HomeMy WebLinkAboutPermit Building 1996-12-31
COMM ERCIALlI N DUSTRIAL
PERMIT APPLICATION
~
225 Fifth Street, Sprlnglleld, Oregon 97477
LOCATION OF PROPOSED WORK
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ASSESSORS MAP I '?~~ '::? -.:;-, ~ Y.
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JOB NUMBER ~h/7..b
INSPECTION LINE 7263769
OFFICE 7263759
TAX LOT ~ 3~
OWNER #C:~,... ,(~y"~~~ ~. PHONE
ADDRESS -:2~ ~~ ..__~ ~.7 4?-.-?-9--
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CITY ~ _ _- _ __ STATE ZIP
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DESCRIPTiON OF WORK M"(.,, n""'&?,~~~~_~ ?~-,/,7'~___ ~::::r-
NEW REMODEL ~#'.{..?o'~'~~~E~~" OT;ER .,n . - r ~;LU;""'-"';~
NAME
ADDRESS
ARCHITECT
CONTRACTOR S NAME ADDRESS.,...p~ .
GENERAL/.--Y ~>2~/,~~~.~::n
0~ , - ---/";' I . /'
PLUMBING
PHONE
CONST
CONTRACTOR'
EXPIRES
PHONE
7~,a,S' .<~~_
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- -
MECHANICA'
ELECTRICAl
PLlJMAING
I
In
1
I
1
NO
I FI=I=
r.Ha~r,1=
Single Fixture
Relocated Bldg
(new fiX addtl)
Water Service
II
Sanitary Sewer
II
Storm Sewer
II
Backflow DeVice
TOTAL PERMIT
MECHANIr.AI
Furnace/burner & vent
<: 100.000 BTUs
Furnace/burner & vent
>100,000 BTUs
I=EI=
rl-l,llRr.1=
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Statlonaryevap
cooler
Vent Fan/Single
ducl
Vent System aIJ3r1
from AC or htg
Mechanical exhaust
hood and duct
Permit Issuance
$1000
TOTAL PERMIT
- OFFICE USE -
OUAD AREA
LAND USE
'OF BLDGS
# OF UNITS
OCCY GROUP
CONSTR TYPE
, OF STORIES
HEAT SOURCE
SO FT
$/SO FT
SO FTG MAIN
SO FTG ACCESS
SO FTG OTHER
X
'- - >
X
X
PLAN CHECK FEE 2~.o ~
RCPT'
OAF
, DEMOLITION
I BUILDING PERMIT
[5% Stale 1-2:
Surcharoe r ..7
I MECHANICAL
15% Stale
Surcharoe
I PAVING
789-
f'fZ
, PLUMBING
5% State
Surcharqe
FENCE
VA llJE S
----- --
SIDEWALK
FT
CURBCUT
FT
HANDICAP ACCESS
FLOOD PLAIN
ZONING
LIGHTING POWER BUDGET
WATER HEATER
VALUE
TOTAL VALUE OF PROJECT
BY
SUBTOTAL
PERM ITS
SYSTEMS
. DEVELOPMENT
7" /. 9p-
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
66. ~ 2.
REQUIRED INSPECTIONS
It IS the re~ponSlbllltY of the permit holder to see that all Inspections are made at the proper time To request an Inspection, call
7263769 (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 cJay, requests made after 7 00 a m will be made
the following work day
SITE INSPECTION To be
made after excavation, but
pnor tO,setup of forms
v
ROUGH PLUMBING,
();llCTRICA'\'t&
MECHANICAL No work IS to
be covered until these
I nspectlons have been ma.de
and approved
PAVING After gravel IS In
place but prior to placmg
a,.sphalt or concrete
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL To be made
before any work IS covered
t/
I
FIREPLACE Prior to placing
facing matenals and before
framing Inspection
,
FRAMING .To be made after
the roof, all frarT-lIng, fire
blocking and bracing are In
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumb[ng
and mechanical are approved
SPECIAL INSPECTIONS In accordance
Section 306~of the Stelte Specialty Code
a special [nspector.shall be employed
by the Owner! Contractor dUring
construction of the following work A
copy of the special testing reports shall
be furnIshed \0 the BUIldIng DIVISion
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOUNDATIONS
To be made after trenches are
exca~vated and forms are
erected, all steel In place, but
prior to plaCing concrete
STRUCTURAL CONCRETE In
exceSS of 2500 PS I (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 filling
trenches
INSULATION &-VAPOR
BARRIER To be "made after all
Insulation and required vapor'
barners are In place but
before any lath or gypsum
board Intenor wall covering IS
applied
HIGH STRENGTH BOLTING
Dunng all bolt Installation and
tightening operations (306
a 6)
SPRAYED ON
FIREPROOFING
Standards 438
UBC
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
Dunng earthwork (306 a 11 &
Chapter 29)
.r
, \
LATH AND/OR GYPSUM
BOARD To be made after all
lathing and gypsum board,
Intenor and exterior, [S In
place but before any
plastenng 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 BC
STDS 2510,11)
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 & DRIVEWAV
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 SHEATHING AND
NAILING Prior to Installing
any roof coverl ng
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
construction work to ensure
compliance with the Building,
City or Development Code
FINAL PLUMBING
v
FINAL ELECTRICAL
SITE PLAN REVIEW BOARD Must be requested 2 days In advance
of the date you Wish inspectIon All project conditions such as
landscapmg, parking lot striping, etc must be completed before
requesting this inspection
.v
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 MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS
,
PLANS REVIEWED
BV//~ ~~
(1!'-.- f' "/
DAT',/2-~....~
By signature, I state and agree, that I have carefully examined the completed appl[catlon and do hereby certify that all Information
herein [s 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 flereln, and that NO OCCUPANCY
Will be made of any structure Without perm[sslon of the BUlldtng Safety DIVISIon I further certdy that only contractors and employees
who are In compliance With ORS 701055 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 sel of pldns Will remain on the site at all
times dk::t'2tlon
SIgnatr;A _~_ f- f- --4~~ - Date ~ 2. -.. 1- ~?
~OUNT RECEIVED (,/1 ~ ~ _ DATE PAID I (}/'3/- "70
RECEIPT # P '-f/q{7 RECEIVED BY ~
VALIDATION