HomeMy WebLinkAboutPermit Building 1994-4-19
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COMM ERCIALlIN DUSTRIAL
PERMIT APPLICATION
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JOBNUMBER_99'~5 _'7"'-"'"
INSPECTION LINE: 726-3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:
~997 /l4A~~.&>LA ~.z=>
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ASSESSORS MAP: 1?"7:>:2.-~_O.et:>
TAX LOT. ~::;>':3c::sO
OWNER: e Jf/ G:?3
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NEW
REMODEL
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Y ADDtTtON DEMOLISH OTHER VALUE. ~ ~c;...o'
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PHONE
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ADDRESS.
CITY:
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STATF.
DESCRtPTlON OF WORK:
NAME
ADDRESS
ARCHITECT:
CONTRACTOR'S NAME ADDRESS
GENERAL: t$>...)~ )XILL~Y/:5.. P~..K
CONST.
/",5;1 V~~~CTOR' EXPtRES PHONE
~~.~~. ~.c::>Y"';_ :S""~~ ~Y.6:S-
PLUMBtN('.
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MECHANtCAI.
ELECTRtCA' .
PLUMBtNG
MECHANICAL
I
rUbl
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I
1
I
1
1
1
I
1
I
1
S10.00
NO.
FEE
CHARGE
NO J:'I:"I:"
Single Fixture
Retoealed Btd9.
(new fix. addU)
Water Service
Furnace/burner & vent
<100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
It.
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duct
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
Permit Issuance
TOTAL PERMtT
TOTAL PERMIT
QUAD AREA: '- t:5CJl,c!"';'
- OFFtCE USE?\
LAND USE: ':!:lORY)
HANDtCAP ACCESS:
. OF BLDG~.
# OF UNITF..
FLOOD PLAtN.
ZONING.
OCCY GROUP'
CONSTR. TYPF.
. OF STORtES:
HEAT SOURC..
LIGHTING POWER BUDGET:
WATER HEATER.
SQ. FT.
s/so. FT.
VALUE
SO. FTG MAl N
SQ. FTG ACCES~
X
X
SQ. FTG OTHER
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEE 12 oS": ~ RCPP / -:z -:? ~ DATE ~~/"9, 9Y' BY
/2'. -'_00.-
-.... ....
I BUtLDtNG PERMIT
15% State
Su rcharQe
1 MECHANtCAL
15% State
SurcharQe
I PAVING
/9-;q. -
~. ~-S-
I PLUMBtNG
I DEMOLlTtON
5% State
Su rcharoe
FENCE
VALUE S
1 SIDEWALK
I CURBCUT
FT.
FT.
SUBTOTAL
PERMtTS
SVSTEMS
DEVELOPMENT
#-#.
TOTAL PERMtT FEES I
EXCLUDtNG ELECTRICAl
~1t>:Z. 6S
REQUIRED INSPECTIONS
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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 tNSPECTION: To be
made after excavation, but
prior to setup of forms.
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UNDERSLAB PLUMBING,
ELECTRtCAL &
MECHANICAL: To be made
before any work is covered.
ROUGH PLUMBtNG,
ELECTRtCAL &
MECHANICAL: No work is to
be covered untll these
inspections have been made
and approved.
PAVING: After gravei is in
place but prior to placing
asphalt or concrete.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
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SPECtAL INSPECTIONS: In accordance
Section 306 of the State Speciatty Code
a special inspector shall be employed !
by the Ownerl Contractor during ,
construction of the following work. A I
copy of the special testing reports shall
be furnished to the Building Division. '
ATTtC DRAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
made after alllnslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete Is placed.
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.
STRUCTURAL CONCRETE: tn I
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 t)
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UNDERGROUND: Ptumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
d ral nage II nes. To be made
prior to covering or filling
trenches.
tNSULATION & VAPOR
BARRIER: To be made after all
insulation and required vapor
barriers are in place but
before any lath or gypsum
board Interior wall covering is
applied.
HtGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306 .
a.6)
SPRAYED ON
FIREPROOFING: U.B.G.
Standards 43.8.
UNDERFLOOR: Ptumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPEC tAL GRADtNG,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 & ,
Chapter 29) I
FLOOR INSULATtON &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
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.
y
GLU.LAM BEAMS: tnspectlon
Certificate by an approved I
agency, furnished to the City's
Building Division before '
beams are placed. (2501 U.B.C:
STDS. 25-10,11). '
STRUCTURAL MASONRY: (306
a.7)
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.1l~~7r"'/Y
POST & BEAM: To be made
prior to Installation of floor
insulation, decking or floor
sheathing.
LATH AND/OR 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
fintshed.
*In addition to the inspec-
tlons spectfied, Ihe Building'
Official may make or require:
CURB AND APPROACH other tnspectlons of any I
ROOF SHEATHING AND APRONS: After forms are construction work to ensure
NAILING: Prior to Installing erected but prior to placing compliance with the Building,
____a~ro~coverl~__________~~cret~______________~~~~Developme~~de~L
MASONRY: Steel tocation,
bond beams grouting or
verticals In accordance with
UBC 2415.
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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 striping, etc. must be completed before
requestlng thts Inspectlon. I
FINAL BUILDING: Requested after the flnat ptumbtng, electricat,
mechanical and Fire Department Inspections are made and I
approved. No occupancy of the premises can be made until a I
Certificate of Occupancy has been issued by the Building Division
and posted on the premises. I
FINAL PLUMBtNG
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDtTtONAL COMMENTS:
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PLANS REVtEWED BY / ~,..., - .2~~
<<-~'~ I "'" ~
DATE
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Y-?9-9Y'
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By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that alllnformadon
herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordlnantes
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 emplOyJes
who are in compliance with OAS 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
street, that the permit card Is located at the front of the property, and the approved set of plans will remain on the slte atlall
times during c/7/;.~:~o~.f2.U.. ~ ..,,-/...- /Qd I
Signaturp ./Tj~v // -... '> Date -'/ --;/ ~ :
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AMOUNT RECEIVED: ?.-/J2-.~.)
/2~2..S"
DATE PAtD.
VALIDATION:
RECEIPT ..
RECEtVED BY'