HomeMy WebLinkAboutPermit Building 1992-5-15
COMMERCIAL/INDUSTRIAL"
PERMIT APPLICATION
.-
JOB NUMBER
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225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726,3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK'
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TAX LOT:
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OWNER'
PHON'"
ADDRESS:
S7,
CITY:
STAT'" ' ())<
ZIP'
q7~f3
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DESCRIPTION OF WORK'
NEW REMODEL ~ ADDITION
WA"7tX
DEMOLISH
OTH ER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME ADDRESS
CONST,
CONTRACTOR'
EXPIRES
10''0'"
GENER,'" I.
PLUMBING: 4-..;' d7?/JA.;~ /t:#/H"4/-"/(
MECHANICA' '
fq'l'-;' /
,A t//dw ;?? C:2c. h,r~
, -97#/
ELECTRICA"
PLUMBING I
NO, I FEE CHARGE I
/ Single Fixture W/OI ?bol
Relocated Bldg, 1 I
. (new fix, addtll
Water Service 1 I
It.
Sanitary Sewer 1 1
It.
Storm Sewer 1 1
It.
Backflow Device I
I
MECHANICAL
I\In eC'1:
Furnacel burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
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 hlg,
Mechanical exhaust
hood and duel
Permit Issuance
TOTAL PERMIT
, 7LJ,"'<>
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN:
OUAD AREA'
LAND USE:
. OF BLDG~'
. OF UNITe,'
lONING:
LIGHTING POWER BUDGET:
WATER HEATER'
OCCY GROUP'
CONSTR. TYPF'
. OF STORIES:
HEAT SOURCE:
SQ, FT,
$/SQ, FT,
VALUE
SQ, FTG MAIN
SQ, FTG ACCESS
X
,X
SQ, FTG OTHER
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEr
, .
PHONE
74/-22f 2..
I
r:HARGi
I
I
I
1
I
I
I
1
1
$10,00 I
1
I BUILDING PERMIT
15% Stat,e
Surcharoe
I MECHANICAL
15% State
Surcharae
1 PAVI NG
RCPP OAT" BY
PLUMBING 20. 0 <:> I DEMOLITION j
5% State l,deJ I
Surcharoe
1 FENCE 1 BWoP rei.; , 20 6-01
VALUE $
I SIDEWALK 1 SUBTOTAL I
FT, PE RM ITS
I CURBCUT 1 SYSTEMS ?O;2...~'71
FT. DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
243. 3"1
.
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 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 setu p of forms.
MBI~
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MEC'HANICAL:]Sll>> work is to
be covertld until these
inspections have been made
and approved.
PAVING: After gravel is in
place but prior to placing
'asphalt or concrete.
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UNDERSl6l1fPLUMBING, ')
. ELECTRICAl,..
MECHANICAL: 10 be made
before any work is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOUNDATIONS:
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 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.
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,1. (306 a,1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
d rai nage II nes. To be made
prior to covering or filling
trenches.
INSULATION & VAPOR
BARRIER: To be made after all
insulation and requl red 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)
SPRAYED ON
FIREPROOFING, U,B,C,
Standards 43.8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor 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, (2501 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 Instailing
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 require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
y
r
->(-FINAL~UM~NG-------------SITE~LAN~EV~~~OA~D:MUS~~requeste:~ay~~adVanc~
/ of the date you wish inspection. All project conditions such as
><:. . landscaping, parking lot striping, etc. must be completed before
/' ~ FINAL ELECTRICAL requesting this Inspection.
X 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.
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FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS: N€="E:1)
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PLANS REVIEWED BY
DAT"
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 certlfy 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
wlil 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.thls project.
I further agree to ensure that all required inspectrons 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 plans will remain on the sIte at all
times durIng constructIon.
Signat~ ~
DO
~
.5~/S'~ '72-
DatE"
VALIDATION:
AMOUNT RECEIVED:
RECEIPT #:
2"f"'''3
~_7~
3'7
DATE PAID:
RECEIVED BY:
5-( ) -;2-
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