HomeMy WebLinkAboutPermit Building 1995-10-31
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
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JOB NUMBER
a; <;; 7/ 5'
INSPECTION LINE: 726.3769
OFFICE: 726.3759
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Sr+1d . 97<-/77
TAX LOT: c:?::;> S/~ /
225 Fifth Street, Springfield, Oregon 97477
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LOCATION OF PROPOSED WORK: II.J ~ r;:;, !PU1tLl
xJ:SSESSORS MAP' /? -.:::' ~ -:< '? -0 ~ .
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OWNER: ,<::;(",1 ij-
f1;Je. C/Ud'
Au,.,l... ~ylr""'" f
V
PHONF'
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ADDRE"'"
,CITY' ,c::,... 7"'-"" P
DESCRIPTION OF WORK: .TcvkrT
NEW REMODEL L ADDITION
STATE: e!'J r
ZIP: 97'/0')'
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OTHER
VALUE: g / c::'Q --
DEMOLISH
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
GENERAL: _Rer Ie hp /~ y
PLUMBINI"
CONST.
ADDRESS CONTRACTOR'
Ru " / d e,'; - 3 L/2 <R (11p /IL,'JIO /ld 7..2., "
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EXPIRES
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MECHANICAl'
ELECTRICAl'
PLUMBING
MECHANICAL
NO.
CHARGE
M{\ 1:'1:'1=
FEE
Single Fixture
Relocated Bldg.
Inew Ilx. addti)
Water Service
Furnace/burner & vent
< 100.000 BTUs
Furnacel burner & vent
>100.000 BTUs
It.
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
Stationaryevap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Sanitary Sewer
It.
It.
Storm Sewer
Backflow Device
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
OUAD AREA-
- OFFICE USE -
LAND USF'
HANDICAP ACCESS'
FLOOD PLAIN:
, OF BLDGS'
, OF UNITS'
ZONING'
LIGHTING POWER BUDGET:
OCCY GROUP'
8-~
CONSTR. TYPE:
-s-- / #??
. OF STORIE~'
HEAT SOURCo,
WATER HEATER'
SO. FT.
$/SO. FT.
VALUE
SO. FTG MAIN
X
SO. FTG ACCESS X
SO FTG OTHER~~"""'=- /Y9'~i61'" ~~ ~
PHONE
7'1'7-, '5a:v
J
"~A8.G.j
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I
1
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$10.00 j
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TOTAL VALUE OF PROJECT
.8 ;::>~. -=--
PLAN CHECK F~_~~' ~
RCPT'
DATO
BY
I BUILDING PERMIT
15% State 1'.2
Surcharoe ;...~
1 MECHANICAL 1
15% State
Surcharoe
1 PAVING
I PLUMBING
15% Stale
Surcharoe
FENCE
VALUI' $
SIDEWALK
?S/. 5e:::>
~. -":7
-7 ."2'/
DEMOLITION
I SUBTOTAL
PERMITS
1 SYSTEMS
DEVELOPMENT
~Y?
FT.
I CURBCUT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
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REQUIRED INSPECTIONS
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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 .lnspection 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.
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 been made
and approved.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
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 Ihe State Specialty Code
a special Inspeclor shall be employed
by the Ownerl Contractor during
construction of the following work. A
copy of the special tesling reports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
)t
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 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)
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 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)
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,
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a,11 &
Chapler 29)
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LATH AND/OR GYPSUM
BOARD: To be made after all
iathing 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
CerIlflcate by an approved
agency. furnished to the City's
Building Division before
beams are placed. (2501 U.BC.
STDS. 25.10,11),
POST & BEAM: To be made
prior .to Installatlon 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 streel right of
way, to be made after all
excavating complete and form
work and sub.base material In
place.
MASONRY: Steel iocalion,
bond beams grouting or
vertlcals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior 10 Installing
any roof covering.
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
constructlon work to ensure
compliance with the Building,
City or Development Code.
-------------------------------------------------------
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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 101 striping, etc. musl be completed before
requesting this Inspection.
FINAL BUILDING: Requested after the final plumbing, eiectrlcal,
mechanical and F.lre 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 PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
II'
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
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PLANS REVIEWED BY ,fj;~P~ DATE /o-'"'3/.9~
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that allinformatlon
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 GRS 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
slreet. that the permit card Is localed at the front of the property, and the approved set of plans will remain on the site at all
~:::t:~~~a~~~ . Date /O~~d5
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VALIDATION:
AMOUNT RECEIVED: ~ ~
/ '9 Y6"3
RECEI PT ':
DATE PAID: /P-~/--;:7'5-
RECEIVED BY: _~~- - ~
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