HomeMy WebLinkAboutPermit Building 1994-10-5
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Q,egon 97477
ASSESSORS MAP'
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2-7
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110' ,"M'" ~
INSPECTiON t E: .3769 . . .
OFFICE: 726.3759 .
LOCATION OF PROPOSED WORK'
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ADORE"'" / C;C; E. I ~ i3 #..z
hJc 8LJ f-,
DESCRIPTiON OF WORK: Ctv'Jf/P'R,/ ,~"'/t'.~ ~,1)f) J7l
REMODEL ...........-- ADDITION DEMOLISH OTH~R
J-/.tw; / /tLJ
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TAX LOT:
.eAfSt""H?
<. 7, ~ -.4. ~ 2...5""
OWNER'
PHONE:
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CITY:
STATE:
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ZIP: 97-1-0/
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"NEW
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
GENERA" ,--:/'l/ L r"Jhl9cr /~
,
ADDRESS
K<J c.. / jd 7J?:L
CONST.
CONTRACTOR'
2..~b_?
.-.
EXPIRES PHONE
~0',::;- <???-462~-
PLUMBING'
MECHANIC'" .
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~1-,~A)S E0r
ELECTRICA' .
I PLUMBING I MECHANICAL cCL _Cl:lARGLI
I NO. FEE CHARGE 10
I Single Fixture ,(6Q~ R/I;(), Furnace/burner & vent /?? /,()
< 100.000 BTUs
I Relocated Bldg. I Furnace/burner & vent
(new fix. addtll > 100.000 BTUs
I Water ServIce I Floor furnace and vent
It.
I Sanitary Sewer I Suspended wall or floor
It. mounted unit heater
I Storm Sewer I Appliance Vent
tt. separate
I 1 Stallonary evap.
Backflow Device cooler
I I Vent Fan/Single
duct
, I I I Vent System apart
trom AC or htg.
I I I Mechanical exhaust
hood and duct
1 1 I
I I I Permit Issuance $10.00
I TOTAL PERMIT /5:"0 I I TOTAL PERMIT J S.tJV
- OFFICE USE -
HANDICAP ACCESS:
OUAD AREA"
I OF BLDGS:
LAND USF'
FLOOD PLAIN'
I
I
J
. OF UNIT'"
1
V-N
ZONING'
OCCY MOUP: _R 2-
. OF STORIES' 1
CONSTR. TYPE:
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER'
, .1 SO. FT.
f'('Ew /2 .
so. FTG MAIN n
x
$/SO. FT.
4/.20
VALUE
49 44. dtl
SO. FTG ACCE~"
so. FTG OTHER
X
X
TOTAL VALUE OF PROJECT
;;:f
.z "5 OCTO
PLAN CHECK FEE -L/O, sa 3
RCPP
OAT" BY
PLUMBING /S~ DEMOLITION
7U/J(/,
5% State :~~ &I~(!I~r (10') /C,,'-
Surcharqe
FENCE J"~'~(.;"") /(i~
VALUE $
SIDEWALK SUBTOTAL
FT. PERMITS
CURBCUT SYSTEMS ,..vA
FT. DEVELOPMENT
I BUILDING PERMIT / ./ (),;>...
<:7 ..;~
15% Stale c/' !;J-
Surcharge 'J? JIJIil~. S.
I MECHANICAL /S .......
~~ *,A /..... H:>
15% State ""';"r'
Surcharoe 3~...,\ .4r-
I PAVING I
.I
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TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
2<5~ .S'S
1--
'--
,
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REQUIRED INSPECTIONS
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It Is the responsibility of the permit holder to see that alllnspectlons 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
lhe following work day.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
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UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
_x
CONCRETE SLAB: To be
made alte, all Inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
In place but before any
concrete Is placed.
'K
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
elecl,lcal. mechanical. To be
made prior to Installation of
1100' Insulation, decking or
1100' shealhlng.
