HomeMy WebLinkAboutPermit Building 1994-4-20
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JOB NUMBER ...:z,~,~~.~_
INSPECTION LINE: 726.3769
OFFICE: 726.3759
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COM M ERCIAL fiN DUSTRIAL
PERMIT APPLICATION
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225 Filth Street, Springfield, q>regon 97477
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LOCATIQN OF PROPOSED WbR~: _,_~ I CfQ...l;:>~ L.a?P__
ASSESSORS MAP: J "'1~~~ ,?2~w." .._'____.,_____
,__ TAX LOT: Z~~...._
ovmER!Morese.nio,.3-lllfJ (ljhris Pr. Smith PHONEJ;O~ Z8Lt:WJ5
ADDRESS.5P.. f?O, ~X J.l{l!2Z.~~f.ewi),u_Ot"''2J7l_____H__
CITY: _'___'
______._ STATE: _______._____"
ZIP:
DESCRIPTION OF WORI< __~lrl.L.,~__..aom_~;~~nv..B5
NEW __ REMODEL
ADDITION ,____,.. DEMOLISH
OTHEfl..
VALUE:
NAME ADDRESS 2 PHONE
l\rlCHITECT ,~1~f;1AJmJfIb~/0Nf2l4s..rBY&,__e.tlFW~~03,Z4 ~~(Pl'5...._
C.tf?sT.
CONTRACTOR'S NAME ADDRESS COIHRAcron' EXPlf1ES PHOI~E
GENERAL ~..li2&7~. 133....st.:\LZM2......~3'c4.__.'22..(p% I "2.~..'l~_ Z1L~..~_!:5:.
~T, Oft 0)12.07
PLUMBING: __' _....__ ..,. .______,..
MECHANICAL:
ELECTRICAL:
PLUMBING
,... .. ,____u
FEE,_, ,_GliARGE "
-1:!Q~_ ___
.__J
\
Single Fixture
Relocated Bldg. -l
.:.Jncw Ilx, ad<!!l) __ ____,__
Water serv'c~f~r?1.I~_.!._~_ _______1
sanitary Sewer # ~
Storm Sewer
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1 '2- 1 Backflow Device
.,1 I I I
/' I ~"'77~~c...;??~__,~~
':>71-"'li:>v-.......A-c:!:"".?'; " '1' I
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TOTAL PERMIT
~UAD AREA:
\ (' Rwi
- OFFICE ~~
LAND USE: 53l.(J
" OF UNITS:
FLOOD PLAIN'
('(\./
/7"'-;:72.. GoO I PLUMBING
7 ~. ~ Is'j,-siate-----
,i-/Z/, 7L. ~urchar9.!!..____,_..
!. I C~tUCEE S _____=. __.. --
SIDEWALK .1.9 --v SUBTOTAL __n__I, /&./--:" _ 4>./ ,-
I ~ FT. /. - PERMITS /i!:S> -/ ~~
/ ?C:-~~~:~u~CUT~._fl.....__:'~~~/'2~~~ J~~t~~MENT ~ J:4 -,-~-
'. . _.___.__~41.pq" '3 -----,"
. TOTAL PERMIT FEES II In \_1\ ~J ~,.,1.
EXCLUDING ELECTRICAL ~ L.\ ' \--.:\.
" OF BLDGS:
OCCY GROUP:
CONSTR. TYPE:
HEAT SOURCE:
, OF STORIES:___
SO, FTG MAIN
SQ. f,r,
III 7.2+'
x
$/50. FT.
~J, -5<:>
SO, FTG ACCESS X
SO. FTG OTHER ~'~~i'.; ~ /..c~ </.... X
. .7!' -
/.. ~~
PLAN CHECK FE.E
q~~,~
RCPP /-:? ?~
I BUILDING PERMIT1
5% Slale
Surcharge
MECHANICAL I
I
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5% State
Surcharoe
I PAVING
C;1<-#- q If}q
r-''''.'. -
MFr.HANICAl
.. ~u1ro~gg~bo~TI~;& vent "'-".--I"'C;;:;iRGC
. ... Fu'r;~ace/burner & vcnt--'--
> 1.09.000 BTUs
__,NO._
....1... _
J
Floor furnace and vent
.~-_. SU3pcndcdwnit'oriioor
mounted unit heater
"AppiianccVenl
separate
-'Slat lonary'cvap, L I
cooler ___.......:...__.._..
=-_;._~ ~C~: Fan/Single I___.!. __________
Vent System aparl I
I from AC or htg. i
I l-fvfCcha:nTcaTexhaust . l ' '
hood and duct. : i
.uh~~_c.. ~?~~.-r"
/_/~"",,"I''''~''' -'I
Permit Issuance $10,00
TOTAL PERMIT
HANDICAP ACCESS: .______
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER: ____
VALUE
= ~~~~~
-:0/ v_'9.o;:;;~_
TOTAL VALUE OF PROJECT "::;;~_"2~.L.
DATE_5::-:/r-~1.!:_ BY ~~......_-
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DEMOLITION
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It IS the responsibility of the permit hOlder to see that all Inspections are made at the ploper 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 feceIY.: ad before 7:00 a~m. III be made the same working day, roqr-. as" ade after 7:00 a.m. will be mad;9
the following wod< day. ! i
, SITE INSPECTION: +0 be ROUGH PLUMBING, '_ PAVING: Afler gravel Is In i
made afler excavallon, bul (ELECTRICAL & place but prior 10 placing i
prior 10 selup of fOlmS. MECHANICAL: No W01\< Is 10 asphalt or concrele. .
be covered until those .
