HomeMy WebLinkAboutPermit Building 1995-4-21
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COMMERCIAL/INDUSTRIAL.
PERMIT APPLICATION
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JOB NUMBER 9?2::>S-~
225 Fifth Street, Springfield, Oregon 97477
3L(TL,
INSPECTION LINE: 726.3769
OFFICE: 726,3759
LOCATION OF PROPOSED WORK:
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TAX LOT: <t!J '2 '?Oc::>
ASSESSORS MAP' /7-~2:-7/-~/
OWNER:
k",prJ'\'"K.
PHONE: 7'14- </Ss2
ADDRESS: _ '( L/ n,'"'> VV\.<>t ,,^
CITY: {;fr,,^,,,,c."<.../J
DESCRIPTION OF WORK: Qp (,.,,,, 'I d
STAT~' /ho-
ZIP:
Cf7 '10(5
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F.......-?.......,
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( 77)r'C
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
0"
VALUE: S(e07)-
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
GENERAL: _IS /v.. p ~~
ADDRESS
C0A-\'. irvc..r,;J.-,
CONST,
CONTRACTOR'
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07~"
EXPIRES PHONE
~Cfo; l/t}'/-<fllo5
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PLUMBING:
MECHANICAl'
ELECTRICA' '
PLUMBING
MECHANICAL
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$10,00 I
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NO.
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r.~4R(.'n:
Mn el:l:
ft.
FurnaceJ 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 FanfSingle
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Single Fixture
Relacatad Bldg,
(naY/ fix, addtl)
Water Service
Sanitary Sewer
It.
Storm Sewer
ft.
Back flow Device
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
QUAD AREA'
LAND USF'
. OF BLDG~'
. OF UNIT~'
ZONING'
OCCY GROUP'
CONSTR. TYPF'
LIGHTING POWER BUDGET:
. OF STORIES'
HEAT SOURC"'
WATER HEATER:
SQ, FT,
$/ SQ, FT,
VALUE
SQ, FTG MAIN
X
X
X
SO, FTG ACCES~
SQ, FTG OTHER
TOTAL VALUE OF PROJECT
PLAN CHECK FEi: RCPTN DAT"
/J/_/ ~..-..,
I BUILDING PERMIT 1 -f. ~. "'" I PLUMBING
~.._~
, ..-
5% State /-{I ~.'2;::s 5% State
Surcharg_e /. '''3 Y SurcharQe
MECHANICAL ' r I I FENCE
VALUF $
15% State I I SIDEWALj<-
Surcharae FT,
I PAVING I I CURB CUT FT,
BY
, DEMOLITION
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
~c:??
. REQUIRED 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 designated Job number, Job address, type of Inspection requested and when you wlll be ready
for inspection. Requests received before 7:00 a.m. will be made the same working day, requests made af~er 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 but prior to placing
asphalt or concrete.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, alt steel In place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framln'g 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 (he following work, A
copy of the special testing reports shall
be furnlshad to the Building Division,
ATTIC DRAFT STOPS &
CURTAIN WALLS
Ii
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
excass of 2500 P.S.!, (306 a,1)
/
CONCRETE SLAB: To be
made after all lnslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
In placa but before any
concrete is placed.
STRUCTURAL WELDS:
Performed on the Job, (2722 f)
UNDERFLOOR: Piumbing,
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 In place but
before any lath or gypsum
board Interior wall covering Is
applied,
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations, (306
a,6)
UNDERGROUND: Plumbing,
electrlcal, 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,
SPECIAL GRADING,
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 approvad
agency. furnlshad to the City's
Building Division before
beams are placed, (2501 U.BC,
STDS, 25.10,11),
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a,7)
MASONRY: Steel location.
bond beams grouting or
verticals in accordance with
USC 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, tha Building
Official may make or requira
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code,
-------------------------------------------------------
FINAL ELECTRICAL
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.
FINAL PLUMBING
PC'
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 untll a
Certificate of Occupancy has been Issued by the Building Division
and posted on the premises.
FINAL MECHANICAL
,
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
DAT~
r.'",,_
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 tha 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 pr~perty. and the approved set of plans will remain. on the site at all"
times during construction.
Signature g...- . ?--
~
,
Date
yh//15
7" ::;;"/-~S-
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"4'
VALIDATION:
AMOUNT RECEIVED: L/ff t:) /
RECEIPT N' I/<P"s-,'::i
DATE PAID'
RECEIVED BY'