HomeMy WebLinkAboutPermit Building 1995-3-22
~ COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
6~~.
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225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:
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ASSESSORS MAP'
/702
OWNER: '{,I,)I'f'6TCbA7'c -::1:,,"...
ADDRESS: 72.9. :'"5'!J.'/1 " /~~~
CITY: )/~'/'A-).JA
STATE:
DESCRIPTION OF WORK: ----A ()D J A,Tl"fi lAIC.
. NEW REMODEL ~ ADDITION
, JAlALI
(J(.)~rJ:n"N'\
DEMOLISH
NAME
ADDRESS
ARCHITECT'
CONTRACTOR'S NAME
GENERAL: EiJ.,6i JIll:::..
PLUMBIN'" ,..---...,
ADDRESS
,#9~.M.~.4IU A'~~- c
MECHANICA' .
ELECTRICAL: ~ I A)1<f~~A>r
PLIlMBING
I
I Nn
1
1
I
I
I
I
I
I
I
I
I
I
NO,
FEE
CHARGE
Single Fixture
Relocated Bldg,
(new fix, addUl
Water Service
It,
Sanitary Sewer
It.
Storm Sewer
It.
83:::~!!O"'.' Device
TOTAL PERMIT
aUAD AREA'
- OFFICE USE -
LAND USE:
, OF UNITS'
CONSTR. TYP'"
H EAT SOURCE:
, OF BLDGf"
OCCY GROUP'
, OF STORII;[f"
SQ, FT.
$ISa, FT.
SQ, FTG MAIN
sa, FTG ACCESS
sa, FTG OTHER
x
x
x
PLAN CHECK FEE
~ ~ .7)
DATE
RCPT' -a_?~
I BUILDING PERMIT~
15% Slate 1':
Surcha!""e r
I MECH~~.r
15% Slate ' f'1
Surcharoe "'~
I PAVING
, PLUMelNG
5h, 5't:>
-< . "'7
/.6
I'D .-
/~.-""
.7~
_ If'5'"
5% State
Surcharae
FENCE
VALUE $
SIDEWALK
CURBCUT
FT. 1_,- '
FT.
. ~--.,.... -= ...-"
JOB NUMBER - ~""'""'~
INSPECTION LINE: 726.3769
OFFICE: 726.3759
Sf'I?H';~ ,:-,ecJJ
TAX LOT: ,.., ~ ~ ~
'~ ..
PHONF'
s~,..- 2..~iP.s-
rJ~
97..p9'
kL~~~;
, .
~~;~.
. ., .
ZIP:
,
OTHER
VALUE:
PHONE
CONST,
CO NT RACTO R '
EXPIRES PHONE
rhyfr -t..72 -?~
t:.
.~br
11~
, ty--~
2~ff
MECHANICAL
"""
('U.I).Q(:!:C
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
from AC or hlg,
Mechanical exhaust
hood and duct
;;;;JI'::"~~h"_-fr~'? ~~
Permit Issuance
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$10,00 j
I
TOTAL PERMIT
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
LIGHTING POWER eUDGET: '
WATER HEATER'
VALUE
TOTAL VALUE OFPROJECT---..5" 1'<::;; ~ ,0'0
~-.:?':?-,t"jBY ~~ '
- 'Q
DEMOLITION
SUBTOTAL
PERMITS
SYSTEMS
, DEVELOPMENT
&>7. "< -;7
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
/27. '?~
. R~QUIRED INSPECTIONS .
It Is the responsibility of the permit holder to see that alllnspecllons 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
made after excavation, but
prior to setup or forms.
UNDERSLAB PLUMBING,
, ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
y ~MBING,
a\l';CTRIC~D
MECHANICAL: No work Is to
be covered until these
Inspections have been made
and approved.
PAVING: Aller gravel Is In
place but prior to placing
asphalt or concrete.
L
FOOTINGS & FOl1NDATIONS:
To be made after trenches are
excavated and forms afe
erected, all steel In place, but
prior to placing concrete,
FIREPLACE: Prior 10 placing
facing materials and before
framing Inspection.
SPECIAL INSPECTIONS: In accordance
Secllon 306 of the Stale 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 10 the Building Division,
ATTIC DRAFT STOPS &
CURTAIN WALLS
.Y
FRAMING: To be made aller
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: In
excess of 2500 P'S,I, (306 a,1)
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.
STRUCTURAL WELDS:
Performed on the job, (2722 f)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
1I00r Insulation, decking or
floor sheathing,
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.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt Install allan and
tightening operations, (306
a.6)
SPRAYED ON
FIREPROOFING: U,BC
Standards 43.8,
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines, To be made
prior to covering or IIIlIng
trenches.
SPECIAL GRADING, "
EXCAVATION AND FILLING:
During earthwork. (306 a,11 &
Chapter 29)
y
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
Interior and exterior, Is In
place but before any
plastering 15 applied or before
gypsum board Joints and
fasteners are taped and
finished.
GLU.LAM BEAMS: Inspection
CertUlcate by an approved
'agency, furnished to the City's
Building Division before
beams are placed, (2501 U.B.c.
STDS, 25-10,11).
POST & BEAM: To be made
prior to Installation of 1I00r
Insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sneatnlng.
STRUCTURAL MASONRY: (306
a.7)
MASONRY: Steel locallon,
bond beams grouting or
verticals in accordance with
UBC 2415,
SIDEWALK'& DRIVEWAY:
Rpnulrp.d for 31' r.onr,r~tA
paving 'within streel right of
way, to be made after all
excavating complete and form
work and sub.base material In
place.
'In addition to the Inspec.
lions specllled, the Building
Official may make or require
other Inspections of any
construction work to 'ensure
compliance with the Building,
City or Developmenl Code.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering,
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL PLUMBING
y
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish Inspection, All project condlllons such as
landscaping, parking lot slrlplng, elc, must be completed before
requesting Ihls Inspection,
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department Inspections are made and,
approved. No occupancy of the premises can be made until a
Cerllflcate of Occupancy has been Issued by Ihe Building Division
and posted on the premises,
yo FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
~
PLANS REVIEWED BY /' /"".-..-
, 7 -
DAT~ '3 - '< ':? - 95" '
By signature, 1 state and agree. that I have carefully 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 Ordinances
of the City of Springfield, and the Laws of the Stale of Oregon pertaining to the work described herein, and Ihat 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 project.
I further agree to ensure at all required Inspections are requested at the proper time, that project address Is readable from the
street, that the p t dZS ated at the front of the property, and the approved set of plans will remain on the site at all
times during co,
Signature ;,0/~ Date _:5-22.-&)'..<;<
1 - ~ -
10
,
AMOUNT RECEIVED: /-:;?'""Y. ~
RECEIPT': /k;:c.l!:>
DATE PAID'
RECEIVED BY'
-,;r -"< ~ ,5 S-
~fr"A ,..
VALIDATION: