HomeMy WebLinkAboutPermit Building 1995-7-10
COMM ERCIAL/IN DUSTRIAL-
PERMIT APPLICATION
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LOCATION OF PROPOSED WORK: ftXJ ~ mC'l \l.0\\C\ 0
'\\CB\~
JOB NUMBER
6\ SJf\-L\-
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
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ASSESSORS MAP:
. TAX LOT:
n2-> \0 I
OWNER: ~~\ an)l . 0 PHON~'
ADDR~"<;' 5Jn ~-n ~ 1\tJN\ .
CITY- ~ \'3 ~ ~ - STATE: \.L\) D ~^(J'(\
DESCRI~ OF WORK: \ )J(\ 5' X () ~ " \-\-
NEW REMODEL ADDITION DEMOLISH OTHER
ZIP:
Cn4.1l
'.
VALUE:
~ _ NAME , ADDRESS PHO~ _
ARCHITECT:\ r....\ ~('~I\ \J\r::ty"y\'(\",\ \ ~\"'.~l':: ~'e'L 't~- ~70
OO~T ,
CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE
GENERAL: ~f'\ t{\~ ,--..,...
PLUMBI~~ \ -=":'""" K-\\\f t'-" Y'(~\:) \ 'IC A=\S ~ ,\\ \C\Co (..ffi1l~(\
MECHANICA' '
ELECTRICAl' '
PLUMBING
ft.
I' Sanitary Sewer
, , 4- L3 ft.
[' Storm Sewer
~23 ft..
. I Backflow Device
I
I
I
[
I
FEE I
10 [
/JAI
I
[ B'=:> ~
:-'::... ~ 115.'"
Na p
I
CHARGE I
4(80~1
Nn
,
I
/","AB.G.~
~/I
Floor furnace and venl y:-. P' I
Suspended wall or floor I
mounted unit healer ,~,")
Appliance Vent , f\~/ I
separate lY
Stationary evap. ',,,/ I
cooler ~ ~
Vent Fan/Single.... \CY' I
duct y"
'lent System apart I
from AC or .tJ.tt.
Mechaniyffl ex"haust I
hood surd duct
1/ 1
$10,00 -I
I
MECHANICAL
NO,
I ~ Single Flxlure
Relocaled Bldg,
(new fix, addlll
Water Service
Jlf
%
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
J:~J:
TOTAL PERMIT
I
I / Permit Issuance
1 ;6rAL PERMIT
QUAD AREA'
# OF BLDGS:
OCCY GROUP:
- OFFICE USE -
LAND USE:
HANDICAP ACCESS:
'-\' <
# OF STORIES:
5-l.
I
# OF UNITF'
CONSTR. TYPE: V.l\)
HEAT SOURCE: ..G.~'" reo<<.)
FLOOD PLAIN:
ZONING'
1_\" <.
':>IV"
LIGHTING POWER BUDGET:
WATER HEATER:
SQ, FT,
$/SQ, FT,
VALUE
SQ, FTG MAIN
SO, FTG ACCES"
X
SO, FTG OTH ER
X
X
TOTAL VALUE OF PROJECT Am, {leD
.
PLAN CHECK FEf4I,\<-\, \\0
RCPTN n~\L
DATE ,,,\,~\, qs BY 'lj..-'.I)~
PLUMBING I~ cc:\() ClO I DEMOLITION
5% State I \ a co I
Surcharoe -"
',396 ~~'LI \ \ \..'0.;1
S(DEWALK I ['-SUBTOTAL
FT, PERMITS
I CURBCUT I I SYSTEMS
FT..I- DEVELOPMENT
/
T:TAL P'ERM:T FEES ~ I
EXCLUDING ELECTRICA"
~
I BUILDING PERMIT I Cdr() 't..':::J
15% Stale I '":2'2 G}..
. SurcharoA _ ,_ ") .
. ~9n'~ "1 \'-\ tsP
15% Slale - ~I
Surcharae
I PAVING I\. 'l\ ~
.,
I
I\.') \ ~,
\\\~A'6
'-\
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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 a.m~WIII made the same working day, reQues7:s de after 7:00 a.m. will be made
~he folio ing work day. , I
. SITE INSPECTION: To be ROUGH PLUMBING, \ PAVING: After gravel Is In
made after excavation, but c/ ' ELECTRICAL & (/\ place but prior to placing
prior to setup of forms. MECHANICAL: No work Is to asphalt or concrete,
'. be covered until these
V UNDERSLAB PLUMBING, Inspections have been made
V '- ELECTRICAL & and approved,
MECHANICAL: To be made
before any work Is ,cove,red.
J( FOOTINGS & FOUNDATIONS:
. To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
\/CONCRETE SLAB: To be
V\ made after all lnslab building
,service equipment, conduit,
piping, accessories and other
ancillary equipment items are
I n pi ace 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 &
U\ VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing,
,/
V\
MASONRY: Steei location,
bond beams grouting or
verticals In accordance with
UBC 2415,
rtn k7toJl.,
ROOF ~'t>.~,'u ANDc.rfkl,;"
blAllI...u: Prior to Installing
any roof covering.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
REQUIRED INSPECTIONS ~
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
~ramln.g Inspection.
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.
~
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and required vapor
barriers are In place but
before any lath or gypsum
Jboard Interior wall cov9rl~g Is
, ,applied, : "
. ..---
'.- FIRE & SEPARATION WALL:
V\ Located and constructed
according to plans.
_~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 and
fasteners are taped and
/f/nIShed.
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 placing
concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special ins.pector shall be employed
by the Ownerl Contrac.tor during
construction of rhe following work, A
copy of the special testing reports shali
be furnished to the Building Division,
V STRUCTURAL CONCRETE: In
--- ~excess of 2500 P:S,1. (306 a,1)
l( STRUCTURAL WELDS:
v Performed on the Job, (2722 f)
/HIGH STRENGTH BOLTING:
V '\ ~Urlng all bolt Installation and
tightening operations, (306
a,6)
I
'I
SPRAYED ON
FIREPROOFING: U.B,C,
(;tandards 43.8,
SPECIAL GRADING,
c/ EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
GLU.LAM BEAMS: In'spectlon
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed, (2501 U,B.G,
STDS, 25-10,11),
STRUCTURAL MASONRY: (306
~( y/~~
'-' \ .
l V &....~/t':"POir'....
\ 'In adaitlon to the Ins pee. .
tlons specified, the Building
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 striping, etc, must be completed before
requesting this inspection.
VALIDATION:
AMOUNT RECEIVFD'
RECEIPT ': \ 15
'- II z:~~V
L:4- _4G-
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.
"
PLANS REV~' - -
~_, -"r;:ATE~&1C
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 certify that only contractors and employees
who are In compliance with OAS 701.055 will be used on this project.
I further agree to er;.~re that all required Inspections are requested at the proper time, that project address Is readable from the
street, that the 1?J~rT)lt card Is located at the front of the property. and the approved set of ,plans will remain on the site at all
times during :onjructl n, J. // / '
signaturpL '47 < ~-U./ Date
DATE PAIO:-ti,' ~!U.4"
RECEIVED BY:6L..-}W0
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