HomeMy WebLinkAboutPermit Building 1993-9-8
COMM ERCIALIIN DUSTRIAL
PERMIT APPLICATION
SPRINOFIELD
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JOB NUMBER 9'3/51$jO
INSPECTION LiNE: 726-3769
OFFICE: 726-3759
.
225 Fifth Street, Springfield, Oregon 97477
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LOCATION OF PROPOSED WORV'
TAX LOT:
(~;;'J7 /
::ii 4/.5 - 2967
CITY:
SrAl..v
~69
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DESCRIPTION OF WOR~;c.~ ....., ~ ..,P;', "';:'1
NEW REMODEL ADDITION DEMOLiSH
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PHONF'
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OWNER'
ADDRESS:
STATF'
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ZIP:
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..I2K ,S,f-
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OTHER
6
VALUE: /8, Ma.cr>
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NAME
ADDRESS
PHONE
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ARCHITECT' .
CONTRACTOR'S NAME ADDRESS
GENERAL: A.(L- ~/~ /I/~...~
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,.....'..IIV'U...>.). ~ ~--'2f~ I
MECHANICAl'
ELECTRICA' .
CONST.
CONTRACTOR # EXPIRES
C!~13 S4/cU,41
PHONE
3L/2 LlI??
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NO
FEE . CHARGE
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FFF
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PLUMBING
MEI:HANICAL
Storm Sewer
It.
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
from AC or htg.
Mechanical exhaust
hood and duct
Single Fixture
Relocated Bldg.
(new lix. addtl\
Water Service
It.
Sanitary Sewer
It.
Backflow Device
I
I. TOTAL PERMIT
Permit Issuance
$10.00
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
OUAD AREA'
LAND USF.
FLOOD PLAIN'
# OF BLDGS'
# OF UNITS:
ZONING'
# OF STORIES:
CDNSTR. TYPF.
HEAT SOURCF'
LIGHTING POWER BUDGET:
OCCY GROUP'
WATER HEATER'
SO. FT.
$/SO. FT.
VALUE
SO. FTG MAIN
X
SO. FTG ACCESS
SO. FTG OTHER
X
X
TOTAL VALUE OF ,PROJECT
PLAN CHECK FFF
RCPP
DATE _
BY
I BUILDING PERMIT
15% State
Surcharoe
I MECHANICAL
15% State
Surcharoe
i PAVING
q~ ~O
~'7:>
PLUMBING
DEMOLITION
5% State
Surcharge
FENCE
VALUE $_
SIDEWALK
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
CURB CUT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
It!) 3 ,13
.
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, fCquests 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.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOUNDATIONS:
To be made after 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.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pi pes. chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
CONCRETE SLAB: To be
made after all lnslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete Is placed.
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and required vapor
barriers are In place "9.ut .
before any lath or gyps'urn
board interior wall covering is
applied.
UNDERGROUND: Plumbing,'
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
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 exterior, is In
place but before any
plastering Is applied or before
gypsum board Joints and
fasteners are taped and
finished.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installatlon of
decking or floor sheathing.
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.
MASONRY: Steel location.
bond beams grouting or
verticals in accordance with
UBC 2415. '
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
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 test,ing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.I. (306 a.1)
STRUCTURAL WELDS:
Perlormed on the job. (2722 I)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
,
SPRAYED ON '.
FIREPROOFING: U.B.C.
. S tandard~ 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
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).
y
STRUCTURAL MASONRY: (306
a.7)
JO~I ",.F=-
. I
"In addition to the inspec-
tions specified, the Building
Orriclal may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
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: 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.
3.11~
;
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS: ~;if-~(t'L;;LF
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PLANS REVIEWED BY
~
DAT~
By signature, I state and agree, that I have carefully examined the completed application and do hereby certi 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 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 the permit d Is located at the fro of the property, and the approved set of plans will remain on the site at all
times during cons ctio
Signatu~
VALIDATION:
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AMOUNT RECEIVED:-L;<')~ _-13
/EJ/.~(
RECEIPT ..
Date
9'-8-9:$
DATE PAID. 9 - ~ -7' S
RECEIVED BY: ~~