HomeMy WebLinkAboutPermit Building 1994-5-19 (2)
LOCATION OF PROPOSED WORK'
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COMMERCIAL/I N DUSTRIA~
PERMIT APPLICATION
JOB NUMBER
r4o~3 '}',
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726,3769
OFFICE: 726,3759
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2..0 TAX LOT:
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ASSESSORS MAP:
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OWNER:~k-<'>.t\l-~ \\lvc{"!:-,,c. I'~,,\ ~ 'V,.",. ,'0',-'1,-- PHONE:~r ,
ADDRESS' UI'l.,\ IMo~,^<\'1 / ' J,
CIT~: S\''''\:'.J{:...\~ STATE: tOdL ZIP: q ~(lr
DESCRIPTION OF WORK'
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NEW
REMODEL
,/
ADDITION
DEMOLISH
OTHER
VALUE: ~
PHONE ~
NAME
ADDRESS
ARCHITECT:
CDNTRACTDR'S NAME
ADDRESS
CO NST,
CO NT RACTO R .
EXPIRES
PHONE
GENERA' '
PLUMBING'
MECHANICAL: ~J....-~
ELECTRlr" '
'2 'I;~\ Ll ~J. <:'\"AC.\.o.r
c ,-t* {tait
If./2S1-q~ 2,~7- 7f;7iJ
PLUMBING
MECHANICAL
NO
FEE
CHARGE
..,,\
eee
("l-I.4Rr.;E:
Backflow Device
\
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
Stationary evap.
cooler
Vent fan/SIngle
duct
Vent System apart
from AC or I1tg.
Mechanical exhaust
hood and duct
umt.t=""/,v O/)OUx.
Single Fixture
Relocated Bld9,
lnew Ilx, addU)
Water Service
It,
Sanitary Sewer
It.
Permit Issuance
I
I
1
1
I
l11/v I
$10,00 I
/56-0 I
Storm Sewer
It.
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
QUAD AREA-
LAND US.'
. OF BLDGF'
. OF UNIT~'
OCCY GROUP:
CONSTR, TYp.'
. OF STORIE~'
HEAT SOURCE:
SQ, FT,
$/SQ, FT,
VALUE
SO, FTG MAIN
X
SQ, FTG ACCESS
X
SO, FTG OTHER
X
TOTAL VALUE OF ,PROJECT
PLAN CHECK FEF
RCPTN
DATe
BY
I BUILDING PERMIT
15% State /.
SurcharRe 15S~:-' r'Q.~
I MECHANICAL 1-5 fO
15% State 7.s-
Surcharae 'f d'\ '_,0 ~
... ;;'1
1 PAVING
I PLUMBING
I DEMOLITION
I
5% State
Surcharoe
FENCE
VALUE $_
SIDEWALK
FT,
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
CURBCUT
FT,
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
'2... <d 2-'0
. '
It Is the resporislolllty of the permit holder to see that all Inspections an; made at Ihe 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
lprlor't.o setup of forms.
. REQUIRED INSPECTIONS .
<,
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
.be covered u nlil these
Inspections have been made
and approved.
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,
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
FIREPLACE: Prior 10 placing
facing materials and before
framing Inspection,
SPECIAL INSPECTIONS: In accordance
Section 306 of the St~te Specialty Code
a special Inspector shall be employed
by t~e Ownerl 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
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,
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 PS,I, (306 a,1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing,
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and required vapor
barriers are I n place but
before any lath or gypsum
"'1 board Interior wall covering Is
applied, '
FIRE & SEPARATION WALL:
Located and conslructed
, according to plans,
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations, (306
a,6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer" water and
d ral nage II nes. To- be made ,'} :!
prior to covering 'or filling
trenches.
SPRAYED ON
FIREPROOFING: UBe
Standards 43,8,
SPECIAL GRADt'NG,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
POST & BEAM: To be made
prior to Installation of floor
Insulation, 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 City's
Building Division before
beams are placed, (2501 UB,C,
STDS, 25'10,11),
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,
MASONRY: Sleel location,
bond beams grouting or
verticals In accordance with
UBC 2415,
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-
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,
-------------------------------------------------------
FINAL PLUMBING
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of Ihe date you wish Inspection, All project conditions such as
landscaping, parking lot striping, etc, must be completed before
requesting this Inspection.
FINAL ELECTRICAL
FINAL MECHANICAL
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
and posted on the premises.
FINAL FIRE DEPARTMENT
AODITIONAL COMMENTS'
PLANS REVIEWEO BY
DATF
By signature, I state and agree, Ihat 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 Ordlna~ces
of the City or 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 Bulldlng'Safety Division. I further certify that only contractors and employees
who are in compliance with ORS 701,055 wlli 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 t e 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 tlon, ,~~ '
Signature r9n oCJ~, on.' ~.~ Date b -/,fj.f
Z,_~ /.~u.-1'
RECEIVED BY' ./b? . ' '\
,
RECEiPT #,
/.-1'.-:> 2.0
I 2. 2,( <;'
DATE PAID:
VALIDATION:
AMOUNT RECEIVED'