HomeMy WebLinkAboutPermit Building 1993-7-19
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COM M ERCIALIIN DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED W
ASSESSORS MAP: I '7
OWNE~' ' ~
ADDRES~ (;\ .
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DESCRIPTION OF WOR~{)O m n
NEW
REMODEL
ADDITION
DEMOLISH
NAME
ADDRESS
ARCHITECT:
. AQIlRES+.. _
....;;>6 :;SI>>-, ~~,- ~.~ ~
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CONTRAcr'lR'S NAME-L,
GENERAIM ~ I.f\\ I.
PLUMBING' (
MECHANICAI'\~~ ~
ELECTRICAl' ~~ lrlC+./
'-,
PltIMBING
I
10
I
I
I
1
I
1
I
I
NO.
I FEE I
r::HARGE
Single Fixture
Relocated Bldg.
(new fix. addW
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Baekllow Device
,.
TOTAL PERMIT
- OFFICE USE -
OUAD AREA:
LAND USE:
. OF BLDG~'
. OF UNIT~'
OCCY GROUP:
CONSTR. TYPE:
HEAT SOURCE:
. OF STORIES'
sa. FT.
slsa. FT.
sa. FTG MAIN
sa. FTG ACCES~
x
x
x
sa. FTG OTHER
PLAN CHECK FEE .:~ . t(4)~
RCPT' CA9 ~ DATE!)'
I BUILDING PERMIT
15% State
Surcharge
I MECHANI~-l'"
..7
15% Stale'
Surcharoe
I PAVING
PLUMBI NG
S--~SO
-:2.5.3
/&,_-.......
~.--=
- -:;;:;>
5% State
Surch:uQc
FENCE
VALUE S.
SIDEVIAL;{
I
FT. I
FT. ,
CURBCuT
.
q~\1 )1{)
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726.3759
r.J
-nlqrYJ
PHON'"
,
ZIP:
OTHER
VALUE:
..
PHONE
CONST.
CONTRACTOR' EXPIRES PHONE
,....,.,~. /~-$~ ~B~91
MEr::HANICAL
O"E-'_CHARGL-
Furnace/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 Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
,;f{./;:.:;:z? 2;r~r ~ .
"
~.-I
$10.00 I
I
Permit Issuance
TOTAL PERMIT
>iANDICAP ACCESS'
FLOOD PLAIN-
ZONINC'-
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
TOTAL VALUE OF PROJECT ~t:::)J ~
1 .
\C\ ({ 3 B'/ t/j u\() ./
DEMOLITION
I
I
1
7..R -A~ I
4-~
SUBTOTAL
PERM ITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
7B. ?8
.
REQUIRED INSPECTIONS .,
1
.
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 rcady
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.
y
ROUGH~OII"UI.
ELECTRICAL &
MECHANICAL: No work is to
be covered until those
inspections have been made
and approved.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all.,5tool in place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
SPECIAL INSPECTIONS: In accordance
Section 3D6 of the State Specialty Code
a special inspector shall be employed
by the Ownerl Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
ATTIC DRAr-T STOPS 0.
CUilTAIN WALLS
CONCRETE SLAB: To be
made aHerall lnslab building
service equ'lpment, conduit,
piping, accessories and other
ancillary equipment items are
In place but before any
concrete is placed.
FKAMING: 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 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on tho job. (2722 f)
UNDERGRO.UND: 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
insu"lation 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
tighlening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.G.
Slandard~ 43.8.
UNDERFLOOR: Plumbing,
electrlcat, :mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
SPECIAL GRADING,
EXCAVATION AND FILLING:
Durine 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 approved
agency, furnIshed to the City's
Building Division before
beams are placed. (2501 U.B.G.
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
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.
~In addition to the inspec-
tions specifled, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL PLUMBING
:,'
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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.
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
Certiflcate of Occupancy has been issued by the Building Division
and posted on the premises.
x
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
//. -....---....-
PLANS REVIEWED BY / ~~ .-r~,~_ DATE;:> -~~.".
/~~'-- ( ~ ~ -
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.
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 property, and the approved set of plans will remain on the site at all
times during construction.
Signature I.t!~ C7PdL,-(.
"""- /"
VALIDATION:
AMOUNT RECEIVED: p /. B,~
RECEIPT ': <9P__", 3'
Dated- 1 ~ 9~
e--?~;r
RECEIVED BY: 4--..
'/'
DATE PAID'