UNDERSLAB PLUMBING Inspections have been made SPECIAL INSPECTIONS: In accordance
. ELECTRICAL & i' and approved, Section 306 of the State Speclafty Cod,e
MECHANICAL: To bo made a specIal Imipector shall be employed:
before any work Is covered. ATTIC DRArT STOPS & by the Ownerl Contraclor during I
, CURTAIN WALLS construction of the followIng work. ^
I copy of the specIal lestlng reports shall
FOOTINGS & FOUN,DATIONS: ____ FIREPLACE: Prior to placing b~ furnished to the Building Division. :,
To be made after trenches are facing materials and before
excavated and forms are -4
erected, all steel In ~placc, but . framing Inspection.
prior to placing co~crete. _ FRAMING: To be made after
, the roof, all framlng, fire
CONCRETE SLAB: To bo blocking and bract~are In
made after all Inslab building place and all pIpes, hlrnneys
service equipment, Icondult, and vents are campi e and
piping, accessorles!and other tho rough electrical, plumbing
ancillary oqulpment items are and mechanical are approved.
In placo but bofore Jeny
concrete Is placed.!
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LATH AND/OR GYPSUM,
BOARD: To be made after all
lathing and gypsum board,
Interlor and exterIor, Is In
place but before any
plasterIng Is applied or before
gypsum board Joints and
fasteners,are taped and
:f: finished.
.._. SIDEWALK & DRIVEWAY:
Required (or all concreta
!-laving wIthin street rlght of
, way, to bo made after all
MASONRY: Steel location, excavatlng complete and form ---
bond beams grouting or work and sub.base matc;ial In 'In addition to the Inspec. !
vertlcals In accordance with ~ place.' tlons specifIed, lhe BuildIng
q) use 2415. . Official may make or reQulro
"; ",i CURB AND APPROACH oiher Inspections of any I
ROOF SHEATHIIH~ AN D .' APRONS: After forms are construction work to ensure
1I NAILING: Prior to Installing ,'- erected but prior to placing compliance with the Building,
any roof coverIng. : . corycrete. City or Development Code. i
-7'-~N~~LUM;NGf---------~-SITE~LAN~EVIEW~OA;D:~:~~requ:te;~ay~:~:J~
::g. i I of the date you wish Inspection, All project conditions such as !
landscaping, parking lot striping, etc, must be completed before i
_ FINAL ELECTRICAL ~requestlng this Inspection, . 1
.1 rr __ FINAL BUILDING: Requested after the final plumbing, electrical, I
"y FINAL MECHANICAL I mechanical and FIre Department Inspections are made and I
\.1' approved. No occupancy of the premIses con be made until a I
'J CertIficate ot Occupancy has been Issued by the. Building Division
and posted on the premises, i
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REQUIRED INSPECTIONS
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STRUCTURAL CONCRETE: lri
excess of 2500 P.S,I, (306 a:l) ,
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STRUCTURAL WELDS: :
Performed on the I~i".. (2722 f)
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HIGH STRENGTH BOLTING: i
During all bolt Installation arld
tightening operations, (306
a.6)
INSULATION & VAPOR
llARRIER: To be made alter all
Insulation and requIred 'Japor
barriers are In place but
belore any lath or gypsum
board Interior waif covering Is
applied.
SPRAYED ON
FIREPROOFING: U.BG.
Standatds 43.8,
UNDERGROUND: P,lumblng,
electrical, gas, sanl;tary sewer,
storm sewer, water land
draInage lines. To be made
prior to coverlng or filling
trenches.
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SPECIAL GRADING, i
EXCAVATION AND rILLlNG: ~
During earthwork, (306 a,11 s:
Chapter 29) i
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GLU-LAM BEAMS: Inspectlo:,
Certificate by an approved :
agency, furnished to the City's
Building Division belore !
beams are placed. (2501 U.8.C.
STDS, 25'10,11), I
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
UNDERFLOOR: Plu:mblng,
electrical, mechanical. To be
made prlor to Installation of
floor Insulation, decl<lng or
floor sheathing.
POST & BEAM: To be made
prIor to Installation of floor
Insulation, decking or floor
sneathl ng.
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STRUCrURAL MASONRY: (306
a.1) 'i
FLOOR INSULATION &
VAPOR BARRIERS! To be
made prIor to Instrlflatlon of
deckIng or floor sMeathlng.
FINAL FIRE DEPARTMENT
J)f>& 44.1)~~5'-< i
. \'i~. . DAT-;Ja:~~
By signature, I state and agree, that I have carefully examined the completed applicatIon and do hereby certIfy that alllnformatton
herein Is true and correct, and I further'certlfY that any and all work performed shall be done'ln accordance with the Ordlnon'c€s
of Ihe City of Springfield, and the Laws of tile State of Oragon pertaining to the Vlork described herein, and that NO OCCUPANCY
will be made of any structure wittlOu t 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
I further agree to ensure that all required InspectIons are requested at the proper time, thiu project address Is readable from~the
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street, that the permit card ps located at ttle front of the property, and the approved set of plans will remain on the sIte at all
times durIng construction. I :
_SI'gnatur~ c-M7 ' Dat~ -t-, -zt7'~4--
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VALIDATION:
AMOUNT RECEIVED:
RECEIPT ':
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DATE PAID:
RECEIVED BY'