HomeMy WebLinkAboutPermit Building 1994-12-1
COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER
9?/~5c.
INSPECTION LINE: 726.3769
OFFICE: 726,3759
LOCATION OF PROPOSED WORK: U.(.\-~ I If\\ ~ I ~
/7'e:;"2-"72 -?/
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TAX LOT: O~ So" ~c:::::>
ASSESSORS MAP'
OWNER'
Sp I c'S
ADDRESS: ~ tOS-D ::\ ~SPCt<..
CITY: SP!21 1\\.(,:, F-I ELb
6~frNr
PHONE:
7Z-&-ID3a'
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STAT'"
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21 P: ~n..!:(:l <j
DESCRIPTION OF WORK'
LA"T"H 1hJH' ~
'NEW '"
REMODEL
ADDITION DEMOLISH
OTHER
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VALUE: 2,2. I)(). ,,,...,
ARCHITECT'
NIA
NAME
ADDRESS
PHONE
CONTRACTOR'S NAME
GENERAL: <;""7'=
PLUMBING'
ADDRESS
CONST,
CONTRACTOR'
EXPIRES
PHONE
MECHANIC! ' .
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W,
ELECTRICA' .
PLUMBING
MECHANICAL
NO,
"EE
CHARGE
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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
duel
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duct
Single Fixture
Relocated Bldg.
lnew fix, addUl
Water Service
Sanitary Sewer
It.
fl.
Storm Sewer
Backflow Device
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Permit Issuance
$10,00
TOTAL PERMIT
TOTAL PERMIT
OUAD AREA:
3ej~C: J
LAND USE:
- OFFICE USE -
~ ~--o
HANDICAP ACCESS:
, OF BLDG'"
OCCY GROUP' ;4-/
, OF STORIES: /
, OF UNIT~'
ZONING:
FLOOD PLAIN:
Q.(' ./
CONSTR. TYPE:
~.
LIGHTING POWER BUDGET:
HEAT SOUR"'"
WATER HEATER'
sa FT.
$/SQ, FT.
VALUE
SQ. FTG MAIN
SO. FTG ACCESS
sa. FTG OTHER
nv2. F
X
X
X
TOTAL VALUE OF,PROJECT
.ddl? t).~
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PLAN CHECK FEE
:f?$!'
RCPT' /")2.'1
DATE _/oAJl-.
/
BY #~
I BUILDING PERMIT
5% State
Surchar~e
MECHANICAL
~~. :5'0
"2-53
/.-~
, PLUMBING
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5% State
Surcharae
FENCE
VALUE $
SIDEWALK
I DEMOLITION
I
I
5% State
Surcharoe
I PAVING
FT.
SUBTOTAL
PERMITS
SYSTEMS
. DEVELOPMENT
CURBCUT
H.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
57'. SS-
.
REQUIRED INSPECTIONS.
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,
It Is ihe responsibility of the permit holder 10 see that all Inspections are made at the proper time. To request an Inspection, call
726.3769 (recorder), state your City designated job number,lob address, type of inspection requested and when you will ba ready
for Inspection. Requests received before 7:00 a,m, will be made the same working day, requesls made after 7:00 a,m. will be made
the following work day.
SITE INSPECTION: To be
made after excavation, but
prior to setu p of forms,
UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered until these
inspections have been made
and approved.
PAVING: After gravel Is In
place bul prior to placing
asphalt or concrete.
.Y
FOOTINGS & FOllNDATlONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
~r to i'f.g concrete,
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ON~TE 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.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
SPECIAL INSPECTIONS: In accordance
See lion 306 of the Stale Specialty Code
a special Inspector shall be employed
by Ihe 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
FRAMING: To be made alter
the roof, all framing, fire
blocking and bracing afe In
place and all pipes, chimneys
and vents afe complete and
the rough electrical, plumbing
and mechanical are approved.
STRUCTURAL CONCRETE: In
. excess of 2500 P.S.1. (306 a.1)
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)
SPRAYED ON
FIREPROOFING: UB.C.
Slandards 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,
SPECIAL GRADING, "
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapler 29)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation 01
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
finished,
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the Clty's
Building Division before
beams are placed. (2501 U.B.c.
STDS, 25.10,11).
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7)
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
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.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
'In addition to the Inspec.
tlons specified, the Building
Olllclal may make or require
other Inspections of any
construction work to 'ensure
compliance with the Building.
City or Development Code.
FINAL PLUMBING
X'
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the dale you wish Inspection. All project conditions such as
landscaping, parking 101 striping, elc. must be completed before
requesting this Inspection,
FINAL BUILDING: Requested alter Ihe 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 ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
~ON. ..\{)~UAO~""fJ1 J~kH)s,J..O~l~"omo~.,IJ ~
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PLANS REVIEWED BY
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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 shall be done In accordance with the Ordinances
of Ihe 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 wllh 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 localed at the front of the property, and the approved sel of plans will remain on the site al all
times during co~tlon.
Signature jI kd {- VW Oat.
VALIDATION:
AMOUNT RECEIVED' ~ <;t,)J-
RECEIPT .. / t;' h 1 7
DATE PAlO' /2/1/9<;L'
RECEIVED BY' ~