HomeMy WebLinkAboutPermit Demolition 1992-05-06COM M ERCIAL/ INDUSTRIAU
PERMIT APPLICATION
225 Fittll Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WO
ASSESSORS MAP
SP'IINGFIELc,
h,
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
PHONE:
STATE:ZIP:
VALUE
a
OWNER
ADDR
CITY:
DESCRIPTION OF WORK:
NAME ADDRESS PHONE
CONST.
NAME ADD EXPI RES ONE
ELECTRICAL:
ARCHITECT:
MECHANICAL
CONTR
GENERAL:
PLUM BI NG
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bld
(new fix. addtl s
)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
+t
Backf low Device
TOTAL PERMIT
MECHANICAL
Nr)trtrtr r:HA Antr
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Sinqle
d uct
Vent Sys
from AC
tem apart
or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
_ OFFICE USE _
LAND USE:
ZONING* OF UNITS:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
OCCY GROUP:
* OF STORIES:
QUAD AFIEA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
$/SQ. FT.VALUESQ. FT.
TOTAL VALUE OF PROJ
X
X
X
SO. FTG MAIN
SQ. FTG ACCESS
SQ, FTG OTHER
RCPT#DATEPLAN CHECK FEE BY
SAtfi
BUILDING PERMIT PLU M BI NG \5; DD DEMOLITION \tr,
5% State
Su rc harge
5% State
Su rcharqe a5 -.qn
MECHANICAL FENCE
VALUE $
5% State
Surcharqe
SIDEWALK
FT.
SUETOTAL
PERM ITS
PAVI NG CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
UAR
vv REQUIRED INSPECTIONS *v
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. 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 ROUGH PLUMBING, 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
UNDERSLAB pLUMBING, inspections have been made SpECIAL INSpECTIONS: ln accordance
ELECTRICAL & and approved. Section 306 of the State Speciatty Code
MECHANICAL: To be made a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor duringCURTAIN WALLS construction of the following w6rk. A
FOOTTNGS & FOUNDATTONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be iurnished io the Building Division.
excavated and forms are facing materials and before
erected, ail steet in ptace, but f raming inspection' srRUcruRAL CoNCRETE: Inprior to placing concrete. FRAMINGT To be made after excess of 25OO P.S.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made after ail insrab buirdins 3i#5::.':ff 3,';fft";,H,.1:r" FII:,"J"',f3.t,Y5fiol',rrr, ,,
service equipment, conduit, and vents are complete andpiping, accessories and other
anciuiry equipment items are :i?';:[[.",]igi:,1'fJ;[::l: 3l?,Xf],i[]nol,l".?i,"tl}t"oin place but before any tighte;ing operations. (306concrete is placed. |NSULATIoN & vApoR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are in place but FIREPROOFING: U.B.C.storm sewer, water and before any lath or gypsum Standards 43_8.drainage lines. To be made board interior wall covering isprior to covering or f illing applied.trenches. spF,,vv. spEclAL GRADING,
,NDERFL..R: p,umbing l*:.fl",=":"m'Jfl[H3"' Eliflfiil-tll',5Jb'i],"i,
electrical, mechanical. To be according to plans. chapter 29)
made prior to installation of
floor insulation, decking or LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathing. BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agency, furnished to the city's
posr & BEAM: To be made interior and exierior, is in Building Division before
prior to instailation of ftoor place but before any :?fl:"'
.?f]aced' (2501 U'BC.
insulation, decking or f loor plastering is applied or before D I u5' ^Z3-IU'll)'
sheathing. - Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
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.
f inished.
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.
a.7)
" ln 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,
City or Development Code.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITI L COMMENTS:
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such asIandscaping, parking lot stri ping, etc. must be completed beforerequesting this inspection.
FINAL BUILDING: Requested after the final plumbing, etectrical,mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until aCertificate of Occupancy has been issued by the Building Divisionand posted on the premises.
PLANS REVIEWED BY DATE
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all informationherein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinancesof the City of Springf ield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUpANCywill be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employeeswho are in compliance with ORS 701.055 will be used on this project.
sig Date
specti
c o
I further a to ensure that all required in ons are requ6sted at the proper time, t
street, t the pe card is
times duri
ntfro
project Ed(ress i$ readable from the
YfrU0\on
the site at arr
VALIDATI AMOUNT FIECEIVE
RECEIPT *:RECEIVED BY:
DATE PAID:
1_
_d
rt,+*i b t rfi(
225 North Fifth Street
Springfield, 0regon fi471
IIiiNi][ PERHIT APPI,TCIT IOI{
CIT:{ OF SI'R-INCFTELD
BUII,DTNG SAII'ETY DiIJISION
SPFItl\IGFtELE,
0ffice:
INSPBCTION LINE:
7 26-37 s9
726-37 69
CITY OF OREGO'U
Job Locat-ion: 1657 Mohawk Bor evard
A.ssessors Map +l: 17-03-25-3I T;r:; Lut {t: 5800
Ovner: Unocal
Address: P.O. Box 76 Phone S: (206) 443-7523
Zip:9St11Ci ty:Seattle Sta te: Washinston
Fance Pernjt is $5.00Valtre of Fence:
Con t rac tor:,/Ins tal ler :
,o
aJe
Adcrress, lzStt N.E, l&LggAw Phone
Ci ty:(i.< Srare'(rA zip, qSGoG -7 6C
Cons t ruc t j on Con t rac tors Regis t ra r j.on + t 635 I O Expires, SlZo [tS
By sienino; this nermi t/ar:plicati.on, i. agree to ca.l-1 for an inspection once my
fence has ireen colrsi.rurteri (7:16 - 3769>. I also stated thar al-I information orrthis application/permit is correct and that I vas provided vith the SpringfieJrl
Development cocie requirements for fence standards.
krt )
S e
Date of A
Receipt #
pplication:
Total Amount CoIIected:
FOP. OFFICB USE
Date
.I0B ,l[:
fssued By:
Checked for Delinquoneies:Checked for Historir-'al Statrrs:
*
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