HomeMy WebLinkAboutPermit Building 1996-10-1
.
COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
.\
225 Fifth Street, Springfield, Oregon 97477
~
JOB NUMBER -26/3'3' ~
LOCATION OF PROPOSED WORK'
INSPECTION LINE: 726.3769
OFFICE: 726.3759
Sf 1'1 Nt' P/~(>>-'R
TAX LOT: ~ S"2:>c::r i!>
;)3(.- H4-IN 51
ASSESSORS MAP' 17-O?-5"'~"'3"2
1ZA L()t C:;NfO:-POD
.
/yt.-(..:, - c
< PA. '/ N fJ:" rpjf)
-'I "-
DESCRIPTION OF WORK: __ Re 1'( <>y", ..q R. e f?~ c Z ~
~~,i';7~' ~ r'.....'--;./..." .
NEW REMODEL 'Y, Ab61TION DEMOLISH OTHER
OWNER:
PHONe'
7r/(,-!'~;i.'1' '\ .
ADDRESS'
CITY:
STATE: -9) I' <""-
NAME
ADDRESS
ZIP:tt'f >-'7
~/C> /C",..:;.- :-- :,- I~~
. t!"i?~ ~
VA~. __ _
. ,:.- .# -;>......"-......
PHONE
ARCHITECT'
CONTRACTOR'S NAME
I1It-L,~
ADDRESS
<;1'"'( E f.t:>
CONST.
CONTRACTOR'
EXPIRES
PHONE
GENERAl.
MECHANH'^ I .
SA. 1>1 C.
~
PLUMBING:
ELECTRICAl'
PLUMBING
NO. I FEE CHARGE
Single Fixture
Relocaled Bldg.
(new fix. addU)
Water Service
fl.
Sanitary Sewer
II.
Storm Sewer
fl.
Nn
I
Furnace/burner & vent
< 100.000 BTUs
Furnacel burner & vent
> 100.000 BTUs
MECHANICAL
I
eee
"'l-I.oPr.~ I
Backflow Device
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
.'
Permit Issuance
$10.00. J
,40:' o;:-e> I
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
QUAD AREA'
LAND USF'
. OF BLDGc,
. OF UNITS'
OCCY GROUP:
CONSTR. TYPF'
. OF STORIES:
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER:
SQ. FT.
$fSQ. FT.
VALUE
SQ. FTG MAIN
x
SO. FTG ACCESS
SO. FTG OTH ER
x
x
TOTAL VALUE OF PROJECT ~~. ~ D_-
PLAN CHECK FEE
'/,:::7 b "3'
RCPP
DATE
BY
I BUILDING PERMIT 1-
/5% Slate
Surcharoe
I MECH~~
15% Stt'---?~:;;-I
Surcharae -' -'f'''-;;j
I PAVING
,c.--:Z-5--d> -, PLUMBING
:J..t' 3 5% State
-;, ~~ Surcharoe
If?- FENCE
,/?,.~ VALUE $
~.:~ SIDEWALK
CURB CUT
, DEMOLITION
,
FT.
SUBTOTAL
~., PERMITS.
I SYSTEMS
DEVELOPMENT
'73'--';) /
!
J
I
I
I
FT.
.-- ..
"
.. I
TOTAL PERMIT FEES
EXCLUDING ELECTRICA'
/-;Y.3/
..,
4tauIRED INSPECTIONS
.
It Is the~responsjbllity 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.
Y~GH PLUMBING,
EL~CTRIC
ECHANI~ 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. .
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specially 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
, '--}/
'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 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
concrete is placed.
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 alter all
Insulation and reCUJired 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.C.
Standards 43-8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor Insulation, decking or
floor sheathing.
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
made prior to Installation of
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).
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7)
.
MASONRY: Steel location,
bond beams grouting or
vertlcals 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.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
* 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.
-------------------------------------------------------
y
V
1/
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.
",,-.'
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
.
'.
_.
PLANS REVIEWED BY / /~~
(' ./'./
DATE ,/ h --7 -"'?~
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~ccordance with the Ordinances
of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herem: 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 trom 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 alt
times during constru~t~. -. .
Signatur~ ". /41Lfi~~ Date
VALIDATION:
,
AMOUNT RECEIVED: /-3<:::,Z '3'7'"
2'?7'7'--::2.....
DATE PAID:
/0'l~c:
/tt:? 7'-"%"
RECEIPT ':
RECEIVED BY'
~~--------
'p"/
, .