The URL can be used to link to this page

Home My WebLink AboutPermit Building 1991-10-1 , . JCOMM ERCIAL/INDUSTRIAL ; PERMIT APPLICATION 225,'Fifth Street, Springfield, Oregon 97477 I LOCATION OF PROPOSED WORK' /&CJ AS~ESSORS MAP' ,o-.t:''3-:;r;>-/C7 ~ / AvR#- -??-, . . O\''':INER: !M~&;; ;3vs./--= ~ ~~ ADbRESS' - "5~ ~' ~~t-D , " CITY' STAT'" .. 9///Qe, JOB NUMBER INSPECTION LINE: 726.3769 OFFICE: 726.3759 TAX LOT' c..- -;,.' :::J-~ PHONE: ~ ~ ~?:? ZIP: DE~CRIPTlON OF WORK:-k/l? _r E)'i'l5-?', .'B..J~'!',,- '" ,I NEW REMODEL ADDITION DEMOLISH OTHER ,II ARCHITECT' " , NAME CONTRACTOR'S NAME II /?F' ~ GENERAL:~;r..::r: ~~<"J"""" 'I PLUMBING' ADDRESS ADDRESS ~ ' ~Z~~~ i' / , C'-~ ~~_ /-"2~-9'<.~ ?.......c::~::>/ , r MECHANICA' . , ELECTRICAl' I[ . :; NO, PLUMBING FEE Single Fixture Relocated Bldg. (new fix. addtl) . Water Service ft. Sanitary Sewer ft. Storm Sewer ft. :1 U. ... -. ..... . Backflow Device , , \... -. -. ,....... -.. II: 1]1 I,I I I 'TOTAL PERMIT OUAD AREA: # OF BLDGS' II OCCY GROUP' !I # OF STORIEF' LAND USF' # OF UNITf" CONSTR, TYPF' CHARGE - OFFICE USE - SQ FT HEAT SOURCE: $/SQ, FT, , SQ. FTG MAIN X SQ, FTG ACCES~~_ jl ~ SQ, FTG OTHER 6JI!i. ~,-~ il r X X II PLAN CHECK FF" , RCPT' I BUILDING PERMIT ,I 15% State Surcharge MECHANICAL PLUMBING 3/~.- /:).5t> , 5% State SurcharQe FENCE VALUE $ SIDEWALK I I I CURBCUT 5% State Surcharce I PAVI NO. ,I . ~ '...... '.. DATF FT. FT. VALUE:~~ / PHONE CONST. CONTRACTOR # EXPIRES PHONE MECHANICAL I ~I:!ARGI I I I I I I I I I I I NO I:J:J: Furnacel burner & vent < 100,000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duct Permit Issuance TOTAL PERMIT HANDICAP ACCESS: FLOOD PLAIN' ZONIN(,' LIGHTING POWER BUDGET: WATER HEATER: VALUE /~. .:;... , TOTAL VALUE OF PROJEI'T BY DEMOLITION SUBTOTAL PERMITS SYSTEMS DEVELOPMENT . .. .':.-' \ TOTAL PERMIT FEES EXCLUDING ELECTRICAl '3'2.:)- Se> -j $10,00 I I I I I I . I . .' .'", i., 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 working day, requests made after 7:00 a.m. will be made the following work day, I SITE INSPECTION: To be ROUGH,PLUMBING, PAVING: After gravel is in made after excavation, but ELECTRICAL"& u" place but prior to placing prior to setup of forms.1 MECHANICAL: No work is to asphalt or concrete. be covered until these inspections have been made and approved, . ... I UNDERSLAB PLUMBING, , ELECTRICAL & : MECHANICAL: To be made before any work Is covered. I FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel In place, but prior to placing concret'e. , . I CONCRETE SLAB: To b'e made after all Inslab bu'llding service equipment, conauit, piping, accessories and other ancillary equipment items are in place but before any 'I concrete is placed. , I . , UNDERGROUND: Plumbing, electrical, gas, sanitary 'sewer, storm sewer, water and: drainage lines. To be made prior to covering or filling trenches. 1 , UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installatioh of floor insulation, decking or floor sheathing. I i ' POST & BEAM: To be made prior to installation of floor Insulation, decking or floor, sheathing. ATTIC DRAFT STOPS & CURTAIN WALLS 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 Owner! Contractor during construction of the following work, A copy of the special testing reports shall be furnished to the Building Division. FRAMING: To be made after the roof, all frami'ng, 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 PS,1. (306 a,1) STRUCTURAL WELDS: Performed on the job. (2722 f) 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, I) I FIRE & SEPARATION WALL: Located and constructed according to plans. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork, (306 a.11 & Chapter 29) FLOOR INSULATION & VAPOR BARRIERS: To be SIDEWALK & DRIVEWAY: made prior to installation of Required for all concrete decking or floor sheathing. paving within street right of I way, to be made after all MASONRY: Steel location, excavating complete and form bond beams grouting or! work and sub-base material in '"In addition to the inspec- verticals In accordance with place. t10ns specified, the Building UBC 2415. ! Official may make or require I CURB AND APPROACH other Inspections of any ROOF SHEATHING AND, APRONS: After forms are construction work to ensure NAILING: Prior to installing erected but prior to placing compliance with the Building, any roof covering. I concrete. City or Development Code. ------------------------------------------------------- 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), IX STRUCTURAL MASONRY: (306 a.7) ~/k ~ ..fZ'fc:/62;;? FINAL PLUMBING 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. )c 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 MECHANICAL I FINAL FIRE DEPARTMENT I ADDtTIONAL COMMENTS' PLANS REVIEWED BY DATF I By signature, I 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 furtper 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 wlthoutlpermisslon 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 reqLired 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. 1.0 j . Signature /": ~ Datp /Ci-/ -~/ I I ..... ~ AMOUNT RECEIVED: ~~:':> - ,/ c:> I .- RECEIPT ': ~ (~~ cr I I DATE PAID: /t:)-/-"7/ RECEIVED BY:~ ~ -