HomeMy WebLinkAboutPermit Building 1995-3-8
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~B NUMBER -95',d:>~ Y
INSPECTION LINE: 726,3769
OFFICE: 726,3759
COMM ERCIALlI N DUSTRIAL
PEBMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORt<' ??~ /~.7)oc:'""~A/'A"?/___~C C:::?<.
ASSESSORS MAP' /?-.&:' ~ '/S--6'C> TAX LOT: & //&:";;=>
OWNER' ~r.--("" ~.
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DESCRIPTION OF WORK' 7~L 2 i!i;-~>.,
- NEW REMODEL ( ADDITION
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PHON~'
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CITY'
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ZIP' """'3-:::> '7'-:::>-:::>
ADDRESS'
STAT~'
DEMOLISH
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. <'
OTHER
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VALUE: ~ <<---" .......
NAME
ADDRESS
PHONE
ARCHITECT'
CONST.
CONTRACTOR'S NAME ....yY~SS bW""~-?""'? ~~TRACTOR' EXPIRES PHONE
GENERA"&/A7J~~~, zi~~.4?~"~Y6Y'/-~~ ~-1977/
...- /4:;u'z>~ / t - ~ ''- 1 .... -
PLUMBING' f-r;~
MECHANICA' '
ELECTRICAl' _c:;;.~/";'/~z::>
NO.
III SIn91e Fixture
Relocated Bldg.
lnew IIx, addUl
Water Service
-I'I'
r.HARGF
I
I"~
I
MFr.HANICAL
PlUMBING
ee~
"':I,bRne
/1:7
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, Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
I
I
I
1
I
"I
1
1
I
1
Sanitary Sewer
II.
II.
II.
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duel
Vent System apart
from AC or hlg,
Mechanical exhaust
hood and due!
Storm Sewer
Baekllow Device
Permit Issuance
$10.00
TOTAL PERMIT
.~o-I
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
. LIGHTING POWER BUDGET:
WATER HEATER'
OUAD AREA'
LAND USF'
. OF BLDG~'
· OF UNIT~'
OCCY GROUP'
. OF STORI"~'
CONSTR. TYPF'
HEAT SOURCE:
sa. FT.
$/SO. FT.
VALUE
sa. FTG MAIN
sa. FTG ACCESS
So..FTG OTHER
x
x
x
TOTAL VALUE OF .PROJECT
PLAN CHECK FE!:
v~~
RCPTM
DAT~
BY
BUILDING PERMIT
5% Stale
Surehar~,e
I MECHANICAL
15% State
Surcharoe
I PAVING
~
bK- :;>t!'?
~.~
, PLUMBING
5% State
Sureharoe
FENCE
VALUE $
SIDEWALK
CURBCUT
~
bo_-
-,:. -
/'.--
, DEMOLITION
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
..
I
I
I
117~~?r;t / I
.,..~
-. l, '.
. .
FT.
TOTA~ PERMIT FEES I
EXCLUDING ELECTRICA'
,4<~:tv'~~,;
. REQUIRED INSPECTIONS.
It Is the responsibility of the permit holder !o see that alllnspactlons are made at the proper time. To raquest an Inspecllon, call
726,3769 (recorder), stata your City designated job numbar, Job address, type of Inspecllon requested and when you will be ready
for Inspection, Requests received before 7:00 a.m, will be made the ssme working day, requests made after 7:00 a.m, will be msde
the following work day.
SITE tNSPECTION: To be
made after excavation, but
prior to setup of forms.
UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
FOOTINGS & FOI1NDATlONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but.
prior to plsclng 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 Installallon of
floor Insulation, decking or
floor sheathing,
POST & BEAM: To be made
prior to Installallon of floor
Insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installallon 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,
)(-
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be coverad until these
Inspections have been made
and approved.
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Owner/ Contractor during
construction of the following work, A
copy of the special tesllng reports shall
be furnished to the Building Division,
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.l)
STRUCTURAL WELDS:
Performed on the Job. (2722 I)
HIGH STRENGTH BOLTING:
During all bolt Installation and
lightening operallons, (306
a.6)
SPRAYED ON
FIREPROOFING: U.Be.
Standards 43-6,
SPECIAL GRADING, .'
EXCAVATION AND FILLING:
During earthwork, (306 a.ll &
Chapter 29)
GLU-LAM BEAMS: Inspecllon
Cerllflcate by an approved
. agency, furnished to the City's
Building Division before
beams are placed, (2501 U,BC,
STDS, 25-10,11).
STRUCTURAL MASONRY: (306
a.7)
Oln addition to the Inspec-
lions specified, the Building
Official may make or require
other Inspecllons 01 ~ny
constructlon work to ensure
compliance with the Building,
City or Development Code.
JI' FINAL PLUMBING
-------------------------------------------------------
- ,
....r
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materlsls and before
framing Inspecllon.
--$J. 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
Insulallon and required vapor
barriers are In place but
before any lath or gypsum
board Interior wall covering Is
applied.
FIRE & SEPARATION WALL:
Located and constructed
,A." )"'cordlng to plans,
--.!!./'l.1 ~ATH AND/OR GYPSUM
BOARD: To be made after all
lathing snd gypsum board,
Interior and exterior. Is In
place but before any
plastering Is applied or before
gypsum board Joints and
fasteners are taped snd
finished,
SIDEWALK'& DRIVEWAY:
Required for all concrete
paving within street right of
way, to be msde 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.
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish Inspection, All project conditions such as
Isndscaplng, parking lot striping, elc. must be completed before
requesting this Inspection.
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,
x
-------,
PLANS REVIEWED BY / / ______
, ,t::;?.,;r" -.
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OAT"
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By slgnalure, I state and agree, that I have carelully 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 ORS 701.055 will be used on this project.
I further agree to ensure that all required Inspections are requested at the proper time, that project address Is readable from the
streel, that the card Is located al the front of the property, and the approved set of plans will remain on the site at all
times dur construct n.
Slgnaturp
(0 {A L. '111
-.... , -
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AMOUNT RECEIVED' /~;;. "32..
"RECEIPT N" /h. '5'"S""/
VALIDATION:
Date
3 -'i)-1s
DATE PAID'
RECEIVED BY'
?-S.:"Ze;-
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