HomeMy WebLinkAboutPermit Building 1994-12-19
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CO M M ERCIAL/I N DUST RIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
SPRINGFIELD
JOB NUMBER
9t://9"3'S-
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK: ,? / ;;Z
ASSESSORS MAP:
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TAX LOT:
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CITY:
STATE:
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ZIP:
DESCRIPTION OF WORK:/H7Z:7i'/&!5-~
NEW REMODEL ~ ADDITION
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VALUE: ~ c:sb
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DEMOLISH
OTHER
NAME
ADDRESS
PHONE
ARCHITECT:
, CONS~
CONTRACTOR'S NAME /" ADD~":> A ~ :$-<r CONTRACTOR # . EXPIRES PHONE
GENERAl/fcYpt;c/QJy~~?). 3~~~;>nf. ?Y,'/55;_/&'/'7~~~. 7Y6'-?2~
PLUMBING'
MECHANICAL:
ELECTRICAL: 4e:vC7~
I PLUMBING MECHANICAL I
.1 ,NO. ' FEE I CHARGE 11I0 I=Ef r.\:IARr.1= I
'I Single Fixture Furnace/burner & vent I
<100,000 BTUs
I Relocated Bldg. Furnace/burner & vent' I
(new fix. addtl) >100,000 BTUs
I Water Service Floor furnace and vent I
ft.
I Sanitary Sewer I Suspended wall or floor I
ft. mounted unit heater
I Storm Sewer I Appliance Vent I
ft. separate
I I Stationary evap. I
Backflow Device cooler
I I Vent Fan/Single I
duct
I I Vent System apart I
from AC or htg.
I I Mechanical exhaust I
hood and duct
I I I
I Permit Issuance $10.00 I
I TOTAL PERMIT TOTAL PERMIT I
- OFFICE US,E -
HANDICAP ACCESS'
FLOOD PLAIN:
ZONING: "
LIGHTING POWER BUDGET:
WATER HEATER'
QUAD AREA:
LAND USI='
# OF BLDGS:
# OF UNITS:
OCCY GROUP:
\
# OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.
$/SQ. FT.
VALUE
SQ. FTG MAIN
x
SQ. FTG ACCESS
. SQ. FTG OTH ER
X
X
TOTAL VALUE OF ,PROJECT
PLAN CHECK FEE ,75'0"3
RCPT# /~~;?
DATE _/ 7,-~~~ ~ BY
I
/7.,7:;,
/ ./"
I BUILDING PERMIT_I
15% State ~ I
Surcharge r ~
I MECHANICAL I
15% State I
SurcharQe
I PAVING I
YJ5f-~ fq
1./'7
PLUMBING
DEMOLITION
J
5% State
Surcharge
I FENCE
VALUE $
SIDEWALK
CURBCUT
I
F~ .1
FT. I
I SUBTOTAL
PERM ITS
I SYSTEMS
DEVELOPMENT
, 7"/. 5'"?
h~l
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
bb.,~D
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.
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 (recorde'r), 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 approyed.
PAVING: After gravel is 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
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
SPECIAL INSPECTIONS: In accordance
Section.306.of,th,e StC!-te Specialty Code
a special inspector sh'all be employed
by the Owner! Contractor during
construction of the following work. A
copy of the special testi ng reports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
X'
FRAMING: To be made after
the roof, all framl 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 approved.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.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)
UNDERGROU'ND:' PliJmbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
INSULATION & VAPOR
BARRIER: .To,be"rriade after all '
insulation and'requi'rEid vapor
,barriers are I n 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.
SPECIAL GRADING, '
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
)I
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).
POST & BEAM: To be made
prior to Installation of floor
insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
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.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior' to placi ng
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.
-------------------------------------------------------
FINAL PLUMBING
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All project conditions s'uch as
landscaping, parking lot striping, etc. must be completed before'
requesting this Inspection.
FINAL ELECTRICAL
)(
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 MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENT~'
PLANS REVIEWED BY
---. ~ -
/ L"'~~~ATE /2..'/C::;-'7 Y
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By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th?-t 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
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 inspectio are requested at the proper time, that project address is readable from the
street, that the permit card " located at the fr of the property, and the approved sef'of plans will remain 6n the site at all
times during constructio
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Signature
Date
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VALIDATION:
AMOUNT RECEIVED: ~. 6 c:>
REC'~'PT #. / ~ ?B"5
DATE PAID:
RECEIVED BY:
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