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HomeMy WebLinkAboutPermit Building 1995-1-24 . COMMERCIAL/INDUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 ,~ LOCATION OF PROPOSED WORK' &:,5D m.4-,A.J s:+ <pm >-'ASSESSORS MAP' J 7/)_2.. ? )" 3 J OWNER: :t;duvY) i1/dc. t.....' / })Az/~ 6"/~ ~ J , ,if-- ADDRF"'" 7b/ UJ. A/?- ,I r 7..?'1?' CITY' DESCRIPTION OF WORI'" ;:;-~'~l"i for . NEW """""----REMODEL ADDITION STATE: -/'M" 'BNUMBER 9-;7/702 INSPECTION LINE: 726,3769 OFFICE: 726,3759 rYe 071(71 TAX LOT: _,1"'")~ '7/'rF) PHONE: 7t//-U~ ZIP: 5'74'77 TI111V1,'h"i ~s VALUE: 'ZC)O.,e> NAME DEMOLISH OTHER L ARCHITECT' CONTRACTOR'S NAME ADDRESS GENERI ' , ']1...h7T>tl(/ ~-'+ 1 T PLUMBINC" MECHANICAl' ELECTRlr" ' PLUMBING I CHARGl; I I I I I I I I I I I I I NO, FEE Single Fixture Relocated Bld9, lnew fix, eddtl\ Water Service ft. Sanitary Sewer It, Storm Sewer It, Backflow Device I , I I TOTAL PERMIT ADDRESS I 'I Nn I I I I I I PHONE CONST, CONTRACTOR N EXPIRES PHONE .~ MH~HANIr.AI rHARG.LI """ Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent > 100,000 BTUs Floor furnace and vent Suspended wall or floor mounted"unlt heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent System apart Irom AC or hlg, Mechanical exhaust hood and duct Permit Issuance $10,00 TOTAL PERMIT QUAD AREA' LAND US", - OFFICE USE - N OF BLDGS: N OF UNITf' OCCY GROUP: CONSTR. TYP"' . N OF STORIES: , HEAT S9URC"~ SQ, FT, $/SQ, FT, SQ, FTG MAIN SQ, FTG ACCESS sa, FTG on-i ER \ X X X PLAN CHECK F"" RCPTN I BUILDING PERMIT 15% Slate AJ Surcharoe /7r-t,r I MECHANICAL 15% State Surcharoe I PAVING )6,(;-0 ;2, 0 , PLUMBING 5% State Surcharae FENCE VALUE $ SIDEWALK CURBCUT '. ~ , , >, OAT" FT, FT, HANDICAP ACCESS: FLOOD PLAIN' ZONING' LIGHTING POWER BUDGET: '-"i-' - WATER HEATER' VALUE TOTAL VALUE OF PROJECT ~4dn C1-O BY , DEMOLITION SUBTOTAL PE RM ITS I SYSTEMS DEVELOPMENT -"'~', I '- . " " TOTAL PERMh FEES EXCLUDING ELECTRICAl /6,2.'2) - " , ., R~aUIRED INSPECTIONS. It Is the resPo~slbllity 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. lob 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, UNDERSLAB PLUMBING, , ELECTRICAL & MECHANICAL: To be made before any work is covered, FOOTINGS & FOlJ'NDATIONS: To be made after trenches are excavated and forms Bre 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. UNDERGROUND: 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, SPECIAL INSPECTIONS: In accordance Section 306 ot the State Specialty Code a special Inspector shall be employed by the Owner I Contractor during construction of th'e following work, A copy of the special testing reports shall be furnished to the Building Division. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work Is to be covered until these . Inspections have been made and approved. " ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before framing inspection, V FRAMING: To ~e 'made after the roof, all framing, fire blocking and bracing are In place and all pi pes. chimneys and vents are complete and the rough electrical. plumbing and meChanical are approved. INSULATION & VAPOR BARRIER: To be made after-all Insulation and required vapor t,', 1 barriers are In place bul before any lath or gypsum board Interior wall covering Is applied, FIRE & SEPARATION WALL: Located and constructed according to plans. V----;:TH 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 lolnts and fasteners are taped and finished. 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, CURB AND APPROACH APRONS: After forms are erected but prior to placl ng concrete. PAVING: After gravel Is in place but prior to placing asphalt or concrete. STRUCTURAL CONCRETE: In excess of 2500 P'S,1. (306 a,1) STRUCTURAL WELDS: 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 43,8, SPECIAL GRADING, " EXCAVATION AND FILLING: During earthwork. (306 a,11 & Chapter 29) 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), STRUCTURAL MASONRY: (306 a,7) Oln 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. CI ty or Development Code, FINAL PLUMBING ------------------------------------------------------- FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: 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 . ~questlng this Inspection. V FINAL BUILDING: Requested aller the final plumbing, electrical, mechanical and Fire Department Inspections are made and ' approved. No occupancy of the premises can be made until a Cerllflcate of Occupancy has been Issued by the Building Division and posted on the premises. p/~ ~/~ .r7/;3<:'/?7/r- /.'i r- ,. , '"5'~~'::' -'" I PLANS REVIEWED BY /1'/~ -......\.. - / ""f'~ ,,.1 , DATE 0Y/7 By signature. I state and agree, that I have carefully examined the completed application and do hereby certify that alllnformallon 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 prolec\. ' 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 properly, and the approved set of plans will remain on the site at all limes during ~on~"ctl/11/// ' Signature )t; ~~ Da;eAhs- / {I / ' , .', 'VALIDATION: AMOUNT RECEIVED: / {.., ,2_0 RECEIPT *: /~.I'J 7 ,'< DATE PAID: RECEIVED BY' ~~ ""