HomeMy WebLinkAboutPermit Building 1994-6-22
.
COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK' '5 A 0 2.
ASSESSORS MAP' ,IJDZ~'?D
OWNER:
. 'S'("',.,{-+.
57';;;<=;
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~..-ner<'\ (d,
ADpRESS:
.
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CIT'"
DESCRIPTION OF WORK: e, .~')... '6;,,,
NEW REMODEL ~ ADDITION
NAME
ARCHITECT'
MECHANICA' . ~
ELECTRICAl' ;;'1:,', (ale r.,
t?/ F'
PLUMBING
NO
FEE
11 Single Fixture ~~ /P
Relocated Bldg.
Inew fix. addU)
Water ServIce
It.
Sanitary Sewer
Storm Sewer
ft.
ft.
Backflow Device
CA.P EXP5?:
~ .:p~~J./AI-(.~
TOTAL PERMIT
.
5PR'NGP'ELD JOB NUMBER 9 ~ :f?r)C::;
~ INSPECTION LINE: 726.3769
~ OFFICE: 726.3759
e. 'l'1a:..... S4-,#.15-ro>--,^o[J,;" IcLOR.\
TAX LOT: -,-I[l'k') if )
c'??7-!{1 b7'
PHONE:
STATE:...o K"
ZIP: 97<105'
+0 O..-+~ ,./"" L t-G[1b",
...I(,....l-.:.."'? 0...." o~'.""
CONSTR. TYPF.
HEAT SOURCE"
$Isa. FT:
X
X
X
PLAN CH ECK FEiO
9, 7:13
Rem / ~ '\:")' i1
DEMOLISH
t1"w
~.-!~...
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR · EXPIRES
GENERA" Gre'ln",,:!'<' G^..~r-Vc/.ou 8t{('fOS., I-ldPd..~t{.t,l/> B~9, <{ 2. -12 -96
PLUMBING' '/:.,;.- P: 't'r"!!!!. . ' "- .t1
~
~\~
::
I
CHARGE I
7'0.4
I
I
I
I
I
/?':-I
~_-I
I
1
I
7~-1
OTHER
VALUE:
ADDRESS
PHONE
PHONE
48S.S8Z. ,
)'1
I
I NO
I
I
1 Floor furnace and vent
I Suspended wall or floor
mounted unit heater
I Appliance Vent
separate
I Stationary evap.
cooler
I Vent Fan/Single
duct
I Vent System apart
from AC or htg.
I Mechanical exhaust
hood and duct
,
I /1.Z)p/Tr~4<:" /"/~FT" /)~~.;<;')
/~. "Ar 7'"-~=h.
I # -p~rmlt'lssuan~e $10.00 I
I TOTAL PERMIT I
MECHANICAL
~~~
~H.4Rn~
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100,000 BTUs
aUAD AREA: 4f\ I\YP ./
- OFFICE USE -
LAND USE: S ~
. OF UNITf'
HANDICAP ACCESS:
FLOOD PLAIN'
. OF BLDGf'
OCCY GROUP:
. OF STORIES:
SQ FT.
sa. FTG MAIN
sa. FTG ACCES~
sa. FTG OTHER
I BUILDING PERMIT I
15% State ,.,~
Surcharae r
I MECHANICAL
15% State I'
Surcharoe
I PAVING I
/28.56
6. .",
~.Btb
. PLUMBING
~d
5% State
SurcharQe
FENCE
VALUE $
SIDEWALK
CURBCUT
ZONIN'" '
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
TOTAL VALUE OF .PROJECT
/f!3tn7D
DATE .:..t;/'}..2j'1-( BY
/p~.
~
7"). -~
~.7~
2.2iT
. DEMOLITION
1
1
]
1
I
FT.
FT.
SUBTOTAL
PERMITS
SYSTEMS
, DEVELOPMENT
-::z /'7. ?W?
jP
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
--;;z /9. '?7
. 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
726.3769 (recorder), state your City designated lob number, Job addresa, 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
made after excavation, but
prior to setup of forms.
UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing 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 Installation of
floor Insulation, decking or
floor sheathing.
POST & BEAM: To'be made
prior' to Installation of floor
Insulation, decking or floor
sheathing.
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.
.,
,;
y
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered until these
Inspections have been made
and epproved.
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 testing reports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
x
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
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.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
STRUCTURAL CONCRETE: In
excess of 2500 P.S.I. (306 a.1)
STRUCTURAL WELDS:
Performed on the lob. (2722 f)
INSULATION & 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.
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
FIRE & SEPARATION WALL:
Located and conatructed
according to plans.
t[ LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
Interior and exterior, Is In
place but before any
plastering la applied or before
gypsum board Joints and
fasteners arB taped and
finished.
GLU.LAM BEAMS: Inspection
Certificate by an approved
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)
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.
.In addition to the Inspec.
tlons specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
.Y FINAL PLUMBING
)( FINAL ELECTRICAL
X X
7f'~~~}:
y FINAL FIRE DEPARTMENT
AODITIONAL COMMENT~'
SITE PLAN REVIEW. BOARD: Must be requested 2 days In advance
of the date you wish Inspection. All project conditions such as
landscaplnQ., parking lot striping, etc. must be completed before
requesting th/$.J.cspectlon.
r"~;
FINAL BUILDING: Requested after the final plu;;:;t)fng, 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.
-
."..-- "
PLANS REVIEWED BY / / ""-""./7_ /~~..--. DAT~ ?--fi?.7 y-
. /,/,u_' -r _' '/',
By signature, I state and agree, that I have carafully 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 Ordlna~ces
of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY
will ba 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.tha proper time, that project address Is readable from the
street, that the permit c l;pcate ~he fr the proparty, and the approved set of plans will remain on the site at all
limes during constr
,
Slgnaturp v ,j _L - Oat" 7-/1-9..L
/" ~, , /' 7"
,/
AMOUNT RECEIVED' 'Z/q?~
RECEIPT ': /3 R';r?J
VALIDATION:
DATE PAID'
?-//-"5' V
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RECEIVED BY'