HomeMy WebLinkAboutPermit Building 1992-1-29
COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
.
Jt NUMBER_92ozt7b.-
~
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726-3759
ASSESSORS MAP'
LOCATION OF PROPOSED WORK'
56.2D hc,,"", ~j
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74"...10.. t1//i...}.t .sh.'I/N~ ,-,,~tJz...
TAX LOT: (")"5 /)/J /)
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ADDRFC:C:'
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OWNER'
CITY'
DESCRIPTION OF WORK:
NEW REMODEL
ARCHITECT'
NO.
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
Sanitary Sewer
Storm Sewer
Backflow Device
TOTAL PERMIT
./702
UvvL-
V"-Jt .2erl--tJ
PHON~'
1i.f6 :u, c;..1---
STATF'
614-<::..-
f ?roS-
ZIP'
h", 1.S4''''i ~IPC~ ,A..- v-J
ADDITION DEMOLISH
1/~4v~'t"~Pro, ~~<--'
OTHER VALUE: -6vu~
NAME
/f2eb.v
ADDRESS
:1 lSTW("ff
CONTRACTOR'S NAME
GENERAl' 0'-< 'J!' ..--
PLUMBING:fl?Cf.........-.7f 5;>-t/r' AO,dlf)o(;;l~
. .
MECHANICAL: l3ey~~
ELECTRICA" r,;' ,,," ~ ~
K..J
.
PLUMBING
FEE
CHARGE
ft.
ft.
ft.
QUAD AREA: '?;~\\)Q .'
. OF BLDG~'
OCCY GROUP'
. OF STORIES:
SQ. FTG MAl N
SQ. FTG ACCESS
SQ. FTG OTH ER
ADDRESS
PHONE
CONST.
CONTRACTOR'
J Q 11., J/-
7/~q'5'
-14'83
<;~4~
EXPIRES PHONE
GJ>G '2-& b J-
:1//2/7'.-'_ 7~-r52 7c.
.I('l~2.. ~-~~
'?/0< - 7<<ti/-~ZY'
.>fX7i5f 97~?'/
I MECHANICAL n. I
I '''' I- ~~~ rl-l,lu:!!nl=
~~ Co,".,",'","", ,"m t;~ I
<100.000 BTUs
I Furnacel burner & vent I
> 100.000 BTUs
Floor furnace and vent I
r Suspended wall or floor I
mounted unit heater
I Appliance Vent I
separate
I Stationaryevap. 1 I
cooler
I Vent Fan/Single ') e.~."" I
duct
I Vent System apart 1 I
from AC or hlg.
I Mechanical exhaust 1 I
hood and duct
I .4-1/,(; .1 /S,O-O I
I Permit Issuance $10.00 I
I TOTAL PERMIT 25<>01
- <;D:ICE USE -
LAND USO :J~DO
. OF UNIT~'
CONSTR. TYP~'
HEAT SOURC~'
SQ. FT.
X
X
X
PLAN CHECK FEE.-5}3.-_~3
1
1
tI67c: ~o.f::,{.I';. sj~ ~,.-Hd
~,dUt~I.~ ~~
I BUILDiNG PERMIT
15% Stale
Surcharqe
I MECHANICAL
5% State
$urcharoe
PAVING
RCPl'
~ c,/ ?
J;o,50
~O~
15-- /06-d
,'75"
I PLUMBING
5% State
Surcharae
FENCE
VALUE $
1 SIDEWALK
I CURBCUT
HANDICAP ACCESS'
FLOOD PLAIN:
ZONING' ~ ./
LIGHTING POWER BUDGET:
WATER HEATER'
$ISQ. FT.
VALUE
TOTAL VALUE OF PROJECT
DATE 1/2 ~/,. 2. BY .#~
DEMOLITION
j
I
I
1
Ii\ ",~- ~VJb
/J, I r~: "T
i j Jln. erf
FT.
1
1 SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
/2'2-'7. ~'1
. REQUIRED INSPECTION.
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 maoe 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.
'>< _ Rnllr.I4"P..hUMBINGJ
~F"H~
IVlt:.LR'""~ . No work is to
be covered until these
inspections have been made
and approved.
PAVING: After gravel 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
pri~r to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
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
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: In
excess of 2500 P.S.1. (306 a.1)
CONCRETE SLAB: To be
made after all Insiab 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)
UNDERGROUND: PlumbIng,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
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, .
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
I,
h
il
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
II
II
\11
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
'X.
. 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
finished.
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.G.
STDS. 25-10,11).
POST & BEAM: To be made
prior to Installation of floor
insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7)
FLOOR INSULATION &
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.
.In addition to the inspec-
tions specIfIed, the Building
Official may make or require
CURB AND APPROACH other inspections of any
ROOF SHEATHING AND APRONS: After forms are construction work to ensure
NAILING: Prior to installing erected but prior to placing compliance with the Building,
_ __~~~~coverlng___________~~~et~______________~~~~~velopm~~~~~_
'S( FINAL PLUMBING SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
" ~ of the date you wish inspection. Ali project conditions such as
landscaping, parking lot striping, etc. must be completed before
requesting this Inspection.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
'X
Y.
,
X
FINAL ELECTRICAL
y
FINAL BUILDING: Requested afte, the final plumbing, 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.
FINAL MECHANICAL
,
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
., - / _ .A_~..~. /..r ..~/).
~k~ ei~,r~f/I'.A-'f-.. _ rv' - ~.
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PLANS REVIEWED BY {~~./Y),.(~
DATE 2.. -2-/ -92-
By signature, I state and agree, that I have carefully examined the completed application and do hereby,certlfy that all information
herein Is true and correct', and I further certify that any and ail work performed shall be done in accordance with the Ordinances
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 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 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 site at all
,; times durIng construction.
'} '- Signatur~ ~ 7---
~
Date
:L/ L-Lr/ '? J-
VALIDATION:
AMOUNT RECEIVED:_/"? t!) 5', 'h1
;?g.67
RECEIPT N'
DATE PAID'
RECEIVED BY:
2-2~~5'~
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