HomeMy WebLinkAboutPermit Building 1996-8-14
,OB NUMBER 9(0/;; 7
,
INSPECTION LINE, 726.3769
OFFICE, 726.3759
COMMERCIAL/INDUSTRI.
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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LOCATION OF PROPOSED WORK: 7_2..:1';9
ASSESSORS MAP, 111)'b2.64-1
OWNER, ~r P/~J~& 5T 2h, /9.~? C
ADDRESS, '? -., ~ 5' CJ~h7_/~
~~} 1'; STATE'_~
-" 1/ -
TA:< LOT,
014-01..1
PHONE" 7.~7-~J~.s-
CITY'
- ZIP: 5'?~77
DESCRIPTION OF WORK, ./?:~~:;;;F a_~A 30._ .~A:.. ff'?~ u.)/ :1 ..qt~ / ~ .~_ .-+.1'"
~i'~7J:::;" ~Uc....7-u"P~r" .
NEW REMODEL ADDITION DEMOLISH OTHER VALUE, 2~J!>=? :>,0
NAME
ADDRESS
ARCHITECT,
PHONE
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR' EXPIRES
GENERAL, ~0 A.lbr ~""'d.M. 4' ?~)')~ .,fb/i1.Ao'lOc/ 1C)~S'S5'
. - . /"'.1'1" . ~~e . '77fCc-J
PLUMBING' /C::P<
MECHANICAL,
ELECTRICAL,
PHONE
/-8 ?-~'?j
NO.
PLUMBING
!
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I "EE
NO
F'FF
I
'--CHi
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$10,00 I
I
HANDICAP ACCESS,
FLOOD PLAIN:
ZONING,
MECHANICAL
I
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I
r.HARrJF
SIngle Fixture
Relocated Bldg,
(new IIx, addUI
Water Service
Furnacel burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
II.
Floor furnace and 'Ienl
Suspended wall or floor
mounted unit heatE'f
Appliance Vent
separate
Stationary evap.
cooler
Vent Fanl Single
dUCI
Vent System apart
from AC or hlg.
MeChanical exhaust
hood and duct
Sanitary Sewer
II.
Storm Sewer
It.
Backflow Device .~
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TOTAL PERMIT
Permit Issuance
I TOTAL PERMIT
OUAD AREA:
. OF BLDGS,
OCCY GROUP,
. OF STORIES'
- OFFICE USE _
LAND USf'
, OF UNITS:
CONSTR. TYPE'
HEAT SOURCE,_
WATER HEATER,_
LIGHTING POWER BUDGET:
, .
SO, FT.
..... ", .
$/SO. FT.
VAWE
sa, FTG MAIN
sa. FTG ACCESS
sa, FTG OTHER
X
X
X
',.
I PLAN CHECK FEE
I
TOTAL VALUE OF PROJEC:C
RCPT' _
DAT"
. ,BY
I BUILDING PERMIT I
/5% State /9;\ 'j/ (;,
Surcha~ae "'T"
I MECHANICAL
15% State
SurcharQe
I PAVING
33..1>00
~.6li
IPLUMBING
5% Slate
, Surcharge
FENCE
V4Ll1€ $
SI[JEWALK--
CURBCUT
DEMOLITION
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
" .
.
FT.
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
I
I
I
+
-1/. S'7
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 setu p of forms,
-REQUIRED INSPECTIONS ·
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 9r;>vel 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 materJ~ls and before
framing InspectIon.
,
SPECIAL INSPECTIONS:' In accordance
Section 306 of the State' Specially Code
;3. 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 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.1. (306 a.l)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
UNDERGROUND: Plumbing,
electrIcal, gasi sanitary sewer,
storm sewer, water and
draInage lines. To be made
prIor to covering or fillIng
trenches.
- IN.SULATION &,VAPOR -.
BARRIER:' To be made after all
In'sulatlon "and required vapor
barrIers are In place but
before any lath or gypsum
board InterIor wall coverIng Is
applied,
HIGH STRENGTH BOLTING,
During all boll Installation and
tightening operations, (306
p,6) .
SPRAYED ON
FIREPROOFING, U.B,C,
Standards 43.B.
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)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
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 belore
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,B,C,
STDS, 25.10,11).
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing,
STRUCTURAL MASONRY: (306
a,7) .
MASONRY: Steel location,
bond beams grouting or
vertIcals In accordance wI th
UBC 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.
Y'
or'
_.,RFJ(7/W ;=
,
-------------------------------------------------------
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
constructlon work to ensure
compliance wIth the Bulldlng,
City or Development Code.
FINAL MECHANICAL
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 slrlping, etc. must be completed before
requestIng thIs Inspection.
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.
.~/./t:"T ./n~.,fl~N .A. r~r A /J'>t A
FINAL PLUMBING
FINAL ELECTRICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS' ~r ~~i~
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;=/A7~ ~t!::fI"~.AKJ"~ ..P.4-T/~ ,
/ U( n
PLANS REVIEWED BY
DAT~
By sIgnature, I state and agree, that I have carefully examined the completed applicatIon and do hereby certify thflt alllnformatlon
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 Slate of Oregon pertaining to the work described herein, and that NO OCCUPANCY
wIll be made of ~ny structure without permission of the BuildIng Safety DIvIsIon. I further certify lhal.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 tlme, that p'rojectaddress Is readable from the
street, that the permit card Is located at the front of the property, and the approved .sel of plans will remain on the site at all
times during construction, ,()
Signature K~ If IY~ Date /(- J 1/ - 7 c:;
DATE PAID, --E//.//lj{,.
RECEIVED BY' (<~
VALIDATION,
AMOUNT RECEIVED, ~/. 5"1'
'22..:f;G .3
RECEIPT .'