HomeMy WebLinkAboutPermit Building 1994-10-28
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CO M M ERCIAL/I N 0 U STRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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~OB NUMBER 74-1 S-c.; J
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INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK:, _ J 1 i::Ic J U~\'BNNl PC
"ASSESSORS MAP: ,103/]/ O'ft- .
OWNER: L:A\r-\j ~K~l ~pG
1\ llo LI.;::N \t;::;~\ N r~ 'C::>eVD
s-p rL\'Y---C -b e \ rI STAT~'
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DESCRIPTION OF WORK: l ~\lc~\C'lfR- ~(y\()D~
-
REMODEL ~ ADDITION
~ ~ \ l <0 C~T"EN\R-L
TAX LOT: l070n
I~I -, l zS
PHONF'
ADDRESS:
CITY:
D~
ZIP: '7 "l'178
'NEW
DEMOLISH
OTHER
VALUE: _
ARCHITECT:
NAME
1<. L\ \4-N ~"SJ. CnJ S,
CONTRACTOR'S.1iAME
GENERAL: /~~.8~ _
PLUMBING'- (\
-< o' 0 ADD.8ESS
ADDRESS
- Cc)LGb.~ CDe..:;\ q V\~~
CONST.
______n___ CONIRACTOR 11_ '_
PHONE
I=.'JIPIR!=f:_ _
PHONE _
,
- ,_.,._-~-------
; : " r f '"
I_{I , r'_ i. _:__;"'_'_"_'__-
~ MECHANICAL>~ _ _. /.~~..<~. ,./c .~... ;:J-';'?~~?~ "l'">~ ".A~ 7'A ,,?~
t ELECTRICAL~/~~'f~~? .~T~~;'_./ ?~ /~,...J~;.Y~~ 7/""'-'4
NO.
FEE
CHARGE
I
-NO
MECHANICAL
PLUMBING
Single Fixture
Relocated Bldg.
(new Ilx. addtl)
Water Service
-EEE-I-CHARGE
Sanitary Sewer
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It. I
It. I
It. I
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I
I
I
I
I
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTiJs
.1
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I TOTAL PERMIT
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Floor lurnace and vent
Suspended wall or Iloor
mourited 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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I
1
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Storm Sewer
Backflow Device
Permit Issuance
10. $10.00
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TOTAL PERMIT
QUAD AREA:c!1.MJf JJ
- OFFICE USE -
LAND USE: ,-'5\.Q,fY)
HANDICAP ACCESS:
FLOOD PLAIN:'
ZONING: I_OiL
LIGHTING POWER BUDGET:
WATER HEATER:_
II OF BLDGS:
/I OF UNITS:
OCCY GROUP:
CONSTR. TYPE:
II OF STORIES:
t...
HEAT SOURCI='
SQ. FT.
$iSQ. FT.
VALUE
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTH ER
x
x
x.
PLAN CHECK FEE
25b.'7 $
TOTAL VALUE OF PROJECT ~u() 0-0
.RCPTtt /)03/
DATE
/~~BY
~~
, -,
I BUILDING PERMIT I
15% State ~.,:)~
SurcharQe +""7p
I MECHANICAL I
/5% Stat.e I
SurcharQe
I PAVIN~_ I
I DEMOLITION
~~50
:a.. :0="3
/.?lY
I PLUMBING
I 5% State
Surcharge
FENCE
VALUE $
SIDEWALK
I CURBCUT
FT.
FT.
I
I SUBTOTAL
RERMITS.
I SYSTEMS
DEVELOPMENT
/Y~"
, .
. ~ "
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
~e:O?
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all Inspections are made at the pre>per 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 excavation, but
prior to setup of forms.
)(
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. ,.
~
FIREPLACE: Prior to placing
facing materials and before
framln~ Inspection.
FRAMING: To be made after
the roof, ail 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.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Owner/ 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 &
CURTAIN WALLS
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete. .
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)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or flillng
trenches. ,
INSULATION & VAPOR
'BARRIER: To be made after all,
insulation and required vapor
barriers are In place but
before any lath or gypsum
board Interior wail covering is .
applied. ,
HIGH 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) .
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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.
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.
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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 speci fled, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
y
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.
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 MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
...-- .
PLANS REVIEWED B4~#~--/ DATE /4> -::7I~?o/
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 perf.ormed shall be done in accordance with th&Orsllnances
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 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
::::,:::'ngc~ ~~ DateJjJ~7Y~Y
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AMOUNT ~EIVED: V6.t:::J? DATE PAID:
RECEIPT #:. /-s-:;l?G.
VALIDATION:
/e:!> '~:!F"?- Y .
RECEIVED By.4~~lC. ....
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