HomeMy WebLinkAboutPermit Building 1995-6-14
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COMMERCIAL/INDUSTRIAL-
PEBMIT APPLICATION
225 Fifth Street, Springfield. Oregon 97477
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WBNUMBER ~7/?
INSPECTION LINE: 726,3769
OFFICE: 726,3759
LOCATION OF PROPOSED WORK' /~?/ ~-A/ ~.
ASSESSORS MAP' /?p '31-2-:::>-2 y
OWNER'?~O-~"?:> _~~~ C c...:arA'~;:--
AODRESS' ?./"5""?' M~g---=/
.JIC"': ' I
CITY' /- -;;:...e;E~~ STAT~'
TAXLOT'~~~
PHONF'
b',,!? >----, Y"-=s-
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ZIP' 4?~~
DESCRIPTION OF WORK:
. N EW)( REMODEL
,
/~~,4~v.p~.e=-~ /~,;q _~, ~~_
,
ADDITION DEMOLISH OTHER VALUE: ~-.
NAME
ARCHITECT: 41~~~/h<
CONTRACTOR'S NAME
GENERAL'.~.N~
PLUMBING: ~~ p~-
MECHANICAl .r::;.~....~~......s:;;__
ELECTRICAL, /"'11,'5 P'ac.?:
AOORESS
CONST.
CO NT RACTO R .
ADDRESS
EXPIRES
l\-\~~
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~ A, .C\\ 0 lT9:,..~. D~l
lo ,/f).gs ?M .F-1\(') r
~. \.C\S lL\\.2t~LR
FLOOD PLAIN'
ZONING:.J...['f) \
LIGHTING POWER BUDGET: "
WATER HEATER'
PLUMBING
I I MFCHANICAl
I ~'2.
I. Furnace/burner & vent
< 100.000 BTUs
I I Furnace/burner & vent
> 100,000 BTUs
I I Floor furnace and vent
I I <{ Suspended wall or Iloor
mounted unit heater
I I Appliance Vent
separate
I I Z SlaUonary evap.
cooler
I I z. Vent FanlSingle
duct
I I Vent System apart
from AC or hlg.
I I Mechanical exhaust
hood and duCI
I I tf 6?,~ 'A'.7-?'~
I I Permit Issuance
I I TOTAL PERMIT
NO,
7 Single Fixture
Relocated Bldg.
(new fix. addUI
Water Service
fl.
Sanitary Sewer
fl.
Storm Sewer
It.
Backfiow Device
FEE
CHABGE
/?J
?t::?
, I
I
1
I
I TOTAL PERMIT
~
OUAD AREA:
. OF BLDGi"
OCCY GROUP:
. OF STORIEQ.
\It\')\l)
- OFFICE USE -
LAND USF' 3Q.C\Q
HANDICAP ACCESS:
· OF UNITS'
CONSTR. TYP~'
HEAT SOURCE:
Sa. FT.
.$/SO. FT.
VALUE
sa. FTG MAIN
X
sa. FTG ACCESS X
sa. FTG OTHER 7i::A'~~ ?~e~.-0;pa-.?'~
, ,
Y"'?6~
TOTAL VALUE OF ,PROJECT
PLAN CHECK FEE _/.2~,-9~
RCPT' /7o/7'!i'"
"5'-..,.. ~''72.- BY ~.,.~
-I'
DATE
I BUILDING PERMIT I
15% State
Surcharoe
I MECHANI~7r
15% State ~J:
Surcharae r"3
I PAVING .
PLUMBING
7&'.-
'Y- So:>
-:Z. /~
, DEMOLITION
-<'~~- ~
/~<~
::$<;; .-
::('-81::>
/. .::;;.;,
5% State
Surcharoe
I' FENCE
VALUE $
I SIDEWALK
I CURBCUT
~
.1"=1
FT.
SUBTOTAL.
, PERMITS
SYSTEMS .
DEVELOPMENT
FT.
"":'. ....
,,'. I
. ..-.
TOTAL PERMIT,FEES
EXCLUDING ELECTRICAl
C-/:>'? ~8
PHONE
PHONE
ccc
ruo.Qnt:
6.
/2.
(. 2.$1
& /2-
'3 ~
.~e> 2..
$10.00
56,00
- .
J
,?J?'/.72 J
... S, 01'''' tf3
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It Is the responsibility of the permit holder to see that alllnspectlona 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 setup of forms.
X UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
FOOTINGS & FOIJNOATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to piecing concrete.
JI' "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.
UNOERGROUND: 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.
POST & BEAM: To be made
prior to Installation of floor
insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
ROOF SHEATHING AND.
NAILING: Prior to Installing
any roof covering.
,1
REQUIRED INSPECTIONS.
y
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered until these
Inspections have been made
and approved.
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnlahed to the Building Oivislon.
,
ATTIC ORAFT STOPS &
CURTAIN WALLS
v
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
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.
HIGH STRENGTH BOLTING:
Ourlng all bolt Installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.Bc'
Standards 43.6.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the Job. (2722 f)
y
/
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
according to plans.
Y 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.Bc'
STOS. 25.10,11).
STRUCTURAL MASONRY: (306
a.7)
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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 specl fied, the Building
Official may make or require
other Inspections 01 any
construction work to 'ensure
compliance with the Building,
City or Development Code.
CURB ANO APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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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.
Y FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department Inspections are made and .
approvad. No occupancy of the premises can be made until a
Y Certificate of Occupancy has been Issued by the Building Oivislon
FINAL FIRE DEPARTMENT L and posted on the premises.
AODITIONAL COMMENTS' ~~ -;?~~ 9'r/9~ ~ ~~ ~V6 .'1..2':':<{
f ,Ii?//~I>C~0j ~~""<.. Ai,T 'ff,4fO "i
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FINAL ELECTRICAL
./
FINAL MECHANICAL
PLANS REVIEWED BY / ~~ ~/ "DATF 6'y.y~ 5- .
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 certlfy.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 Olvlsion. 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 durlnr;')t~on. '
.s~gna\tu~e~./O~ q~~ Oate k::,-/i..{-qt...,-
VALIDATION: AMOUNT RECEIVED: c,,/.i:))' , -;it. DATE PAlO: ~~~ r . .
. RECEIPT .. /771!>..,t". RECEIVED BY:. ~~~