HomeMy WebLinkAboutPermit Building 1992-7-1
COMMERCIAL/INDUSTRIAL.
PERMIT APPLICATION
~
.
JOB NUMBER
Q'2Q2ZL
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726,3759
LOCATION OF PROPOSED WORK' ~Ob lU, t=.Al~VI(;-W S,
ASSESSORS MAP' !~I!] 2."1 4/
OWNER:~:o.. ,f, (GoJ. ,]j,}('"
L"1I b.'~
ADDRES!'" 7.7~1 p.. . J1~--r-
CITY: S~('"_i=-/t:...,_J-,
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TAX LOT:
/e/
PHON'"
74-7 . ZA'7~C;
STATE:
c)'!?
ZIP: ~74-f7
" MrTNiLJA,f). ~.e..T~Rl~ ('i,
VALUE: IO./~ ,Mr.
I
DESCRIPTION OF WORK: (Jill IT'( ~lJ..
NEW I-- REMODEL ADDITION
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Cn:..,.I~ "":<'-
DEMOLISH
OTHER
NAME ADDRESS
ARCHITECT: .1&.=-"1 ( 5r~Ul j7 i C7<=-<:,~_ (-:;,9 fA)' 1"Z.-n-\ f=:u,-;.r;;W''''
I CONST,
CONTRACTOR'S NAME ADDRESS CONJl1ACTOR #
GENERAI'hP'~~tr'~A~.c-~._ ~~~4I''-J";> S~
PLUMBING'
PHONE
"":>M ,-,~ ~
EXPIRES PHONE
7-7/-"'" "'5 V7'-;;>/7'?
...
i
MECHANICAL'
ELECTRICAL'
I PLUMBING
I NO, FEE CHARGE
I Single Fixlure
I Relocated Bldg,
{new fix, addtll
I /7'~ / Water Service 710
II.
1/ ;?&I Sanitary Sewer ya
II.
I~I Storm Sewer 7t'
II.
I Backftow Device
MECHANICAL
"'n
cc"
I
, ("HARG,
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
Stal ionary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or hlg,
Mechanical exhaust
hood and duel
Permit Issuance
$10,00
TOTAL PERMIT
/1?t:? Q::>
TOTAL PERMIT
OUAD ~REA: ~n )( J)
- OFFICE USE -
LAND USE:~~q~
HANDICAP ACCESS:
FLOOD PLAI~', -
ZONING: vU)
# OF BLDGS'
# OF UNITF'
OCCY GROUP'
CONSTR, Type,
LIGHTING POWER BUDGET:
# OF STORIEF'
HEAT SOURCE:
WATER'HEATER'
SO, FT,
$/SO, FT,
VALUE
SO, FTG MAIN
X
SO, FTG ACCESS X ~
SO FTG OTHER ~/,~ /~~? OpC/ //cr;;:s;
fJ\/'r
TOTAL VALUE OF PROJECT-'/;;?,"? <::/'~
.
PLAN CHECK FEE ---2/ ,~)
RCPT#
4:!> II'
DATE ~/ ~ '7 z..
BY
~
I BUILDING PERMIT
15% Stat.e
SurcharQe
I MECHANICAL
15% State
SurcharGe
I PAVI NG
PLUMBING
1 "52:>, "e>
7. ?,D
I DEMOLITION I I
~S",.r& ~kY~ I
~~-r - Z80
1 sliBTOTAL /~? c:'>-\
PERMITS 7',. /~
1 SYSTEMS
DEVELOPMENT
5% State
SurcharQe
FENCE
VALUE $_
SIDEWALK
1
FT, 1
F.T, I.
I CURBCUT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAL
/y~ 7?'
~-
. REQUIRED INSPECTIONS .
It is the respo'nslbility of the permit holder to see that alllnspectlons 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.
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 been made
and approved.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
FOOTINGS & FOUNDATIONS:
To be made atter trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
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 Ownerl Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
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 P'S,L (306 a,1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
y
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.
~IGH 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 I nsulatlon, decking or
floor sheathing.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
,FLOOR INSULATION &
, VAPOR BARRIERS: To be
made prio'r to installation of
deckingor 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.C.
STDS, 25,10,11), '
POST & BEAM: To be made
prior to installation of f/o'or
insulation, decking or floor
'h sheathing.
STRUCTURAL MASONRY: (306
a,7)
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415,
;:,3..~r,,\ ','~'; .f
'<":i','t",ilOOF"SHEATHING AND
:,\;'.} ., NAILING: Prior to installing
any,roof cove~lng.
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 any
construction work to ensure
compliance with the Building,
City or Development Code.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
-------------------------------------------------------
.' .. '. .
FINAL PLUMBING
FINAL ELECTRICAL
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,
FINAL MECHANICAL 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
FINAL FIRE DEP~MENT .l.L (J. and posted on the premises, C\ AI\.... ........-lr-
ADDITIONAL COMMENTS:U2.C\,~ -} \. ()l, \ \ \ ., pi ('\ f\nOr . N\ Q ')l l\.1U<:H ~j "
d,... ~ L\ 2.:C<o, \ \?_J
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PLANS REVIEWED BY /~ ~~.--? DATE-6-22-q?~
r /r . ~./;/
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 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 constructl . , ./2./7 ~
SignaturQ;" ~:__..~~~ Date 7-/-9..::<..
RECEIPT .'
/1/9: 7C::>
~//
DATE PAID:
RECEIVED BY:
~-/-q-::2-.
~-
VALIDATION:
AMOUNT RECEIVED:
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