HomeMy WebLinkAboutPermit Building 1997-6-2
COMM ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street. Springfield. Oregon 9.7477
.
.
~7/1J~4('!
~
REMODEL V ADDITION
DEMOLISH
NAME
ARCHITEcT. {,.,bMr-l P-. e.E'I4--Y ,.,. A
CONTRACTOR'S NAME ADDRESS
GENERAL: TJblt.J-HAM} ~.l )'i'r.
PLUMBING:
MECHANICAl'
ELECTRICA' . '
NOTICE:
JOB NUMBER
INSPECTION. LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORI<" 1.:2_&0 M~....,.. fl.!>
ASSESSORS MAP: \\ I)~ &S1J
OWNER: P~~H€M.T"&o\ (fL~ ~ M~lc."" CT~")
ADDRESf" 1 '.Z.~t:" I-hlN.6-fZ.O !(.T.
CITY: 1=V.hI:;~ STATF' OR.
I PLUMBING
I NO, ' I
I / Single Fixture ~AV'~
I Relocated Bldg. " - I
(new fix. addtll
I Water ServIce I
It.
I Sanitary Sewer I
It.
I Storm Sewer I
ft.
I I Backflow Device I
I ILAtP 6i*- ~ ~ I
I I I
I I I
I I
I I
I TOTAL PERMIT
QUAD AREA
I OF BLDG~'
OCCY GROUP'
I OF STORIES:
so. FT.
SQ. FTG MAIN
sa. FTG ACCES~
sa. FTG OTHER
PLAN CHECK FE!:
?,/..,,7J
TAX LOT:~
'"0"' .... - ~"-"'". M,
ZIP:...1.:J40' ~,
NEW
DESCRIPTION OF WORK: _lAl tJDP.. .......-rE'll-~16N <. Tl>
E;)CI(Tlk.l~ ~.~.E-; ~ ~~ ROOM
OTHER VALUE: 4~"" ...-0
I BUILDING PERMIT 5~. ;S')O
15% State ~ ';l- B;;J
Surcha;~.. /.1;;~ /.?~'
I MECH~f-1 ~~
15% Stale r5'1 . ?S""
Surcha'ae - .,...., . ~~
I PAVING I
'"
Receipt Number:
ADDRESS
l '2..~ H1L..'fp.fl.O :4~tl6a~
CONST.
CONTRACTOR I
PHONE
G.&-1'Z.-<<f~
EXPIRES
PHONE
71113 PEA.MIT SHALL EAf'II1C IF THE vvvnl\
,'.UTIIOnlZCD UtlEEP. 71 X3 :-E~r.lIT IS IJCT
C'I')MMENCliD OR IS AB,\tI~~E3 ro:l .
A/\IV 1An nAV Qc:tllt"ln
I
FEE CHARGE I
/.e:o.-I
I
r
I
I
I I
I/a-I
I I
I I
I I
I I
12?~-1
MECHANICAl
I
"'~.o.~U::1= I
I
I
I
I
I
I
I
I
I
I
I $10.00 I
1/~-4'
..n
000
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
Irom AC or hlg.
I Mechanical exhaust
hood and duct
IVLr-T ~~
~ -
PermIt Issuance
TOTAL PERMIT
LAND USE:
- OFFICE USE -
FLOOD PLAIN'
I OF UNITS'
CONSTR. TYpo.
HEAT SOURro"
$/So. FT.
X
X
X
RCPT' ?. "? 9 9/'.,9
PLUMBING
5% State
Surcharoe
FENCE
VALUE $
SIDEWALK
CURBCUT
~
FT.
FT.
\ "\\1' y,\
HANDICAP ACCESS:
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
TOTAL VALUE OF PROJECT
G Ctv 0 . (J?;J
DATE ~/2./' 7
.A:7. -
l'i/IJ1"'~
.tJ:;_
BY
.:fJ(//I~dVU
-
DEMOLITION
SUBTOTAL
PERMITS "-
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
/~e. i3 3'
.~,~..-- '" ~.~._--.~.
Received By: '
'.. ~. . ..,
, ,
REQUIRED INSPECTIONS
It Is the responsibility of the permit holder to see that all Inspections are made at the proper time. To request an Inspection, call
J_ ___.............^.I_____.....__~__L._..._...._..._....,....___'.__.__.._.......'_"-__..' -. .. _....___l.l_____,"'___.........^.,.._...___A.u.~_____...u.1Jr. .
.
eO.
,
D
o
\~
"
SIGN PERMIT APPLICATION
-
The application on the reverse side needs to be completed entirely. If you are the sign contractor/instal,ler, or if you are
hiring a contractor, you need to make sure that both the City of Springfield Business License Number and the Registration
Number from the State of Oregon Construction Contractors Board are listed on the application along with the expiration
date of each.
If the sign you are proposing to install is illuminated, an electrical permit application also needs to be completed and signed
by either a supervising electrician, limited sign electrical contractor, or if you are the business owner who also owns the
'building in which you are occupying, and you will be performing the electrical installation yourself, you may sign the
electrical application.
If there are existing wall and/or freestanding signs, a photographlsl of each existing sign naeds to be attached to the
application. The size of each existing sign also needs to be listed on the application.
PLANS
To submit for a sign permit, you need to prepare two complete sets of drawings showing all dimensions, total height, and
a plot plan indicating where the proposed sign will be located. If you are installing a freestanding sign which exceeds 20
feet in total height, the footing detail needs to be prepared and stamped by a registered engineer or architect. After the
plan review process is completed, and, if your sign Is) is approved, one set of plans will be returned to you. The approved
set of drawings need to be at the site when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your sign(s), you may be required to request one or all of the following inspections during the installation
of your sign:
Site:
To be requested after indicating on the lot where the proposed sign will be located but prior to any work
being performed for the installation of the sign. This inspection is required if there is a question on the
location of the proposed sign.
Footing:
,
To be requested after excavation and the forms are installed, but prior to pouring concrete. If there will be
electrical conduit placed in the footing, it must also be in place prior to requesting this inspection.
Attachment: To be requested when all fasteners are installed but prior to cover.
Final:
To be requested after the electrical"connection to the sign is made, but prior to energizing.
After all required inspections are conducted and approved and the sign installation is complete.
Electrical:
. The inspections that are required for your sign installation will be indicated on the application during the plan review
process. Failure to request ANY of the required inspections could result in sign removal in order to inspect the sign at the
required intervals of work.
To request an inspection, phone 726-3769. This is a 24 hour recording. On the recording you will need to leave your City
Designated Job Number, location of where the sign is being installed, the type 'of inspection you are requesting, and when
you will be ready for the inspection. All inspections called in to the recorder prior .to 7:00 a.m. will be made the same
working day, all inspections phoned in after 7:00 a.m. will be made the following work day.
If you have any questions regarding .the application, required plans or inspections, please feel free to phone the Building
Safety Division at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
.