HomeMy WebLinkAboutPermit Miscellaneous 1995-6-30
LOCATION OF PROPOSED WORV' -;3 7/<PC' ~~~ -::5',,)'<,
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OWNER' 04:L~ 7- ,If(;;!,/~~,,:;.')7
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CITY' -'7?rt..D STAT~'
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DESCRIPTION OF WORK' ;f~>~LL j??Yhf'ELl
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COMM ERCIALlIN DUSTRIAL
PERMIT APPLICATION
225 Fifth Slreet, Springfield, Oregon 97477
NEW
REMODEL
ADDITION
NAME
ARCHITECT'
CONTRACTOR'S NAME
GENERA' '
PLUMBING: h"L/ - 5?-"""/if'R."
MECHANICAl'
ELECTRICA' '
PLUMBING
NO,
FEE
Single Fixture
R.locatad Bldg,
IneY/ lix, addtll
Water Service
It.
Sanitary Sewer
It.
Storm Sewer
Q~rft.
Backflow Device
TOTAL PERMIT
OUAD AREA'
. OF BLDG~'
OCCY GROUP:
. OF STORIES:
sa, FT,
SO, FTG MAIN
sa, FTG ACCESS
sa, FTG OTHER
PLAN CHECK FE!'
RCPP
I BUILDING PERMIT
15% Stal,.
SurcharQe
I MECHANICAL
15% State
Surcharoe
1 PAVING
~/f :f:,ij I.fl,
,.1"
~
ttOB NUMBER .~~..::::.
INSPECTION LINE: 726.3769
OFFICE: 726.3759
TAX LOT' c:::''':<'":?'~
PHONF'
7</6- 9"'7'3" ::2
"7 ? ',1'::>';:;-
r~n ~/1::~.-;--.,.//~hS":"
c:::>;:q ,
ZIP'
DEMOLISH
OTHER
VALUE:
ADDRESS
PHONE
ADD RESS
CONST,
CONTRACTOR'
PHONE
EXPIRES
~1
~~-
p
.
I
CHARGE I
1
I
1
I
?c::? --I
I
1
1
1
1
MECHANICAL
~~.
('1-l4~r::.1=
"'0
Furnacel 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
Stal ionary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duel
Permit Issuance
$10,00
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS'
FLOOD PLAIN:
LAND US.'
. OF UNITo,
ZONIN'"
CONSTR. TYP~'
HEAT SOURCF'
LIGHTING POWER BUDGET:
WATER HEATER'
$/sa, FT,
VALUE
X
X
X
TOTAL VALUE OF PROJECT
DAT~
BY
I PLUMBING
QC"~
,~ .:;sq
...V>;;<:./~
I DEMOLITION
5% State
Surcharge
FENCE
VALUE $
SIDEWALK
t~'
FT,
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
CURB CUT
i'
FT,
TOTAL PERMIT FEES
EXCLUDING ELECTRICA'
75.bO
.
REQUIRED INSPECTIONS
e
: ,
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 8.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
and approved.
PAVING: After gravel Is in
place but prior to placing
_ asphalt pr concrete.
ATTIC DRAFT STOPS &
CURTAIN WALLS
SPECIAL INSPECTIONS: In accordanca
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.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel Ifl place, but
prior to placing concrete.
FIREPLACE: Prior to piaclng
facing materials and before
fraffllng I~spec~on.
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,
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
bafore any lath or gypsum
board interior wall covering Is
appllad,
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening oparations, (306
a,6)
UNDERGROUND: Plumbing,
electrIcal, gas, sanitary sewer,
~"I ;:>ttwe,r)water and .
drallld"tf lines. To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: 'U,B,C,
Standards 43,8,
SPECIAL GRADING,
EXCAVATION AND 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 appllad or before
gypsum board joints and
fasteners are taped and
finished,
GLU.LAM BEAMS: Inspactlon
Certificate by an approved
agency, furnished to the City's
Building Division bafore
beams are placed, (2501 U,BC,
STDS, 25.10,11),
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Instailation 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 Inspac.
tlons speclflad, the Building
Official may make or require
other Inspections of any
construction work to ensure
compllanca with the Building,
City or Development Code.
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 advanca
of the date you wish Inspection. All project conditions such as
landscaping, parking lot striplngt etc. must be completed before
requesting this Inspection.
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL BUILDING: Requasted 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 DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
....-7
/ ~~.A'
. .tY/'-
DAT~
6-~'7 S--
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify thpt 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 re~ulred Inspections are requested at the proper timet 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 construction. .
,~ ('-~~'
Date.b~ <.>
Signature
VALIDATION:
AMOUNT RECEIVED: '75:dSC::::>
RECEIPT" /~/<(/
DATE PAID:
RECEIVED BY:
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