HomeMy WebLinkAboutPermit Building 1995-5-2
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. 225,fifth Street;Springfield, O,egon',97477
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ADDRESS: '-III 1::/:.(';" <z-t!l. '
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JOB NUMBER
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COM ivl ERCIALlI N DUSTRIAL
PERMIT APPLICATION
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INSPECTtON LINE: 726.3769.
OFFICE: 726.3759
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TAX LOT:
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STATE: ....ILl?
PHONE: ~,.,,- sL/'J - ';.')0 I
, ZIP: 9"H"-' 'W:L
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OWNER:
DESCRIPTtON OF WORK: 'J.~<;.h:;/Itvh-D" 01' ant. A/~ "';k~. _ L><,il:o;^f <;.J-'to<f".H
NEW V
Law,..;",,g...
REMODEL
ADDtTtON
DEMOLISH
OTHER
VALUE: 'il.. ~oa.O'c'
NAME
ADDRESS
PHONE
ARCHtTECT' ND@
CDNTRACTOR'S~~.n ,";'-:' (6vt, ~2l/ 'a".b .' gg~~ACTOR'
GENERAl' Y; \H ,J-1'16 " /.J.lD. tJlfl..-/Jr r~trvj~7Q;)/
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EXPtRES
PHONE
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PLUMBtNG:
MECHANtCA' .
ELECTRtCA' .
I PLUMBtNG
NO.
I Single Fixture
I Relocaled Bldg.
Inew Ilx. addtl)
I Water Service
II.
I Sanitary Sewer
II.
I Stann Sewer
II.
I I Backflow Device'
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FEE
CHARGE
. MECHANICAL ____
Mn 1=1=1='
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
Station.ary evap.
cooler
Vent Fan/Single
duel
Vent System apart
. from AC or htg.
Mechanical exhaust
hood and duct
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Permit Issuance
$10.00
TOTAL PERMtT
TOTAL PERMtT
,lAND US..
- OFFICE USE -
~"b0lJ
HANDtCAP ACCESS:
QUAD AREA:
'7". ~ lVLl)
FLOOD PLAtN:
. OF BLOGS'
. OF UNtTS'
ZONING:
&Y
OCCY GROUP'
CONSTR. TYP.'
LIGHTING POWER BUDGET:
. OF STORtES'
HEAT SOURCF'
WATER HEATER'
, SQ. FT.
$/SQ. FT.
VALUE
SQ. FTG MAtN,
x
X
. X"
SO. FTG ACCESS
SQ. FTG OTHER
TOTAL VALUE OF PROJECT
PLAN CHECK FEE
7'~. o/"7J
RCPTH
DATE
BY
I BUtLDtNG PERMIT
15% State
Surcharge
,I MECHANICAL
15% Slat,e
SurcharQe
I PAVING
77< S-~
3.79
~.2"""
PLUMBING
DEMO LITtON
5% State
Surcharge
FENCE
VALUE $
StDEWALK
FT.
SUBTOTAL
PERMtTS
SYSTEMS
DEVELOPMENT
.$C). ~/
//,4.
CURBCUT
FT.
.' '. ..:. I
TOTAL PERMIT FEES
EXCLUDtNG ELECTRICA'
/-<8. "?C'
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REQUIRED INSPECTIONS
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It is the responsibility of the permit' holder to see that all inspections are made at the proper lime. To request an inspection, ca.l1
726.3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready
for Inspection. Requests rece:ived before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be made
the following ~ork day.
SITE tNSPECTtON: TO,be
made after exca-vation, but.
prior to setup of forms.,
UNDERSLAB PLUMBtNG,
ELECTRICAL &
MECHANICAL: To be,made
before any work is covered.
ROUGH PLUMBtNG,
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 or concrete.
FOOTINGS & FOUNDATIONS:
To ,be made after trenches are
excavated and forms are
erected, all steel in place, but
prior ~o placi~g concrete.
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
SPECIAL INSPECTIONS: in accordance
Section 306 of the State Specially Code
a special inspector shall be employed
by the O~nerf Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Qivislon.
ATTIC DRAFT STOPS &
CURTAtN 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: 'tn
excess of 2500 P.S.t. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sal'Jitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
INSULATtON & VAPOR
BARRtER: To be made after all
insulation and required vapor
barriers are in place but
before any lath or gypsum
board interior wall covering is
apptied.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. .(306
a.6)
SPRAYED ON
FIREPROOFING: U.B.G.
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.
SPECtAL GRADING,
EXCAVATION AND FtLLING:
During 'earthwork. (306 a,11' &
Chapter 29) ".
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing.
LATH AND lOR 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: tnspectlon
Certificate by an approved
agency. furnished to the City's
Building Division before
beams are ptaced. (2501 U.B.G.
STOS. 25.10,11).
FLOOR INSULATtON &
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 wit'h
UBC 2415.
StDEWALK & DRIVEWAY:
Required for all concrete
paving within street .right of
way, to be made after all
excavating complete and. form
work and,.sub~base mat.erial in.
place.
*In addition to the.inspec-
tions 'spectfled; the Building
Official may make or require
other inspection's of any
construction work to ensure
compliance 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.
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SITE PLAN REVIEW BOARD: Must be requested,2 days tn 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.
FtNAL PLUMBING,
x
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL 'FtRE DEPARTMENT
ADDtTIONAL COMMENTS:
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PLANS REVtEWED BY./ (,.;>,p~..-- .:-::;-, OAT~ "5"':;;:>-".9-.5
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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 perfor:med shall be done in accordance with the Ordinances
of the City of Sprlnglleld, 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 a,'1 required inspections' are requested at the proper time, that p~~jec't address Is readable from the
street, that the permit card is 1Q(~ated at the front 'of the property. and the approved set ot'p'lans 'wlll.remaln on the site at all
. times during constructlon.
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Signaturp Oat'"
VALlDATtON:. .
:AMOUNT RECEtVEO: r~.~;2'
, RECEtPT': (J t {;AfT
"It!:!) .
OATE PAtD'
RECEtVED BY:
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