HomeMy WebLinkAboutPermit Plumbing 1994-07-12COMMERCIAL/INDUSTRIAL' -
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
SPFIINGFIELD
JOB NUMBER ofCI
INSPECTION LINE: 726-3769
OFFICE: 726-3759
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LOCATION OF PFIOPOSED WORK:,/fs 2r fP*,2a 4.€za a./'L 2 2422
ASSESSORS MAP:TAX LOT:
PHONE:
33s
o2I
Ez) //rrz
.4zz
STATE: r 1 ZtP:
OWNER:
ADDRESS:
CITY:
DESCRIPTION OF WORKi
NEW
-
REMODEL ADDITION DEMOLISH OTHER VALUE:
NAM ADDRESS
ADDRESS EXPI RES
2g
PHONE
MECHANICAL:
ELECIRICAL:
PHONECONTRAGTOR'S NAME
ARCHITECT
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
PLUMBING
NO.FEE CHARGE
3 Single Fixture !/2 l14aa
Relocated Bld
(new fix. addtl s
)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT 3oe
MECHANICAL
Nr)FFF CHA RG F
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/Single
d uct
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
LAND USE:
ZONING* OF UNITS:
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGEI
WATER HEATER
- OFFICE USL
D
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/sQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
32(o
BUILDING PERMIT PLUMBING 3A.e-DEMOLITION
5% State
Surcharoe
5% State
Surcharge ?att .t4,,,/,fC
z--Q z>
MECHANICAL FENCE
VALUE $
5% State
Su rcharoe
SIDEWALK
Fr.
I SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
F?4Erzs d./<
,Ao-1 d'v-241Y{sr.r
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all inspections are made at the proper time. To reguest 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 prlor 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 sPEclAL INSPECTIoNS: ln accordance
ELECTRICAL & and approved. section 306 0f the state specialty code
MECHANICAL: To be made _ a special inspector shall be employed
before any work ls covered, ATTIC DRAFT STOPS & by the Owner/ Contractor during
URTAIN WALLS construction of the following work. A
FOOTINGS & FOUN DATIONS:
ro be made after trenches are FTREpLACE: prior to pracins 33%rij,Jl3o"rli L";i',J,?J"8lrt:iJ""
excavated and iorms are facing materials and before
erected, ail steel in ptace, but framing inspection' STRUCTURAL CONCRETE: ln
prior to placlng concrete. FRAMING: To be made after excess of 2500 P.S'l' (306 a'1)
coNcRErE sLAB: ro be $:#:liilJ'il'Jlfl;tXi ,^ srRUcruRAL wELDS:
made after all inslab building place and all pipes, chimneys Performed on the iob. (2722t)
service equipment, conduit, and vents are complete and
:i?[,ff""',",:;il:"; ?i]'*:'::J :1x';::[flil"i1':,X'iJ;[l:1: Blf,:,";?E]no;l"Eff"'L$t"o
in place but before any tlghtenlng operations. (306
concrete is placed. TNSULATTON & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SPRAYED ON
electrical, gas, sanitary sewer, barriers are In place but FIREPROOFING: U.BC.
storm sewer, water and before any lath or gypsum Standards 43-8.
drainage lines. To be made board interior wall covering is
prior to covering or filling applied. SpEC;AL GRAD;NG,trenches. *., EXCAVATION AND FTLLING:
,NDERFL.oR: prumbing *.|{f,St"="tf;mtJfl[Hltt' Durins earthwork' (306 a'11 &
electrical, mechanical. To be according to plans. Chapter 29)
made prior to installation of
floor insulatlon, decking or LATH AND/oR GYPSUM GLU'LAM BEAMS: lnspection
f loor sheathing. OARD: To be made after all Certificate by an approved
lathingandgypsumboarcl,agency'furnishedtotheCity,s
poST & BEAM: To be made interio] ano e-xierior, ls in Building Division before
prior to installation of floor pt"Ce Out before any beams are placed' (2501 U'B."'
insulation, decking or ftoor blastering is applied or before STDS"25-10J1)"
sheathing.gypsumboardjointsandfasteners are tiped and STRUCTURAL MASONRY: (306
FLooR TNSULATToN & finished' a'71
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.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be ntade 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.
*ln addition to the inspec-
tions specified, the Building
Official may rrrake or reguire
other inspections of any
construction work to ensure
compliance with the Bullding,
Clty or Development Code.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information
hereln 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 Springf ield, and the Laws of the State of Oregop 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 prolect.
to ensure that all required inspections are requested at the proper time, that project address is readable from the
front of the property, and the approved set of plans will remain on the site at all
DateSignature
times during constructl
I further agree
street, that the permit card is located
(2.<o
/s eio2a
2-AMOUNT RECEIVED:
RECEIPT *:RECEIVED BY:
DATE PAID:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All project condltions such as
landscaping, parking lot striping, etc. must be completed before
requesting this inspection.
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanlcal 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 Divlsion
and posted on the premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
7*t: - ?r/
VALI DATION:
-\
OREGON BUSINESS PROPERTIES, INC.
BUSINESS . COMMERCIAL. INVESTMENT 35A BLAIR BOULEVARD
EUGENE, OREGON 97402
PHONE (5o3) 342-6277
FAX (sO3) 342-6453
June 28, L994
To Whom ft May Concern:
Mr. Mark Gerber
As property manager for your leased space, 752 No. 28th St.,
Springfield, oregon, you are hereby granted permission to add
plumbing fixtures (i.e. sinks, etc.), as necessary, to accom-
modate your new business at that address.
Best
WeIIs
t
OCCI'PANCY INSPECTION APPLICATTON
CITY OF SPRTNGFIELD BIII,DING DIIISION
DATE:-1 JOB NUMBER:
ADDRESS OF INSPECTTON:l5]. N ,L|te s +
,VNER. Oregon Business Properties, fnc. (Manager)pHONE NUMBER: 342-6277
OVNER,S ADDRESS: 358 Blair BIvd. , Eugene, OR 97402
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APPLICANT:y\^"R -b<t
APPLICANT'S ADDRESS: I5 L N, L 8 s+
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER:
-11'( - LolS gt\ be?-?Gog
PROPOSED USE:U - R o,. K" l', Lr^.
A $:S.OO INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OI{NER OF THE PROPERTY TO BE
INSPECTED.&2)
FOR OFFICE USE ONLY
DATE PAID:
DATE OF INSPECTION:
RECEIPT NUMBER:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
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