HomeMy WebLinkAboutPermit Building 1991-7-26
COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
. JOB NUMBER
Q\fJffY7
\ ~SP~RONGFIELD
INSPECTION LINE 7263769
225 Fifth Street, Springfield, Oregon 97477 /5 ~ OFFICE 7263759
LOCATION OF PROPOSED WORK \~_))\{')(\QO r \ ,pV Q l Jl.\-- P If) .f\t
ASSESSORS MAP \\()~~lo :=r~ - - TAX\d,T (')C{4(--o
OWNEI1, ~~~ ~~ 0- ~C\C\J\C'~oJ) ~ 'JQ VU, PHONE
ADDR~ )
CITY '\ V) ~ \l (\ I'\) STATE TC\ }{ (\ I\
(\\IN\~)ULto )'~J\O .Sm~
ADD~'ON DEMOLISH OTHE~ VALUE
;
/
, ZIP
DESC~lrr'ON OF WORK
NEW ~ REMODEL
I
NAME
ADDRESS
PHONE
ARCHITECT
CONTRACT?R;S(\Nt..ME~ l\ ~~RESS
GENERAL ~\,. ~I{\. \\^ i \'N\\\ft\
PLUMBI~ O\'C'JM 1~ to) _ - -
MECHANICAL ~.me r~
ELECTRICAIf_ 0 ~_~Af'l~......~
I P-LUMBING
I NO
I ~C; SIngle Fixture
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I
I TOTAL PERMIT
CONST
Cffi~~
( OIl o( 04-
4.q~ 0 \C\:
\ 1\ A.CS '6-
EXPIRES
\OI6~q,1
ldf \
\ (ct?_
?)/cq
PHONE
t.i6....1, J&4 I
I}o
I
CHARGE I
5'l9 ~
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MECHANICAL
Nn
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r~.o.RnJ:"
Relocaled Bldg
(new fiX addtl)
Water Service
Furnace/burner & vent
<100.000 BTUs
Furnace/burner & vent
> 100,000 BTUs
~~
I
I
I
I 5op",
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap
cooler
Vent Fan/Single 1
duct
Vent System apart
from AC or htg
Mechanical exhaust
hood and duct
.>~
fl
Sanitary Sewer
ft
Storm Sewer
ft
BackfJow DeVice
Permit Issuance
$1000
TOTAL PERMIT
/21 U)
/'5.- I
~UAD AREA 'C'J\ 'Jlu
. OF BLDGS
OCCY GROUP
. OF STORIES
SO FT
SO FTG MAl N X
SO FTG ACCESS X
SO ~TG OTHER X
LAND USE
- OFFICE USE -
!!JC\(y)
HANDICAP ACCESS
. OF UNITS
ZONING
FLOOD PLAIN
(I (1
CONSTR TYPE
HEAT SOURCE
LIGHTING POWER BUDGET
WATER HEATER
S/SO FT
VALUE
PLAN CHECK m \\ '?1 'I R- RCPP tJO{O,~r)
TOTAL VALUE OF PROJECT ",I) 10 on()oc
, - I
DATE '1 ' \ lJ q I BY 13\ U..))J
I BUILDING PERMIT / 1C;:~ I PLUMBING
15% State . ~?r 15% State
SurcharQe Surcharge
I MECHANICAL 25~O FENCE
VALUE $
15% State /Z.~ SIDEWALK
Surcharqe FT
I PAVING I CURB CUT FT
50.10
2. 5'0
DEMOLITION
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
":2 C2 5'=
(1. eoSt+?2
, , I
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
9/1.2.'3
.
REQUIRED INSPECTIONS
It (5 the responsibility of the permit holder to see that alllnspectlons are made at the proper time To request an Inspection, call
7263769 (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
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL To be made
before any work IS covered
FOOTINGS & FOUNDATIONS
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete
CONCRETE SLAB To be
made after all Inslab bUilding
service equipment, conduit,
pi ping, accessories and other
ancillary equipment Items are
In place but before any
concrete IS placed
UNDERGROUND Plumbing,
electrrcal, gas, sanitary sewer,
storm sewer, water and
d ral nage I I nes To be made
prror to coverrng or filling
trenches
}t
UNDERFLOOR Plumbing,
electncal, mechanical To be
made prror 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 prror to installation of
decking or floor sheathing
MASONRY Sleel location,
bond beams grouting or
verticals In accordance wIth
UBC 2415
ROOF SHEATHING AND
NAILING Prror to installing
any roof covering
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL No work IS 10
be covered until these
Inspections have been made
and approved
PAVING After gravel IS In
place but prior to placing
asphalt or concrete
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 durrng
construction of the follOWing work A
copy of the speCial testing reports shall
be furnished to the BUIlding DIVISion
^
FIREPLACE Prior to placing
faCing matenals and before
framing Inspection
STRUCTURAL CONCRETE In
excess 01 2500 PS I (306 a 1)
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 electrrcal, plumbing
and mechanical are approved
STRUCTURAL WELDS
Performed on the Job (2722 f)
HIGH STRENGTH BOLTING
DUring all bolt Installation and
tightening operations (306
a6)
A
INSULATION & VAPOR
BARRIER To be made after all
Insulation and reqUIred vapor
barners are In place but
before any lath or gypsum
board Intenor wall coverrng IS
applied
SPECIAL GRADING,
EXCAVATION AND FILLING
DUling earlhwork (306 a 11 &
Chapter 29)
SPRAYED ON
FIREPROOFING
Standards 438
UBC
FIRE & SEPARATION WALL
Located and constructed
according to plans
>c LATH AND/OR GYPSUM
BOARD To be made after all
lathing and gypsum board,
Interior and exterror, 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
STDS 2510,11)
STRUCTURAL MASONRY (306
a 7)
SIDEWALK & DRIVEWAY
ReqUired for all concrete
paving Within street rrght of
way, to be made after all
excavating complete and form
work and sub base material In
place
.In addition to the Inspec
tlons speCIfied, the BUilding
OffICial may make or require
other Inspections of any
construction work to ensure
compliance with the BUilding,
City or Development Code
CURB AND APPROACH
APRONS After forms are
erected but prror to plaCing
concrete
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By sIgnature, I state and agree, that I have carefully examined the completed application and do hereby certIfy that a11 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 Sprrngfleld, and the Laws of the State of Oregon pertaining to the work descrrbed herein, and that NO OCCUPANCY
Will be made of any structure Without permISSion of the BUilding Safety DIVISion I further certify th~t only contractors and employees
who are In compliance With ORS 701055 Will be used on thiS project
I further agree to ensure that all reqUired Inspectlo.ns 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 pJans. Will remain on the site at all
tImes during construction
SlgnalUreV-~ ~I' -,~ ~ate =Z/Sj /'7/
,/
AMOUNT RECEIVED 9;J/J- 7~
RECEIPT' 2c7&?7Y
--\/ -.---------
;- FINAL PLUMBING
X FINAL ELECTRICAL
X
X
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS
VALIDATION
)(
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 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 Occupancy has been Issued by the BUilding DIVISion
and posted on the premises
PLANS REVIEWED BY
1~ n~Z, DAT" 7-:<C:-'7~
DATE PAID
7-::;::>/-~/
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RECEIVED BY