HomeMy WebLinkAboutPermit Building 1994-11-8
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COMM ERCIALIIN DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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~OB NUMBER q]l" / ;?;t;;;
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK: .C/71C:? ,~.A?" ~7~r"':'=-/
ASSESSORS MAP: I )-6-:J-~'?J /
OWNER: .AAr#/~7-Lr-~.;-~7
AODRESf'. .y~/ A-/. C. 2g-~ ~V'c""'..
CITY- ~.?;' ?C~~.?J . STATF.
DESCRIPTION OF WORK. /.<'V''''?~LI .~-F ~A?:'
TAX LOT.
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PHONE: -;;? "32-~'5'-:;''';::::
c::7;z? . ZIp. ?;?23"-::>
NEW
REMODEL )
NAME
ADDITION
DEMOLISH
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OTHER VALUE: ~"""-~_~
ADORESS
PHONE
ARCHITECT.
CONST.
CONTRACTOR'S NAME ADDRESS .IY..i"f'Cr-CONTRACTOR' EXPIRES
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GENERA'. c:..~;P/~ /".~.L-"""~_..__ _"'5~ 405~~ ~/?";"y/""".~
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PLUMBING.
PHONE
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MECHANICA' .
ELECTRICA' .
I NO,
PLUMRING
MI'CHANICAL
FEE
CHARGI'
Nn
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TOTAL PERMIT
I
I
1
I
I
I
1
I
Furnace/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
from AC or htg.
Mechanical exhaust
hood and duct
I
:k
1~
Single Fixture
Relocated Bldg.
(new fix. addll)
I Water Service
ft.
I Sanitary Sewer
ft.
I Storm Sewer
ft.
-I Back flow Device
I
I
I
Permit Issuance
$10.00
TOTAL PERMiT
- OFFICE USE -
HANDICAP ACCESS:
OUAD AREA-
LAND USF.
FLOOD PLAIN:
. OF BLDGe.
. OF UNITe.
ZONING.
LIGHTING POWER BUDGET:
WATER HEATER.
OCCY GROUp.
# OF STORIES:
CONSTR. TYPF.
HEAT SOURC..
so. FT.
$/SO. FT.
VALUE
so. FTG MAIN
X
. SO. FTG ACCESS X
. so. FTGOTHER .~O,V EA/~.?r P5~~
'2 .-- _------. -.
TOTAL VALUE OF PROJECT
PLAN CHECK FEE
2/.A
RCPP /.<!j'~eh:=>
DATE_/./"- ~-'7<('"BY
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,
I BUILDING PERMIT I
15% State r:> .
Surcharg.e r-<
I MECHANICAL
15% State
Surcharae
I PAVING
3 <~ I PLUMBING
I . . --7 5% Slate
. 9' &- Surcharoe
I FENCE
VAlUE $
I S/D-E"WALK
I CURBCUT
FT.
I DEMOLITION
I
I
..1 SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
55'. 1'/
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAL
~~.~y
.
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REQUIRED INSPECTIONS
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It Is the responsibility of the permit holder to see thet all Inspections are made at the proper time. To request an Inspection, cell
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.
UNDERSLAB PLUMBING,
, ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered until these
inspections have been made
and approved. .
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 piecing
. facing materials and before
framing Inspection. _......
FRAMING: To be mede efter
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.
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.
INSULATION & VAPOR
BARRIER: To be mede after all
Insulation and required vapor
barriers are In place but
before any lath or gypsum
board Interior wall covering Is
applied.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
UNOERGROUND: 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.
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 end
fasteners are taped and
finished.
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.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
wey, 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 pfaclng
concrete.
FINAL PLUMBING
PAVING: After gravel Is In
pface but prior to placing
asphalt or concrete.
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.
, I
STRUCTURAL CONCRETE: In
excess of 2500 P.S.L (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
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HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
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SPRAYED ON
FIREPROOFING: UB.C.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During eerthwork. (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.
STDS. 25.10,11).
)(
STRUCTURAL MASONRY: (306
a.7)
_1?-~ o/)/.h<-<-~7:
'In eddltlon to the Inspec.
tlons specified, the .Bulldlng..
Official may make or require'
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
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 strlping, etc. must be completed before
requesting this Inspection.
FINAL ELECTRICAL
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
ADDITIONAL COMMENTS.
PLANS REVIEWED BY
/'7 ----~~
, ~v--~-
DATE
y-ti?--;7 '7'"
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th?t 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 that 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 thtzlt card Is located at the front of the property, and the approved set of plans will remain on the site at all
times during onst uctlon. \ \
Signature ~.-I....,.' (S -:Jt-. Oat~ \1 ~ ~'-\'
VALlOATION:
AMOUNT RECEIVED: ~
/"7"y~
-;?y
RECEIPT #:
DATE PAlO: //'- ~-"'7c;r-
RECEIVED BY: ~ ~ -.-
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