POST & BEAM: To be made
p,lo, 10 Installation of floo,
Insulation, decking or floor
shealhlng.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made p,lo, to Installation of
decking 0' lIoor sheathing.
MASONRY: Sleel locallon.
bond beams g,oullng 0'
verticals In accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior 10 Installing
any roof covering.
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~'r.H PLUMBING,
CTRICAb. &
iwtjt;HANI~~: No work Is to
be covered until these
inspections have been made
and approved.
PAVING: Alter gravel is In
place but p,Ior to placing
asphalt or concrete.
ATTIC DRAFT STOPS &
CURTAIN WALLS
SPECIAL INSPECTIONS: In acco,dance
Section 306 of the Slate Specially Code
a special Inspector shall be employed
by the Ownerl Contractor during
construction of the following work. A
copy of lhe special testing ,epo'ls shall
be furnished to the Building Division.
FIREPLACE: P,lor to placing
facing materials and before
framing Inspection.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
FRAMING: To be made alte'
the roof, all framing, fI,e
blocking and b'aclng are In
place and all pipes, chimneys
and vents are complete and
the ,ough eleclrlcal, plumbing
and mechanical are approved.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
Du,lng all boll installalion and
tightening ope,allons. (306
a.6)
INSULATION & VAPOR
BARRIER: To be made alte' all
Insulation and required vapor
barriers are In place but
before any lath or gypsum
board Interior wall covering Is
applied.
SPRAYED ON
FIREPROOFING: U.B.c.
Standa,ds 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306.-a.11 &
Chapter 29)
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FIRE & SEPARATION WALL:
Located and constructed
according to plans.
GLU.LAM BEAMS: Inspecllon
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.C.
STDS. 25-10,11).
LATH AND/OR GYPSUM
BOARD: To be made alter all
lalhlng 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.
STRUCTURAL MASONRY: (306
a.7)
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SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street 'Ighl of
way, to be made after all
excavating complete and form
work and sub-base material in
place.
Oln addlllon to lhe Inspec-
lions specified, the Building
Official may make or ,equl,e
Olhe, inspecllons of any
construction work to ensure
compliance with lhe Building,
Clly 0' Development Code.
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CURB AND APPROACH
APRONS: Alte, forms a'e
erecled but p,lor to placing
concrete.
FINAL PLUMBING
-------------------------------------------------------
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FINAL ELECTRICAL
>( FINAL MECHANICAL
V FINAL FIRE DEPARTMENT
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ADDITIONAL COMMENTS: ~~~
SITE PLAN REVIEW BOARD: Must be ,equested 2 days In advance
of the date you wish Inspection. All project conditions such as
landscaping, parking lot striping, etc. musl be completed before
requesting this Inspection.
X . FINAL BUILDING: Requested aller the final plumbing, eleclrlcal,
, mechanical and Fl,e Department inspecllons a'e made and.
approved. No occupancy of the premises can be made until a
. Ce,lIflcate of Occupancy has been issued by the Building Division
and posted on the premises.
~;:r. 7:1J /CKL /P~~ r "s; .H/3i!fJr//~tf;7)
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DATE /q/ 0i'"
PLANS REVIEWED BY
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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 lhe Cliy of Sp,lngfleld, and lhe Laws of the State of O,egon pe'lalnlng to the wo'k described herein, and that NO OCCUPANCY
will be made of any structure without permissIon of the Building Safety Division. I further certify. that orily contractors and employees
who are In compliance with ORS 701.055 will be used on this project.
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I further agree to ensure that all required inspectIons are requested at the proper time, that project ad.dress 15 readable from the
st,eet. that the permit ca'd Is c led at thpnt he properly, and lhe approved set of plans will ,emaln on the slle al all
times during cons rue n.
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Signature Data.
. I\.... (
VAl:IDATlON: .
AMOUNT RECEIVED: '<49 . g:&
/4 ~;...." '3
DATE PAID:
RECEIVED BY-
/.0/':;/9.../
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RECEIPT N'