HomeMy WebLinkAboutPermit Building 1994-1-24
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
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225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER ?'7"~?~.
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK: ~
ASSESSORS MAP' 17 -I!:>.2-?J =>-~ "
A'4AAv' "":57.
'1" ".. ~/ "
TAX LOT: ;:"~~.~ ".~ 2/e:H::::>
OWNER: ~;!Al/e:::; A'~..Y.
ADOR'"'''' 1':Z-9~ ,~nEt'- ,4Yk .
CITY' ~~E~~...... , STATE: _./~- ZIP: ~r~v
OESCRIPTlON OF WORK:~~~h?~....-~~,I;'" h;'/A?~A..,,.;. .~ r-:VC"d' :
NEW ~ REMODEL AODITION DEMOLISH OTHER VA~crrffi'~/J"i$';?'~ ~.
.:Z~~~ ~~,. "..J
f PHONE j}k~'.
PHONE:
t:.~g-- '3-2 /S
NAME
ADORESS
ARCHITECT'
CaNST.
CONTRACTOR'S NAME ADDRESS .~~ CONTRACTOR' EXPIRES PHONE
GENERAL:W;f ~-'-~~~,:b:, ~">~~:u::,~,<"".o::>r 2.9.'.'- 95Y-~
PLUMBING:&':##"-! .~~~ ~~ _ !!iii::'~
MECHANICA" ~_
ELECTRICAL:~'$<.... _ - ,lC7 ____;/ '
~ll~
,,, ~
PLUMBING I I MECHANICALi:I' I
NO. FEE I CHARGE I I ...n ccc "HARGi
Single Fixture /I)..~ Bel---t I Furnace/burner & vent
~ < 100.000 BTUs
Relocated Bldg. I I Furnace/burner & vent I
(new Ilx. addU) > 100.000 BTUs
,Gt) Water Service I 205:- I Floor furnace and vent I
It.
Sanitary Sewer I <I~ .0> I Suspended wall or floor I
/~ It. mounted unit heater
Storm Sewer ~.J:'l. oe- I / Appliance Vent 3. -.. I
/3'';- It. separate
I /~."'o I Statlonaryevap.
I Backflow Device cooler
I I .2 Vent Fan/Single J h.-'f::>
duel
I I Vent System apart
from AC or hlg.
I I I Mechanical exhaust ~ -S e;o
hood and duct
I I
I I I. Permit Issuance $10.00
TOTAL PERMIT I 39~. pi> I I TOTAL PERMIT ,,41/ /Y. 7S'": -I
. OF STORIES:
- OFFICE USE -
LAND USF es'3f:(J
r . r
. OF UNITS: ..(#~;et- /Y//'~iJf'~..
CONSTR. TYPE: -?~
HEAT SOURCE: "::"'L.,; V&'C:
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING: f' f' ""
OUAD AREA: .'J..,0, \\1', /
S-
. OF BLDGS:
OCCY GROUP: ;t?~:::l _ R--;:J
, ,
/
LIGHTING POWER BUDGET:
WATER HEATER'
sa. FTG MAIN
,.., ~o. FT.
~~,~
$/SO. FT.
X /:;;?-~
VALUE
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
t ,;- f.I ,- --- '5'2.'5: ~
-;~.~~ /O~:67n
- r :t,~
TOTAL VALUE OF PROJECT ~ _7i.-
_ ,e;.~,r~.5 .
DATE j-<. ~"3 c.; BY ,~/~_~ .!" ...e"'~-: .
~, .
I OEMOLlTION I I
~:~~ /?X~~
.. I
16.~""~",",,, y~ -.,
SUBTOTAL ~
PERMITS ~,~~c7'P.~
SYSTEMS A ~ ,.f- ')
DEVELOPMENT "ff~-'J.S9'[.... - .
If- H-e,qo I~ fib
.#=;:;'7' ~.I~~_. 6<F I
"7#4'-/ -...E'"-
,. ~ ... --
-:;r~ .......
/~"';>--
, //:70
1?:ceo
sa. FTG ACCES" X =
sa. FTG OTHER ~~ t.~i';( -~2-. 677q~a
~,SH~CKW ~2~!QoR~1' 11l./C; ~
I BUILDING PERMIT I
15% Slate ~
Surcharge .
I MEC~ICAL I I
~A.M~
15% State it"
Surcharae _
I PAVING ' I
/~7a'5'"&>
~5 .;;>;1
. ~{./. L"2-
"/&:J' .-
~~..-
:~
~n. S"i:::J I CURBC~~
PLUMBING ~
5% State
SurcharQe 7"
FENCE _'" nIV_
VALUE$~"",",,'
SIDEWALK
-". FT.
FT.
:..
,.
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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, 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
prior to setup of forms.
.
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UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
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REQUIRED INSPECTIONS
)( ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered until these
inspections have been made
and approved.
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PAVING: After gravel is In
place but prior to placing
asphalt or concrete.
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FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
ATTIC DRAFT STOPS &
CURTAIN WALLS .
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.
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CONCRETE SLAB: To be
made after all Inslab building
service equi pment, 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
framlngpinspection.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
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UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or fHllng
trenches.
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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)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to Installation of flqor
Insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
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STRUCTURAL WELOS:
Performed on the job. (2722 f)
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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)
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
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SPRAYEO ON
FIREPROOFING: U.B.G.
Standards 43-8.
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FIRE & SEPARATION WALL:
Located and constructed
according to plans.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
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FINAL PLUMBING
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GLU-LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.C.
STOS. 25-10,11).
LATH AND/OR GYPSUM
BOARO: 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)
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FINAL ELECTRICAL
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.
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FINAL MECHANICAL
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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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
landscaping, parking lot striping, etc. must be completed before
requesting this inspection.
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FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department inspections are made and
approved. N'o occupancy of the premises can be made until a
Certificate of Occupancy has been Issued by the Building Division
and posted on the premises.
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~l\.Q..~ \ \q LoO PLANS REVIEWED BY /Z-+". - ...:.. ~.-.._--, DATF ""< -/ ;>~,s/
- /.,: I 'I!/ "/ - ~ '.
FINAL FIRE DEPARTMENT
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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 Clty 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 ill$: ectlons are requested at the proper time, that project address Is readable from the
street, that the permit card is ted the ont ~ :~_ ,........,...erty, and e approved set of plans will remain on the site at all
~:::t:~g em. / Date ~)o/ 9;/..
, f\-./.. "q\. ~
VALlDAT~N: UNT RECEIVED' .>> - /J l't. ~ ""'- DATE PAID: ~~~ .(.f-{
RECEIPT .. f 0 ';~~ "7_ -=- RECEIVED B~ f \lo