HomeMy WebLinkAboutPermit Building 1993-1-19
I COMMERCIALIINDUSTRIAL.
PERMIT APPLICATION
225 51rO Sngfi , ore~0~974 7 ~
LOCATION OF PROPOSE WORK: ~ ~
ASSESSORS MAP' ./ 7/J 5 ~
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JOB NUMBER
'7'2../(;/ "7
INSPECTION LINE: 726.3769
OFFICE: 726.3759
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OWNER: 6'r-,"1lJe{7 It Wf)(! ?;AJ2e ru/hl&r~S<P.,?'?..- PHONE: 'l7Y7- ~"t )> '"5
ADDRESSL3~:l.. '8 q, C?<l k. ~ '1d '\ i=ljO C) Qffi <l.,.ll...i ~T rC!I5AJ'::;Z:~.Ji)
CITy:S?PI4l7~Q r S-dTF' !0?~ ZIP: q ?f:#R
DESCRIP'I'IONOFWORK' )JJdJrT:D~ lL(.xJl~ h/~/,J'1 /o{f,c.C'
NEW REMODEL V- ADDITION -----DEMOLISH OTHER VALUE: (::':'.000
C ~k~1 (+~l)a e.e 6 R oi)
//..,/,//
TAX LOT:
NAME
ARCHITECT:~"r:.<;, oJ eW:'b.I))~I\
PLUMBIN'"
ADDRESS
9Ur:f 4 V F___
l CONST.
ADDRESS /. CONTRACTOR' EXPIRES
4Y..o J..tfAt.. / c;;p /JJ/f/IALrn (blJsTc:Y JM:../J
6b.
,
PHONE
glf2- b~( I
CONTRACTOR'S NAME
GENERAL: fJ, u.~ IOAA
a}/,e:,
. ,-
MECHANICA" Ai //4
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~u~
PHONE
J
ELECTRICA' '
(1~..v 7 LAc r
PLUMBING
MECHANICAL
NO,
FEE
CHARGE
Nn
"""
I""ARG~
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$10,00 I
I
. Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service.
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
ft.
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationaryevap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duct
SanItary Sewer
" , n,
Storm Sewer
ft.
Backflow Device
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE ....,
HANDICAP ACCESS:
QUAD AREA'
LAND USF'
FLOOD PLAIN:
. OF STORIES'
..-;.A. z
/
.. OF UNITo,
CONSTR, TYPE: --XN/ 4P.?r
, ..
HEAT SOURCE: N-FC:;' ~LL
ZONING:
MZ/~
. OF BLDGS:
OCCY GROUP:
LIGHTING POWER BUDGET:
WATER HEATER'
sa, FTG MAIN
sa, FTG ACCESS
sa, FTG ,OTHER
sa, FT,
'7.q~
X
X
$/sa, FT,
74L-, 7~
/, VALUE
.J ~~? (CIJ.-.?~rJ
x
TOTAL VALUE OF PROJECT
PLAN CHECK F~ /..4'0' RCPT' _ /-.,t8,/.. ')
. ' - .
I BUILDING PERMIT I 9.8. St::> PLUMBING
15% Slate I t/. 903 5% State
Surcharge SurcharQe
1 MECHANICAL I I FENCE
VALUE $
15% State I SIDEWALK
Surcharae . FT,
I PAVING I CURBCUT
FT,
DATE-L/-2-1-52 BY
A'J/~
I DEMOLITION
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I~"? t{3 I
1'f,t oJ.. ~
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
/&~. 'Ty
.
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, cali
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 forrl)s.
x
~""H PLUMBING,
LECTRIC~&
I'viECHANICAL: No work Is to
be covered until these
inspections have been made
and approved,
PAVING: After gravel Is In
place but prior to placing
as phal t or concrete.
,',
UNDERSLAB PLUMBING,
, ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owner! Contractor dur'lng
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
/
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel 'In :place, but
prior to placl ng concrete.
--
, FIREPLACE: Prior to placing
facing materials 'and before
framlr:g Inspection.
,/
FRAMING: To be made after
the' roof, all framing, fire
blocking a~d 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,l)
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)
It'
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, .
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations, (306
a,6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
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.
SPRAYED ON
FIREPROOFING: U,B.c,
Standards 4;3-8.
. ~ . ,-,
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SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,ll &
Chapter 29)
11'
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,C,
STDS, 25.10,11),
y
POST & BEAM: To be made
prior to Installation o( floor
Insulation, decking or floor
sheathing,
STRUCTURAL MASONRY: (306
a,7)
y
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing,
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 specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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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.
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FINAL ELECTRICAL
Y FINAL BUILDING: Requested after the final plumbing, electrical,
FINAL MECHANICAL mechanical and Fire Department Inspections are made and
approved. No occupancy of the premises can be made until a
Y Certificate of Occupancy has been Issued by the Building Division
FINAL FIRE DEP~RTMENT and posted on the premises,
ADDITIONALCOMMENTS{.#.o P~I?7/r h>'-:'AA;>"/~ ~~ <;/~J..P
fr~EiF~tr~ ~/-F~ /~-~~ 'b>~ :-~/~~
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PLANS REVIEWEDBY /'7 ~ ~~-~ DAT" /:2-//-'92.....
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By slgnatL)e, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information
herein Is irJe ~nd correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances
of the City c,f Springfield, and the Laws of the State of Or pertaining to the work described herein, and that NO OCCUPANCY
m111 be.made of any stru re without permission of the IIdl g Safety Division. I further certify that only contractors and employees
~who/are In complla e ith OAS 701.055 w' e u d on his project.
,
,
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I further agree to
street, that the
time4ur g c
Slgnatur. 7
_\ -
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VAliDATION:
I
'--AMOUNT RECEIVED: -LK( ) .'i'T
RECEIPT .' f}/:)R \
tl ns ar requested at the proper time, that project address Is readable from the
t of e property, and the approved set of plans will remal on the site at all
fih_2;~
l-A-~
m7'
DATE PAID
RECEIVED