HomeMy WebLinkAboutPermit Building 1992-3-16
COMMERCIAL/INDUSTRIAL SP~'NGFIELD JOB NUMBER~M~
PERMIT APPLICATION INSPECTION LINE 7263769
225 Fifth Street, Spnngfleld, Oregon 97477 ....... ,., OFFICE 7263759
LOCATION OF PROPOSED WORK 11 f3;f:) 0 ~~ 1\ A'nSJ ( _
ASSESSORS MAP \, (}.:)~, s ~4-- TAX LOT )3G\Q)
OWNER to\Q.,'(~ . ~ \ ') . 4 PHONE 4P:>'2)"'Til, I
ADDR~"" N'5( Y)c'\ {()J) ~C lYLOO t. i:/: (;) 14 _ _ .
CITY hJW 11 0 /, STATE (Qp- ZIP ~t4-() I
DESCRIPTION OF WORf\ )1 OJ )11 J.. A ~. 'J.... ~ 0 . \ )~ n Q ~
NEW REMODEL - \ADDITION - J;M~L1SH OTHER ~
NAME ADDRESS
ARCHITECT
,
CONTRACTn ,N!1jf (\ 0
GENERA' ~ (J. 0 V
CONST
~ ADcl'&1J (m t}JJiJLl~ f ~
I
PLUMBING
MECHANICAl
ELECTRICAL
PLUMBING
MECHANICAL
I
I
NO
'-In
FEE
CHARGE
Single FIxture
Relocated Bldg
(new fiX addtll
Water Service
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
It
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap
cooler
Vent Fan/Smgle
duct
Vent System apart
from AC or htg
Mechanical exhaust
hood and duct
Sanitary Sewer
It
Storm Sewer
It
Backflow DeVice
PermIt Issuance
TOTAL PERMIT
TOTAL PERMIT
aUAD AREA _~r It ') LO
-O~I~~
LAND USE -.:J..::)U )
HANDICAP ACCESS
VALUE'\. ~)fXI)([,;
PHONE
EXPIRES PHONE
(P37~~ LD 61-5. Cflt;r
I ? t:tj
I
"""
f"H,6Rnl=
$10 00
# OF BLDGS
ZONING
FLOOD PLAIN, - -
(O{I~
# OF UNITS
OCCY GROUP
CONSTR TYPE
# OF STORIES
HEAT SOURCE
LIGHTING POWER BUDGET
WATER HEATER
sa FT
$/sa FT
VALUE
sa FTG MAl N
sa FTG ACCESS
X
X
sa FTG OTHER
X
TOTAL VALUE OF PROJECT
PLAN CHECK FE<; RCPT# DAT"
I BUILDING PERMIT ,q:\CO PLUMBING
5% State y L05 5% State
Surcharge Surcharge
MECHANICAL J~.OO FENCE
VALUE $
15% State '(~ SIDEWALK
Surcharae FT
I~~ J{ ), ex' CURBCUT
FT
BY
DEMOLITION
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
&JB40
.
REQUIRED INSPECTIONS
It IS the responsIbilIty of the permit holder to see that arlrnspectlons are made at the proper time To request an Inspection, call
7263769 (recorder), state your City desIgnated lob 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 wrll be made
the following work day \ i\
SITE INSPECTION To be 'iJ R NG, PAVING After gravel IS In
made after excavation, but . LECTRICAL place but prior to placing
prior to setup of forms MECHANICA asphalt or concrete
be covereo untIl these
inspections have been made
and approved
2.';,
o
yv
1
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL To be made
before any work 15 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,
piping, accessories and other
ancillary equipment Items are
In place but before any
concrete IS placed
UNDERGROUND Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines To be made
pnor 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 pnor 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 coven ng
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
ADDITIONAL COMMENTS
FINAL FIRE DEPARTMENT
ATTIC DRAFT STOPS &
CURTAIN WALLS
~
1
FIREPLACE Prror 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! Contractor dunng
construction of the follOWing work A
copy of the speCial testing reports shall
be furnIshed to the BUilding DIVISion
STRUCTURAL CONCRETE In
excess of 2500 PS I (306 a 1)
STRUCTURAL WELDS
Performed on the Job (2722 f)
HIGH STRENGTH BOLTING
Dunng all bolt InstallatIon and
tIghtening operations (306
a 6)
SPRAYED ON
FIREPROOFING
Standards 438
UBC
FRAMING To be made after
the roof, all framing, fire
blocking and bracing are In
place and all pi pes, chimneys
and vents are complete and
the rough electncal, plumbing
and mechanical are approved
INSULATION & VAPOR
BARRIER To be made after all
Insulation and reqUired vapor
barriers are In place but
before any lath or gypsum
board Intenor wall covenng IS
applied
FIRE & SEPARATION WALL
Located and constructed
\ /J according to plans
\L/ LATH AND/OR GYPSUM
l BOARD To be made after all
lathing and gypsum board,
Intenor and exterior, IS In
place but before any
plastenng IS applied or before
gypsum board JOints and
fasteners are taped and
finished
SIDEWALK & DRIVEWAY
ReqUired for all concrete
paving within street nght of
way, to be made after all
excavating complete and form
work and sub base matenal In
place
CURB AND APPROACH
APRONS After forms are
erected but pnor to placl ng
concrete
SPECIAL GRADING,
EXCAVATION AND FILLING
Dunng earthwork (306 a11 &
Chapter 29)
GLU LAM BEAMS Inspectron
CertifIcate by an approved
agency, furnished to the City's
BUilding DIVISion before
beams are placed (2501 U BC
STDS 25 10,11)
STRUCTURAL MASONRY (306
a 7)
* 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
SITE PLAN REVIEW BOARD Must be requested 2 days In advance
of the date you Wish inspection All project conditIons such as
~ndSCaplng, parking lot striping, etc must be completed before
questing thiS inspection
_ FINAL BUILDING Requested after the final plumbing, electncal,
(mechanical and FIre Department inspections are made and
approved No occupancy of the premises can be made until a
Certlflcate of Occupancy has been Issued by the BUilding DIVISion
and posted on the premIses
PLANS REVIEWED BY
DAT~
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 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 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
~:::3rr~, ctlon cA ~~{ Datp J~k-J~
''''kJ I ~ --- A/\ )
VALIDATlfJN AMOUNT RECEIVED a ~ v DATE PAID ~c ~ (O ,Cj.{:J/
RECEIPT # P> Cf I C-f' . RECEIVED B I/)f:) T
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