HomeMy WebLinkAboutPermit Building 1995-7-18
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LOCATION OF PROPOSEO WORK: ~~ r~(\lli. "'D..~
ASSESSORS MAP: \'\03?.~1 0 . \ TAX LOT: m\O\
OWNER: WorrO)(\r\ ~ f\ t ) ,
AOORESS:l90\ ~ \D""\or?j!} Y L OOQ.(\l1Jl ~_
('yo, ~ \ j('\V) I t1A"'-J",\: '. ,.
CITY:\\\~' ~\," A STATE:J.;"~ .J ZIP:,.t'\'I.~' ;..~,
DESCI'1~f'TIO~ OFv WORK: \_\~ f\U l ~~ J'\- \)0 \'"::Of\ : ~r\\.p ,~m (\ tr.u ~f' ).
. NEW; V: REMOOEL AOOITION OEMOLISH OTHER VA%'E: ~~J fr-
I' .
ARCHITECT: Y D\hf\t\ r~fu1\\)(\' fW\ .,~~~~SS
~.n ~ CONST,
CONTRAcrOR'S NAME AOORESS CONTRAcrOR .
GENERAL: L-F-"" <a "'0;7'_
,
COMMERCIAL/INDUSTRIAL -
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
PLUMBING'
MECHANICA' .
ELEcrRlrl I .
PLUMBING
NO.
FEE
1"( Single Fixture
Relocated Bldg.
(new Ilx. addtl\
Water Service
/~
([;0 II.
Sanitary Sewer
;..::,~ft,
Storm Sewer
IV~.s.f1.
I Backflow Oevlce
, I
II
I 'TOTAL PERMIT
CHARGE
I'/~. -
I
~.-1
~
-:<"3~
/ c:?..., ,
I
I
I
I
I
-Y$a"'"t
NO
~OB NUMBER q~-I'JJ
INSPECTION LINE: 726.3769
OFFICE: 726.3759
PHONE: '"1 ?A. a\~ '
PHONE r- rl"\
ffi OS. \'::1 }....J
EXPIRES
PHONE
MECHANICAL
I
""ARllE-1
/R
FFF
~
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
6.
3
2
I
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap,
cooler
Vent Fan/Single
duct
Vent System apart
Irom AC or htg,
Mechanical exhaust
hood and duct
6 /8
"3 6
?( 5"'0 I
I
I
$10,00 I
o/6.~ I
TOTAL PERMIT
Permit Issuance
/
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- OFFICE USE ~
LANO USE: ~~f'()
OUAO AREA:
. OF BLOGS'
OCCY GROUP:
,
. OF STORIE~'
. OF UNIT~'
CONSTR. TYPF.
HEAT SOURCF'
SQ, FT. $/SQ, FT,
SQ, FTG MAIN i/. Y.;i?$"' X
SQ, FTG ACCESS~"""'" /?9~ X
SQ. FTG OTHER ?,Al'V'~. /?;,~ k--;P-~r._"'E -: ,: _ > =
. ~
~'\9l'~~~.r,~.tie, _ RCPP \f\4~n
I BUILDING PERMIT '
15% Stat.e ~:;:
SurcharQ.e , ?
I MECHAN~;Jr
15% State - .
Surcharae
I PAVING
HANOI CAP ACCESS:
FLOOO PLAIN:
H'/
ZONING'
LIGHTING POWER BUOGET:
WATER HEATER:
VALUE
'7 J;''7''c:>___ _ '
/' - - r
/~",.~
,
TOTAL VALUE OF PROJECT h~.~_
. ;
OATE ..5'2..3.qs BY.~V:JX:"O
/'39 ~ PLUMBING '
- 1.~- 6:> 5% Stat.e ,..,
.?~ Surcharoe 1""1
/, ._20 FENCE
~. SO:::> VALUE $ ~
'2.?~ SIOEWALK,,-
;/ . ~ /., FT,
50/~ ~ CURBCU~ / FT,
.y~ _ 'DEMOLITION _
"':i'."...-v- '~~'._'''''71~.
/v, Y'&>, ~-.!II /"iiRE"
IR""'~ootiijIr
~~
SUBTOTAL
PE RM ITS
SYSTEMS.
OEVELOPMENT
I
~~./~
I~.~ )f
:zer;~.~?t~
*lo~ ~~u.u6 i ~
'~.66
1-:2.2-5"
/3. "'.,
TOTAL PERMIT FEES I
EXCLUDING ELEcrRlr^'
8 ~ Ji;. _' =- ' &fI.P
e
REQUIRED INSPECTIONS
"
~"
.
It Is the responsibility 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 8.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,
y
UNOERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
y'" FOOTINGS & FOlfNOATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
/
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,
,/ UNOERGROUNO: 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.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering,
y
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered until these
inspections have been made
and approved,
/Y
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
ATTIC ORAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing Inspection,
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,
JI INSULATION & VAPOR
BARRIER: To be made after all
Insulation and required vapor
barriers are I n place but
before any lath or gypsum
board Interior wall covering is
applied,
,,(
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
r/
LATH AND/OR GYPSUM
BOARO: 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.
X" SIOEWALK'& ORIVEWAY:
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.
y
CURB ANO APPROACH
APRONS: After forms are
erected but prior to placl ng
concrete,
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,
STRUCTURAL CONCRETE: In
excess of 2500 P.S.I, (306 a,1)
STRUCTURAL WELOS:
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 43,6,
SPECIAL GRADING, "
EXCAVATION ANO FILLING:
Ourlng earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: Inspection
Certificate by an approved
'agency, furnished to the City's
Building Division before
beams are placed. (2501 U.BC.
STOS. 25.10,11).
STRUCTURAL MASONRY: (306
a.7)
'In 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 Oevelopment Code,
.Y
FINAL PLUMBING
-------------------------------------------------------
.>f
FINAL ELECTRICAL
V FINAL MECHANICAL
../ FINAL FIRE DEPARTMENT
x
SITE PLAN REVIEW BOARO: 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.
x
FINAL BUILOING: 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,
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J\~:~qsoS~ .SS \J'l\ (\(\0)(' U\)\((\ill
\. A~ -r', \<;11), 5W ~ - ,
\.SA.NN~ \C ~lftTo ): \ a. t oq .--. /)
PL~NS REVIEWEO BY / L-~ ~//'?
,. tfYr' - 'l'
OAT"
?-/9- ~"'?'<;;-'-
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 furthercertlfy that any and all work performed shall be done"'n 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
. .",111 be made of any structure without permission of the Building Safety Division, I further certify thai only contractors and employees
who are In compliance with ORS 701,055 will be use,don this project.
I further agree to ensure t'1at all,requlred Inspections are requested at the proper ,time, that project address.~s readable from the
street, ,that ,the permit card Is located.atthe front of the properly, and the approved set of plans will remain on the site at all
~Imes urlng construction. ___0 ,
SI r~'......A ~\J_N('-- oa;e '7-'B:"'~l'-'
,~l.:'j"'"",,,,~, fJ ~ "
~LIO:T~~~:- AMOUNT RECEIVED: '?\r~fCP4C:;-
, RECEIPT ': (~O<trY
OATE PAIO:~~
RECEIVEO BY: ~'(/ io:J
.