HomeMy WebLinkAboutPermit Building 1995-10-31
.
COMM ERCIALlIN DUSTRIAL
PERMIT APPLICATION
~
AfIkA (/4-0 ~ 1
,/
225. Fifth Street, Springfield, Oregon 97477
3tS).:z.~ .
LOCATION OF PROPOSED WORK. .~
.
/ '7 t') .~ :2'2..-
OWNER:~~ c.~ ~~
ADDRESS: ~O c;.,-. . _ ~
CITY: ~\,...:>C...~ ""-~
ASSESSORS MAP'
DESCRIPTIO!::!-9F WORK:
NEW ~ REMODEL
ARCHITECT.
NAME
G.~
CONTRACTOR'S NAME
GENERAl ~ ) ~
PLUMBING'
MECHANICAl.
ELECTRICAL: 112 ~&IA11'\
.
PLUMBING
NO.
Single Fixture
Relocated Bldg.
Inew fix. addtl)
Water Service
/5"Dfl.
Sanitary seweLSD fl.
Storm Sewer '
Backflo"'V Device
TOTAL PERMIT
QUAD AREA:
j C M\A/
,
I
132-
. OF BLDGS.
OCCY GROUP:
. OF STORIES:
J
SQ. FT.
SQ, FTG MAIN
SQ. FTG ACCESS
SO. FTG OTHER
PLAN CHECK FEj;
18UILDING PERMIT 1/ - j S,OO
15'A Slate' . ,(" A " " -':lV
su~charQe.,7.1)"'7r ,__II \
1 MECHANICAL
15% Stale
Surcharoe
I~VW~ 40, 1
~/:J ",tn;), .
/~,5t).
0,..-:)
~"
.
.
TAX LOT:
022~
~C-
=+~ ~ (Q1..G \.1
PHONF.
STAT".
OL
ZIP q~'{ ':\ "::\
tp./IC.e
ADDITION
S~r t=5~~(7/)
-.J ,. /n~'O
VALUE:y'/
\. . ADDRE~
G..~ .~-.k.'t.k-~
CaNST.
ADDRESS CONTRACTOR'
\0~~O\
DEMOLISH
It.
I
I FEE CHARGE i
1 I'
Lz5C. 25""0 I
2. $'00 I
I
I
I
1
1
I I
I I
I 5v,"01
OTH ER
I
PHONE
EX"~y:s
R Ll''-10
PHONE'
MECHANICAL
I
rHARG:I
1
I
I
j
j
I
I
I
J
$1000 )
I
Nn
C'l:1=' I
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
Stationaryevap.
cooler
Vent FanfSIngle
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
>
Permit Issuance
TOTAL PERMIT
LAND USE:
- OFFICE USE -
. OF UNIT~'
CONSTR. TYPE:
-HEAT SOURC'"
$/SQ. FT.
X
x
X
RCPP
\1 PLUMBING
~~'rc~';r~ez.f"+).S: '
FENCE
VAIIJF $
I SID-EWALK
FT.
, I CURB CUT
FT.
~.sOD
I
\/-y
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING: C_c...
LIGHTING POWER BUDGET: ~
"
WATER HEATER.
VALUE
r"'~.~~~
TOTAL VALUE OF PROJECT~ '~"~
, '/
DAT"
BY
-G"o,""
4fO
, DEMOLITION
~~VA
- - - ,
~_co
SU8TOTAL.
PERMITS
SYSTEMS
, OEVELOPMENT
.
TOTAL" PERMIT FEES I
EXCLUDING ELECTRICAl
;2lf}iJ .,
.
REQUIRED INSPECTIONS
.
It Is the ~esponsibillty of the permit holder to see that all Inspections are made at the proper time. To request an inspectlon, call
726.3769 (recorder), state your City designated job number, job address, type of lnspection requested and when you will be ready
for inspectlon. Requests received before 7:00 a,m. will be made the same working day, requests made after 7:00 B.m. will be made
the follow~ng work day. , ~ /,_ '
SITE INSPECTION: To be ROUGH PLUMBING, )X... , PAVING: After gravel Is in
made after excavation, but ELECTRICAL & '."p place but prIor to placing
prior to setup of forms, MECHANICAL: No work is to asphalt or concrete.
be covered until these
inspections have been-made
and approved.
-~-~NAL~LUM;NG----------\/-~TE~LA~~EVIEW~~~;~:~~re~:te~~ay~~:::~
;- '"' of the date you wish Inspection. All project conditions such as
landscaping, parking lot striping, etc. must be completed before
reques.tlng 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.
R!.h-l~/W )Jilx'.hNT ,IV A'~VM"d1
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to .placlng concrete.
.. ._0
" -
FIREPLACE: Prior to placing
facing materials and before
framlng'inspectlon.
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.
CONCRETE SLAB: To be
made after all [nslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
In place but before any
concrete is placed.
'>( UNDERGROUND: Plumbinp,
. __...'o;;......,C~ gas, ~nltary sew~
storm sewe,. nc.;\o'-. .and
drainage lineS': 10 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.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
POST & BEAM: To be made
prior to Installation of floor
insulation, decking or floor
sheathing.
LATH AND/OR GYPSUM
BOARD: To be made after all
iathing and gypsum board,
Interior and exterior, Is In
place but before any
plastering Is applled or before
gypsum board Joints and
fasteners are taped and
finished.
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
USC 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof ,covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
'><
FINAL ELECTRICAL
x
FINAL MECHANICAL
,
y:
FINAL FIRE DEPARTMENT
~
ADDITIONAL COMMENTS: ~~
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 furnlshe.d to the Building Division,
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (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.Se.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.ll &
Chapter 29)
)(
GLU.LAM BEAMS: inspection
Certlflcate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.BC.
STDS. 25-10,11).
STRUCTURAL MASONRY: (306
a.7};tE-r;H V~/r
5er -LIIJ
.-
-In addition to the lnspec.
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,
"{"o
PLA\S REVIEWED BY ,~~/lM_
DATE /r0 L
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that alllntormatlon
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, anc;YtheL.aws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY
will be made,of.any strucl~u e' withoLt permission of the Building Safety Division. I further certify that only contractors and employees
I . I. I" -
who are In(COmPllanc*;t It~OR7 701.055 will be ,used on this project. . ~: '..... _.
I further a9\ee to ~hl; all required inspections are requested ~t the proper time, that proJ~ct ,address .Is.readable from the
street, that the R7e' it c~ad Is 16cated at the front of the property, and the approved set of plans will remain on the site at all
\ 1'1 I .
~~t:~~i.~~:con t.trt!] .. Ii, .,,'.. - DateJ.O/311~
/gna \ !v~ .'
DATE PAID: ' \f).~\.q-S
RECEIVED BY: ~\ [';(\". -'
......
,.
VALIDATION:
AMOUNT RECEIVIDtl. ~Y)() ,'6lD
RECEIPT': \:~L\{b
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