HomeMy WebLinkAboutPermit Building 1995-2-17
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PHON~'
ADDRESS'
CITY'
STAT~'
ZIP'
DESCRIPTION OF WORK: ~~I'~Nb R\~ -t>~_ ~O .llh \ i-hD~tw.1"
, I "" Aa..ti~ . ,~
. NEW V REMODEL ADDITION DEMOLISH OTHER ' ~ VALU~'2Z, C .
NAME( ~ MOt.tm::A art), ADDRESS PHONE ':"~"2.2;--4!IJ,
ARCHITECL_mL_mlill.f~(~'M'@l'~) ~9JJaaKfbM r:1Ie:ru.t..r1'I.M:> q72.od-
CONST. ~'~
CONTRACTOR'S NAME ADDRESS CONTRACTOR' J:~IRES PHONE
GENERAL:~~ Q}SrRDCllOtJ ~ 1:z,'t<\ qa~ ~f"'rM g~R5 0:?1~
PLUMBING' :fV Zll~.. ct1M'
MECHA'NICAI . -rot)
1l'n
ELECTRICA' .
PLlIMRING
NO. '
FEE
r.HARG~
Nn .
M~ANIr.AI
F~~
rl-lbROI:
Single Fixture
Relocated Bldg.
(new Ilx. sddtl)
Water Service ~ q ~It.
Sanitary Sewer -^ l\ '0
" .L It,
Storm Sewer ,,,,.11:::.
_"':')(.TU ft.
. ~ Bsckllow Device
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
k" 0 \..in 0
R\llt]:
r'\() ,00 '
p..,r:;,pC
4-fl ~C;>G
~()~
\4~R"l
Floor furnace and vent
Suspended wall or 1I00r
mounted unit heater
Appliance Vent.
separate
Statlonary evap.
cooter
Vent Fan/SIngle
duct
Vent System apart
Irom AC or htg,
Mechanical exhaust
hood and duct
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I TOTAL PERMIT
Permit Issuance
$10,00
, I
TOTAL PERMIT
aUAD AREA:
. OF BLDG~'
OCCY GROUP'
. OF STORIES:
\ -:I.. f\ ~\\. )
- OFFICE USE -
LAND USE: ~C\C\q
HANDICAP ACCESS:
. OF UNIT~'
FLOOD PLAIN:
ZONING' .C\\ . L-
CONSTR. TYPF'
HEAT SOURCE:
LIGHTING POWER BUDGET: "
WATER HEATER'
/,
sa, FT.
$/50, FT.
VALUE
sa, FTG MAIN
sa, FTG ACCESS
sa. FTG OTHER
x
x
x
PLAN CHECK FEE .e;;~.'5
RCPT' /" 2. /r."
TOTAL VALUE OFPROJECTA.!i A. r~4f) ~
DATE ;z/i/5'r BY .......~~
I BUILDING PERMIT
15% State
Surcharoe
I "'P.-"Llif(nl691..:;---l)
15% State .
Surcharae -
I PAVING
'If)Q .flS PLUMBING
0"') c:::.. A.q 5% State
,I ~ ), \ Surcharoe
\ . :\(:._~ ;SOfi..L
SIDEWALK
'po~~
4{) ."LS
c9.4. . \~
I DEMOLITION
I
I
FT,
SUBTOTAL
I PERMITS
I SYSTEMS
DEVELOPMENT
CURBCUT
FT,
. ' I
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
\ ) \o31Q.Oft
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, ~ REQUIRED INSPECTIONS. '
It Is the responsibility of the permit hoider to see that all Inspections are made at the proper time. To request an Inspection, call
726.3769 (recorder), atate 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, wlll'be made the same working day, requests made after 7:00 a.m. will be made
the fo~!9wlng work day,
V' SITE INSPECTION: To be ROUGHrPLUMBING, __ PAVING: After gravel Is In
made after excavation. but ELECTRICAL & place but prior to placing
prior to setup of forms, MECHANICAL: No work Is to asphalt or concrete.
