HomeMy WebLinkAboutPermit Building 1991-4-25
. ..
COMMERCIALIINDUSTRIAL . SP~'NGF'ELD,,,~
PERMIT APPLICATION ~ .,
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: q'l \ . '\\ \. ill L
AS,SESSORS MAP: \1\ ()~ ~ ~ 80
'.
OWNER\- \~ Q~\Z fS \~ ~ \.-~
ADDRES'e:. 6lD~ \ ~'-\\... \~~ \JJ'<\\.'Q..,
CITY:t..:.. ~ c\(J\_ iJ~ STATE' (\ \\.
\ ).J(Y)}
.
JOB NUMBER
YO \~j)H
INSPECTION LINE: 726-3769
OFFICE: 726-3759
\ ()~A~ J:
PHONE:
fJDu..nt-9-
~~-'\ ~ '1 loR 7
ZIP:
C\\ nOn / d--
DE~C;XPTl6N OF WOR....
NEW REMODEL
,
ADDITION
DEMOLISH
OTHER
VALUE ~
PHONE V
NAME
ADDRESS
ARCHITECT:
CONTRACTOR'S NAME . ~
GENERAL: G\.o \.C'\It.Y VrY'l1 "3-
PLUMBING' ..\J
CONST.
~~~ ~\\)~\,~O~~~R& ~1%~~\? __\q~
- !J!X:V7 {o l'a/lJ/q 16}<qlo.lI51
, '
MECHANICA' . 1\,
ELECTRICAl:; -l.i\\~' Q_Q (L(\Th { ~
I PLU MBING I MECHANICAL I
I NO. FEE CHARGE I "'n ~~~ "'lARGi
IcQ Single Fixture ID, ri()OO Furnace/burner & vent
< 100.000 BTUs
I Relocated Bldg. Furnace/burner & vent I
IneiN fix. addtll > 100.000 BTUs
I Water Service I Floor furnace and vent I
It.
I Sanitary Sewer I Suspended wall or floor I
It. mounted unIt healer
I Storm Sewer I Appliance Vent I
It. separate
I I \'3.00 I Stationary evap. I
Backflow Device cooler
I I Vent Fan/Single I
duct
I I Vent System apart I
from AC or hlg.
I I Mechanical exhaust I
hood and duct
I I I ~~ I~~/~/J"'> L'S: -I
I I . I
Permit Issuance $10.00
I TOTAL PERMIT . ~ -)~()OI TOTAL PERMIT ;z:;;: csO I
OUAD AREA:
\0 ~\u ')
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
lONING:
LAND U~.'
. OF BLDGF'
. OF UNITe:.
HEAT SOURC~'
LIGHTING POWER BUDGET:
WATER HEATER'
OCCY GROUP'
. OF STORIES:
CONSTR. TYP~'
SO. FT.
$/SO. FT.
VALUE
SO. FTG MAIN
x
SO. FTG ACCESS
x
X
TOTAL VALUE OF PROJECT \4)C:f:J:).
,
DATE A- . q. q / BY (:1. ( f\ n )
SO. FTG OTHER
PLAN CHECK FE.:
[0 r;. q~ RCPP EtJ/J ~_'
\ rv\ t:=:..D PLUMBING
\. T\ ....)
~,'L~
2..5 . DO
12-5
5% State
SurcharQe
FENCE
VALUE $ _
SIDEWALK
~~ P-J
I ,,..,~
DEMOLITION
I
I
I
~\D.~
1-~Px9, .1~ I
I BUILDING PERMIT
15% Slate
Surcharae
I MECHANICAL
15% State
Surcharae
I PAVING
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
CURBCUT
FT..
I, : - ~ '
." I
~ ~- \.
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
j
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 working 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.
X FOOTINGS & FOUNDATIONS:
- t To be made after trenches are
('J:::P\ L excavated and forms are
\, ,-(Jc\..\J erected, all steel in place, but
WPrior to piaclng 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
d rai nage 11 nes. 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.
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.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
REQUIRED INSPECTIONS
.
x..
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.
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
FIREPLACE: Prior to placing
facing materials and before
framing inspectlon.
STRUCTURAL CONCRETE: In
excess of 2500 PS.1. 1306 a.1)
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..
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operatlons. (306
a.6)
~.'
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. -
SPECIAL GRADING,
EXCAVATiON AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
FIRE & SEPARATiON WALL:
Located and constructed
according to plans.
..
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).
STRUCTURAL MASONRY: (306
a.7)
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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
')<!
FINAL PLUMBING
-------------------------------------------------------
'f..
"
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
)(
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All project conditlons such as
landscaping, parking lot striping, etc. must be completed before
requesting this lnspectlon.
FINAL BUILDING: Requested after the finai 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.
-- < ~
PLANS REVIEWED B-A.~ ~~r\. ,~
DATE l.\ - \ 1-(\ \
By signature, I state and agree, that I have carefully examined the completed appllcatlon 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 wor~ 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
times during construction. . / /7/
Slgnature~h~ '/..-. ~ Date 4- ()..s;- "9/
... / ./ ../""
VAll DATION:
-
AMOUNT RECEIVED: -:::S1S":??~
RECEIPT': /9R_ "/-S
DATE PAID: ~B-2f~'1::;;>t:::3./
RECEIVED BY: r~;-'::>