HomeMy WebLinkAboutPermit Building 2000-1-4
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. COMMERCIALlIN&6STRIAL SPRINGFIELD
PERMIT APPLICATION
JI
225 Fifth Street, Springfield, Oregon 97477
JOB NUMBER 1~ -t5JC)2.5" '7 -a/
INSPECTION LINE: 726-3769
OFFICE: 726-3759
PHON E:
~/?~~~ .
NEW
x
REMODEL
ADDITION
DEMOLISH
OTHER
STATE:
o~
DESCRIPTION OF WORK:
NAME
ADDRESS
PHONE
ARCHITECT:
/?A
/
CO NST.
CONTRACTOR #
EXPIRES
PHONE
CONTRACTOR'S NAME ADDRESS
GENERAL: l ~L'C/J
PLUMBING: ~?C//r// /<'?~k~/>>d
/'
MECHANICAL:
ELECTRICAL: .
FEE
I
CHARGE I
I
I
I
I
I
I
I
I
I
I
$10.00 I
I
I PLUMBING
I NO. FEE CHARGE
I . Single Fixture
I Relo.cated Bldg.
(new fix. addtl)
I Water Service
ft.
I Sanitary Sewer
ft.
I Storm Sewer
ft.
I Backflow Device
I
-Hn
MECHANICAL
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
Stationary evap.
c.ooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
QUAD AREA:
- OFFICE USE -
LAN D USE:
# OF STORIES'
HEAT SOURCE:
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING: -
LIGHTING POWER BUDGET:
WATER HEATER'
# OF BLDGS'
# OF UNITS'
OCCY GROUP:
CONSTR. TYPE:
SQ. FT.
$/SQ. FT.
VALUE
SQ. FTG MAIN
SQ. FTG ACCES~
SQ. FTG OTHER
X
x
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEE
RCPT#-
DATF=
BY
7 % State :'-;-
Surcharge
I PAVING-~ ':::
~.~;; '~~I ~~
/ %, State
::;u rcharge
FENCE
VALUE $
SIDEWALK
I F tit) ISflA'~EMOLlTION
Ilort/~r
, BUILDING PERMIT
-''J % State
Surcharge
MECHANICAL
, PLUMBING
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
CURBCUT
FT,
.. ~ -~"I
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(.~~ "-~ ...":.!~ c:- ;~:i
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- I .t....l r:"~~ .:-;
: : :..~ .-1 .--';:: ~'.. -. t1.
,'-'. . ...,,'-"".
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
/b,<;)O
" ..... .....
.' I. ~~l ~:- '..,i
.~.
_11
" ,
,
'.
REQUIRED IN$PECTIONS
It is the responsibility of the permit holder to see that all Inspections are made at the proper time. To req~est ah,jhspe.ction, call
726-3769 (recorder), state your City designated job number, jOb (iddress; 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
pri or to setu p 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,'
PAVINCil: ,After gravel Is In
place but' prior to placing
asphalt or concrete.
FOOTINGS & FOUNDAl'IONS:
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
. Section 306 of the State Specialty Code
a special inspector shall be employed,
by the Owner/ Contra~tor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
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.
FRAMING: To be made after
the roof, fi!1 framing, tire
blocking cmd braCing are in
place an9 all pipes, chimneys
and:"ents are complete and
the rough e!ectricaJ, plumbing
and mechanical are approved.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and,
drainage lines, To be made
pri or to coveri ng or fi II i ng
trenches.
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and required vapor
barriers are I n place but
before. any lath or gypsum
board interior wall covering is
applied.' .
HIGH STRENGTH BOLTING:
During all bolt Installati.on and
tightening operations. (306
a,6)
SPRAYED ON
FIREPROOFIN.G: U.B,C,
Standards 43-8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
aqcbrding to plans.
. .
SPrECIAL GRADING,
EXCAVATION AND FILLING:
Du ri ng earthwork. (306 a.11 &
Chapter 29)
POST & BEAM: 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 arid exterior, i:;; in
pl?ce. but before any'
plastering Is applied or before
. gypsum boarqjoints and
fasteners are .tapedand
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).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a.7)
MASONRY: Steel location,
bond beams grouting .or
verticals in accordance with
UBC 2415,
SIDEWALK & DRIVEWAY:
Requi red for all concrete
pi:lVing withinstreetright of
WfiY, to be'made after all
excavating .complete and form
work 'and sl.{b-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.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
qoncrete, .
-------------------------------------------------------
. .
FINAL PLUMBING
SITE PLAN REViEW BOARD: Must be requested 2 dCiYs in advance
of the date you wish inspection. All project conditions such as
landsqaping,. 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 Oc.cupancy has been issued by the Building DivisIon
and posted C?n the premises. .
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
DATF
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th!lt all Information
herein is true and correct, and I further certify that any a.nd all wc;>rk performed shall be done in accordance with the Ordinances
of the City of Springfield, and the Laws of the State of Oregon p~rti,lining to the work described herein, and that NO OCCUPANCY
will be made of any structure without permission oJtheBu'i1ding Safety Division. I further certify that only contractors.and employees
who are in compliance with ORS 701.055 ~;illbe'O~ed' th~Oje6t.'
I further agree to ensure that all required insp'ecti.oms~ :;~~s{~~~t the proper time, that project address Is readable from the
street, that the permit card is lo~cated at the- tr.on?'of ~'~~e.{y, and the approved set of plans will remain on the site at all
times during constru.s;tion. .j{;/. //-. ~~:I>
, -'-- ~ "" ~ . :;3
. ~~~-- ,=- ' Date ~~ ~~
Signature ~ -- /--- . or /_ r::i '~.: #
:D ;~:I> 0
c.o ~Z:~
~ I
. ~-H,,) Y.l- ~ 0
I'T1 :J:: L..J 0
--t' -
-;,; Z 0--. t,.,) 0
.-.. I"'"':"'":t '(" ..-.,... ,
o fr1 (JJ 0 c.;J
L..J.. 001",,)
VALIDATION:
AMOUNT RECEIVED:
/~;dI
7K"L
DATE PAID:
-._,-""" '.
.~) '., RECEIPT #:
RECEIVED BY:
".
~
Job: 99-00259-01
Address: 850 Beltline Rd
Owner: Sycan B Corp
Received: 1/4/2000
Unit: BLOG:
FLR:
FEE SUMMARY
Type
Building
Subtotal
Administrative Fee
Surcharge
Total
Mechanical
Subtotal
Administrative Fee
Surcharge
Total
Plan Check
Subtotal
Total
Plumbing
Subtotal
Administrative Fee
Surcharge
Total
Grand Total
Amount Due
Amount Paid
0.00 146.50
0.00 4.40
0.00 10.26
0.00 161.16
0.00 25.00
0.00 0.45
0.00 1.05
0.00 26.50
0.00 95.23
0.00 95.23
15.00
0.45
1.05
~
/ 16.50 )
~/J
,-I)-"Ii@
0.00
0.00
0.00
0.00
282.89