HomeMy WebLinkAboutPermit Building 1995-3-28
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COMM ERCIALIIN DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
WOB NUMBER 9~.:::>'?J97
INSPECTION LINE: 726.3769
OFFICE: 726.3759
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LOCATION OF PROPOSED WORK' '"?):::?~
ASSESSORS MAP: /-;;>-P.< -~~
OWNER:LL>~ 77:<L/~Tr % a-""'T.#~A'.z>/""!..i"~J6J:='
ADDRESS:.~'?:> . <:;;",'~~_"'r L:"~;zf ~.'
CITY: E/~~.....v-€' STAT'" c:5,?:?
TAX LOT' ~./"3:? '"::>
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ZIP'
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OESCRIPTION OF WORK: h '~'. ....:; . 7i?:-~_r 2?~(:5;": - '7
- NEW REMODEL..."L.- ADDITION DEMOLISH OTHER
NAME
ARCHITECT'
CONTRACTOR'S NAME
GENERA'~.L.~.~ .U
PLUMBING'
ADDRESS
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VALUE:~ - - :
PHONE
CaNST.
ADDRESS J?I. CONTRACTOR · EXPIRES PHONE
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MECHANICA' .
ELECTRICAI'~V-- E~c~~
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PlIIMRING
NO. FFF
'J Single Fixture lIP
Relocated Bldg.
lnew fix. eddUl
Water Service
It.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
13~? Ph'~TY
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TOTAL PERMIT
OUAD AREA'
. OF BLDGS:
OCCY G~OUP: 7>--,1
. OF STORIES:
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"311J_ e>rP I
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Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor turnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Statlonary evap.
cooler
Vent Fan/Slngle
duct
Vent System apart
Irom AC or hlg.
Mechanical exhaust
hood and duct
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Permit Issuance
$10.00
/5: ,-t:I> ,
TOTAL PERMIT
LAND USF'
- OFFICE USE -
$/SQ. FT.
X
PLAN CHECK FU 4t./. 53
RCPT' /b ?h~
. OF UNITS:
CONSTR. TYPF' _~~.
HEAT SOURCE:
SO. FTG MAIN
SQ. FT.
sa. FTG ACCFcc 'b_
SO. FTG OTHER ;f!/7~/~ /~~-=--
I BUILDING PERMIT
15'10 State "ff"
Surchame .,. '7
I /'E811;'r~,.p
15% State
Surcharae /
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/-sR.5.o
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/'7. .,
/ot!? . --
PLUMBING~~r
5'10 State' ~:;-<
Surchame ,. '7
FENCE
VALUE $
SIDEWALK
CURBCUT
FT.
FT.
DAT~
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
TOTAL VALUE OF ,PROJECT
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~. -~ I DEMOLITION
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-:;>-'2.1.9> BY
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
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TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl .
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'27"-: 6 2.
It Is the responsibility of the permit holder to see that all Inspections are made at the proper time. To reQuesl 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 alter 7:00 a.m. will be made
Ihe 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.
FOOTINGS & F01JNDATlONS:
To be made alter trenches are
excavated and forms are
erecled, all sleelln place..but
prior 10 placing concrete.
. CONCRETE SLAB: To be
. made alter all Inslab building
service equipment, conduit,
piping, accessories and olher
ancillary eQul pment I terns are
In place but before any
concrete Is placed.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDER FLOOR: 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 floor
Insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Ins lallation of
decking or floor shealhlng.
MASONRY: Steel locallon,
bond beams grouting or
verticals In accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
REQUIRED INSPECTIONS
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ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is 10
be covered unlll Ihese
Inspections have been made
and approved.
PAVING: Alter gravel is In
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the Stale Specialty Code
a special Inspector shall be employed
by Ihe Ownerl Conlraclor during
conslructlon of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
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FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
FRAMING: To be made alter
the roof, all framl ng, fl re
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)
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.l)
STRUCTURAL WELDS:
Performed on the lob. (2722 f)
)(
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
ic~n~);I'A:r-~4o/'~7
LATH AND lOR GYPSUM
BOARD: To be made aner all
lathing and gypsum board,
Interior and exterior, Is In
place but before any
plastering la applied or before
gypsum board lolnts 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).
STRUCTURAL MASONRY: (306
a.7)
SPRAYED ON
FIREPROOFING: U.Be.
Slandards 43.8.
SPECIAL GRADING, "
EXCAVATION AND FILLING:
During earthwork. (306 a.ll &
Chapter 29)
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.
tlons apeclfled, the Building
Official may make or require
other Inspections of any
construction work to 'ensure
compliance with the Building,
City or Development Code.
CURB AND APPROACH
APRONS: After forms are
erected bul prior to placing
concrete.
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y FINAL PLUMBING
X FINAL ELECTRICAL
,X Y
FINAL MECHANICAL
Jf FINAL FIRE DEPARTMENT
AODITIONAL COMMENTS'
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish Inspection. All project condltlona such as
landscaping, parking lot striping, 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 Ihe premises.
PLANS REVIEWED BY / ;;: --..
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r+--?DATE' ?-::<8'~'
By slgnalure, I alate 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 th'e work described herein, and that NO OCCUPANCY
will be made of any atructure 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
slreet, Ihat the permit card Is located al the front of the property, and the approved set of plans will remain on the site at all
times during c~ns'jtlon.
Slgnatu.. 4(~ ~~~
Oattll
3/02 S;/ pj-
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RECEIPT N:
AMOUNT RECEIVED: ":2?5'c 6 <?
/6 7";:~
DATE PAID'
RECEIVED BY'
VALIDATION: