HomeMy WebLinkAboutPermit Building 1991-7-18
COM MERCIALlI N DUSTRIA:'.,
PERMIT APPLICATION
" SPRINGFIELD
-
JOB NUMBER q/~~8?
INSPECTION LINE: 726-3769
OFFICE: 726-3759
225 Fifth Street, Springfield, Oregon 97477
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LOCATION OF PROPOSED WORK: :37~ /~I'\o?~~C~ L
ASSESSORS M'AP:-L7"'07-~ /-../<..
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TAX LOT:
007 tt:;)t::!:>
OWNER:-?,??~&.~ '4~./-R .~{:VG.r;Y
ADDRESS:~'7~ ~A?An'e~C/~c. sr;
. 5?rLZ:>~/,
PHONE:
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CITY:
STATE:
/'9M' .
ZIP'
DESCRIPTIONOF'WORK:J2-~ R~/./~~~' ~S~ ,~'/u... -f~~m-~.,c7" _~~""_.....e-.....-p
NEW REMODEL ADDITION X DEMOLISH X OTHER VALUE:::2~~~
,
NAME
~.-/#,c-c:::::'~. / d
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CONTRACTOR'S NAME,
GENERAL:2?'~-'i"~ .
~111.G: tllX;?;;>. . . .
;2B3~"3 '5/F$l?'/ ~~ESS
~.~~-~.? - ~::::> .........
. CONST,
ADDRESS CONTRACTOR #
'. PHONE .
"?~ ~-'9 fl'~
EXPI RES
PHONE
MECHANIC/>! .
I ELEqTRICAL:?-7f. ~~~
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PLUMBING
MECHANICAL
NO.
FEE
CHARGE
NO
!:'!:'!:'
r,~ARns::
ft.
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
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
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I
I,
I
I
I
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I TOTAL PERMIT
, Single Fixture
, Relo<::ated Bldg.
(new fix. addtl) .
Water Service
Sanitary Sewer
ft.
ft.
t:
Storm Sewer
Backflow Device'
Permit Issuance
$10.00
TOTAL PERMIT
~UAD AREA: <....~If\\(\_..f
I
OCCY GROUP: JI.,;<
- OFFICE USE -
LAND USE: '30\ q q
HANDICAP ACCESS:, ~~ .
FLOOD PLAIN: '#;~ ~
ZONING: " I-J~
# OF BLDGS:
# OF UNITS'
# OF STORIES' ---:7_
CONSTR, TYPE:
HEAT SOURCE:
. -:L~H /' '5?/f' .
I' .
/V?='ff~
LIGHTING POWER BUDGET:
WATER HEATER' /V ",.1f
, '"
SO. FTG MAIN
SO. FTG ACCESS
SO. FT.
,Q 752>
$/SO. FT.
VALUE
25~~
x
=
,
x
=
SO. FTG OTHER
x
=
, '>l',
. ,TOTAL VALUE OF PROJECT .
PLAN CHECK FEE' 5"C>t!:) .sa":3
. RCPT#
tf)f7/d) .
DAT!:'
~~g) ..cu
BY
.f1}J~'
v
I BUILDING PERMIT
15% State
SurcharQe
I MECHANICAL
15% State ,
SurcharQe .
I PAVING
77C?" 50
"*?8 5"3
PLUMBING
DEMOLITION
'.
5% State'
Su rcharge
I FENCE
VALUE $
I SIDEWALK
. .1 CURBCUT
r- f!5q c:>
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I
l- ". _ I
I/'y~.~~t~ 17
'/&.~
, 9.0
FT.
I SUBTOTAL
,PERMITS
I SYSTEMS '
, DEVELOPMENT
FT.
~'
.....
'" .-.. .
",
TOTALPERMIH::EES
EXCLUDING ELECTRICAl,
;B2?93
e
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. 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 setu p. of forms.
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.
UNDERSLAB PLUMBING,
- ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
)<' ~r.:1-I PLU~ING,
LECTRICAL
MECHANICAL: No work is to
be covered until these
inspections -have been made
and approv~d,
ATTIC DRAFT STOPS &
CURTAIN WALLS
'X
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, bu~
prior to placing concrete.
FIREPLACE: Prior to placing
faci ng - materials and before
framing inspection,
'-
x
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
.th~ rough electrical, plumbing
and mechanical are approved.
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.
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. ^
.x
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to coveri~~r filling
trenches. /r /f/'Y'Y
UNDERFLOOR: Plumbing,
electrical, mechanTcal. To be
- made prior to installation of
floor insulation, decking or
floor sheathing.
. LATH ANDIOR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
interior and exterior, is in
place but before any
plastering Is applied Of before
gypsum board joints and
fasteners are taped and
finished.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
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 placi ng
concrete.
FINAL PLUMBING
y
FINAL ELECTRICAL
x
FINAL MECHANICAL
X FINAL.FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PAVING: After gravel is in
place but prior to placing
asphalt 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.
x
STRUCTURAL CONCRETE: In
excess of 2500,PS.1. (306 a.1)
\,
x
}'
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING: -
During all bolt installation and
tightening operations. (306
a.6)
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SPRAYED ON .
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRAplNG,
.EXCAVATlON 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).
y
STRUCTURAL MASONRY: (306
a.7)
$/A/~ 5
.In addition to the inspec-
tions specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
.------7 ,
PLANS REVIEWED BY/ ~~~~--.;>
~- , / (/" v,/ -
DATE 7-/6>-9'/
By signature, I state and agree, that I have carefully examined the completed application and do hereby cer~ify that all information
herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances
of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY
will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and ell!ployees
who are in compliance-with ORS 701.055 will be used on this project.
I further agree to ensure th t all required inspections are requested at the proper time, that project address Is readable from the
street, that the permit c is located at the front of the property, and the approved set of plans will remain on the site at all
times during constru /0. # t
Signature A/.// V - Date - 7-;'- '1/ .0-
! /
VALIDATION:
AMOUNT RECEIVED: ~;2? .~~
RECEIPT #: -;ZC!:J 7~?
DATE PAID: 7-/$'9/
RECEIVED BY: ./'?~.
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