HomeMy WebLinkAboutPermit Demolition 1992-4-2
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, I COMMERCIAL/INDUSTRIAL.
PERMIT APPLICATION
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LOCATION OF PRoPoseo WORK' '3 4~b ~'-'Ay ~n~<e \
ASSESSORS MAl": /1 0 ~ 1. '1. -1..0 , TAX LOT' / "t 00
OWNeR:~'-<A.I.lTl.{"~ T<\~'f1<E~t> a,. PHONE:~}Z~I'b't."t.-z.
ADDRESS:,g" .t::;..A.w..AAv'~ ~'J'ts.J Jh~l~ ''11.6I!IAve I s.,____
CITY: ~i-lT STAT'" \JA ZIP' 9S03.-z..
DESCRIPTION OF WORI<" OsJ40ulll ~ct S'T).T~ J s~ ~..... ~ Cl.lR.~ ~ 1"4'~
NEW REMooeL ADDITION DEMOLISH V'" OTHER ' VALUE'
225 Fifth Street, Springfield, Oregon 97477
.JOB NUMBER~'9.26F<:8
INSPECTION LINE: 726-3769
OFFICE: 726-3759
~
~w- ''<. NAME
t f1('HITIi01: ~l~ ell. '6\J(,. So
J
ADDRESS
CONTRACTOR'S NAME
ADDRESS
tp,t.l ~ - r"J1..!!- All<<.. s. I~'
CONST. ' ,
CONTRACTOR 1/
PHONE r ~~)
tc..lA '18&3 (~ 't.u.
eXPIRES PHONE,
GEN!RAI'
PLUMBING:
MECHANICA' .
ELECTRICAl'
Pl~IN(l
M~l:I-lANICAL
NO, I
I FEE I l:HARG~
..... I
I
~\.kl(.. CA.f?
MtlJ /.c;: AD
Furnace/burner & vent
<100.000 BTUs
Furnace/burner &. vent
> 100.000 BTUs
Floor furnace and vent
SuspeneJed well or Iloor
mounted unIt heater
Appliance Vent
separate
StatIonary EIlJap.
cooler
vent Fanl::iingle
duel
Vent System apart
from AC or hIe.
MeChanical exhaust
hood and duel
, uU~'-CJ:lAIl.GE.-
Single Fixture
Relocatad Bldg.
!new fix. addtl\
Water Service
ft.
SanItary Sewer
ft.
Storm sewer
It.
Backflow Device
PermIt IGsuance
$10,00
TOTAL PIiRMIT
TOTAL PEIIMIT
- OFFICE USE -
HANDICAP ACCESS'
QUAD ARE/-
LAND u~e.
FLOOD PLAIN'
. OF BLOG,e.
OCCY GROUP:J5~/#;g-~
/
. OF UNIT'"
ZONING:
CL::
· OF STORIES:
CONSTR. Type.
HEAT SOURCE:
LIGHTING POWER BUDGET:,
WATER HEATER:
SQ. FT.
SO. FTG MAIN X
Sa. FTG ACCESS X
SQ. FTG OTHER ~M/') /9..1t7~ 7-"'x
S/SQ. FT.
VALUE
TOTAL VALUE OF PROJ!CT
PLAN CHECK FaD
RCPT'
OAT"
BY
I BUILDING PERMIT
15% Slale
SurcharQe
I MECHANICAL
15% State
Surch.roe
I PAVING
PLUMBING
5% State
Surcharge
FENCE
VA LUE ·
SIDEWALK
/5:'::><:::>
.75"
DEMOLITION
TOTAL PERMIT FeeS I
EXCLUDING ELECTRICAl
?&./5"
/a ","0 I
~ 7b.1
I
-\- .
, 1-'
J
I
'I
(r
FT,
CURBCUT ~~. "t5.
~~5'0'T. 1
:!? ~O
SUBTOTAL
P~RMITS
SYSTEMS
DEVELOPMENT
~
--
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, "~ ,-0 REQUIRED INSPECTIONS ,.P, .-~,
III" Ih.. rcsponslblllty of tho permit hOld. sell that alllnsp,ectlons arc made Blthe p.r time. To roquest an Inspecllon, call
726.3769 (recorder), State your City designated Job number, job addreSS, typo of Inspection requested anti when you will be ready
for Inapeellon. Aoquest8 received before 7:00 a.m. will be made the 8ame working day, requesls made aHer 7:00 a,m. will be made
the following work day. '
._, ,__,_ BITE INSPECTION: To bO
made aftsr excavation, but
prior to setup of forrns.
If
UNOERSLAB PLUMBING,
ELECTRICAL"
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be oovered until these
Inspections have been made
and epproved.
PAVING: Allor gravOlls in
place but prior to piecing
as phalt or concrete.
