAT SOURC~'
WATER HEATER'
SQ FT.
$/SQ. FT.
VALUE
SQ. FTG MAl N
SO. FTG ACCESS
X
x
SQ. FTG OTHER
X
TOTAL VALUE OF PROJECT
PLAN CHECK FF~
RCPP
DAT~
BY
I BUILDING PERMIT
I' 5% State
SurcharQe
1 MECHANICAL
15% State
Surcharae
I PAVING
I PLUMBING
':;-'5". -I DEMOLITION
;;1.75 I
1
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
:J"? ;?".
I
I
1
1
I
I
5% State
SurcharQe
FENCE
VALUE $
SIDEWALK
1 CURBCUT
FT.
SUBTOTAL
PE RM ITS
SYSTEMS
DEVELOPMENT
FT.
.
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 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
made after excavation, but
prior to setup of forms.
UNDERSLAB 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
an~ approved.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
FOOTINGS & FOUNOATIONS:
To be made atter 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.
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.
ATTIC DRAFT STOPS &
CURTAIN WALLS
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.
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 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
y
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
d rai nage II nes. 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. -
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
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.
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
shealhlng.
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 U.B.C.
STDS. 25.10,11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
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.
.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.
i
I
,
"
'j
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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 ELECTRICAL
FINAL MECHANICAL
FINAL BUILOING: 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 FIRE OEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
OAT"
.
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 will 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 th:fP it 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 s ructlon. # (}
Signature,"" ,~. / L ~ Oate/:2-//,!/j?Z/'
/ --.... / - '\
VALlDAT~ AMOUN~EO: 1770 7 ~
""1 () I:::z.,
DATE PAID:
r 2--1 t ~92-
()Jvv", ~
RECEIPT N'
RECEIVED BY: