HomeMy WebLinkAboutPermit Building 1992-6-22
COMMERCIALlINDUSTRIA~
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
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OWNER' ,'1'0 /tJ rJ
ADORESS: 5 ~ lo N
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STATF' f) y-
DESCRIPTION OF WORK'
NEW V REMODEL
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1-"
Coole ,/2!.Y"7 .??~...../ A.Zi"r- F-~Y-
,
ADOITION
NAME
ARCHITECT'
CONTRACTOR'S NAME
GENERAl' ~A >'VI 'P
PLUMBING:
MECHANICAL'
ELECTRICA' .
PLUMBING
NO. FEE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
fl.
Sanitary Sewer
It.
It.
Storm Sewer
Backftow Device
TOTAL PERMIT
OUAO AREA:
. OF BLOGS:
OCCY GROUP:-7-/
. OF STORIES: I
SO. FT.
SO. FTG MAl N
SO. FTG ACCESS
~~
SO. FTG OTHER
/'- ---
PLAN CHECK F( -Z2~1E5 RCr).
- ------
,.
I BUILDING PERMIT
15% Stat,e
SurcharQe
I MECHANICAL
15% Slate
Surcharae
1 PAVI NG
.~p. 5~
-;;il-~
DEMOLISH
AODRESS
AODRESS
CHARGE
.
-- JOB NUMBER q:;?e:::>7~~
INSPECTION LINE: 726-3769
OFFICE: 726-3759
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TAX_LOT'
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PHONF 7'-1b /~ V /
o ~'99r ~ ~(.L.l4J. e;:
ZIP: q 7 C/rt
OTHER
VALUE:
PHONE
CONST.
CO NT RACTO R .
EXPIRES
PHONE
*
MECHANICAL
I
f'HARGj
I
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I
I
I
I
I
I
I
$10.00 I
I
Nn ~1:1:
Furnace/burner & vent
< 100.000 BTUs
Furnacel burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stat ionary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
TOTAL PERMIT
Permit Issuance
- OFFICE USE -
LAN 0 USE:
. OF UNITS'
CONSTR. TypF.
~A/
HEAT SOURCE:
$/ SQ. FT.
X
X /b./~
x
OATF
PLUMBING
5% State
SurcharQe
I FENCE
VALUE $_
SIOEWALK
FT.
CURBCUT
FT.
HANOI CAP ACCESS:
FLOOO PLAIN'
ZONIN'"
C,/
L1G HTlNG POWER BUOGET:
WATER HEATER'
VALUE
Q9.a.9.' .P9
TOTAL VALUE OF PROJErT
BY
, OEMOLlTlON
I
I
<Q::>~~ I
/~3. 5"~ I
/V-~ . I..
4v~__
~e
SUBTOTAL
PERM ITS
SYSTEMS
OEVELOPMENT
TOTAL PERMIT FEES r
EXCLUOING ELECTRICA' 1'----
I'
/3'6 ;?6
)Ilr~p-~
,
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 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.
UNDERSlAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before anx 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, 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 Owner! Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
ATTIC ORAFT 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.1. (306 a.1)
STRUCTURAL WE LOS:
Performed on the job. (2722 f)
UNOERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vapor
barriers are in place but
before any lath or gypsum
board interior waif covering is
applied. ~
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
UNOERFlOOR: 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 GRAOING,
EXCAVATION ANO FilLING:
During earthwork. (306 a.ll &
Chapter 29)
POST & BEAM: To be made
prior to installation of floor
Insulation, decking or floor
sheathing.
lATH ANO/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.
GLU.lAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.S.G.
STDS. .25-10,11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
mad €- prior_to _I ns tallati on - of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a.7)
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
SIOEWAlK & DRIVEWAY:
-Re-qu I red..for~al I-cone rete- ---
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 ANO 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 the date you wish inspection. All project conditions such as
landscaping, parking lot striping, etc. must be completed before
requesting this inspection.
FINAL ELECTRICAL
)(
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 MECHANICAL
FINAL FIRE DEPARTMENT
ADOITIONAl COMMENTS'
PLANS REVIEWED BY
.A
./7..- .~
//-
~-~
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DATE ~-/~-?.2
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 with ORS 701.055 will be used on this project.
are requested at the proper time, that project address is readable from the
roperty, and the approved set of plans will remain on the site at all
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AMOUNT RECEIV~: ~^-,..,. .
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VALIDATION:
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DATE PAIB:'~ ~ ~
RECEIVED BY6.~ ~ ~