FOOTINGS" FOUNDATIONS:
To be made after trenches are
e~cavated and forms are
erected, all steel In place, but
prior to placing concrete.
ArTlC DRAFT STOPS"
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed'
by the Owner/ Contractor during
oonstructlon of the following work. A
oopy of tM speolal testing reports .hall
be furnished to the Building Division:
CONCRETE S~AB: To be
made aftei all Ins,ab building
service equipment, conduit,
piping, accessories and other
anCillary equipment Items are
In place but before any
concreto is placed.
FRAMING: To be made after
tM,root, all framing. fire
blccklng and bracing are in
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
STRUCTURA~ CONCRETE: In
excess of 2500 P,S,I. (306 a.1)
STRUCTURAL WELDS:
Performed on 1M JCb, (2722 I)
y
UNDERGROUND: Plumbing,
electrlc;al, gas. sanitary sewer,
$torm sewer, waler and
drainage lines. To be made
prior to covering or fJl/lng
~W~ 4?'
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
fioor insulation, decking or
floor sheathing.
INSULATION & VAPOR
BARRIER: To be made after all
Insulallon Md required vapor
barriers are In place but
before any lath or gypsum
boerd Interior wall covering Is
applied.
FIRE & SEPARATION WA~~:
Located end constructed
aocordlng to plans.
HIGH STRENGTH BO~TING:'
During ell bolt Installallon end
tightening operalions. (306
a.6)
SPRAYED ON
FIREPROOFING: U,B,C.
Standards 43-8.
MASONRY: Steel location.
bond beams grouting or .
verticals In accordance with
USC 2415.
SIDEWALK at ClRIVEWAY:
Rcqulred lor all concrete
paving within street right of
way, to be made after all
e~cavatlng complete and form
work and sub.base material in
place. .
,k
SPECIA~ GRADING,
EXCAVATION AND FILLING:
Du rl ng earthwork.. (306 a,11 &
Chapter 29)
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Dlvislcn before
beams are placed. (2501 U.B,C.
STDS. 25-10,11).
STRUCTURAL MASONRY: (306
a,7)
~~&:M'/.-r
J /__",~/'5 ~F~L?I./;A'-Z, .
POST" BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
Interior and exterior, Is In
place but before any
plastering la applied or belore
gypsum board Joints and
fasteners are taped and
finished,
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
Clecklng cr IIoor Sheathing.
'"
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
'In addition to the Inspec-
tions specified, the BUilding
Ofllclal may make or require
other Inspections of any
construction worK to ensure
compliance with the Building,
City or Development COde.
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FINA~ ELECTRICAL
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
01 the date you wish Inspection. All project conditions such as
landscliplng, parking 101 strIping, elc. must be completed before
requesting this Inspection,
FINAL PLUMBING
FINAL BUI~DING: Reques\ea afler the final plumbing, electrical.
mechanical and Fire Department inspection$ are made and
approved. No occupancy 01 the premises can be made until a
Certificate of Occupancy tins been Issued by the Building Division
and posted on the premises.
f' II
ADDITIONAL COMM=NTS: ~~ !I..-rr~~ r:::n.~w,iJ("_ (). I _<:;c.oAO CW (.,..~ JlJGL....~
psJ.A.o\...I.IIm.) t% Gee ~"""; ~~) SI'tll!.lJ~tJ'J<<1AbJ4L ~F3. "n.a::::n ~L~~bJ.
~i Q..d..}r'UE I!1'F' 1. DzI~LJ"~ ~l"\A~ ~/~ SU""l.JAL~"
---f.-.'-vt(&.
FINAL MECHANICA~
FINA~ FIRE DEPARTMENT
PLANS REVIEWe;D By/L-~ ;:.. ~-.-.....--,
'/. ~ ./ '
DATE
4" -3 - '7.:2"
By signature, I stats and agree. that I have carefUlly examined the completed application and do hereby certl fy that alllnformatloli-'
herein 1$ true and correct, and I (urtner certify that any and a.tl work performed shall be done In accordance wllh the Ordinances
or the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY
will bo made of any structure wllhout permission of the Building Safety Division, I furlnor certify that only contractors and employees
who are In compliance with ORS 701.055 will be used on this project.
I lurther agree 10 ensure that all required Inspections are requested at the proper lime, that project address Is readable from the
street, Ihat the permit card Is located at the Iront of the property, and the approved sel of plans will remain on the slle at all
times during constr'uctlon. '
SlgnalUr~ ~ I ~DaIO .4)1!cr '2-
~ALlDAnON:
\
AMOUNT RECEIVED; 68. /S
RECEIPT ": _ '72.//
DATE PAID; </-2.-92..
RECEIVED BY: ~J _~..n::..-.
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