HomeMy WebLinkAboutPermit Building 1991-3-22
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COMMERCIAL/lNDUSTRIAL
PERMIT APPLICATION
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225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: 1Bf::.~
ASSESSORS MAP' /7 n 'L, 2. <0
OWNER: ~~ Lc'74' l)~?--..J
ADDRESS'
CITY'
STAT~'
DESCRIPTION OF WORK:
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NEW
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ADDITION
DEMOLISH
NAME
ADDRESS
ARCHITECT'
CONTRACTOR'S NAME
GENERAL:_~~
PLUMBIN'"
MECHANICAL: 'f2.6p~4,.IC).5.: Ire? ...u....1A-'--
ELECTRICA' . ~'f~!l'.P~ ?-:~7.f:.A'<--
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JOB NUMBER q / {;) f2,<S1
INSPECTION LINE: 726.3769
OFFICE: 726.3759
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TAX LOT:
PHONF'
ZIP'
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OTHER
VALUE:
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'P~(/. 5~r
7)O~e.. -;:PiA f;> ,,40-
..2..-'5
PHONE
CONST.
ADDRESS CONTRACTOR'
EXPIRES
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PLUMBING
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NO,
FEE
CHARGE
Single FIxture
Relocated Bldg.
(new fix. addtl)
Water Service
It.
Sanitary Sewer
ft.
Storm Sewer
It.
Backflow Device
'X)-ISS<'"
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MECHANICAL
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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
Stationaryevap.
cooler
Vent Fan/Single
duct
Vent System apart
Irom AC or htg.
Mechanical exhaust
hood and duct
m/AJ
TOTAL PERMIT
TOTAL PERMIT
Permit Issuance
- OFFICE USE -
aUAO AREf',~
LAND USF'
. OF BLDGS'
. OF UNITS'
OCCY GROUP'
CONSTR. TYP~'
. OF STORIES:
HEAT SOURC~'
sa, FT.
$/sa. FT.
sa. FTG MAIN
x
x
sa. FTG ACCESS
sa. FTG OTH ER
x
PLAN CHECK FE.E
4-~:~ ]
74. $'"0
3.71
2. S.ot)
/. ').o!"
FT.
RCPP
OATF
I BUILDING PERMIT
15% State
Surcharae
1 MECHANICAL
15% Stat,e
SurcharQe
1 PAVING
PLUMBING
5% State
Surcharae
FENCE
VALUE $.
SIDEWALK
CURBCUT
FT.
HANOICAP ACCESS:
FLOOD PLAIN:
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
TOTAL VALUE OF PROJECT
BY
OEMOLlTlON
~~.1 eJ::...
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
/52.,7'1
PHONE
L,<?'7-';f?'f1
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'S4?'-7297
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_CHARG~
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/540 1
$10.00 I
zS:PU I
9tJb0!2
4-~, -13
N/A
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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
Ihe following work day,
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
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ROUGH PLUMBING,
ELE9TRICAL &
(1\IIECHANICAL~No work is 10
1ie'Cn\.......;...;. ...."ril these
inspections have been made
and approved.
PAVING: Afler 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 steel In place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
SPECIAL INSPECTIONS: in accordance
Seclion 306 of the Stale Specialty Code
a special inspector shall be employed
by the Ownerl Contractor during
construction of the following work. A
copy of Ihe special tesling reports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
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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,I. (306 a.1)
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.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERGROUND: 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 afler 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 boll installalion and
lightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U,B,C.
Standards 43-8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor Insulation, decking or
floor shealhlng.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earlhwork. (306 a.11 &
Chapler 29)
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LATH ANO/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 .Dlvlsion before
beams are placed, (2501 u.Be.
STDS. 25.10,11).
POST & BEAM: To be made
prior to installation of floor
Insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street righl of
way, to be made after all
excavating complete and form
work and sub-base material in
place.
MASONRY: Sleel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior 10 Inslalllng
any roof coverl ng.
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
construction work to ensure
co'mpllance with the Building,
City or Development Code.
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FINAL PLUMBING
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SITE PLAN REVIEW BOARO: Must be requesled 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
Certificate of Occupancy has been Issued by the Building Division
and posted on the premises.
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY 1 ~"/ /,4-. ,-_,/-;d:
DAT~
3'-<~'?>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 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 -7,,_ J ~
v-.
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Dalp 3/:;:aN/
VALIDATION:
AMOUNT RECEIVED' ./.,:< . "71'
/~ 5'52
RECEIPT .'
DATE PAID: ":;'--::2?-9/
RECEIVED BY:, ~ ","" - ~
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