HomeMy WebLinkAboutPermit Demolition 1994-10-17
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COM M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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LOCATION OF PROPOSED WORK' /q, 5'/
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JOB NUMBER
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INSPECTION LINE: 726.3769
OFFICE: 726.3759
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OWNER: ?A~~ "oZ'~/9.A?~..r....--
ADDRESS: '~"3 /:2-;; CL';Y~.li}t9c? ~
CITY: ~~_...,c:::o-c-C<' ' STAT'" C'7~ ~
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PHONE' ~~ .....,_ - _
ZIP:
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'NEW
REMODEL
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ADDITION
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'DEMOLISH / ' - ~T~E~
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DESCRIPTION OF WORK:
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME ADDRESS
GENERAL:~ ~~~ ~~#VttEZ
PLUMBIN("
CONST,
CONTRACTOR'
EXPIRES
PHON'E
MECHANICA' '
ELECTRICA' .
PlIJMBING
MEr.~ANIr.AL
NO,
FEE
C~ARGE
Nn
ccc
"I:IABGE-I
Single Fixture
Relocated Bldg.
(new fix, addlll
Water Service
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
I
I
I
I
I TOTAL PERMIT
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
ducl
Vent System apart
trom AC or htg,
Mechanical exhaust
hood and duel
It.
Sanitary Sewer
It.
I
I
I
, I
I
I
I
I TOTAL PERMIT
Storm Sewer
It.
Back flow Device
Permit Issuance
$10,00
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
QUAD AREA'
. OF BLDGS:
LAND USF'
. OF UNIT~'
ZONING:
OCCY GROUP'
. OF STORIES:
CONSTR. TYP'"
HEAT SOURC'"
LIGHTING POWER BUDGET:
WATER HEATER:
SQ, FT.
$/SQ, FT.
VALUE
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
X
X
X
TOTAL VALUE OF ,PROJECT
PLAN CHECK FEE_~'.....,s
RCPT'
OAT"
BY
I BUILDING PERMIT
15% State
Surcharg,e
I MECHANICAL
15% State
Surcharoe
I PAVING
, PLUMBING
DEMOLITION
5% State
SurcharQe
FENCE
VALUE $
SIDEWALK
FT,
G::~_~'
?7c.t..
SI.JBTOTAL
PERMITS
SYSTEMS
, DEVELOPMENT
~:2 ~ -0
CURBCUT
FT,
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
-:? f.G. 8>. -
. R~aUIRED INSPECTIONS ·
,
Ills the responsibility of the permll 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 01 forms,
UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered until these
Inspections have befi!n made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOI1NDATIONS:
To be made after Irenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and belore
framing 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 afe 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,
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
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.
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 alter 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 coverl ng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specially Code
a special Inspector shall be employed
by the Owner/ Contractor during
construction of the following work. A
copy 01 the special testing reports shall
be furnished to the Building Division,
STRUCTURAL CONCRETE: In
excess of 2500 P'S,I, (306 a.1)
STRUCTURAL WELDS:
Performed on the Job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.Bc.
Standards 43.8,
SPECIAL GRADING, "
EXCAVATION AND FILLING:
During earthwork, (306 a.11 &
Chapter 29)
.v
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)
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'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
-------------------------------------------------------
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
Certlllcate of Occupancy has been issued by the Building Division
and posted on the premises,
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
OAT"
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 Ordinances
of the City of Springfield, and the Laws of the Stale of Oregon pertaining to the work described herein. and thaI NO OCCUPANCY
will be made of any structure without permission of the Building Safety Division, Ilurther 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
slreel, that the permit card Is located at the Iront of the property, and the approved set of plans will remain on the site at all
times during cons cllon " .
Signature
VALIDATION:
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AMOUNT RECEIVED: ,?~~
RECEIPT N: _/S-/~ o-;z
Da;e_I/;)- )7-q-~_
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DATE PAID: /~/'":), ~.,.... .
RECEIVED BY' <:::?".c---':"-
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