HomeMy WebLinkAboutPermit Building 1993-3-25
COMMERCIAL/INDUSTRIAL.
PERMIT APPLICATION
225 Fifth Street. Springfield. Oregon 97477
OWNER:
ADDRESS:
CITY:
DESCRIPTION OF WORK:
NEW RE~ODEL L
ADDITION
ARCHITECT' '..
~!1::11en
I
,
PLUMBING:
MECHANICAl' . .
ELECTRICAL: fJ.;,v,M [t.l'htt
PLUMBING
NO.
Single Fixture
Relocaled Bldg.
(new fix. addtll
Water Service
It.
Sanitary Sewer
It.
It.
Storm Sewer
Backflow Device
TOTAL PERMIT
OUAD AREA
# OF BLDGS'
OCCY GROUP'
# OF STORIES:
SO. FT.
SO. FTG MAIN
SO. FTG ACCESS
SO. FTG OTHER ~.2>.E"Z-.
PLAN CHECK FE.E ~ ~
I BUILDING PERMIT
15% State .
SurcharQe
1 MECH~~
15% State . 1
SurcharQe
I PAVING ' I
?i?~,Sl:::1
7.5?
('c>.-o
/C_-
_v
~,~
.
JOB NUMBER
~-;. ;-'/
. - -
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PHONE: 7~'-.tf1) 7 ~ I
D/( ZIP: -.!l7'16 5 J~)
I 'N 1'U1"I,'1 6fJt4CJP.,
VALUE: .C;-~p
;Y#~
1/1. ~~
~
tf~/ 3. tIIA/nJ
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK'
ASSESSORS MAP:J77J2 ~'2 -~ <
/1Itl~/(~ u.b/f
70/30 FvwJdfJ&jd
6t1'1~~
;Vel.()
~e.Jt'.IM/ aJ.~~;~S
CO NST.
CO NT RACTO R:;'NAM Ej II /' ADDRESS / CONTRACTOR #
GENERA" ~k//eIl (~dlAl InkTM.1v ~~'i3:;2..
7"ZS ''I,). ~"TA IJVC Cll~' 't1'YPS-
TAX LOT-
~ A....0
STATF'
~F/I2hi,'tkJ,s
DEMOLISH
OTHER
. PHONE
EXPIRES
/~-//-9-3
.
d7%J/...if/A1 &k{(1'
l7t)flJ
. 10""97,
MECHANICAl.
FEE
NO
~.~
CHARGE
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 FanlSingle
duct
Vent System apart
from AC or htg.
I Mechanical exhaust"
hood and duct
~KP~-~.
PermIt Issuance
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS: -
LAND USF'
FLOOD PLAIN:
# OF UNITS'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER:
CONSTR. TYPF'
HEAT SOURCE:
$/SO. FT.
VALUE
X
X
X
"
TOTAL VALUE OF PROJECT ~V
RCPTN -;;>"'9/?
,- -
DATE -5-..25 ~ BY
r:::?' -= .,.
~ "
PLUMBING
DEMOLITION
5% State
Surcharge
FENCE
VALUE $
SIDEWALK
I
'1
FT.I
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
'FT.
CURBCUT
TOTAL PERMIT FEES I'
EXCLUDING ELECTRICAl
PHONE
~-~~
}.,'f.~-7~7
I
~HARGI
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$10.00 I
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It Is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, cap
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 ma98 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 setu~ of forms.
.
REQUIRED INSPECTIONS
.
. .
y
ROUGH PWP...:.".':', .
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
PAVING: After gravel Is In
place but prior to placi ng
asphalt or concrete.
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.
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.
UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: TO-be made
before any work is covered.
.,
ATTIC DRAFT STOPS &
CURTAIN WALLS
,)
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 inslab building
service equipment, conduit,
piping, accessories and other
ancillary equi pment items are
I n pI ace 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. .
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING: I
During all bolt installation and
tightening operations. (306
a.6)
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.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
y
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 I
beams are placed. (2501 U.BC.
STDS. 25-10.11). I
STRUCTURAL MASONRY: (306
a.7) I
I
I
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to In"stallation of
decking or floor sheathing.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made atter all
excavating complete and form
work and sub-base material in
place.
MASONRY: Steel location.
bond beams grouting or
verticals in accordance with
UBC 2415.
*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
------------------------------------------------------T
FINAL PLUMBING 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.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are"
erected but prior to placing
concrete.
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FINAL ELECTRICAL
J( 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. . I
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PLANS REVIEWED BY // ~ ~ --. DATE 7~Y~~
l-/:?,-""'" ~~ /' -I
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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 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 w.th ORS 701.055 will be used on this project. I
I further agree to e re at I required inspections are requested at the proper time, that ~roject address Is readable from t~e
street, that thep mlt c d located at the front of the property, and the approved set of plans will remain on the site at all
::::t:~~lng con tru n. i~~he/t ~f3?A/ rlw! l?'c Dato 3-dS--1~
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FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
VALIDATION:
AMOUNT RECEIVED:
RECEIPT ':
///. ~ /"
?-"J /'~
DATE PAID'
RECEIVED BY:
1
?-:23 :>...r I
~1I'!~~1.
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