The URL can be used to link to this page

Home My WebLink AboutPermit Building 1994-10-17 ~-'- COM M ERCIAL/I N DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 .. LOCATION OF PROPOSEO WORK' /q, 5'/ ASSESSORS MAP: t";' ~.., -":< ::> .~ (~ ,'- . .~. Lb..",y . JOB NUMBER 9y'/S~ y INSPECTION LINE: 726,3769 OFFICE: 726,3759 ~7 TAX LOT:-LJf?~ OWNER: ?A~~ "oZ'~/9A"'~..r....-- AOORESS: '~"3 /:2-;; CL';Y~.li}t9c? ~ CITY: ~~_...,c:::o-c-C<' ' STAT'" C'7~ ~ ~I'. /-Ir,-; PHONE' ~~ ......_ - _ ZIP: ~?~~ 'NEW REMODEL 6'~A'~__ AOOITION ;;f' ~~ {, ~ ~.2>~..k 'OEMOLlSH / ' - ~T~E~ .?~&:" ~ .-79 < DESCRIPTION OF WORK: VALUE: NAME AOORESS PHONE ARCHITECT' CONTRACTOR'S NAME ADDRESS GENERAL:~ ~~~ ~~#VttEZ PLUMBIN(" CONST. CONTRACTOR' EXPIRES PHON'E MECHANICA' . ELECTRICA' . PlIJMBING MEr.~ANIr.Al NO, FEE C~ARGE Nn eee "I:IABGE-I Single Fixture Relocated Bldg. (new IIx. addlll Water Service Furnace/burner & vent < 100.000 BTUs Furnace/burner & vent > 100.000 BTUs I I I I I TOTAL PERMIT Floor furnace and vent Suspended wall or floor mounted unit healer Appliance Vent separate Stationary evap. cooler Vent Fan/Single ducl Vent System apart lrom AC or htg. Mechanical exhaust hood and duel It. Sanitary Sewer It. I I I , I I I I I TOTAL PERMIT Storm Sewer It. Back flow Device Permit Issuance $10.00 - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN' OUAD AREA' . OF BLDGS: LAND USF' . OF UNIT~' ZONING, OCCY GROUP' . OF STORIES, CONSTR. Type. HEAT SOURCe. LIGHTING POWER BUDGET, WATER HEATER: SO. FT. $/SO. FT. VALUE SO. FTG MAIN SO. FTG ACCESS SO. FTG OTHER X X X TOTAL VALUE OF .PROJECT PLAN CHECK FEE_~'.....,s RCPT' OAT" BY I BUILDING PERMIT 15% State Surcharg.e I MECHANICAL 15% State Surcharoe I PAVING , PLUMBING DEMOLITION 5% State SurcharQe FENCE VALUE $ SIDEWALK FT. G::~_~' ?7C-{.. SI.JBTOTAL PERMITS SYSTEMS . DEVELOPMENT ~:2 ~ -0 CURBCUT FT. TOTAL PERMIT FEES I EXCLUDING ELECTRICA' -:? f.G. 8>. - . R~aUIRED INSPECTIONS · , It Is the responsibility of the permit holder to see that alllnspactlons 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 tha following work day. SITE INSPECTION: To be made after excavation, but prior to setup 01 forms. UNDERSLAB PLUMBING, , ELECTRICAL & MECHANICAL: To be made before any work Is covered. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these Inspections have befi!n made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS FOOTINGS & FOI1NDATIONS: 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 belore 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 afe approved. 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. 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. UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. UNDERFLOOR: Plumbing, etectrlcal, mechanical. 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 la applied or before gypsum board Joints and fasteners are taped and finished. 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. SIDEWALK'& DRIVEWAY: Required for all concrete paving within street right ot way, to be made alter all excavating complete and form work and sub,base material In place. MASONRY: Steel location, bond beams grouting or verticals In accordance with UBC 2415. ROOF SHEATHING AND NAILING: Prior to Installing any roof coverl ng. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. 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 01 the special testing reports shall be furnished to the Building Division. STRUCTURAL CONCRETE: In excess of 2500 P.S.I. (306 a.1) STRUCTURAL WELOS: Performed on the job. (2722 f) HIGH STRENGTH BOLTING: During all bolt Installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.Bc' Standards 43,8. SPECIAL GRADING, " EXCAVATION ANO FILLING: Ourlng earthwork. (306 a.11 & Chapter 29) .v GLU.LAM BEAMS: Inspection Certificate by an approved 'agency, furnished to the Clty's Building Division betore beams are placed. (2501 U.B.C. STDS. 25,10.11). STRUCTURAL MASONRY: (306 a.7) ~--~.g.i!> _""'/C L hv' ~-C-'-c" ~r> h" '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. 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. FINAL BUILDING: Requested aller the final plumbing, electrical, mechanical and Fire Department inspections are made and . approved. No occupancy of the premises can be made until a Certilicate of Occupancy has been issued by the Building Olvlslon and posted on the premises. FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT AOOITIONAL COMMENTS' PLANS REVIEWED BY OAT" 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 Stale 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. Ilurther certily 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 prolect address Is readable from the street, that the permit card Is located at the Iront of the property, and the approved set of plans will remain on the site at all times during cons cUon " . Signature VALIOATlON: _~~L._ ~f~/ AMOUNT RECEIVED: _?~~ RECEIPT N: _/S'/~ ""2 Da;e _If;) - ) 7-q-~_ I DATE PAID: /~/":), ~.,.... . RECEIVED BY' <:::?".c---':"- ~/