HomeMy WebLinkAboutPermit Miscellaneous 1993-9-7
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COMMERCIAL/INDUSTRIAL SPRINCFIELD
PERMIT APPLICATION L~
225 Fifth Slreet, Springfield, Oregon 97477 ~
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LOCATION OF PROPOSED WOR\<'
ASSESSORS MAP'
OWNER: ~~~~ Alr-c:.
ADDRESS'
CITY'
STAT~'
DESCRIPTION OF WORK:
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NEW
REMODEL
ADDITION
DEMOLISH
NAME
ARCHITECT'
CONTRACTOR'S NAME ADDRESS
GENERAL:~JQtAM})/ Cc:../C-(}c.";:" 4CJ&f)
PLUMBING: --1JEL l' ~ ~~~ d~AJ:O?/~-
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MECHANICAL'
ELECTRICAl'
PLUMBING
I
CHAR"F 1
I
I
I
46~1
I
I
I
I
]
NO
, FeE
Single Fixture
Relocated Bldg.
(new fix. addtl\
Water Service
ft.
Sanitary Sewer /' '"
F~l/ ft.
Storm Sewer
It.
Backflow Device
TOTAL PERMIT
40 .""
- OFFICE USE -
aUAD AREA'
LAND U<:~'
. OF BLDGf"
. OF UNITf"
OCCY GROUP'
CONSTR. TYP~'
. OF STORIES:
HEAT SOURCF'
sa. FT.
$/sa. FT.
sa. FTG MAIN
x
x
x
sa. FTG ACCESS
sa. FTG OTHER
PLAN CHECK FEE
RCPP
BUILDING PERMIT
PLUMBING
5% Stale
Surcharge
I MECHANICAL
5% Stale
SurcharQe
PAVING
5% State
Surcharge
FENCE
VALUE $
SIDEWALK
CURBCUT
FT.
FT.
.
JOB NUMBER ~~/J~2 3
INSPECTION LINE: 726-3769
OFFICE: 726.3759
:..'T'
TAX LOT'
PHON~'
ZIP:
*-
au
T.A?I///ex
OTHEP
VALUE:
ADDRESS
PHONE
CONST.
CO NT RACTO R .
EXPIRES
PHONE
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MECHANICAL
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r:HARnF
Furnace/burner & vent
<100,000 BTUs
Furnacel burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stal ionary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit Issuance
$10.00
TOTAL PERMIT
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
TOTAL VALUE OF PROJECT
DAT~
BY
4ff9!ti!'J
2~O
DEMOLITION
SUBTOTAL
PERMITS
SYSTEMS
DEVE.LOPMENT
TOTAL PERMIT FEES
EXCLUDING eLECTRIC
I
L
42-~
" .
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.
REQUIRED INSPECTIONS
,!
It is the responsibility of the permit holder to see that all inspections arc made at the proper time. To request an inspection, carl
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 gravel is in
prace 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 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 spec.i::!! inspector shall be employed
by the Ownerl Contractor during
construction of tho following work. A
copy of tho 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 alter
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 PS.1. (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 required 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)
SPRAYED ON
FIREPROOFING: U.SC.
Standard~ 43.8.
UNDERFLOOR: Piumbing,
electrical, mechanical. To be
made prior to installation of
floor insulatlon, 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)
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: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.BC.
STDS. 25.10,11).
FLOOR INSULATION &
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 with
USC 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.
.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.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL PLUMBING
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 ELECTRICAL
,"
FINAL MECHANICAL
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 FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REViEWED BY
DAT"
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 tho 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 of the property, and the approved set of plans will remain on the site at all
times during construction.
Signaturp
Date
VALIDATION:
AMOUNT RECEIVED: -t5-
RECEIPT': /('")/b~
DATE PAiD'
RECEIVED BY:
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