HomeMy WebLinkAboutPermit Building 1993-3-22
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COMMi::RCIALlINDUSTRIAL
PERMIT APPLICATION
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6-^~"" t'r'(
225 Fifth Street, Springfield, Oregon 97477
3520
LOCATION OF PROPOSED WORK:
ASSESSORS MAP: ....L7-"~:z.-'2/>
OWNER'
ADDRESS'
PA VI f-( c... Perf..&> L-WfVI.
~O /-IOrvn-t Iftt:1HWIt'( ""14
CITY'
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r-:::L/&I fT,-N ~
STAT'"
DESCRIPTION OF WORK:
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ADDITION X
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NEW REMODEL
DEMOLISH
NAME
ADDRESS
ARCHITECT'
.
JOB NUMBER '93;?/c/q
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INSPECTION LINE: 726.3769
OFFICE: 726.3759
( PA-z..-l fie..., ~(..~"'.... Sr~)
c-o~'*'- Dr ~ ~'
TAX LOT: A.eo- ~~
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PHONF'
~1- 4-4-:n
01-.
97<f-o'L
ZIP'
OTHER
VALUE:~:#D.-
PHONE
CONTRACTOR'S NAME
GENERAL: f:;vqf:Nf:.
ADDRESS
St#lN k IiWNI!Jt:1 ~.
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CONST.
CONTRACTOR'
/).10 OAt;-.-, ,'-1+ {,.,2't!2...7
PHONE
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I TOTAL PERMIT
PLUM BI NG'
MECHANICA"
ELECTRICAl'
I PLUMBING
I NO, FEE CHARGE
I Single Fixture
I Relocated Bldg,
Inew fix. addtll
I Waler Service
It.
I Sanitary Sewer
It.
I Storm Sewer
It.
Backflow Device
TOTAL PERMIT
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- OFFICE USE -
aUAD AREA:
LAND USF.
. OF BLDG~'
. OF UNIT~'
OCCY GROUP:
CONSTR. TYPF'
. OF STORIE~'
HEAT SOURCE:
sa. FT.
$/ sa. FT.
sa. FTG MAIN
x
sa. FTG ACCESS
x
sa, FTG OTHER..,
04. ',..'
X.
".. .::.:.;.-.,:';........
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PLAN CHECK FEE :z~~~
RCPT'
DATF
I BUILDING PERMIT
15% Slale
SurcharQe
I MECHANICAL
15% State.
Surcharqe , .
I PAVING
PLUMBING
, ?$:. s.:::>
/. 93
5% State
Surcharqe
FENCE
VALUE $
SIDEWALK
FT.
CURBCUT
FT, I
EXPIRES
1;2.-2.0 -"13 4iJ5 - S')4b
1Jp~ ~~-SB/~
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MECHANICAL
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"...dol
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1
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1
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$10.00 I
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NO
"FF
Furnace/burner &"venl
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit Issuance
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
TOTAL VALUE OF PROJECT
BY
OEMOLlTlON
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&~-r~
SUBTOTAL
PERM IT5\ ,
.SYSTEMS
-, DEVELOPMENT . .
~.1/3
//1/. tf"3
,
.'
.'- I
'.. . "'
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
6 s: 'Y6
,
REQUIRED INSPECTIONS
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It is the responsipillty of the permit holder to see that all inspections are made at the proper time. To request an inspection, call
726-3769 (recorder), slate 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 ?fter'~xcavation, but, " :
prior to ~etup.:o.f forms.
.......;. . .,
UNDERSlAB PLUMBING,
, ELECTRICAL & ..
MECHANICAL: To be made
before any work is covered.
ROU,GH PLUMBING.
ELECTRICAL 8.
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
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PAVING: After gravel is In
place but prior to placing
._.--:asphalt or concrete.
".-..... ~ .
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FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
. ; pr!or to placing concrete.
ATTIC DRAFT STOPS &"
CURTAIN WAllS' '
SPECIAL INSPECTIONS: In accordance
Section 306.of .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.
FIREPLACE: Prior to placing
facing materials and before
,framing in~pe9tiqn. ~ . . l'
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STRUCTURAL CONCRETE: In
excess of 2500 P.S.L (306 a.1)
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.
" T
FRAMING: To be made'after
the roof, all framing, fife ~ "-
blocking and bracing are in
place and all pi pes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
STRUCTURAL WELDS:
Performed on Ihe job. (2722 f)
.'
T" _
INSULATION & VAPOR
: 'BARRIER: To'be made'aiter\all
insulation and required vapor
barriers are In place but
before any'lath or gypsum
board interior wall covering is
applied.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a,6)
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UNDERG'ROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U.B.G.
Standards 43.8.
UNDERFlOOR: Plumb1ng.
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
tloor sheathing.
FIRE & SEPARATION WAll:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FilLING:
During earthwork, (306 a.11 &
Chapter 29)
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 is applied or before
gypsum board joints and
fasteners are taped and
finished.
GlU.lAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. ,(2"501 U.B.C.
STDS. 25.10,11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a.7)
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. .
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
Official may make 'or requl~e
oth.er inspections of any .
construction work to ensure
compliance with the Building,
City or Development Code.
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FINAL ELECTRICAL
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 PLUMBING
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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 MECHANICAL
FINAL FIRE DEPARTMENT
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ADDITIONAL COMMENTS:
PLANS REVIEWED BY ~?~ . DATF ~-95
-h" "
By signature,' 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 thaJ 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 'plan'"s will remain on the site at all
time.;sduri~.&Jtructi~.n.' f"" .... "'2.\-.-
Sign~t~re A Datp '"{./ ,P- 73
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VALIDATION:"
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AMOUNT RECEIVED: b ~?"'~
RECEIPT N: 7S:>?
DATE PAID:
RECEIVED BY:
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