HomeMy WebLinkAboutPermit Building 1996-4-4
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COM M ERCIAL/lN DUST RIAL
PERMIT APPLICATION
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JOB NUMBER
'3'6~ y~
LOCATION OF PROPOSED WORK: -'..Z/'2.
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INSPECTION LINE: 726.3769
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TAX LOT: C//=-~ ~
PHON~ ""? 7"'f-<9 '=50<?
225 Fifth Street, Springfield, Oregon 97477
ASSESSORS MAP:
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DESCRIPTION OF WORK: ~.-;r:_'?_""""
OWNER'
,
CITY'
O,.A .
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STAT~'
ZIP'
9:;?VT?
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
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VALUE: ? ~~ _.
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
GENERAl#L ~~A/. h;,
PLUMBING'
CaNST.
A..9~~~ t1f-" #~ CONTRACTOR'
roq;~F;/'~ --:ny~/. ~</;;g-.;
EXPIRES
PHONE
9-;20'2'" '".::?Y7,-..(,-'//,/
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MECHANICA' '
ELECTRICAl'
I PLUMBING I MECHANICAL J
I' NO. FEE CHARGE I I ' <:EL_CI:iARGi
I Single Fixture Furnacel burner & vent
< 100.000 BTUs
Relocated Bldg, Furnace/burner & vent I
(new Ilx, addlll > 100.000 BTUs
Water Service Floor furnace and vent I
It.
I Sanitary Sewer Suspended wall or floor I
It. mounted unit healer
I Storm Sewer Appliance Vent I
It. separate
I Stationary evap. I
Backflow Oevice cooler
J I Vent Fan/Single I
duct
I Vent System apart I
from AC or I1lg.
I Mechanical exhaust I
hood and duct
I I
I Permit Issuance $10,00 I
I TOTAL PERMIT TOTAL PERMIT I
- OFFICE USE -
HANDICAP ACCESS'
QUAD AREA'
LANO US~'
FLOOO PLAIN:
ZONING'
. OF BLOGS:
. OF UNIT~'
OCCY GROUP:
CONSTR. TYPF'
. OF STORIES:
HEAT SOURC~'
LIGHTING POWER BUDGET:
WATER HEATER'
SQ, FT.
$/SQ. FT,
VALUE
SQ, FTG MAIN
SO. FTG ACCES~
x
X
SQ. FTG OTH ER
x
TOTAL VALUE OF PROJECT
PLAN CHECK'FEF
RCPP
OAT!:'
BY
I BUILOING PERMITJ
15% Stale . ~
SurcharQe ,/
1 MECHANICAL' I
15% State
Surcharae
I PAVING
)~.7-
I ."!' ;?
'/./~
PLUMBING
'OEMOllTlON
5% State
SurcharQe
I FENCE
VALUE $
SIDEWALK
FT.
I SUBTOTAL
PERMITS
I SYSTEMS '
OEVELOPMENT
CURBCUT
FT,
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
. 'fl. 7'9
~
.
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 YQur City designated job number. job address. type of inspection requested and when you will be ready
for InspectIon. Requests re,calved 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 torms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING; ,
ELECTRICAL & -
MECHANICAL: No work is to-
.... ..
be covered u ntll these .
inspectIons have been made
and BJ?proved. . .
PAVING: After gravel is In
place but prior to placing
" as~h~lt or COr)crl3te.
, .
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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.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
. a special Inspector shall be employed
by the Owner I Contractor during
construction of th"e 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 pi pes. 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)
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
lIisulatlon 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.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
d ral nage II nes. To be made
prlbr to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U,B.G,
Standards 43.8.
SPECIAL GRADING.
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
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, furnished to the City's
Building Division before
beams are placed. (2501 U.B.G,
STDS. 25-10,11),
POST & BEAM:'To be made
prior to installation of floor
Insulation, 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 material in
place.
y
STRUCTURAL MASONRY: (306
a.7)
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Z{~~e. /5'~bC;
In ..ddi(lon to fhe 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,
y
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
-------------------------------------------------------
,
FINAL MECHANICAL
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the dale 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 tinal plumbing, electrical,
mechanical and Fire Department Inspectlons 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 th~ premises.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
DATF
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that allinformalion
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 card Is located at the front o~ the property, and the approved set of plans will remain on the site at all
times during constru on.
,
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DatL~7"/1'~
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RECEIVED BY' ~...--?~
V" /' -
Slgnaturp
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VALIDATION:
AMOUNT RECEIVED' ~ /.5''7
:/&'J -'751 /'
DATE PAID'
RECE,JPT .'
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