HomeMy WebLinkAboutPermit Building 1996-10-11
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COMM ERCIALlI N DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER ~b/:?&?
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK' ::2'c?::>::5
ASSESSORS MAP: /7-d??l- .=5~- $0"<'
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. TAX LOT'
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OWNER:
AODRESS'
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PHON'"
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ZIP:
CITY'
STATE: _~ '
DESCRIPTION OF WORK: A-n --..,_ l;:'>~::'_'- ':"---~"~,??c::::-~.
NEW REMODEL ADDITION DEMOLISH OTHER
VALUE:
?3.::2:::? cocO
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
GENERAL: ~~~ /!.
PLUMBING'
MECHANICAl'
CaNST,
ADDRESS .,!- ~ ~.!:!TRACTOR "
- Ji~l-l~~~ft~. ~~
- . . ".. .
EXPIRES
V""'3 ='
PHONE
?:::?;:'-V~
..::...:
ELECTRICA"
I I MECHANICAL ,
PLUMBING J
I NO. FEE CHARGE iD I """ ,....ABG,
I Single Fixture Furnacel burner & vent
< 100,000 BTUs
I Relocated Bldg, I Furnace/burner & vent I
Inew fix, add/II > 100,000 BTUs
I Water Service I Floor furnace and vent I
It.
I Sanitary Sewer I Suspended wall or floor ]
It. mounted unit heater
I Storm Sewer I Appliance Vent I
It. separate
I Stationaryevap. I
Backflow Device cooler
I ~" Vent Fan/Single I
duct
I I " Vent System apart I
from AC or htg.
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'
QUAO AREA:
LAN D USE:
FLOOD PLAIN'
ZONIN'"
" OF BLDGS:
" OF UNIT~'
OCCY GROUP'
CONSTR. TYPF'
LIGHTING POWER BUDGET:
" OF STORIES:
HEAT SOURC"'
WATER HEATER:
SO, FT,
$/SO, FT,
VALUE
SO, FTG MAIN
X
SO, FTG ACCESS
X
SO, FTG OTHER
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEE
RCPT'
DAT"
BY_
1 BUILDING PERMIT
15% Slate
SurcharQe
I MECHANICAL
15% State
Surcharae
I PAVING
s-v- ,50
'2."" :;So
/. "7'/,
PLUMBING
I DEMOLITION
5% Stale
Surcharoe
FENCE
VAltlF~ _
----._-
SIDEWALK
CURB CUT
FT,
FT. I
SUBTOTAL
. PERMITS
I SYSTEMS
DEVELOPMENT
'.
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
Cf&. C) ?
. 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 .l?etup 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 or concrete.
CONCRETE SLAB: To be
made after alllnslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
In place but before any
concrete is placed.
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 pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
SPECIAL INSPECTIONS: In accordance
Section 30601 the State Specialty Code
a special inspector shall be employed
by the Owner! CO('ltractor during
construction of the foHowing work. A
copy of the special testing reports shall
be furnished to the Building Division.
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.
STRUCTURAL CONCRETE: In
excess 01 2500 P,S,I, (306 a,1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
INSULATION _& VAPOR ,
BARRIER: To be 'made after all
insulation and re.quired 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)
SPRAYEO 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 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.c,
STDS, 25-10,11),
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing,
)'
STRUCTURAL MASONRY: (306
a,7)
-;tj ~?"'.a.c- M-/
I-~~ " /'
,~~~5
L://f(.AlL ;?~/"ffi~
In 'ad'drt1on to {he inspec.
tions specified, the Building
Official may make or require
other Inspections of any
constructlon work to ensure
compliance with the Building,
City or Development Code.
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
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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FINAL ELECTRICAL
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 PLUMBING
FINAL MECHANICAL
FINAL BUILDING: Requested alter the final 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 the premises.
FINAL FIRE DEPARTMENT
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 projecLaddress 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 durin: 7~uctlon, /} ,
Slgnatura ""7- 4/~ Date /i::J' 11.7'''''
/
VAll DATION:
AMOUNT RECEIVED: t./8.0:/
RECEIPT .' '7 ":j' 7-"'7""').
DATE PAID' /O-//-"'5'b
RECEIVED BY' . *~