HomeMy WebLinkAboutPermit Building 1995-2-8
COMM ERCIAL/I N DUSTRIAL'-
PEF.\MIT APPLICATION
225 Fifth Street, SprlngCleld, Oregon 97477
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INSPECTION LINE: 726,3769
OFFICE: 726,3759
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ASSESSORS MAP' ~-=t -7-:2 -2L:? TAX LOT: .6?~
OWNER: ' i?!-~r> ~~H / 4?6/~g-A: PHONF' ?~.'" ~6/~ I:/'
ADDR':C"" ?~~ $//~
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DESCRIPTION OF WORK' g~AZr-,..g-,0,/~:-,,'C' ~~""'~?9
LOCATION OF PROPOSED WORK:
CITY'
STATF'
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ZIP'
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'NEW
REMODEL
ADDITION
DEMOLISH
OTHER
5??Sl..?"~':i.h '~
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VALUE: .;409e>&2~
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
GENERAl C:-;;.,. ~,,:~.E ~ ~'""'"
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PLUMBING'
CONST.
ADDRESS CONTRACTOR'
::25':2_ c-~Aw>~
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EXPIRES
PHONE
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MECHANIC" , .
ELECTRICA' .
PIlJ.MBINO I I MFr:~ANIr:AI
NO. FEE C':HA~f1F I I c~c rUMai
Single Fixture 1 Furnace/burner & vent
< 100.000 BTUs
Relocated Bldg. 1 I Furnace/burner & vent )
(new IIx. addtll > 100.000 BTUs
Water Service 1 i Floor furnace and vent I
ft.
sanitary Sewer j I Suspended wall or floor J
ft. mounted unit heater
I Storm Sewer I Appliance Vent I
It. separate
1 I Stat lonary evap. I
Backllow Device cooler
I I Vent Fan/SIngle I
duel
, I 1 Vent System apart
from AC or htg.
1 1 Mechanical exhaust
hood and duct
I 1
I I Permit Issuance $10.00
I TOTAL PERMIT I TOTAL PERMIT
aUAD AREA'
I OF BLDGS:
OCCY GROUP'
I OF SiORIE~'
- OFFICE USE -
LAND USF'
HANDICAP ACCESS:
I OF UNIT~'
FLOOD PLAIN'
ZONING:
LIGHTING POWER BUDGET: .
WATER HEATER'
CONSTR. TYP~'
HEAT SOURCF'
sa. FT.
$/50. FT.
VALUE
sa. FTG MAIN
x
--
sa. FTG ACCES~
x
sa. FTG OTHER
x
TOTAL VALUE OF ,PROJECT
PLAN CHECK FF~
RCPT'
DAT~
BY
I BUILDING PERMIT
15'10 State of'~
Surcharae ~ ~
I MECHANICAL
15% State
Surcharoe
I PAVING
--=? /. ~
'<.~~,
, PLUMBING
, DEMOLITION
5% State
Surcharae
FENCE
v"\'J~ $
SIDEWALK
FT.
SUBTOTAL
PERMITS
SYSTEMS
. DEVELOPMENT
CURBCUT
FT.
\
I I
TOTAL PEK"IT FEES
EXCLUDIN("..~LECTRICAI
? 3. r.g
J !/A:
J:~
.
It Is the responsibility of the permit holder to see that all Inspections are made at the proper time. To request an Inspection, csll
726.3769 (recorder), state your City deslgnsted job number,lob address, type of Inspection requested and when you will be resdy
lor Inspection. Requests received before 7:00 a.m. wlll'be made the ssme working day, requests made after 7:00 a.m. will be msde
the following work day.
SITE INSPECTION: To be
made after excavstlon, but
prior to setu p of forms.
REQuiRED INSPECTIONS"
UNDERSLABPLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before sny work Is covered.
ROUGH,PLUMBING, .
ELECTRICAL '&.
MECHANICAL: No work is to
be covered until these
Inspections have been made
and spproved.
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
FOOTINGS & FOlJNDATlONS:
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
framing Inspection.
"
SPECIAL INSPECTIONS: In accordance
-Section 306 of the State,Speclalty Code
a'speclallnspector 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.
ATTIC DRAFT STOPS &
CURTAtN WALLS
"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 Is placed.
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.
STRUCTURAL CONCRETE: In
excess. of 2500 P.S.I. (306 a.1)
STRUCTURAL WELDS:
Performed on the lob. (2722 f)
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 'reQulred vapor
barriers are In place but
before any lath or gypsum
board Interior wall covering Is
applied.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanl tary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U.B.c.
Standards 43,6.
SPECIAL GRADING, ,-
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapler 29)
FLOOR INSULATION &
VAPOR BARRIERS: To be
msde prior to Instsllatlon of
decking or floor sheathing.
LATH AND/OR GYPSUM
BOARD: To be msde 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.
GLU.LAM BEAMS: Inspection
Certl flcate 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)
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.
Oln addition to the Inspec.
tlons specified, the Building
Official may make or require
other Inspections of any
construction work to 'ensure
compliance with the BUilding,
City or Development Code.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
-------------------------------------------------------
FINAL PLUMBING
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SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish Inspection. All project conditions such as
landscaping, parking lot striping. etc. must be completed before
requesting 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.
FINAL ELECTRICAL
FINAL MECHANICAL
,
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENT:'"
PLANS REVIEWED BY
OAT"
By signature, I 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, end the Laws of the State of Oregon pertaining to th'e 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 la located at the front of the property, and the approved sef of. plans will remain on the site at all
times during construction. ~ .
Slgnature.~,..~~~ d -1"--<70-
RECEIPT ':
RECEIVED BY'
-:;?-g>-557" '
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./ .Jt'...__ ____
VALIDATION:
DATE PAID:
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