HomeMy WebLinkAboutPermit Building 1997-6-13
- - COMMERCIALIINDUSTRIAL-
PERMIT APPLICATION
SPRINGFIELD
.'JOB NUMBER q 7 0 C; I ~
LOCATION OF PROPOSED WORK: 35 oS' CoV\1fV\e\f(, It\ I
170J.?J1;2/
INSPECTION LINE: 726-3769
OFFICE: 726-3759
5",,'< i Y\q {l'cl J
u
225 Fifth Street, Springfield, Oregon 97477
ASSESSORS MAP:
TAX LOT'
tJ 3 3tJ7)
OWNER:' Go.V'\1 C>\Jrn-e,1t" t:a~M"V;lt\j' ~G.
ADDRESS: 3~ S CoWHY\orG\ o..l -S:ty :'J ~\e~ '
'~'fV'i~~ ti~ \~ STATF' Or ZIP: ql~1 8:
DESCRIPTION OF WORK: T'6'~V' <7(~>SL-,OIt<--.e ~ i t<e- raft-. VJ( I Yz-l/V\e:to,l St-al1d \.~ Se<7lw-.-
ADDITION 'DEMOLISH', OTHER Rero(Jf VALUE: Jo.,2.og,'i.s
PHONF'
72.b - 7/7 b
CITY:
NEW
REMODEL
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTO~ NAME d
GENERAL' (--wlUa ( )
PLUMBING:
.
MECHANICAL:
r~1tM~
p,.O, PyOy 2.160
6~'liL 97'102-
(j
CO NST.
CONTRACTOR #
EXPIRES
PHONE
'7' 2~O'fu-'
-:')t? JE ("
. I /) Ie::;--
q (f)~- l..; l?r ' t{<K
ELECTRICAl,'
PLUMBING MECHANICAL CH'R~
NO, , , FEE I CHARGE Nn I 1=1=1=
Single Fixture' Furnace/ burner & vent I
< 100.000 STUs
Relocated Sldg. I Furnace/burner & vent I
(new fix. addW > 100.000 STUs
Water Service I Floor furnace and vent I
ft.
Sanitary Sewer I Suspended wall or floor I
ft. mounted unit heater
Storm Sewer I Appliance Vent I I
ft. separate
I I Stationary evap, I I
Backflow Device cooler
'I ' I Vent Fan/ Single I I
duct
I Vent System apart I I' .
from AC or htg.
Mechanical exhaust I I
hood and duct
I I
Permit Issuance I $10.00
, TOTAL PERMIT TOTAL PERMIT I
QUAD AREA'
# OF BLDGS:
- OFFICE USE -
, LAND USE'
# OF UNITS'
OCCY GROUP:
# OF STORIES:
CONSTR. TYPE'
HEAT SOURCI='
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING: "
LIGHTING POWER BUDGET:
WATER HEATER:
SQ, FT.
$/SQ. FT.
VALUE
SQ, FTG MAIN
SQ, FTG ACCESS
SQ, FTG OTHER
X
=
X
=
X
=
TOTAL VALUE OF .PROJECT
PLAN CHECK FFI=
RCPT#
DATF
BY
I BUILDING PERMIT
5% State
SurcharQe
MECHANICAL
~Io,c;o
tf.33 .z.heJ
PLUMBING
DEMOLITION
15% State
SurcharQe
I PAVING
5% State
Surcharge
FENCE
VALUE $
SIDEWALK
,
I CURBCUT
FT.
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL '
f'3,Lf3
.
.
It Is the ,esponSlblllty 01 the pe'mlt hOlde, to see that all Inspections "e made at the p<ope, time. To 'equest an Inspection, call
726-3769 ('eco'de~. state you, City designated job numbe'.)ob add,ess, type of Inspection ..quested and when YOu will be 'eady
10' Inspection. Requests 'ecelved belo'e 7,00 a. m. will be made the eame wO,kl ng day, 'eq uests made afte",oo a.m. will be made
' ,
the fOllowing work day.
SITE INSPECTION: To be,
made after excavation, but
prior to setup of forms,
REQUIRED INSPECTIONS
,
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.
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 during
construction of the fOlloWing work, A
copy of the special testing reports shall
be furnished to the Building Division.
FIREPLACE: Prior to placIng
facIng materIals and b,efore
framing Inspection.
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 roo'f, 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,
STRUCTURAL CONCRETE: In
excess of 2500 P.S.!. (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.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B,C,
Standards 43-8.
UNDERFLOOR: PlumbIng,
electrical, mechanical. To be
made prior to installation of
floor Insulation, deckIng or
floor sheathing.
SPECIAL 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.C,
STDS, 25.10,11),
SIDEWALK & DRIVEWAY:
Required for all concrete
paving withIn street right of
way, to be made after all
MASONRY: Steel location, excavating complete and form
bond beams grouting or work and sub.base material In ./n addition to the Inspec.
verticals In accordance with place. tlons specified, the Building
UBC 2415. Official may make or require
' CURB AND APPROACH other Inspections of ~ny
F HEATHING AND APRONS: After forms are , constru~tlon work to ensure
~~:l.rN';,' Prio' to Installing . e'ected but ",10' to placing . ~rt~~~s~~:ar::~~~~~ ~~~~~ng,
any roof covering, ' concrete. ____________~_________
----------------------------
----- SITE PLAN REVIEW 80MO' Must be 'aques,ted 2 dsya In edvence
FINAL PLUMBING of the date you wish Inspection. All project conditions such as
landscaping, parking lot striping, etc, must ~e completed before
f'\./ requestIng this Inspection.
\~ FINAL BUILDING: Requested after the final plumbing, electrical,
' mechanical and Fire Department Inspections are made and
' d No occupancy of the premises can be made until a
~~;I~~~ate of Occupancy has been Issued by the Building Division
and posted on the premises.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prIor to Installation of
decking or floor sheathing,
f(
STRUCTURAL MASONRY: (306
a,7) 'L1.t1 ~
Y OVtl'll' ;'71..
fl J()( t7/~
I
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
DATE
, a lIeatlon and do hereby certify thfit all ,Information
8y slgnaMs,lsta's and ag..e, that t hsve ';:,;el~~:'>; ~:~~"':.,:h.::.:',~",:~~~~~~~~h.1I be done In ae.o'd:~~~h~~t~1:'~g.;'J~~~~~
herein Is truef ;n~ Cg~~~~~t~~~dt~~U~~~e; ~~th/State of Oregon pertalnlDn,g It~ theI7u~~~:re;:~',~:~h~~~~~y contractors and employees,
of the City 0 pr n, ermlsslon of the Building Safety v son.
will be made of any structure without p , d on this project,
who are In compliance with ORS 701.055 will be use r time that project address Is readable from the
I further agree to ensure that all required Inhs:~~~~n;f ~~eer~~;::t~~ :~~ht~~r~~;roved 'set of plans will remain on the site at ~"
street, that the permit card Is located at t . 'x:'
times during construction. j'
V ' Datp ,
Signature (~ tI.t~ /17 U '7 I~_,/S _ I /
:j -/ -;; DATE PAID:
AMOUNT RECEIVED:.- "I , ~ ./
VALIDATION: 1 J IrL RECEIVED BY' _____
RECEI PT #: _ ~"II) I