HomeMy WebLinkAboutPermit Building 1995-1-24
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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LOCATION OF PROPOSED WORK' &:,5D m.4-,A.J s:+ <pm
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OWNER: :t;duvY) i1/dc. t.....' / })Az/~ 6"/~ ~ J
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ADDRF"'" 7b/ UJ. A/?- ,I r
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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
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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.
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PLANS REVIEWED BY
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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'
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