HomeMy WebLinkAboutPermit Building 1997-5-13
LOCATION OF PROPOSED WORI<' \ 0;)..0 :r C\ 1'\ V'~
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COMMERCIAL/INDUSTRIAL e
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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ADDRESS: \ O~O To. ('\ II "
CITY: _ Sp (' \ Y'ICJt:I' e\d..
'Ro.n.p
OWNER'
OESCRIPTlON OF WORK'
NEW ,/ REMODEL
ADOITION
NAME
ARCHITECT'
CONTRACTOR'S NAME
GENERA" () W Y'\e.....
PLUMBING:
MECHANICA' '
ELECTRICAl'
~
.
. JOB NUMBER q 7/) '7?~
, ' - ~ .
INSPECTION LINE: 726,3769
OFFICE: 726,3759
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TAX LOT' ;;).OC
PHONF'
72(P- '1050
STAT~'
Ore.QOR.
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-m C.~vN~""-
-
CJ,Y11
ZIP'
~o.-
"Y'\\-fo~
OEMOLlSH
OTHER
VALUE: 3;')~ ,0-0
AODRESS
PHONE
ADDRESS
CONST,
CONTRACTOR'
EXPIRES
PHONE
I, MECHANICAL I
FEE CHARGE I "If' F~F "HARi
I Furnace/burner & vent
< 100.000 BTUs
1 Furnacel burner & vent I
>100,000 BTUs
I Floor furnace and vent
I Suspended wall or floor
mounted unit heater
I Appliance Vent
separate
] I Stationary evap.
cooler
1 I Vent Fan/Single
duct
1 I Vent System apart
from AC or htg.
1 I Mechanical exhaust
hood and duct
I I
I I Permit Issuance $10,00
1 I TOTAL PERMIT
I PLUMBING
I NO
I Single Fixture
I Relocated Bldg.
(new fix. addti!
I Water Service
It.
I Sanitary Sewer
ft.
I Storm Sewer
It.
I Backflow Device
I
TOTAL PERMIT
OUAD AREA:
. OF BLDG~'
OCCY GROUP'
. OF STORIES:
SQ, FT,
SO, FTG MAIN
SO, FTG ACCESS
SO, FTG OTH ER
PLAN CHECK FEiO ---7-/. I ~
I BUILDING PERMIT
15% Stale ,Q:> If<
Surcharge /.' +/.
I MECHANICAL
15%State
Surcharoe
I PAVING
3 ~ ,.5"'0
,<_<:1'7
"
RCPTN
- OFFICE USE -
HANDICAP ACCESS:
LAND USE:
FLOOD PLAIN:
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER:
. OF UNIT~'
CONSTR. TYPF'
HEAT SOURCE:
$/SQ, FT.
VALUE
x
X
X
3~,4>"Z]
,,-.,- - ::>,.:l
,;--,~(.......I,
TOTAL VALUE OF ,PROJECT
?c:.,'/
s- -!' ? - l? BY
~~
\
DATF
, PLUMBING
I DEMOLITION
I
1
1
5% State
Surcharge
FENCE
VALUE $
SIDEWALK
, ,
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
'.
CURBCUT
FT,
FT,
.
, ' I
" TOTAL PERMIT FEES
EXCLUDING ELECTRICA'
~2. 72..
,~
~ 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 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 work!ng 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.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL, No work Is to
be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WAllS
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,
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.
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.
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.
UNDERGROUND, Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFlOOR: Plumbing,
electrical, mechanIcal. 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.
POST & BEAM: To be made
prior to Installation of floor
insulation, decking or floor
sheathing,
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
SIDEWALK & DRIVEWAY,
Required for all concrete
paving within street right of
way, to be made after ail
excavating complete and form
work and sub-base material in
place.
MASONRY, Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
ROOF SHEATHING AND
NAiliNG: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS, After forms are
erected but prior to placing
concrete.
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
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,
STRUCTURAL CONCRETE: In
excess of 2500 P,S,I. (306 a,1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations, (306
a,6)
SPRAYED ON
FIREPROOFING, U,B,C.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FilliNG,
Ourlng earthwork, (306 a,11 &
Chapter 29)
GlU.lAM BEAMS: Inspection
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-
tions specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
91ty or Development Code.
FINAL PLUMBING
-------------------------------------------------------
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.
By signature, I state and agree, that I have carefully ~xamlned the completed application and do hereby cer.lify th~t all information
herein is true.and correct, and I further certify that any and ail work performed shall be done In accordance with the Ordinances
of the City of Springfield, and the laws of the St'ate 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 en re that all required Inspections are requested at the proper time, that p~~ject address Is readable from the
street, that the per It card Is located at th7lofr t of the property, and the approved set of plans will rem~ln 9" the site at all
times during con uJtlon, R
',..J ' ~
~lgnaturQ'......_)/IP-//J ,_ Date 5"-/.1'-)'7
OATE PAlO: <:;" -/.J -~ 7-
RECEIVEO BY: f~-
FINAL ELECTRICAL
FINAL MECHANICAL
x
FINAL FIRE DEPARTMENT
ADOITIONAl COMMENTS:
PLANS REVIEWEO BY
VALlOATlON:
u.2,rL
"') r-7 J /
-oJ r
AMOUNT RECEIVED:
RECEI PT .'
DAT~