HomeMy WebLinkAboutPermit Building 1992-6-24
COMMERCIAL/INDUSTRIAL.
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
~
LOCATION OF PAOPOSED WOAK' 7/1'?
ASSESSOASMAP: 171'~ --z.__ 42_
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OWNEA:~&U- TAuLA>e
ADDRF"'" 1"32-<;' \AI. .<?4l!t' A//~
rue;.
CITY:
STAT~'
DESCAIPTlON OF WOAK'
J.AITlX/N AJb?A7A?~,
NEW
REMODEL
ADDITION
NAME
AACHITECT'
CONTRACTOR'S NAME
GENEAAL: 0 W,., )/31(',
PLUMBING:
MECHANICA' '
ELECTAICA' '
PLUMBING
NO.
Single Fixture
Aelocated Bldg,
(new Ilx, addU)
Waler Service
11.
Sanitary Sewer
11.
Storm Sewer
11.
Backflow Device
TOTAL PERMIT
QUAD AREA:
. OF BLDGS:
OCCY GROUP:
. OF STORIE~'
SQ, FT,
SQ, FTG MAIN
SQ, FTG ACCESS
SQ, FTG OTHER
PLAN CHECK FEF
I BUILDING PERMIT
15% State
SurcharRe
I MECHANICAL
15% State
Surcharae
1 PAVI NG
jQ//.o~
I
I
I
1
/5'~
.75"
DEMOLISH
'ADDRESS
ADDRESS
FEE
CHARGE
- OFFICE USE -
LAND USE:
. OF UNIT'"
CONSTR. TYP'"
HEAT SOURC'"
$/SQ, FT,
x
X
X
RCPTN
DAT~
PLUMBING
5% State
SurcharQe
FENCE
VALUE $
SIDEWALK
CURBCUT
FT.
FT.
-JOB NUMBEA 92.~~6?
INSPECTION LINE: 726.3769 '
OFFICE: 726,3759
TAX LOT:_~'-::;-rr.r.
PHON~'
-<4''?- 5/~~
~Al.
ZIP' ,q74~S
OTHER
VALUE:
PHONE
CONST,
CONTRACTOA'
EXPIRES
PHONE
~
MECHANICAL
NO
"~,,
"HARGE-
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.
cooter
Vent Fan/Single
duct
Vent System apart
from AC or hlg,
Mechanical exhaust
hood and duct
I'
1
1
I
1
$10,00
Permit Issuance
TOTAL PERMIT
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING:
LiGHTING POWER BUDGET:
WATER HEATER'
VALUE
TOTAL VALUE OF PROJECT
9m 00
BY
DEMOLiTION
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
, I
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
. REQUIREDJNSPECTIONS .
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 B.rn. will be made the same working day, requests made after 7:00 a.m. will be made
the fallowing work day,
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
UNDEASLAB PLUMBING,
, ELECTAICAL &
MECHANICAL: To be made
before any work Is covered.
AOUGH PLUMBING,.
ELECTAICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
PAVING: After gravel is'ln
place but prior to placing
asphalt or concrete.
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 I Contractor'during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
ATTIC DAAFT STOPS &
CUATAIN WALLS
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.
STRUCTUAAL CONCAETE: In
excess of 2500 P.S,1. (306 a,1)
STAUCTUAAL WELDS:
Performed on the job, (2722 f)
UNDERGAOUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches. .
INSULATION & VAPOR
BARAIEA: To be made after all
insulation and required vapor
barriers are In place but
before any lath or gypsum
board Interior wall covering is
applied. C
HIGH STAENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a,6)
SPAAYED ON
FIAEPAOOFING: u.se,
Standards 43-8.
UNDERFLOOA: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing,
FIAE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,ll &
Chapter 29)
.X
LATH ANDIOR 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.se,
STDS, 25.10.11),
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing,
STAUCTUAAL MASONAY: (306
a.7)
FLOOA INSULATION &
VAPOR BAAAIEAS: To be
made prior to Installation of
decking or floor sheathing,
SIDEWALK & DAIVEWAY:
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.
*In addition to the lnspec.
tlons specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Bulldlng,
City or Development Code.
MASONAY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415,
AOOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPAOACH
APRONS: After forms are
erected but prior to placing
concrete.
-------------------------------------------------------
FINAL PLUMBING
SITE PLAN REVIEW BOAAD: 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
requesting this Inspection.
FINAL ELECTAICAL
FINAL MECHANICAL
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 FIAE DEPAATMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
DATI"
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 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 ce.rtify that only contractors and employees
who are in compliance with OAS 701.055 will be used on this project. .
I further agree to nsure that all required inspections are requested at the proper time, that project address Is readable from the
street, that the r";llt card Is located at the front of the property"and the approved set of plans will remain on the site at all
times durIng c on. .
,/
/ \. Slgnaturp
VALIDATiON:
((~~
,/\ -
U AMOUNT RECEIVEO:
Date
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AECEIPT ':
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OATE PAID:
RECEIVED BY: