HomeMy WebLinkAboutPermit Building 1996-5-10
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COMMERCIAL/INDUSTRIAL (~
PERMIT APPLICATION
JOB NUMBER
C\\oOtcf{-L
INSPECTION LINE: 726-3769
OFFICE:' 726-3759
. .
TAX LOT:
O(A \~S
PHONE:l~~o-~44 \.
STATE tO~ti~
ZIP:
l\'-11'11
NEW
REMODEL.
DEMOLISH
OTHER
VA LU E:
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACT?f',S NAM,E '~. 'A~RESS
GENERA~Q1(\M f\ _ J\~,m
PLUMBING:
CONST.
(\ ffO NT RACTO R #
. \\)~~?~ -
EX~RES 'Pr:R~ 1L,A..
L\.(f,! Y.\/> llb :L~
MECHANICAL:
ELECTRICAL:
PLUMBING
MECHANICAL
NO.
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
fl.
Sanitary Sewer
ft.
Storm Sewer.
fl.
Backflow Device
FEE I
CHARGE
NO
I ~~~ I
J
rl-lll Q/":1=1
I
I
I
.J
Furnace/burner & vent
< 100,000 BTUs
I_ Furnace/burner & vent
>100,000 BTUs
1
I
I
I
'I
I
1
I
Floor furnace and vent
Suspended walloI' floor
mounted ,unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit Issuance
$10.00
TOTAL PERMIT
TOTAL PERMIT
OUAD AREA'
,# OF BLDGS:
- OFFICE USE -
LAND USE:
HANDICAP ACCESS:
FLOOD PLAIN:
1/ OF UNITS:
ZONING:
OCCY GROUP:
CONSTR. TYPE:
LIGHTING POWER BUDGET:
,
# OF STORIES:
HEAT SOURCF'
WATER HEATER:
SO. FT.
$/SO. FT.
VALUE
SO. FTG MAIN
SO. FTG ACCESS
SO. FTG OTHER
x
X
X
TOTAL VALUE OF P,ROJECT
~0S\ q :0
PLAN CH ECK FI=I=
RCPT#
DATF
BY
I BUILDING PERMIT I '\~.~,
15% State I - () nt1.
SurcharQe,~.' I ~')
~~%I c]J,~4
5% State I
SurcharQe
I PAVING 1
I PLUMBING
15% State
Surcharge
FENCE
VALUE $
SIDEWALK
DEMOLITION
I
I
FT.
SUBTOTAL
PERMITS,
I SYSTEMS
DEVELOPMENT
I CURBCUT
FT.
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL-
E~~J
~ ~
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: 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
place but prioUo 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.
SP~CIAL INSPECTIONS: In accordance
Section 306 of.the State Specialty Code
a special inspector shall be employed
by the Owner/ Contractor durin'g
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 'pI ace but before any
concrete is placed.
FRAMING: To be made after
the roof, all f~ami ng, fi re
blocking and bracing are in
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are aPl?roved.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.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
ti ghteni ng operations. (306
a.6)
SPRAYED 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.
I
SPECIAL GRADING,
EXCAVATION AND FILLING:
Du ri ng earthwork. (306 a.11 &
Chapter 29)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
\
LATH AND/OR GYP$UM
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,
i nsu lation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7)
MASONRY: Steel location,
bond beams grouting or
~erticalS in accordance with
'\ UBC 2415,
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
SIDEWALK & DRIVEWAY:
RElQuired 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:
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
oth.er inspections of any
construction work ,to ensure
compliance with the Building,
City or Development Code.
FINAL FIRE DEPARTME~
ADDITIONAL COMM~J~\f\.\ t .{Jl" \. l)~-
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 ins'pection.
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 Divis.ion
.~~and :~~~~c1[{;~\.-W\.OJQV(o ~_j)'
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
PLANS REVIEWED BY
(DATE:
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 thework 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
f;m" d,,;ng f0:~~M-;:;;~ Date s--/O 9{-
VALlDhION:' AMOUNT RECE'>)ED: ,-m.d{) DATE PAID: \ rR~() .\~ ~
RECEIPT 1/: (Y(4:?)L- RECEIVED BY:rJ~~~~I1,)