HomeMy WebLinkAboutPermit Building 1994-9-2
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COMM ERCIALlI N DUSTRIAL
PERMIT APPLICATION
~
. .
JOB NUMBER 94 13~
I
ION LINE: 726-3769
726.3759
Ii
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROFCOSED WORK:
ASSESSORS MAp.
CLt:;~R.WA,T02. L4/V€
TAX LOT m ,5Q,.Do
OWNER LA-Rf?Y ~ H-N S
ADDRESS: Jj(;)S CJ..e:4RWflj7"J!!'~ Lt:lN(;
.
CITY <P~IIJ(..t:I~l.O
PHONF'
,1./7- 0 $ <31-
z,q 3 -o..;26(J.
1ftm~
_ ,v<.'J2(,
. STATE: _12J<
ZIP ,2L197f!
DESCRIPTION OF WORK:
NeW REMODEL
F',I...i.. '1I'12/!IQ
l7L:l ~ 7"~ t:J
~_fi<t>S,{JfV
ADDITION
DEMOliSH
OTHER
VALUE:
-/ffi;U
.,
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
CONST,
CONTRACTOR #
EXPIRES
PHONE
GENERA' .
PLUMBING.
MeCHANICA' .
ELECTRIC^' .
I PLUMBING MECHANICAL I
I NO. FEE CHARGE NO """ , (,:I-I.o.~r::1= I
I Single Fixture Furnace/burner & vent I
<100,000 BTUs
I Relocated Bldg. Furnace/burner & vent I
(new fix. addU) > 100,000 BTUS
I Water Service Floor furnace and vent I
II.
, Sanitary Sewer Suspended wall or floor I
II. mounted unit heater
I Storm Sewer Appliance Vent I
II. separate
I Stationary evap. I
Backflow Device cooler
I Vent FanfSingle I
duct
I Vent System apart I
from AC or htg.
, Mechanical exhaust I
hood and duct
I I
I Permit Issuance $10.00 I
I TOTAL PERMIT TOTAL PERMIT I
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
QUAD AREA:
LAND USF.
, OF B LDGS:
. OF UNITS.
ZONING. .
# OF STORIES:
CONSTR. TYPF'
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER.
OCCY GROUP:
SQ. FT.
$/SQ: FT.
VALUE
SQ. FTG MAIN
X
SQ. FTG ACCESS
X
SQ. FTG OTHER
X
. ,I. '".~ '.. .'.
"
.... - 1:..
..... ,"
TOTAL VALUE OF,PROJECT
-. .).',
,"
PLAN CHECK FEr
RCPTH
DAT"
BY
BUILDING PERMIT
PLUMBING
DEMOLITION
I
. 0<' j
?o-
7200 I
16Z~ I
I
5% State
Surcharge
I MECHANICAL
15% Stat." , '
Surcharqe
I PAVING
5% State
Su rcharge
FENCE
VALUE $
SIDEWALK
I CURBCUT
FT,
1?.b-oJ. C~<<-/L
F,Ll..- Po J2. 4CD
"-:'.'-€. .'?OQo-l-4'J,ou
SUBTOTAL
PERM ITS
SYSTEMS
DEVELOPMENT
FT.
TOTAL PERMIT'FEES
EXCLUDING ELECTRICAl
/02~
J
, . REQUIRED INSPECTIONS
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, 9i'!y~~-~r2~Pf@~? n~mber, job address, type of inspection requested and when you will be ready
for Inspection. Requests recelvedrbefore~7:00 a.m.~wlll be made the same working day, requests made after 7:00 a.m. will be made
~'\' '"
the following work day. . \1 J:~
SITE INSPECTION: To't;e.,,_----.---
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
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Ownerl Contractor during
construction of the following work. A
copy of the special testing reports shat!
be furnished to the I?uilding 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, all framIng, fire
blocking and bracing are In
place and all pi pes, chimneys
and vents are complete and
the 'rough electrIcal, plumbing
and mechanical are approved.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.L (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
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.G.
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
according to plans.
SP,ECIAL GRADING,
EXCAVATION AND FILLING:
During 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 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
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.G.
STDS. 25.10,11),
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
an .
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub-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 ~ith 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
concrete.
FINAL ELECTRICAL
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 PLUMBING
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 untll a
Certificate of Occupancy has been issued by the Bullding Division
FINAL FIRE DEPARTMENT and posted on the premises. ,
ADDITIONAL COMMENTS: M1"A {S PM:( 0(' ..JMPee, {;LOIX::lH 0"<'b1Elv1 t( A1\l MXA
WIlt-tiN --rr\~ Flu.. <?ITB \lJPh \Or:NTlr-,E:-O ON IN~ j7\--\OID6,~'(
/J?--,7C'iBNTl.6.-I, \,\Jf;1HNO. ~(H LA 0'701,u1 ,Z O~ \J:7u iZ6\J\'fAtJW 17~(,I<'M'i{f
AND IN0?f{A'f-D'f)1f; ~116~AN9~~1f;l?A~ INBP ntA1 8\J11~Cf; ()r::e.6~,01\TIV
I!J r.::Tl IU '0 \i\)D.L. I NCDN c.-u IVH, ,~-\'t I.N.vIG-~TJ~~l2-0vf-\'G W(ul,Y!W k7:::>.
v\vnl~ '1'-'" PLAN REVl'EWED BY A. ~ DATEQ.2a.'1~L
WNq AI!? Ci"PAiXfY ANi? -n..-oLN~ L,!'l ~ ~fv\PI\NOr~ Dr--rr\E 0.DU(~I:-' A \if, NOf
~GtNI F\C-PrN1\..--'( AF'veZ_TlSO, ~r..I.:. 70 G,..,,;><'f' -w,r/-lCN,p X /lr:;r :; of c:::.y<{'...~pl"t.O CoPs,
By signature,l 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 Ordinar;lces
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.
r further agree to ensure that all required InspectJons are requested at the proper time, that project address is readable from the
street, that th per it' ard Is located at the front of the pr~perty, and the approved set of plans will remain on the site at all
times durIng nstruc\tlo
J
/
FINAL MECHANICAL
Date CI- J--SY
Slgnatur""
A OUNT RECEIVED: i 01 ' ()l)
RECEIPT ': J!i011I-
~""" q~iJL
RECEIVED BY: . ~ vt-,