HomeMy WebLinkAboutPermit Building 1992-6-17
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T:MMERCIAUINDUSTRIAL ..
PERMIT APPLICATION
ASSESSORS MAP'
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-JOB NUMBER Q2/)b'7,s-
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
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TAX LOT'
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LOCATION OF PROPOSED WORK: ..1Jj ~
OWNER'
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PHONE 3.)' Af5?,u
ADDRF~<:'
CITY: .
STATE: '--CY.
ZIP:~
DESCRIPTION OF WORK: i1Ut""" .;/.~~
NEW REMODEL ~ ADDITION V DEMOLISH
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,/ OTHER VALUE:
ARCHITECT:
fi..1I "n
NAM~ k ADDRESS
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, CO NST.
ADDRESk CONTRACTOR # EXPIRES PHONE
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PHONE
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CONTRACTOR'S NAME
GENERAL: K4Nr" 6'-"'L=7-
PLUMBING'
MECHANICAl' JM7?YE'Y l7}i!vc~
ELECTRICAL:~'-f--'.-"'''' c;.=-,-/ .
I PLUMBING I MECHANICAL I
I NO, FEE CHARGE I Nn "~;; I' /;~
121 Single Fixture ~_c=af g Furnace/burner & vent
/~ < 100.000 BTUs
I Relocated Bldg. 1 Furnace/burner & vent I
Inew fix. addtll > 100.000 BTUs
I/t'p , Water Service ~~ 1 I Floor furnace and vent 1
ft.
I Sanitary Sewer 1 1 Suspended wall or floor 1
ft. mounted unit heater
I 6'1' Storm Sewer q~ I 1 Appliance Vent 1
ft. separate
I I /t? .a:> I 1 Stationary evap. 1 I
Backflow Device cooler
1 1 1 z Vent Fan/Single -q c;. """"'I
duct
I 1 1-:2 Vent System apart 1 & /2.~1
from AC or htg.
1 1 1 ~ Mechanical exhaust I~.~ I?~I
hood and duct
1 1 1 II ~ ~vr<=/v 1.5b 5~1
I 1 I Permit "Issuance $10,00 I
I TOTAL PERMIT .;d'b. -I I TOTAL PERMIT I
- OFFICE USE -
HANDICAP ACCESS: ~
,
aUAD AREA'
LAN D USE:
# OF UNITS'
CONSTR. TYPE: ~N
HEAT SOURCE: ~ y---. h'.4.
FLOOD PLAIN:
# OF BLDG~'
OCCY GROUP' ~ ~ "'?
# OF STORIES: I
ZONING'
r:~
LIGHTING POWER BUDGET:
WATER HEATER' <"~
SO. FTG MAIN
sa. FT.
~'?~
- ,1
$/sa. FT,
VALUE
X
SO. FTG ACCESS X
sa. F~G.OTHER ~<l>~':::' '3'.S"5?-6x
l?tD~ /6';;;"~'.-=
, ~~
TOTAL VALUE OF PROJECT ~ -'2?rr.> . OO'D
,
~bF~4.l-p/~ RCPTN 4/~/7
DATE &)-/ /- <j 2_ BY
/~
1 BUILDING PERMIT
15% State
SurcharQe
1 MECHAN~f..:!;.
15% State
Surcharae
1 PAVING
~:g3.?S 'PLUMBING
51% State
::<''5', /"1 SurcharQe
/P.~'" FENCE
J;"~ - VALUE $
~ SIDEWALK
2. ".~
CURBCUT
.' ~
'3. t:::' e:J.
'./ 5,._.,<1>
, DEMOLITION
I
,;~p/,;t::I~ ~ ~'-'''~
(')"~1" - (IB~ 1
SUBTOTAL 1 1
PERMITS 99-5:69
SYSTEMS I ~
DEVELOPMENT --e-, , I
FT.
FT.
. I
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
97"'7- L/ 3
.' .
It is the ~e~"'po-n'slbillty of the permit holder to see that all inspections 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.
* In addition to the inspec-
tions specified, the Building
Official may make or require
CURB AND APPROACH other Inspections of any
ROOF SHEATHING ANO 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.
--Y-FINAL~LUM;NG-----------~-SITE~LAN~EViEW:BOA~D:M:~~~ueste:~~~~::n~~
. of the date you wish inspection. All project conditions such as
V landscaping, parking lot striping, etc. must be completed before
/l FINAL ELECTRICAL !requesting this Inspection,
,,/ 1/' FINAL BUILDING: Requested after the final plumbing, electrical,
..If FINAL MECHANICAL /' mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
V Certificate of Occupancy has been issued by the Building Division
/ FINAL FIRE DEPARTMENT and posted on the premises.
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X
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UNDERSLAB PLUMBING,
, ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
/-
;/
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
y
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
piping, accessories and other
ancillary equi pment items are
In place but before any
concrete Is placed.
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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.
POST & BEAM: To be made
prior to installation of floor
Insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
REQUIRED INSPECTIONS
.
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.
ATTI~FT STOP~
CURTMII~ WALL~
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Owner! Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
FIREPL.ACE: Prior to placing
facing materials and before
framing inspection.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
y
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.
,/' 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. -
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,B.c.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
'CDuring earthwork. (306 a.11 &
Chapter 29)
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
)(
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).
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.
STRUCTURAL MASONRY: (306
a.7)
SIDEWALK & DRIVEWAY:
Required for al/ concrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub.base material in
place.
..
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PLANSREVIEWEOBY /' k~ ~~ /DATE_L-3-~
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By signature,l 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 pians will remain on the site at all
times during construction. .
Signaturp
.1 J M /l)/Lr";::
1/
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. - Datp
t-{ 7-92-
DATE PAID:
RECEIVED BY'
6"// 72..
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VALlOATION:
AMOUNT RECEIVED: 9'7'7._~
RECEIPT ': 5t'75"