HomeMy WebLinkAboutPermit Building 1999-8-2
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
SPRINGFIELD
WiL~
.~ '--..,
. -.:;, ~ JOB NUMBER '9~
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK: ~~~ tC,pMJeh,-?'"'":;Y /~/ ,
., -- , i,..., ;-;/
ASSESSORS MAP: !7~2. ~/.. <,/ TAX LOT: p.A--~
"
OWNER:~~~r #;:f'~'~~ ~~~~ PHONE: JJ~ 77~~
ADDRESS:
CITY'
STAT 1='
ZIP:
DESCRIPTION OF WORK:
NEW.. X REMODEL,.,..,..,." ADDITION
SU(J(lL\f ce I I\rS:rfl.lL ~LCG/( tRltc!K:..
DEMOLISH _..._... OTHER
VALUE:
It
=4-3) , 75,,,:.
NAME
ADDRESS
PHONE
. ARCHITECT
CONTRACTOR'S NAME
~L: c;AL./ Fcc c?,.{'G'GoAJ
ADDRESS
aSS-o PaJG~!,; jr
CONST,
CONTRACTOR #
EXPIRES
PHONE
74~~S
4K',C::::-SI33
PLUMBING'
MECHANICAL'
ELECTRICAL'
PLUMBING
~.cHANICAL
NO,
FEE
CHARGE
NO
J:J:I=
r.I:IARGE_
ft,
Furnace/burner & vent
< 100,QOO _ BTU.s,____.,_____,. ,._. _....
Furnace/ burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationaryevap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg,
Mechanical exhaust
hood and duct
Single Fixture
Relocated Bldg.
(new fix, addtl)
Water Service
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
Permit Issuance
$10,00
TOTAL PERMIT
TOTAL PERMIT
# OF STORIES:
- OFFICE USE -
LAND USE:
# OF UNITS:
CONSTR, TYPF'
HEAT SOURCE:
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER'
aUAD AREA-
# OF BLDGS'
OCCY GROUP'
,
sa. FT.
$/sa. FT.
VALUE
sa, FTG MAIN
sa. FTG ACCES~
sa, FTG OTHER
x
x
x
a
=
a
TOTAL. VAL.UE OF PROJiOT
PLAN CHECK FEE /6b. ~~ RCPT#
DATE
BY
, I BUILDING PERMIT
1"'Slate ~
~UrChllrQU .
I MECHANICAL' '
I '. Slale
SurcharQe
I PAVING
~?~. ~
i) · 7,2..
?,~
PLUMBING
DEMOLITION
, State
Surohargo
FENCE
VALUE $
SIDEWALK
CURBCUT
FT.
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
"::?8/.6 ~
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
$"7"B . ~
..'-_.~"" ---.
"',."
.'
. ~~
It Is the responsibility of the permltholder 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 Inspection requested and when you will be ready
for Inspeotlon. Requests reoelved 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.
BIT. IN8PBClTIONr Tg be
made atter excavation, but
prl~r to setup of forms.
REQUIRED iNSPECTION~e
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUQH PLUMIIINQ,
ELECTRICAL ,&
MECHANICAL: No work Is' to
be covered until these
Inspections have been made
and approved.
PAVINQr After grav.1 I. In
place but prior to placing
asphalt or conorete,
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placl ng concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection,
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.
, 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 shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
STRUCTURAL CONCRETE: In
excess of 2500 P.S,1. (306 a.1)
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
ooncrete II plaoed,
STRUCTURAL WELDS:
Performed on the job, (2722 f)
UNOEA~LOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing.
INSULATION & VAPOR
BARRIER: To be made after all
1"'.',lIa"e", ."'. r.ClloIIrit. y....r
barriers are I" place but
beforo any 'Ith or gypsum
board Interior wall ooverlng Is
applied,
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations, (306
a.6)
_ I.INIiI.ACU~OI.lNli" PIWmlll"lI,
electrical, gas, sa"ltary sewer,
etorm "\\lOr, water and
drainage lines. To be made
prior to covering or filling
tr."ch..,
."",1"'." ON
FIREPROOFING: U.B,O.
Standard. 43.8,
SPECIAL QRACING
EXCAVATION ANO,PILLINQ:
During earthwork, (30e 1,11 &
Chapter 29)
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
LATH AND/OR GYPSUM
v
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,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,
J 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 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
concrete.
-------------------------------------------------------
FINAL MECHANICAL
/
SITE PLAN REVIEW BOARD: Must be reque!;ted 2 days in advance
of the date you wish Inspection. All projectl::ondltlons 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,
FINAL PLUMBING
FINAL ELECTRICAL
x
x
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTC::'
-
/~/-Z.--
r //;r- -
/
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th~t 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.
PLANS REVIEWED BY
-..
DATE
7"'2",~
....
I further agree to ensure that all required Inspections are requested at the proper time, th!3-t project address,ls 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
time, du,'ng con'~ ~
Signature \ t:::.. IV'-' Date X-- ~- 99
I ' .. / '
DATE PAID: <:(1 '2- tfl.!:!___ \
RECEIVED BY: -X- ,'Oil 1.0
VALIDATION:
AMOUNT RECE'I)k~P?-- ([UL/((, ,
RECEIPT II: ,~~ 0 7q-
, ,1