HomeMy WebLinkAboutPermit Building 1996-6-21
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COMMERCIALIINDUSTRIAL ·
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: --1.Cl.9\<"
ASSESSORS MAP:
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JOB NUMBER 9~~~3--
INSPECTION LINE: 726.3769
OFFICE: 726.3759 ;..
TAX LOT: C>2~S-
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PHONE: J"'n-v, "~3_C.33
OWNER:
S\-Cl~ F,:;"(,N"\^^'~J<>.\ fj,~
~o.~ I~r","," pltl"2.0
ADDRESS: 1')".,.
CITY: ~1('''lM; oil i,I\.."",
11"1'5.
STATE: JII
('t""I.
ZIP: t.. 1 ~LO_-=-c~
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VALUE: -Cf.CCO-'"
DESCRIPTION OFWORK:~rllr-~ "":~'"
NEW REMODEL -'t- ADDITION DEMOLISH
OTHER
ARCHITECT: ~ :"7
CONTRACTOR'S NAME
GENERAL: (j(,.,)1'\t!" r
NA
MECHANICA' . N A
NAME
l~""'f('"
ADDRESS .
t CO....1'>qN~ ,In", t:::>;vl'SLb.L<:l .
.
CONSr
ADDRESS CONTRACTOR'
(:J(1I) 7L~ -1.':iy"O
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PLUMBING'
I.
I
ELECTRICA' .
:==;,l/l.'./d,^
EI-e.r\j,r,'('
PHONE
EXPIRES
PHONE
'S-Q.J.'"'", ClR_.____.
NO
G~A~~~
MECHANI~AL
J
EEE_iCHARG.i
I
. PLUMBING
I FPr;
Single Fixture
Relocated Bldg.
(new fix. addtll
Water Service
,
SanItary Sewer
It.
fl.
Storm Sewer
ft.
Back'f1ow Device
TOTAL PERMIT
I
In
I
I
I
I
I
I
I
I
I
I
I TOTAL PERMIT
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
sepCHille
Stationaryevap.
cooler
Vent FanfSingle
dUCI
Vent System apart
Irorn AC or hlg.
Mechanical exhaust
hood and duct
Permit Issuance
S10,00
.1
HANDICAP ACCESS:
OUAD AREA'
LAND US.'
- OFFICE USE -
, OF BLDGS:
, OF UNIT~'
OCCY GROUP'
, OF STORIES:
CONSTR. TYp.,
HEAT SOURC.'
sa. FT.
$/sa. FT.
sa" FTG MAIN
sa. FTG ACCESS
SO. FTG OTH ER
X
X
X
PLAN CHECK FEE {/~- ~
RCPP :::?.::2."''''~
DATE
FLOOD PLAIN:__________
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER:
VALUE
TOTAL VALUE OF PROJECT
BY
PLUMBING
I DEMOLITION
I BUILDING PERMIT I -:7C/~5"C>
5% State 61 ~ -'73
SurchaiJIe ~ ,z_:z'l
,
MECHANICAL I "
1
I
5% State
SurcharQe
I FENCE
VAIIJF. $
I SIDEWALK
I CURBCUT
15% State
Surcharae
I PAVING
."
FT,
FT.
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRIC^L
/28.'90
REQUIRED INSPECTIONS
It Is the responsibility of the permit holder 10 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 excavatlon, but
prior 10 setup of forms.
.
.
1
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
____L R~.GH PLU~BING,
~F""''''-('''~&
MECHANICAL: No work Is to
be covered until these
insp~ctlons have been made
and approved.
PAVING: After gravel is In
place but prior to placing
asphalt or concrete.
ATTIC DRAFT STOPS &
CURTAIN WALLS
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Ownerf Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division,
. FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steer In place, but
prior to placing concre~.e.
CONCRETE SLAB: To be
made afler all Inslab buIlding
service equl pment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
"FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
)
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 P.S.!. (306 a,1)
STRUCTURAL WELDS:
Performed on the job. (2722 fl
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
applied.
FIRE & SEPARATION WALL:
Located and constructed
according to plans,
HIGH STRENGTH BOLTING:
During ali bolt Installation and
tightening operations. (306
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. 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)
POST & BEAM: To be made
prior to Installation of floor
insulation, 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).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
s.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
excavating complete and lorm
work and sub.base material In
place..
ROOF SHEATHING 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.
tlons specified, the Building
Official may make or require
other Inspections of any t
construction work to ensure
compliance with the Building,
City or Development Code.
-------------------------------------------------------
FINAL MECHANICAL
-t'
SITE PLAN REVIEW BOARD: Must be reques.ted 2 days In advance
of the date you wish Inspection. All project conditions such as
landscaping, parking lot s(,lplng, elc. 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
--X.- FINAL ELECTRICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
DAT~
By signature, I stfte and agree, that I have carefully examined the completed application and do hereby certify that all Information
herein is true and correct, and 1 further cCdify 1I1at any and all work performed shall be done In accordance with the OrdInances
of the City of Springfield, and the Laws of tllO'State of Oregon pertaIning to the work described herein, and that NO OCCUPANCY
wIlt be made of any structure without permiSSion of the BuildIng Safety Division. I further certlly that only contractors and employees
who ale 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 (juring constructlon.
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, VAlIDATlO . ~ . AMO~T RECEIVED: .~ J ..;fE. '9c>
PT' Z 2AS'2
Date
1-.- 71-'7L-
DATE PAID'
RECEIVED BY' ~~~'-- ~
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