HomeMy WebLinkAboutPermit Building 1995-11-3
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COMMERCIAL/INDUSTRIAL .
PERMIT APPLICATION
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225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: ~yC/ ~~;r.# /
ASSESSORS MAP: n D 3'3c;:::A-?- ./ ,.. --
OWNER-/4.{/~~A ./ F~~
ADDRESS: ?# Yt? .1fE~ #- fr r
CITY ?ff~- STAT~' ~.
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REMODEL 7" ADDITION DEMOLISH OTHER
DESCRIPTION OF WORK:
NEW
NAME
ADDRESS
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JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
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TAX LOT:
PHONF'
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ZIP'
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PHONE
ARCHITECT: ~
CONST. /~ 7.!FY-~""')
CONTRACTOR'S NAME ADDRESS~ CONTRACTOR # EXPIRES" PHON,r!' -" ".
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GENERAL:t.//.7~~p-~/.-""'"',; :;;' .' '7-~'~~-8Y"~6'~-":lo:::,- ~-~;:.
PLUMBING'
MECHANICAl'
ELECTRICA' .
PLUMBING
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CHARGE I
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/-5".'-- I
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1
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35:6"1
NO.
FEE
.2
Single Fixture
Relocated Bldg.
(new fix. addt!)
Water Service
/.P
It.
Sanitary Sewer
It.
ft.
Storm Sewer
Backflow Device
CAIP~Ek~Ai~~
TOTAL PERMIT
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1 TOTAL PERMIT
OUAD AREA:
LAND USE:
- OFFICE USE -
# OF BLDGS:
# OF UNITS:
OCCY GROUP'
15--2.
CONSTR. TYPE:
HEAT SOURCE:
# OF STORIES:
/
SO. FT. '
$/SO. FT.
SO. FTG MAIN
X
so. FTG ACCESS X
SO. FTG OTHER ~~t' ~Jjf1
PLAN CHECK F~ /-5'Y?e> RCPP /"9"%"::>
1 BUILDING PERMIT
15% State .r::2:'
Surcharae r;1
I MECHA~~~
15%St~te- ~
Surcharae r~
I PAVING I
PLUMBING
-:2~ .-..
/L.7-
7./~
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5% State
Surcharoe
FENCE
VALUE $
SIDEWALK
CURBCUT
~H
MECHANICAL
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EEL'_CtJA8.ci~
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1
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1
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1
S10.00 I
~H /~~I
Furnacel burner & vent
< 100.000 BTUs
Furnacel burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationaryevap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
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Permit Issuance
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING: c:::c;.
LIGHTING POWER BUDGET:
WATER HEATER:
VALUE
TOTAL VALUE OF PROJECT
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DATE/&'-..:2~-'5'S- BY ~~
I DEMOLITION I
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7"7
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. ~/: 7-s='
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FT.
FT,
SUBTOTAL
PE RM ITS
SYSTEMS
DEVELOPMENT
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#./1 '
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
..,~ 1.~'1
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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 Jnspection 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 b.
made after excavation, but
prior to setup of forms.
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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 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 c~ncrete.
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Cod.
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.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
ATTIC DRAFT STOPS &
CURTAtN WALLS
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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 PS.1. (306 a.1)
CONCRETE SLAB: To be
made after all lnslab 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
prior to covering or filling
trenches.
INSULATtON & 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.
HtGH STRENGTH BOLTING:
During all bolt installation and
tightening 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)
x
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 b.
made prior to Installation of
decking or floor sheathing.
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 form
work and sub-base material In
place.
ROOF SHEATHtNG 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-
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.
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FINAL MECHANICAL
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SITE PLAN REVIEW BOARD: Must b. requ.st.d 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.
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.
FtNAL PLUMBING
A
FINAL ELECTRICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
x
PLANS REVIEWED BY / Z~ .k:"-. -;> DATE Lh"'-/-~
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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 witj1o"t _permission of the Building Safety Division. I further certify that only contractors and employees
who are in complla ~tu:>:> II be used on this project.
r inspections are requested at the proper time, that project address is readable from the
d at the front of the property. and the approved set of plans will remain on the site at all
Dato
I further agree to e ure that
street, that the perm
times during constru
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VALIDPRON:
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RECEIPT N'
'--~{ .04-
(Cf4Cf" I
DATE PAID: I ) ( .3'~
RECEIVED ~)
AMOUNT RECEIVED: