HomeMy WebLinkAboutPermit Building 1993-2-11
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COMMi:RCIAL/I N DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER.!j!3{ Ll11a-
225 Fifth Street, Springfield, Oregon 97477
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INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK: ,") "i W, A sr.
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TAX LOT:
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OWNER:
ADDRESS:
Borz...oc-"" J:#e-.
I '5S ,A <;r,
<; /? i!. we; fr. 6.-D
( !"Ie;. :De5 i T c/1,.; S O/V )
K.. I '-'0, AJ&, A - '2..
PHONF.
74-'> - 8<?-b I
CITY'
STAT'"
t)1Z--
ZIP:
q 7 tf-{ (
DESCRIPTION OF WORI<.
;-f 0)./ - I U-ot../;vI , .v A-"'IW ~ 1Jz.ot' Al.J,;.11 J..I&I
NEW
REMODEL
ADDITION
x
DEMOLISH
OTHER
VALUE: -.1., J3S - .:n
NAME
ARCHITECT' c.c..,,::;wf. 7("'1;'/ $-- )tw),/1/</1
CONTRACTOR'S NAME "?A:>-' tt: AOORESS
GENERAl.
PLUMBING:
ADDRESS PHONE
1;2..' 0 OA'I"'-fA.p.+/ '1f3t:;; - S54-b
gg~nACTOR # 62Q;'1 EXPIRES/Z'JI<'- ~JONE
C, ~ ("'(c~'7f; 4L q2. 01-"b (;.-'/0-'13
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MECHANICAl.
ELECTRICA' '
PLUMBING
MECHANICAL
NO,
FEE
CHARGE
Nn
FFF
r.HARGF"
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
Furnace/burner &'ven!
< 100.000 BTUs
Furnace/burner & vent
> 100,000 BTUs
,Sanitary Sewer
It.
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
ducl
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duel
II.
Storm Sewer
II.
Backflow Device
Permit Issuance
$10.00
TOTAL PERMIT
TOTAL PERMIT
QUAO AREA-
'/ (1 JLJCt)
- OFFICE USE -
LAND USE: ....5.3Jf)
HANDICAP ACCESS'
FLOOD PLAIN.
. OF BLDG'"
. OF UNIT'"
ZONING'
# OF STORIES:
CONSTR. TYP'"
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER:
OCCY GROUP'
SQ. FT,
$/SQ. FT.
VALUE
SQ, FTG MAIN
X
SQ, FTG ACCESS
X
/'
SQ. FTG OTH ER
x
-.....,.. .
.~'.
TOTAL VALUE OF PROJECT
.10. ., ~~-
PLAN CHECK FEf.."....~':--.- -,"..r,; '-~~..:;..'r..
DATI'
BY
I BUILDING PERMIT
15% Slate
Surcharge
I MECHANICAL
'-5% Slate
Surcharoe
1 PAVING
:23'~S-O
/. /&-
, PLUMBING
, DEMOLITION
I
1
/6: ::261
.'2~.h$1
I
5% Stale
Surcharge
FENCE
VA LUE $
SIDEWALK
FT,
{~t'~11
PERMITS .
'I. SYSTEMS . -. -I'
'DEVELOPMENT ...
1 CURBCUT
FT.
, ' I
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
59. :16
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REQUIRED INSPECTIONS
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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 requeste.d 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. wilt 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.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
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.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to installation of floor
i'nsulation. decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
ROUGH PLUMBING.
ELECTRICAL & .
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
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.
INSULATION & VAPOR
BARRIER: To be made after all
lnsulation 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.
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.
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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the OW[lerl Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess 01 2500 P.S.1. (306 a,1)
STRUCTURAL WELDS:
Performed on the job. (2722 I)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a,6)
SPRAYED ON
FIREPROOFING: U.BG,
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
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)
/",/.-
.In addition to the inspec-
tions specified, the Building
Official may make or requi~e
other inspections of any .'
construction work to ensure
compliance with the Building,
City or Development Code.
FINAL PLUMBING
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FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
AODITIONAL COMMENTS'
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.
)t
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.
PLANS REVIEWED BY .,>>~_'
~.'
;17:f; -~AT~ ::z ~ <9 -9''5
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 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 wilh ORS 701.055 will be used on this project.
c
t all required Inspections are requested at the proper time, .that. protect address Is readable from the
is located at the front of the property, and the approved set of plans will remain on the site at all
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I further agree to ensure t
street, that the pe it
times'during co stru'
Signa
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VALIDATION:
AMOUNT RECEIVED' 39 C;?~
7~$9
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RECEIPT #,
DATE PAlO:
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RECEI