HomeMy WebLinkAboutPermit Building 1996-10-18 (2)
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COMM ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER
<J (/; /7/ ?
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
?~5'
))~A"/ ('
.........
TAX LOT:
OWNER:
}(//?(~~T?
0~tO ? c;:; /?L _ 'i'r
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PHONE:
720 -43'? 0
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ADDRESS.
CITY-
STATE:_~
ZIP:
0-:7d7e;.,
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DESCRIPTION OF WORK.
NEW REMODEL
1].bt:P7 A??#/t7~
AD~TlON DEMOL~H
OTHER
VALUE: ~1LJ.~
NAME
ADDRESS
PHONE
ARCHITECT:
CDNTRACTOR'S NAME ADDRESS
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GENERAL: Vt/v"v S- /1fC';<"'/J,J. .~~~ ~"':!:-r- .~
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CONST.
CONTRACTOR'
-;p,9b~cD
EXPIRES PHONE
r2.~n ,-r:si.3 -~-
PLUMBINC'.
MECHANICAl.
ELECTRICAl -
ft.
I MECHANICAL
FEE CHARGE ~~ LEE. I r~6~n~
Furnacel burner & vent I
< 100.000 BTUs
I Furnace/burner & vent I
> 100.000 BTUs
I .- I
Floor furnace and vent
I Suspended wall or floor I
mounted unit healer
I Appliance Vent j
separate
1 Stationaryevap.
cooler I
I Vent Fan/Single I
duct
I Vent System apart J
from AC or htg.
1 Mechanical exhaust
hood and ducl I
I I
I Permit Issuance $10.00 j
I TOTAL PERMIT I
PLUMBING
ND.
Single Fixture
Relocated Bldg.
(new fix. addtll
Water Service
Sanitary Sewer
ft.
Storm Sewer
It.
Backflow Device
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN:
OUAD AREA-
LAND US..
. OF BLDGf"
# OF UNITf'.
ZONING.
OCCy. GROUP:
CONSTR TYP..
LIGHTING POWER BUDGET:
WATER HEATER:
. OF STORIES:
HEAT SOURCE:
so. FT.
$/SO. FT.
VALUE
so. FTG MAIN
SO. FTG ACCESc
x
x
so. FTG OTHER
x
TOTAL VALUE OF PROJECC
PLAN CHECK FEr
RCPP
DATE
BY
BUILDING PERMIT
'3~, 5"'0 -I PLUMBING
.3 () '7 I. 5% Slate
, SurcharQe
I FENCE
VALUE'
SIDEWALK
IDEMOLlTION
5% Slate /.'l~L-I/(;,
Surcharge . r/.
I MECHANICAL I
15% State
Surcharoe
I PAVING
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
CURBCUT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
-11,5" J
. .
REQUIRED INSPECTIONS
It is the responsibillty of the permit holder to see that all inspections are made at the proper 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 PLUMeING.
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 grave] ]s 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
~rlor 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 Ownerl 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
'X
r
FRAMING: To be made after
~he 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 P.S.L (306 8.1)
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.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prlor to covering or filling
trenches.
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and re.qulred vapor
barrlers 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.BG.
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.,1 &
Chapter 29)
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
X a:oOR INS~ &
~ y'APOR-BARRIEHS: 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).
STRUCTURAL MASONRY: (306
a.7)
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
excav~ting complete and form
work and sub-base material in
place.
-------------------------------------------------------
ROOF SHEATHING AND
NAILING: Prior to ]nstalling
any roof coverIng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
.In addition to the inspec-
t]ons specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
FINAL ELECTRICAL
SITE PLAN REVIEW BOARD: Must be requested 2 days ]n 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
h
FINAL MECHANICAL
'X
(
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
ADD]TIONAL COMMENTS'
PLANS REVIEWED BY
DAT"
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th?t alllnformatlon
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 agre to ensure thr' required inspections are requested at the proper tlme, that project address is readable from the
street, that the rmlt card is located at the front of the property, and the approved set of plans will remain on the site at all
times during con tructlon.
/~gnaturp -1, __ LA . Date~//.8A~'c:O
VALIDATION:
AMOUNT RECE]VED:
RECEIPT ':
4/ , 57
..
2~ S(1!3
DATE PAID:
RECEIVED BY:
/0/.$/5' &,
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