HomeMy WebLinkAboutPermit Building 1994-7-28
COMMERCIAL/INDUSTRIAL- ~SP~A'NO.'ELD . -JOB NUMBER Y4:(~
PERMIT APPLICATION INSPECTION LINE: 726-37;9' :1 .. .
225 Fifth Street, Springfield, Oregon 97477 fA; OFFICE: 726.3759
lOCATION OF PROPOSED WORI<' (J)'l \ \\'{(\ ~ r\ ~~
VI()26~'L
OWNER:i }.)~ 0 ~~ ~O ./C:;CJ2:?/)/dId kUjV~ONE:
ADDRRS~_ ~\)~~ \\'{\ ~ 3- i\\fH\Y'\lTlY\.
CIT~:~~)\ iJ\~~o~(j . STATE:~rJI ~.ZIP:~r;
OESCRIPTlON OF WORK:~~.i" .<lIA,.;;-t...".e. /'I1<1k.. 00""," /J.J;T/t MOli/~7~",+~/,~. 8 ':!.__, ,'-'_~ 3t.n.
NEW REMODEL V ADDITION ~ DEMOLISH OTHER ~ VALUE: S-=-
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~
CaNST. ,.
CONTRACTOR # EXPIRES PHONE
t:",d.~ee 1\r>.d.";,M '1}.JJ. La.....cz,. 3~.s-/8o/
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TAX LOT' 05~) 1
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ASSESSORS MAP'
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
GENERAL: i.lu..J< PW<Jldt"
AOD RESS
aS5 S....~.;r.7.:......., ~i~)...
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PLUMBING'
MECHANICA" S./!
ELECTRICAl'
ALe~r lI.d.'~
/ Q10 N ').. ~I.c~...."f''';,,~ f;.';'lj
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"T-'/T-)).13
FEE.
i
CHARGE ,I
I
MECHANICAL
PLUMBING
NO
Nn s:'1=1=
"'~6Dn!:
Single Fixture
Relocated Bldg.
Inew fix. addtl)
Water Service
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Sanllary Sewer
It.
It.
I
I,
I
I
I
I
I
I
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate '
Stationary evap.
cool~r -
Vent Fan/Single
duct
Vent System apart
Irom AC or htg.
Mechanical exhaust
hood and duct
It.
Storm Sewer
Backflow Device
Permit Issuance
$10.00
TOTAL PERMIT
TOTAL PERMIT
aUAO AREk
. OF BlOGS'
OCCY GROUP'
- OFFICE USE -
lAN 0 USE:
HANDICAP ACCESS'
FLOOD PLAIN'
ZONIN'" .
liGHTING POWER BUDGET:
WATER HEATER'
# OF UNIT~'
# OF STORIES.
CONSTR. TYPF'
HEAT SOURCE:
sa FT.
$Isa. FT. .
. VALUE
sa. FTG MAIN
sa. FTG ACCES~
sa. FTG OTHER
X
X
X
TOTAL VALUE OF.PROJECT '5?S~. =-
PLAN CHECK FEf 2~O~
RCPT#
DAT"
BY
I BUilDING PERMIT
5% State
Surcha~e
MECHANICA7~ "
15% State .
Surcharae
I PAVING
~9~o
i.4~
/ ./,
.'~. . .6
I V ..--
"N!;: -
.~
I PLUMBING
, DEMOLITION
J
i
5% State
SurcharQe
FENCE
VALUE $
SIOEWAlK
I CURBCUT
FT.
FT.
SUBTOTAL
. PERMITS
SYSTEMS
DEVELOPMENT
. b77~
'.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
<12.82..
.EQUIRED 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 deslgnsted 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 of forms.
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~~~BING,
. EC"",'..... ~ No work Is to
be covered until these
Inspections have been made
and approved.
UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
FOOTINGS & .FOUNDATlONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
y
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.
/
CONCRETE 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.
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.
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.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
]'v'
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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.
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.
MASONRY: Steel location,
bond beams grouting or
lIertlcals In accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Instatllng
any roof covering.
CURB AND APPROACH
APRONS: After forms are
arected but prior to placing
concrete. .
.
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.
STRUCTURAL CONCRETE: In
excess of 2500 PS.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
;'.... SPRAYED ON
FIREPROOFING: U.BC.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency. furnished to the City's
Building Division before
beams are placed. (2501 U.BC.
STDS. 25-10,11).
STRUCTURAL MASONRY: (306
a.7)
'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.
FINAL PLUMBING
-------------------------------------------------------
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SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish Inspection. All project conditions such as
landscaplng~ parking lot striping, etc. must be completed before
requesting tni'!.!Aspectlon.
#" ...../ ,....
..-><. 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
Certificate of Occupancy has been Issued by the Building Division
FINAL FIRE DEPARTMENT and posted on the premises.
ADDITIONAL COMMENTS: -.LIi<; 7/9U_,(J-d J..I/.'{ydAPilKl /A) ,R!/;$! -IA/ I}{/)5fJID5'r IF
,ftlL/ M~ UlI',1J1!?) IA 7 ~ rt61r5J q=iit'..fi! /WbI. ,~~l//cJ?- ;1JYft'//!fi' 1~?77~ I
fA} ~,~n71';:; I//./PZZ da?Jy,!t/.rr ~L' "7) J/1;n "'iF ,LJ7/i!S r/./)J4? A>g~ 0/'"" .ms.
;P/PPn ,,~dn\ ,- /W /-<7/7:~:N::=::r~ 1/1i::Z~~~ IIA~> ::~~~7/~
AlnTE: Alo FlioIkL MM-<'~. lI.':llJ.L rlM1:I- ("'in>'!: A,&p""JIWL .L.t ~Jm)/ -(
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FINAL ELECTRICAL
)(
FINAL MECHANICAL
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 OrdlnaPges
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
~:::t70Cr:If~.. . Date }~~'O-?c,?
VALIDATION:
AMOUNT RECEIVED: ~ 2. g <-
/7/~'9~ '
RECEIPT ..
DATE PAID'
RECEIVEO BY:
7-"7"2-9'-/
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