HomeMy WebLinkAboutPermit Building 1994-10-10
~OMM ERCIAL/IN DUSTRIALe
PE8MIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
ASSESSORS MAP:
LOCATION OF PROPOSED WORK'
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JOB NUMBER
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INSPECTION LINE: 726.3769
OFFICE: 726.3759
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TAX LOT: -.t2!Ji::?CTD
PLUMBIN'"
MECHANICAl'
ELECTRIC' I.
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to YA)AL.!l'f Cu::-c7f2{f'
CITY'
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OWNER:~3") / /pJ.A!#'Vc;;::tV??':r
DESCRIPTION OF WORK:
'NEW
REMODEL
AD DR""'"
ARCHITECT:
caNTRACTOR'S NAME
GENERAL:
SF'
I
10
Single Fixture
Relocated Bldg.
(new fix. addtll
Water Service
I
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I TOTAL PERMIT
Sanitary Sewer
Storm Sewer
Backllow Device
QUAD AREA-
. aF BLDG~'
OCCY GRaUp:
· aF STORIES:
PHON'"
STATF'
ZIP'
/=/A'ctJ/l-?~,.;L ~...vA?.# (K'~'y= ~K,rB)
ADDITION DEMOLISH OTHER VALUE:
I BUILDING PER;+IT :2 7.~ ,?~
15% State / ..) , , ...
Surcharge 7 " .. $ ~ ""
MECHANICAL' } j .lTtr
/SU~~ / t" tP-
5% State I - -,7,r
Surcharce _-I /-
I PAVING. I. I
NAME
""'( <-l-,
PUlMBING
ADDRESS
PHONE
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ADDRESS
S1I7 ~ IIA u'"
caNST.
CONTRACTOR'
S0oJ,l
PHONE
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EXPIRES
:3/9 )'
) I MECHANICAL eeL -CI:IARG~
""ARGE I In Furnace/burner & vent I
< 100.000 BTUs
I Furnace/burner & vent I I
> 100000 BTUs
I I Floor furnace and vent I
I I Suspended wall or floor I
mounted unit heater
I I Appliance Vent I I
separate
I I Stationary evap. I I
cooler
I 4 I Vent Fan/Single I~~ /11 /,v I
duct
/GQ(J I I Vent System apart I I I
from AC or htg.
I I Mechanical exhaust I I I
hood and duct
I I I I
Permit Issuance I $10.00 I
TOTAL PERMIT L/S~OO I
PLAN CHECK FF~ RCPP
- OFFICE USE -
HANDICAP ACCESS'
LAND USE:
FLOOD PLAIN'
ZONIN'"
. OF UNIT~'
CONSTR. TYPF'
HEAT SaURCE'
LIGHTING POWER BUDGET:
WATER HEATER:
SQ. FT.
SQ. FTG MAIN X
SQ. FTG ACCES~ X
SQ, FTG OTHER ..e9"~ /~ pu6fC1/~(Y''l,,(/I# ~ . ~
. TOTAL VALUE OFPROJECT-4?$_.OZ.e:,
/
$/ SQ, FT.
VALUE
DATF BY
/5".0-0 DEMaLlTlaN 1-
, 7'> I
.., .4"-
I
I SUBTOTAL I
PERM ITS
I SYSTEMS I
DEVELOPMENT
I PLUMBING
/(t;z)Tr
5% State
Surchar e
FENCE
VALU" ~
ISiDEWALK
CURBCUT
FT.
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
sf 3,1 r;
. , . REQUIRED INSPECTIONS
. it-Is the-~esponslblllty of the permit holder to see that all Inspections are made at the preper time. To request an Inspection, call
726.3769 (recorder), state your City designated job number, lob address, type of Inspectlon 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 setu~_of lorms.
.
~
UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
belore any work Is covered.
y ROUG~LUMBIN(,;'>
r. -~.:~'~:~~~~~N~ work Is to
1:re-covered until these
Inspections have been made
and approved.
PAVING: After gravel Is In
place but prior to p.laclng
asphalt or concrete. ,.
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
Iramlng Inspection.
SPECIAL INSPECTIONS: In accordance
Section 306 01 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
, -
STRUCTURAL CONCRETE: in
excess of 2500 PS.1. (306 a.1)
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
pi pi ng, accessories and other
ancillary equipment items are
I n place but before any
concrete Is placed.
FRAMING: To be made after
the roof, all framing, lire
blocking and bracing are in
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
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HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
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.
X FiRE & SEPARATION WALL:
C Lo.cated and constructed
according to plans.
.V--LATH ANDIOR GYPSUM
t? ' 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.
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
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.
SPECIAL GRADiNG,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
POST & BEAM: To be made
prior to installation of 1I00r
Insulation, decking or floor
sheathing.
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).
STRUCTURAL MASONRY: (306
a.7)
y
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'In addition to the Inspec-
tions specified, the Building
Olllclal may make or require
CURB AND APPROACH other Inspections of any
ROOF SHEATHING AND APRONS: After forms are construction work to ensure
NAILING: Prior to Installing erected but prior to placing compliance with the Building,
any roof covering. concrete. City or Development Code.
~-;NAL~LUM;NG-------------SITE~LAN~EVIEW~OA~;M:~::;:te;~;~~~:nc~
, " of the date you wish Inspection. All project conditions such as .
, ....... / landscaping, parking lot striping, etc. must be completed belore
.^ FINAL ELECTRICAL requesting this Inspecllon.
~ V FINAL BUILDING: Requested after the final plumbing, electrical,
~ : FINAL MECHANICAL r...... 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.
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.
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
/,~A
. OAT'"
By slgnature,l state and agree, that I have carefully examined the completed appllcallon and do hereby certlly that alllnlormatlon
herein Is true and correct, and 1 further certify that any and all work performed shall be done in accordance with th&. OrSilnances
of the City 01 Springfield, and the Laws 01 the Stale 01 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 u.sed on this project.
I further agree to ensure
street, that the permit c
times dUr~co~structl
b
Signature
at all required Inspections are requested at the proper time, thaLproJect address Is readable from the
rd Is located at the front of the properly, and the approved set of plans will remain on the site at all
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Date
(0 /o/")~
VALIDATION:
AMOUNT RECEIVED:
RECEI PT ':
443,1''7
/ C)/')tJ) "?
DATE PAID' /Z;//~/'7G/'
( j'} r... ~J
RECEIVED BY: ~./~
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