HomeMy WebLinkAboutPermit Building 1991-5-20
COMMERCIAL/INDUSTRIAL ..
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER
'7/t'WB
INSPECTION LINE: 726.3769
OFFICE: 726'3759~
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LOCATION OF PROPOSED WORt<. ?"7/9 $~/~ -5)"':.
17'~2 ''37-'1'1', Ii-" ij<:>d>, 1;5<f>:2.,' 120;Z" '/~'I_ /;JO~
ASSESSORS MAP:/7'-=--'3~<'{/.. -g/A!>. ~~. g~c:.a, ~ <,{~O .< ~,.~
OWNER' rPA,Nr-/<; 6A'-;;yn>/~~A7
ADDRESS' l? t!?- E~y /-=?::2s::5
CITY: C:=-U7?E//A;~ ~tfL ' STAT'"
TAX LOT'
PHONE: (70~ 1./J,ll/--r739
ZIP'
09:7'50'2
DESCRIPTION OF WORK: ~.N...s ::r.RC/CT
NEW)< REMODEL ADDITION
.//,.'C/iIOo?L~e R.-~/~ '<~4:::.. 'A"
, i' -_
NAME ADDRESS
16775" !f;. W.I//~-1V~1?~
ARCHITECT: E;;N?ANN-,eL.(l-"...A-s~.. ~AI/EZ?7'Y.>k.~ q~
, CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
GENERAL: Tb.S/A':?~""/ 4-~.
_ . ,T..,/- --;--J-
PLUMBING: -7W-:~ f4/V~'S
MECHANIC"" ~ ~ -!?~ ~.A'<
~, .. , - --7
ELECTRICAL:j.7 ~~~/77.
C /U-,,8:r5. ~
sa. FTG OTHER X.: ~!f?'oQ -":'~
/l-p/~r- Tt:> (::1/;:::> . \ ~-' ."..,,", -.......-
"'h"" ~ E,......J:p~ #~ 73 tf;€CI~/':::> '7"T7'/OTAL VALUE OF P~~JECT: . .-" '. -
C~~~HW~~~~'~i?;- *Et~l~ ,,oDl>lL~~._2p~~.~{m)
6' ~ 3. 7.(;"'
~.h"J.;
I PLUMBING
I NO. FEE
1 / Single Fixture r: o.
J Relocated Bldg.
Inew fix. addtl)
II/s' Water Service
It.
117-r' Sanitary Sewer
It.
I Storm Sewer
It.
I I Backflow Device
1
1
J
I
I
1 TOTAL PERMIT
aUAD AREA-
. OF BLDG~'
OCCY GROUP:
. OF STORIE~'
sa. FT.
sa. FTG MAIN .!5 1"'20 X
~J7'l."" ~.....,;z>r
sa. FTG ACCESS ....:.<;.----:> . X
I BUILDING PERMIT
15% State
Surcharg.e
I MECHANICAL
15% State
Surcharae
1 PAVING
DEMOLISH
OTHER
VALUE:
PHONE
L '2"7"-.,.'.-< """"""
EXPIRES
PHONE
I MECHANICAL
CHARGE I IIln """ (":1-I6~nl=
1 Furnace/burner & vent
J.P.- <100.000 BTUs
I Furnace/burner & vent
>100.000 BTUs
"/0,"'" I Floor furnace and vent
5~-1 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
I Permit Issuance $10.00
,//6'. ~ I TOTAL PERMIT
- OFFICE USE -
LAND USE:
HANDICAP ACCESS:
FLOOD PLAIN:
. OF UNIT~'
ZONING'
CONSTR. TYPF'
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER'
$/sa. FT.
~~, S27 '2.1 /I
VALUE
= ~';:. hL::-
17 I LI/'" ~t""'\
~"/... - ~
/'7./0
d.~~
I
PLUMBING
//5.0c>
5:?S
I
/:.R~.r J'Q:."e? jl?<-....,., RL"Y/~~
I
~.v~)>~"'A'..5o;>' -7.L?' ~3:
SUBTOTAL 7' .,..:,. ->-.;-
PERMITS , 'A. (0 '7
SYSTEMS
DEVELOPMENT '2~,.t:)Z. '?3
5% State
Surcharge
1 FENCE
VALUE $_
I SIDEWALK
I CURB CUT
FT.
FT.
", ~.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
;'74'4'2: .;;?~
.. 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 job number, jOb address, type of Inspection requested and when you will be ready
for Inspection. Requests received before 7:00 a.m. wilt 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.
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)t ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Ownerl Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete. .
UNDERSlAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
)L ATTIC-DRAFT STOPS &
CURTAIN WAllS
I
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.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
.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.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
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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)
)(
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. -
SPECIAL GRADING,
EXCAVATION AND FilliNG:
During earthwork. (306 a.11 &
Chapter 29)
x
UNDERGROUND: Plumbing.
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
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.
x
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).
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.
STRUCTURAL MASONRY: (306
a.7)
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.
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
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
)I
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
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CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
ROOF SHEATHING AND
NAiliNG: Prior to Installing
any roof covering.
/'
X
.x
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
requesting this Inspection.
FINAL PLUMBING
FINAL ELECTRICAL
Y 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
'v Certificate of Occupancy has been issued by the Building Division
./ FINAL FIRE DEPARTMENT and posted on the premises.
ADDITIONAL COMMENTS' I/o ~'7"'~L>CT/~ :f?C70'7:"/z:) .~~~D,7/ "___~V"
V/;/;rLc" /tshV7 ~ _~..z?~~...~,7-/~~/c=.v"";=-.-P .#A r,
.d..~-;;o.-..-?....,:::>~
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FINAL MECHANICAL
PLANS REViEWED BY /"/.-a' - - ~~ DATE L"'~/~""5-/
.7~'~~/ -
By signature; I 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 shalt 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 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 site at all
times during c tructlon.
Signature
VALIDATION:
:I
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DATE PAID' ?-/aq?/
RECEIVED BY: /' ~--
t. ""
Date7)~)
AMO T RECEIVED:. tf ~...7"<_
RECEIPT': ?<!:>./.L ./
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