HomeMy WebLinkAboutPermit Building 1995-5-22
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COMM ERCIALIIN DUSTRIAL
PEF,lMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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.B NUMBER i 7l5~ 3--~<;4
INSPECTION LINE: 726.3769,
OFFICE: 726.3759
LOCATION OF PROPOSED WORK: .3S"O~ CO CV\",,-'EV Co ,,,,,- s,..' S~~,~,~;e1d
, 1
ASSESSORS MAP: 'Boo I::: 1<1 ~o-'le. 3 ,l/clA",,"!!.7t>L~i "-A~c.. C/llAl'J"T\f Ore.~o't'V TAX LOT:
.I'7~ 2- ~ / ::2.. I
OWNER: <1Cla~\{' l1o....,~c.~ ~~c- '\'\~\ \
ADDRESS: ~,~ ~t),#-- 75'-17,
CITY: fv.q e."" e.. "
o,..~
PHONF'
"3S()O
,~~ ~ ern
So~-7!1.'-7/7b
STATF'
O...EL
ZIP:
cjq va I
DESCRIPTION OF WORK:.l~~ \\~ r\'l\ iUo'y' ~~~t'J\Q\O ~r .>
" ,-_. -\ _. ,
. NEW '1..' REMODEL ADDITION DEMOLISH '6-iHER VALUE:
NAME
,ADDRESS
PHONE
! ARCHITECT'
CONTRACTOR'S NAME ,ADDRESS 97&(01 ...,
GENERAl' (;1\'r~"B~"r"'~1lto.~Thfl\CIII4\,:0>()~~ 7S~7 ~~ENf.,','
CO NST.
CONTRACTOR 1/
8c./1
EXPIRES
7luV- 1"195"
PHONE
?;;'6-7/71:J
PLUMBING.
MECHANICAl'
ELECTRICAL.
PLUMBING
I
I
J
Single Fixture
Relocated Bldg.
(new fix. addtl)
~ - Water Service '
c( ~ ft.
Sanitary Sewer
:::<~:-~
MECHANICAL
NO 1=1=1= "'~AJlnl=
Furnace/ burner & vent
< 100.000 BTUs
I Furnace/ burner & vent
>100,000 BTUs
I Floor furnace and vent I
I Suspended wall or floor I
mounted unit heater
I Appliance Vent ..-
separate
I Stationary evap,
cooler
I Vent Fan/Single
duct
I Vent System apart
fromAC or htg.
I Mechanical exhaust
hood and duct
I
I Permit Issuance $10,00
I TOTAL PERMIT
NO. I
. FEE . CHARGE
Storm Sewer
ft.
ft.
I Backflow Device
l(l;lrO
I
. I
I .
I
I
I
TOTAL PERMIT
!_~ 5r~\
.
. -
/I OF STORIES'
M
I
- OFFICEMh-
LAND USE:~C\~~\,.
/I OF UNITS:
CONSTR. TYPE: ~"/5/
HEAT SOURCE:~# .
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING: LM \
aUAD AREA:~-:L-~
/I OF BLDGS'
OCCY GROUP:
LIGHTING POWER BUDGET: '
WATER HEATER'
.
sa, FT.
$/sa. FT.
VALUE
sa. FTG MA!N
sa, FTG ACCESS :::?.as
sa.,FTG OTHER'
X
'"
X
'"
" '.., X,
,
'" ~"..
, ,
'"
TOTAL VALUE OF PROJECT
fi}.:O!c:' ~oo
,
PLAN CHECK FEE
4e .4-3
. .
RCPT#
/~~c~
DATE
-'3/U/5'J BY
r l
~~'
BUILDING PERMIT
5% State
Surcharge
MECHANICAL
~?
'7 y. 5.0
t,7~
"2 . '::l Y
PLUMBING
5% State
Surcharoe
PAVING
'5% State
Surcharfle
FENCE
VAlllf ~
-- ._--~.
SIDEWALK
CURBCUT
-
~'
i~S"~~J':
__1_ . _
(/ . 7t:1 '1,-,
{1.~S-{t
DE;MOLlTlON
FT.
SUBTOIAL
PERMITS
SYSTEMS
DEVE:LOPMENT
f-~-/;---- _. I
,
<_ ~_~_~.J
FT.
,A/~A('€
.' . -
.... . 'of'
.\. .... "'" .,
, . .
...-, c~.. - ~ "'-.. "~
.. ;":-,. ,1.';.
. "...: ;...~......
..
TOTAL P'ERrvllT F!:ES
EXCLUDING ELECTRICAL'
//$.27
..
J'f'
(' ~:h
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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, 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.
x
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.
)(
x
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framlnQ 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.
't ~,'~"
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.
.,.,.
UNDERSLAB'PLUMBING,
, ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
STRUCTURAL CONCRETE: In
excess of 2500 P.S.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)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing.
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)
;<
UNDERGROUND: Plumbing,
electrical, gas,lsanltary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or fillIng
trenches.
SPRAYED ON
FIREPROOFING: U.B.a.
Standards 43.8.
SPECIAL GRADING, ,.
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
POST & BEAM: 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 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). '
STRUCTURAL MASONRY: (306
a.7)
.,
-....
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.
*In addition to the Inspec.
tlons specified, the Building
Official may make or require
other Inspections of ~ny
construction work to ensure
compliance with the Building,
City or Development Code.
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.
-------------------------------------------------------
""', F t ~, .~-.,', .
SITE PLAN R'EVIEW.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, '
X 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.
x
FINAL PLUMBING
y
FINAL ELECTRICAL
,
FINAL MECHANICAL
, FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
~D
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dOoj),_~
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PLANS REVIEWED BY~.
~,/
By slgn~/u;e, ; state and agree, that I have: carefully,examlned the completed application and do herlilby <:ertlfy that aI/Information
herein Is true and correct, and I further certify that any and all work performed ,shall be done in accordance'wlth 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,Bulldlng Safety Division. I further cert!fy 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 ar,e requested at the proper time, tha'l p'roject address Is readable from the
. ~ . .
street, that the permit card Is located at the front of the property, and the approved set 'of pla'ns will remain on the site at all
times during construction.
Slgn~~~r~'" ,/'jJ~ 11. lid!
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DATF
?--- ~Z f9 .:::>
C-
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.....,
Date
,~-..< y ~9 S- ,
, J.
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AMOUNT RECEIVED: II $. <?
/7 ~~"?>
DATE PAID:
RECEIVED BY:
~-<'f~5. -~
/4-~":'J~/
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VALIDATION:
, RECEIPT #: