HomeMy WebLinkAboutPermit Building 1995-7-25
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COMM ERCIALlI N DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER Jl::-.D~\nc:::...,_
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: ,-~ffi ,,~\ 1\ ,'i;\oot
.LI"I..D /l /) "'" - -
ASSESSORS MAP: T1, _I \ J:...' U (1."~ 3~ '31
OWNER~~I -' ~t)~\<\ art )\r' 0 ,
ADDRESS (:1{~, ,,\~ ,tt\Qqt) -
CITY~ ~UlC\\'}~~ - '. STATE:U\Q~()f\
l'\mnY'\Q .~ \.~.(}(u.n~
ADDITIOJ \)DEMOLlSH O~HER
INSPECTION LINE: 726,3769
OFFICE: 726,3759
P4>-~H/otfl .,,- PO'11"1-
~: 1 ~Z<>o
TAX LOT: ~;..-) l '2 ?- Q ,
PHONE:
lQ~:K.')\\() .
(lrN\ ~liIut ')
ZIP: 0.''\'1
DESCRIPTION OF WORK:
NEW / REMODEL
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT
CONTRACTOR'S NA~_ .~,' ADDRESS
GENERAL' ,\ PnkY...H, ,'i\tX'Q1\
- - \ ~
PLUMBING:
MECHANICAL'
ELECTRICA" (\ \t\-J
\-
CONST,
CO NT RACTO R '
t 0\ nQ'2..~
EXPIRES PHONE
l-7j).q~5 lo<6K.l\\f)
FEE CHARGE
I
In
MECHANICAL
NO
Single Fixture
Relocated Bldg, -
(new fix. addtl\
Water Service
It.
Sanitary Sewer
It,
\ Storm Sewer
It.
Backflow Device
...
I
rlolAB.Gi
I
1
1
1
I
1
I
I
I
$10.00 1
I
PLIJMBING
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100.000 BTUs
TOTAL PERMIT
Cl~~
1
I
I
I
I
I
I
Floor furnace and vent
Suspended wall or 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 duCI
Permit Issuance
TOTAL PERMIT
OUAO AREA:
\0S\.t)
- OFFICj, YSE-
LAND USE: 1~4-X)
HANDICAP ACCESS:
, OF BLDGS:
II OF UNITS.'
ZONING:
FLOOD PLAIN'-
~
OCCY GROUP'
CONSTR. TYPF'
, OF STORIES:
HEAT SOURC.'
LIGHTING POWER BUDGET:
WATER HEATER'
SO. FTG MAIN
_'1\ SO. FT,
..s;..v.f'LXJ
(
$/SQ. FT,
VALUE
X
SO. FTG ACCESS
SO. FTG OTHER
X
X
TOTAL VALUE OF PROJEC~q/~
DATEtO'\~L\..~ BYtt}l'Q J
BUILDING PERMIT
I \~\ ~~ RCPP \fl'nr
\o.;~ ~
( l 1,...-..;;:.. 5% State
~ ,~ Surcharoe
~."ql=$ ,,%
1 SIDEWALK
1 CURBCUT
PLUMBI NG
~~~
I,~
. 'IS
DEMOLITION
I
I
1
1
~/{Cor;~-fJiZ
PLAN CH ECK FEE
5% State
SurcharQe
ME.,.. u.._~
15% State
SurcharQe
1 PAVING
FT,
SUBTOTAL
PE RM ITS
SYSTEMS
OEVELOPMENT
FT,
(
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
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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 (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. witt 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.
V'
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspectIons have been made
and approved,
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
/prlor to placing concrete.
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
pIping, accessories and other
ancillary equipment items are
tn place but before any
concrete Is placed.
V UNDERGROUND: Plumbing,
/';.......,........-;....;.~s, sanitary sewer,
~torm s!})IJ.e1, water and
...;...." .<:>.;;'" II nes. To be made
prior to covering or filling
trenches.
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
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.
UNDERFLOOR: Plumbing,
electrical, mechanical. 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, )s In
place but before any
plastering Is applied or before
gypsum board lolnts and
fasteners are taped and
finished.
POST & BEAM: To be made
prIor to Installation of floor
InsulatIon, decking or floor
sheathing.
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 placing
concrete.
PAVING: After gravel Is in
place but prior to placing
asphal\ or concrete.
SPECIAL INSPECTIONS: in accordance
Section 306 of the State Specialty Code
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.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a,1)
STRUCTURAL WELDS:
Performed on the job, (2722 I)
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HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a,6)
SPRAYED ON
FIREPROOFING: U,B,C,
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 additlon to the Inspec-
tions specified, the Building
Official may make or require
other inspections of any
con~tructlon work to ensure
compliance with the BuildIng,
City or Development Code.
FINAL PLUMBING SITE PLAN REVIEW BOARD: MUSl be requested 2 days ',n advance
of the date you wish Inspection. All project conditions such as
landscapIng, parking lot striping, etc. must be completed before
FINAL ELECTRICAL requesting this Inspection.
~ FINAL BUILDING: Requested after the fInal plumbing, electrical,
FINAL MECHANICAL mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
Certlflcate of Occupancy has been Issued..by the Bul Idl ng Division
FINAL FIRE DEPARTM~T . ~d posted on the prTes J\
ADDITIONAL COM~ENTS: f X"r-fUR~ V~ t'\q., J{\Dr\~.A' \~ D.\UJ) 0 0' ~
~ ~ t\ ,~ '\(\ \. ~ \) t"-k<'\ ~~ \'_ ~D.\-0.0~ ~'JY-L (l ~l A{\\J~ ')
PLANS REVIEWED BY ~1S
DATE 1/~
By signature, I state and agree, that I have carefully examined the completed applicatIon and do hereby certify thpt 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
wllf 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 wlJl be used on this project. .
I further agre'e to ensure that all required inspections are requested at the proper time, that project address is readable from the
street, that the permit card \s located at the front of the;;roperty, and the approved set of plans WIll remaIn on the site at all
times during ~~Ion, /? ./7, // _
Signature ~ fl:.,~ Dato '7-25-?J
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VAll DATION:
/4"''':::>/. ~ Y'
/..#1 SlY..$lot,
AMOUNT RECEIVED:
RECEIPT ':
DATE PAID:
RECEIVED BY,
7~'2 5'-9 S
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