HomeMy WebLinkAboutPermit Building 1994-10-14
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK' -?xl::=>'2. hLS\F./IJA\.I
ASSESSORS MAP: \ '\r\?A8-(;() .
OWNER' (!<7?"rON/.<JOon ~'~'7'-r INc...
ADDRESS..4::3': &em-.~....; :\g;<i~: J/2(/;
CITY' -if'':. V:":A:. 1~~
~
.'
44 /J f1CL
JOB NUMBER
INSPECTION LINE: 726.3769
OFFICE: 726,3759
TAX LeT:
()~lG
PHeN'"
CAniUAwL,,(l, # //A
STATE:_,\J ~I /')X?
ZIP, 'J";;a.'- 7' 7-177
'NEW
DESCRIPTION OF WORK: ILL.uMf /oJ tl-t€cD Awf-JI N (,
REMODEL
NAME
ARCHITECT'
CONTRACTOR'S NAME
A""IJIt.J0' ,j ""_
GENERAL: I"IQgL'I,,\ ':::":.f"S
PLUMSiNG:---.
MECHANICAl. )
ELECTRICAl' ' KAsVLn /oJ ~,
I
I NO,
I
I
I
I
I
I
I
, I
I
I
I
I
QUAD AREA'
. OF BLDGS'
PLUMBING
Single Fixture
Relocated Bldg,
(new Ilx. addHl
/Water Service
It,
Sanitary Sewer
It,
Storm Sewer
It
Backflow Device
TOTAL PERMIT
\(' fuu ')
OCCY GROUP'
Q-,7-...
. OF STORIE~'
Sa. FT,
SQ. FTG MAIN
SQ, FTG ACCES~
SQ, FTG OTHER
PLAN CH ECK F.e
I BUILDING PERMIT
15% State
Surcharoe
1 hllP, l:4.:.id,
15% State
Surcharoe
I PAVING,
~~I
I
Lea. reD
3.r~
I.RR
ADDITION
VALUE: 'dr.:,'1"1t~
DEMOliSH
OTHER
ADDRESS
PHONE
ADDRESS
70<1 <.l€:=S>1UD ~
CONST,
CONTRACTOR'
~Call:>,
PHONE
~z lib'!
EXPIRES
311",
WA ~h1 0t<Ot'b ?:("'!S 3-z.1'2/n~
J MECHANICAL j
FEE r.HAPr.;~ I .,,., eee r~,4D(,:!~
I Furnace/burner & vent I
<100.000 BTUs
I Furnace/burner & vent I
> 100.000 BTUs
I Floor furnace and venl I
I I Suspended wall or floor I
mounted unit healer
I I Appliance Vent I
separate
I I Stationary evap. I
cooler
[ 1 Vent Fan/Single I
duct
I I Vent System apart I
from AC or htg.
I I Mechanical exhaust I
hood and duct
I I I
I I Permit Issuance $10,00
I I TOTAL PERMIT
- OFFICE USE -
LAND USE: 5?fy)
HANDICAP ACCESS'
FLOOD PLAIN'
ZONING: (' l'
. OF UNIT~'
CONSTR, TYPF'
HEAT SOURCf'
LIGHTING POWER BUDGET:
WATER HEATER'
$fSQ, FT.
VALUE
X
X
X
TOTAL VALUE Of PROJECT
RC PT>
DATF
BY
PLUMBING
DEMOLITION
5% State
Surcharae
[' FENCE
VALlIF $
I SIDEWATi<--
FT.
I CURBCUT
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
lof-J.o1
" REQUIRED INSPECTIONS ·
It Is the responsibility of the permit holder to see that all Inspections are made at the prClper 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
.he 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 .0
be covered until these
inspections have been made
and approved,
PAVING: After gravel Is In
place but prior to p,laclng
asphalt or concrete. ,.
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 15 placed.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
FRAMING: To be made alter
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.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specially 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
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.I. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 t)
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 consfructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to coverl ng or filling
trenches.
SPRAYED ON
FIREPROOFING: U.B,C.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During ear.hwork. (306 a.11 &
Chap.er 29)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
LATH AND/OR GYPSUM
BOARD: To be made alter 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 Clty's
Building Division before ,
beams are placed, (2501 U.B.c.
STDS. 25.10,11).
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
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.
v
STRUCTURAL MASONRY: (306
a.7)
A/C7~ ~
A/......k#..At~/'--
-------------------------------------------------------
ROOF SHEATHING AND
NAILING: Prior to Inslalllng
any roof covering.
CURB AND APPROACH
APRONS: Alter forms are
erected but prior to placing
concrete.
'In addition to the Inspec.
tlons specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance wllh the Building,
City or Development Code.
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of .he date you wish Inspection. All project conditions such as
landscaping, parking lot striping, elc, must be completed before
requesting this Inspection.
FINAL BUILDING: Reques.ed aller the final plumbing, electrical,
mechanical and Fire Department Inspectlons 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.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
ADDITIONAL COMMENTS'
- "----
PLANS REVIEWED BY, ~~~?~ DATE_/~./So"~'.
By slgnature,l state and agree, thaI I have carefully examined the completed application and do hereby certify thaI all Information
herein Is true and correct, and I further certify that any and all work performed shall be done In accordance with the-' Orstlnances
of the City of Springfield, and the Laws 01 .he Slate 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. 1 further certify that only contractors and employees
who are In compliance wllh 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 permll card Is located a. the front of the properly, and the approved sel of plans will remain on the slto at all
times :::LLr~ fO(e e:lc,'I
Slgn~ Date *11/0<:;
VALIDATION:
AMOUNT RECEIVED: irK 01
RECEIPT" /'5Y<. 7
DATE PAID: /~!....q. ct
RECEIVED BY:, 3~ . /~'
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