be covered until these
Inspections have been mad~, .1iP.E;q!\~),NSr.j;.CJ;IOr.a,s"ln ,accordance
and approved, ""),11 ;.Sectlpn' ~06~tt.he,S,ta.te:speclalty Code
a specl'al Inspector shalt be employed
ATTIC DRAFT STOPS & by the Owner' Contractor during
CURTAIN WALLS construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before any work Is covered,
FOOTINGS & FOU'NDATIONS:
To be made after trenches are FIREPLACE: Prior 10 placlnD
excavaled and forms are . lacing materials and before
.' erected, all steel In place;;b15L''';:.,':~_. .rraml.gJlo'!P.ecllorr';{,"""':'if~\j' ,.,' ; ,; !,l.CE!:t~UCTURAL CONCRETE: In
:-::",:: (::;0':' :..,:.,,~'p!.I.~'. !.O placing concretll: '.'''. ',! .' . O:J~~i~~N~;-{.O ';:.I~';;~.I~;ter;-; t, ..., exCess of 2500 P.S.I. (3~6 0.1)
.',' '-l, ':'CONCRETE SLAB: To be ~~~:~~~ :1~Jr~~~~~,/~;:' In STRUCTURAL WELDS:
"." .', ',...,.. !!'-'lde after alllnslab building place and all P41P.s'.'!'h!!~'"~Ys..: 'l:::'::: Performed on the job. (2722 f)
..t.~;:... ~\.:.:." .s6r\'lce equipment, conduit, . t .":';'. 9.Q~ .~eNs.!lre c'ompl~te ;~!,p." '.~ ~-~ .0
PI~ll'g.:a~c.es~"rl!'!",ll!!d;"~~!.; j.je)'" .~!l11e~r,o~gh''''leclrlcal.p'~)>I~d1,:J;'''f: '~~;:H~~H:"s~AE~WJI BOLTING:
an!'lIlary,eQulprifenlllems ~re, . ! and mechanical are approved." During' all boll Installation and
, In place but before an~<,~(}<:r'1 . tightening operations. (306
;; ~. -1~c~.n::~::te Is ~1~~i~\Q ., ;,~::'~. ':;" ,=QNASRURL~:Or~~~~{~e~*!.\fnalil::ir~':'i~') ~~~:~~:'6:',>V ;~\
'\. \V;"~rONDERGROUND:'p.lumblng, .. I" -Insulallon ana rqqulrnd vapor SPRAYEG.QN
electrical, gas, sanitary sewer, ~ (,I'>~rt1er~ a9i:i:r.,;pla,ge but FIREPROOFING: U.B.c.
storm sewer, water and ' before any lath or gypsum Standardll~3'8.
drainage lines. To be made board Interior wall covering Is ';".'.1
prior to covering or filling applied.
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAt:~Rll.DING, "
EXCAVltl'idlil AND FILLING:
During earthwork. (306 a.ll &
Chapler 29)
POST & BEAM: To be made
prior to Installation of floor
Insulallon, decking or floor
shealhlng.
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: Inspecllon
Certificate by an approved
'agency, lurnlshed to Ihe Clty's
Building Division before
beams are placed. (2501 U.B.c.
STDS. 25.10.11).
STRUCTURAL MASONRY: (306
a,7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior 10 Installation of
decking' or floor sheathing,
SIDEWALK & DRIVEWAY:
Required for all concrele
paving within slreet right of
way, to be made after all
excavating complete and form
work and sub.base material In
place.
'In addition to the Inspec.
lions specified, the Building
Official may make or require
other Inspecllons of any
construction work to 'ensure
compflance with the Building,
City or Development Code,
MASONRY: Steel location,
bond beams groullng or
verticals In accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: Aller forms are
erected but prior to placing
concrete.
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FINAL PLUMBING.,
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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 slrlplng. etc. must be completed before
requesting this Inspection.
FINAL ELECTRICAL
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
Cerllflcate of Occupancy has been Issued by the Building Division
and posted on the premises,
FINAL FIRE DEPARTMENT
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ADDITIONAL COMMENTS'
No 7\~ b ~ ........oJ.,.. ,.,..- ""...xu.. 'loA,ll
~1- ~ ~";:J. r-""'^-'^""-.....,qyl.
~'M,~ ,
l) U PLANS REVIEWED RV.\)l(H\O "'d"tN'\O,tdur DATE&./~.~'
~..(~
,.,
By signature, I state and agrs's, 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 pertalnlnD to Ihe work described herein, and that NO OCCUPANCY
will be made of any structure without permission of the Building Salety 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, thai project address Is readable from the
street, tha"~HIt card Is located at the front of the property, and the approved set of plans will remain on the site at all
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VALIDATION:
AMOUNT RECEIVED' /b '35'_ 5'Y
~ ':5~
DATE PAID:
RECEIPT .'
RECEIVED BY'