HomeMy WebLinkAboutPermit Building 1994-8-5
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IT APPLICATION t6 [":
225 Fifth Street, Springfield, OregO~t9!i7~ snv
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JOB NUMBER
Q4/Z1?
INSPECTION liNE: 726.3769
OFFICE: 726.3759
f LOCATION OF PROPOSED WORf<')<. /45(2 4~A-R U/~--e
, ASSESSORS MAP:
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TAX LOT:
': OWNER:
;f;A'..K' ,f-- ~/ r:e~5'h7A..v
ADDRESS' /t1}?'Z.- e:/6:=4.-e LUMe-..e.
CIT~ <;;/J.Jb!
. L-M
STATE: _1"7 Al_
PHON~' ,:f{J,'f -7#1-/t;./,1S
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" DESCRIPTION OF WORK:
>,
NEW REMODEL
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B-A" ~It,." ORdUU/-
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DEMOLISH OTHER
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ADDITION
NAME
ADDRESS
PHONE
ARCHITECT'
/'
CONTRACTOR'S NAME
ADDRESS
ifJ'IJ .' ,( I..- € ~ ~ \'-.~
CONST,
CONTRACTOR'
EXPIRES
PHONE
GENERA' .
PLUMBING'
MECHANICAl'
ELECTRICAl'
~~.-
,~
I FEE
CHARGE
I
.~'n
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MECHANICAL
I
<:.EE-' CHARr,F I
I
I
I,
I
I
I
I NO
I -........ "'~ingle Fixture
I Relocated Bldg.
(new'fix. addlll
I Water Service
, '....
I . SanItary sewer"",
\ Storm Sewer
I
I
I
I
I
I
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PLUMBING
TOTAL PERMIT
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Furnace/burner & vent
<100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
,
"Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate,
Statlonary'evap.
cooler "-
Vent Fan/Single",
duct "'-
Vent System apart "-
from AC or htg.
Mechanical exhaust
hood and duct
"
f:.
Backflow Oevice
ft.
, '" ft.
'"
"-
"
'........,
....
Permit Issuance
I'"
"
'" $10.00
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TOTAL PERMIT
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aUAD AREA:
, OF BLOGS'
- OFFICE USE -
LAND USE:
HANDICAP ACCESS:
FLOOD PLAIN'
....,
OCCY GROUP:
, OF STORIES:
, OF UNITS:
CONSTR. TYP~'
I;IEAT S.oURC.'
ZONIN'" ,
LIGHTING POWER BUDGET:
WATER ,.(,tEATER:
sa. FT,
$/sa. FT.
X , ,
'X
X. , "
,
V.A.LUE
sa. FTG MAIN' ,
sa. FTG ACCES,<
" ...
sa. FTG OTHER
, ,
TOTAL VALU E OF PROJECT
PLAN CH ECK FEF
RCPT'
DAT.
BY
r
I BUIL!!ING PERMIT
(5% State
SurcharQe
I MECHANICAL
15% State
Surcharae
I PAVING
PLUMBING
DEMOLITION
j
'40,001
IM,oo!
I
I
5% State
SurcharQe
FENCE
VALUE $
SIDEWAi~
CURBCUT
FT.
?l41J G-Iec. k.
/00 1- hCOOe,
~{.(_ f~t'.....oo..j-12
SUBTOTAL
, PERM ITS
SYSTEMS
DEVELOPMENT
FTc-
,,' . I
TOTAL PERMIT FEES
EXCLUDINGELECTAICAI
208,00
,
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".~t, , . '.EQUIREDINSPECTIONS I,~-j' "'. '0:':,"',,,-,
It Is the responslbUlly 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. will be made the same worklng,day, reQuestslmade after 7:00 a.m. will be made
the following work day, .. , '
SITE INSPECTION: To be ROUGH PLUMBING,
made after excavation, but ELECTRICAL &
prior to setup of forms. 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.
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 pl~ce, but
prior to placing concrete,
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
faCing materials and before
framing Inspection,
SPECIAL INSPECTIONS: In accordance
Section 306 of the State SpeCialty Code
a special Inspector shall be employed
by the Owner I Contractor during
construction of the followl ng work. ~A
copy of the speCial testing reports shall
be furnlshed to the Building Division.
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.
,
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.L (306 a,1)
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
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,
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.G.
Standards 43.8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
.made prior to Installation of
floor Insulation, decking or
floor sheathing,
SPECIAL GRADING,
EXCAVATION AND FILliNG:
During earfhwork, (306 a.11 &
Chapter 29)
POST & BEAM: To be made
prior to Installation of floor
Insulatlop, deckIng OT_ floor.
sheathing,
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.G,
STDS, 25-10,11).
STRUCTURAL MASONRY: (306
a,7)
6RAD/N'r;
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prtor 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.
'X
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. '
*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.
FINAL PLUMBING
FINAL MECHANICAL
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 mJ,s.lAspectlon.
...'~,.".
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 ELECTRICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS: du n,p,,,,"tt. ~J6.(J ~~~LI/l d~l-n./ e,.;..cr-rE _)<...
Atz.--r/f7/'" 5 ""F TME'; C'T<P ~r7,c., I?oLt.r7 ."J/7~DLrrt-l D;4'LlJAJ/~P,
,yJIL"; r BE /71,4//!/TA'A{;Cn. Aj~ /-"'L-I .4/JA)(JOFD /~I ,l7eAIAL-<Soh
";t0il.L6.. 0 A) 77-16 ~t:i.,../-.f. 5, /?G & F 7716 r:ko'oclZ-rJl,-;yE.- 4.17 / AC/t51<-'T
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FtopC2... TI E.> , PLANS REVIEWED BY ,.4~46 .t!"" t',c1 DATE .R-/8-9d
5u )Ic ,7W tlCJ:.5AL- 8-/0 -9'"
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 Ordlna~ges
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
times during constructlone
Slgnaturo
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VAliDATION:
AMOUNT RECEIVED: .-:!fJ)2;..L.fJr)
ILf~1''J
RECEIPT #,
DATE PAID' ~.... I {,f
RECEIVED BY: RrJ'h. J(
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