HomeMy WebLinkAboutPermit Building 1993-7-27
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SPRINGFIELD ( ..I '~-I... \\CU
~ JOB NUMBER ~\ ...)
.~ INSPECTION LINE: 726.3769
~ OFFICE: 726.3759
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- - TAX LOT: QJj\3l D
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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~WNER: r:.l.\,\~.i ,Wt,\D1l\U.0_} PHONE: .~~.
ADDRESL' X-J(). \.~~ A.4.\ DR 1
CITY: ~)Q l) WOy.o- . . STATE: u.JA zIP:--..flBI~
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ADDRESS
JOLlnuL _
ALUEqrrx)~ I
NAME
PHONE
ARCHITECT'
CONST. .
CONTRACT~S NAMn ~ n II. \ f\.' tADDRE~ (-. JlJ O):l:RACTOR .
GENERAL: \.. X) \ ~\L \\,1\\ H 11 _' ril'-1 (()~) 1 p(f~[Y J u ~-ill:3)(
PLUMBING'
EXPI RES n./l
!!d.&...Cr-t-
(&?0Q1tY)
MECHANICAl'
ELECTRICA' .
NO.
FEE
CHARGE
I MECHANICAL l
In Furnace/burner & vent EEL _CHARG~
<100.000 BTUs
I Furnace/burner & vent I
> 100.000 BTUs
I Floor furnace and vent I
I Suspended wall or floor ,-.
mounted unit heater
I Appliance Vent
separate
I Stationary eVGp.
cooler
I Vent Fan/Single
duct
I Vent System apart
Irom AC or htg.
I Mechanical exhaust
hood and duct
I
I Permit Issuance $10.00
I TOTAL PERMIT
PLUMBING
Single Fixture
Relocated Bldg.
Inew fix. addtll
Water Service
fl.
Sanllary Sewer
It.
Storm Sewer
It.
Backflow Device
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
OUAD AREA-
LAND US.'
FLOOD PLAIN:
. OF BLDGS:
OCCY GROUP:
. OF UNlTf'
ZONING'
CONSTR. TYp.'
LIGHTING POWER BUDGET:
. OF STORIE~'
HEAT SOURCE:
WATER HEATER'
SO. FT.
$/SO. FT.
VALUE
SO. FTG MAIN
SO. FTG ACCESS
SO. FTG OTHER
X
X
X
= TOTAL VALUE OF PROJEA/7?9/l
PLAN CHECK FEE
RCPT'
OAT.
BY
I BUILDING PERMIT
15% Slate
SurcharQe
I MECHANICAL
15% State
SurcharQe
I PAVING
,~p, .~()
- \~3
. PLUMBING
I DEMOLITION
5% State
Surcharge
FENCE
VALUE $
SIDEWALK
CURBCUT
FT.
FT.
SUBTOTAL
PERM ITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA' I
L\\j .~O
· REQUIRED INSPECTIONS ·
It 15 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 inspectlon. 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 setup of forms.
By signature, I state and agree. that I have carefully examined the completed application and do hereby certify that all information
herein 15 true and correct, and I further certify that any and all work performed shall be done In accordance with tho Ordinances
of the City of Springfield, and tha Laws of the State of Oregon pertaining to the WDrk 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 ensur
street, that the perm card
times during constr. ctlon
SlgnatJi'oo.~
VALlD~
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, .all steel in place, but
prior to 'placing concrete.
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 pl!lced.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
s term 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.
POST & BEAM: To be made
prior to Installation of floor
InsulatlDn, decking or Iloor .
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: PrlDr tD installing
any roof covering.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDiTIONAL COMMENTS:
I'
.-
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.
SPECIAL INSPECTIONS: In accDrdance
Section 306 01 the State Specialty Code
a special Inspector shall be employed
by the Owner I Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
y;J
I
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.l)
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 WELDS:
PerlDrmed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
INSULATION & VAPOR
BARRIER: TD be made after all
insulation and required vapor
barriers are In place but
before any lath or gypsum
board Interior wall covering Is
, /)applled.
. V FIRE & SEPARATION WALL:
/ Located and constructed
r /J according to plans.
'fJ 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.
SPRAYED ON
FIREPROOFING: U.B.G.
Standard~ 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: InspectiDn
Cerlificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.G.
STDS. 25.10,11).
STRUCTURAL MASONRY: (306
a.7)
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 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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
VJ
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 arc 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.
PLANS REViEWED BY
DATF
Oat".
AMOUNT RECEIVr9: n"l-fJ 1:.""\
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