HomeMy WebLinkAboutPermit Building 1996-7-8
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COMMERCIALIINDusn.'
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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LOCATION OF PROPOSED WORK: ~ M.4/~ "'?",
ASSESSORS MAP: /?~3'~-/"Y
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JOB NUMBER 9.G~7~~ A
INSPECTION LINE: 726.3769
OFFICE: 726.3759
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TAX LOT: :::<7S/~
OWNER:
ADDRESS:
CITY:
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2/~~ 1Vn:=/ 29l"'? "'5r-
~.;-"?~ STATE:_~
PHONE:~..t:: --'~_ '->
ZIP:
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DESCRIPTION OF WORK: ~~-"'~ ~......._ ~~
NEW REMODEL ~ ADDITION DEMOLISH
h4UL "S /~l -"1>"-' ,V~N~4:-<fi1
OTHER VALUE: '3<"~,-'6
NAME
PHONE
ADDRESS
ARCHITECT:
CONTRACTOR'S NAME ~~E~~~y~
GENERAL~Jbv~~.4~~...-r~ D-'4"~~t:P:zf' .
PLUMBING'
MECHANICAL:
-._ - n.._ _ .... ,_
CaNST,
CONTRACTOR'
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EXPIRES
PHONE
~"J!:'..~ ~$8-..d:9~
,A
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ELECTRICA' '
!'EE
CHARGE
NO,
PLUMBING
Single FIxture
Relocated Bldg,
(new fix, addlll
Water ServIce
Sanitary Sewer
It.
It.
Storm Sewer
It.
Backflow Device
TOTAL PERMIT
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MECHANICAL
Furnace! burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
SuspenCled wall or floor
mounted unit heater
Appliance Vent
separate
StatIonary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or hlg,
MeChanical exhaust
hood and duct
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Permit Issuance
$10,00
TOTAL PERMIT
- OFFICE USE _
aUAD AREA:
LAND US~'
. OF UNITS'
CONSTR. TYP~'
. OF BLDGS'
OCCY GROUP:
. OF STORIE~'
HEAT SOURCE:_
sa,FT,
s/sa,FT,
sa, FTG MAIN
sa, FTG ACCES~
X
X
sa, FTG OTHER
X
HANDICAP ACCESS'
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER:
VALUE
TOTAL VALUE OF PROJECL_
PLAN CHECK FEE :;:8_ 9?
RCPP
BY
.,
I BUILDING PERMIT
/5% Slate r.
Surcharae .,..
I MECHANICAL
/5% Stale
Surcharoe
I PAVING -
CURBCUT
PLUMBING
5% State
Surcharge
FENCE
VA LUE S
SIDEWALK
DATF
DEMOLITION
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~.s:.e?7 I
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FT,
FT.
SUBTOTAL
PERMITS
SYSTEMS
, DEVELOPMENT
TOTAL PERMIT FEES L 77. CO
EXCLUDING ELECTRICAL
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, , -REQUIRED INSPECTIONS ,
It Is the responsibility of the permit holder to see that all Inspections are made at the prop',;,,j-tlme. 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 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.
PAVING: After gri'vel Is In
place but prior to placing
asphalt or concrete.
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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' 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
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: In
excess of 2500 PS,I. (306 a,1)
STRUCTURAL WELDS:
Performed on the lob, (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
Insulation and required vapor
barriers are In place but
before any lath or gypsum
board interior wall coverIng Is
appiled,
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
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U,B,C,
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 ANDIOR GYPSUM
BOARD: To be made after ail
lathing and gypsum board,
Interior and exterior, Is In
place but before any
plastering Is appiled 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.BC,
STDS, 25.10.11),
POST & BEAM: To be made
prior to instailatlon of floor
Insulation, decking or floor
sheathing,
STRUCTURAL MASONRY: (306
a,7) .
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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.
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ROOF SHEATHtNG AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prIor to placing
concrete.
-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.
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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,
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY /2.a-.A'
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/c/7,
DATE "~.16 ."9~
By signature, I state and agree, that I have carefully examIned the completed application and do hereby certIfy th,flt 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
wlil 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 of the property, and the approved set of plans wIll remain on the site at all
times during construction.
Signature
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Date
7/ rift:.
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VALIDATION:
AMOUNT RECEIVED' //- Q&>
?'? "':?<Z /
RECEIPT ':
DATE PAID:
RECEIVED BY:
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