HomeMy WebLinkAboutPermit Building 1996-2-29
-.
CO M M ERCIALlI N DUSTRIAL
PERMIT APPLICATION
~
.
JOB NUMBER _ 9~9?
INSPECTION LINE: 726.3769
OFFICE: 726.3759
225 Filth Street, Springfield, Oregon 97477
-:?-:2 / .M.4/A7
- .
ASSESSORS MAP: / 7-/??- _~~- ::S/
OWNER' V.EJ6t'/~ &~
ADDRESS:Z~- ~X ~~5<.9/
EL../,s;;~
'5T
LOCATION OF PROPOSED WOR!<"
TAX LOT'
/2~.o
PHONF' -r.:z,c-~Y2
ZIP' -9.7Y.?' Y
. -?:.?,,:~..zr4~~r-' f' "3' 4~?' ~"'?~-
CITY:
STATE:
~.
DESCRIPTION OF WORK: _/~!.~
NEW REMODEL Y ADDITION
DEMOLISH
OTHER
NAME
ADDRESS
ARCHITECT'
CONTRACTOR'S NAME
GENERA' .
ADD RESS
CONST,
CO NT RACTO R .
PLUMBING'
MECHANICAI'~"'" .~~;:?:V.,
ELECTRICAl'
~~-oc...?".........,.,,-~~" '
~;4Z{-<97Y?~ _ ,69';;=<;?' ~~~
/ ' ,/ ,
PLUMBING
MECHANICAL
NO
FEE
CHARGE
- ,
"'0
!
Single Flxlure
Relocated Bldg,
(new fix. addli)
Water ServIce
Furnacel burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Floor furnace and vent
Suspended wall or fJoor
mounted unit healer
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duel
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
I
1
I
I
I
1
1
1
I
1 TOTAL PERMIT
Sanitary Sewer
ft.
It.
Storm Sewer
It.
Back flow Device
I
I
I
I
I
. - "1
..,/
Permit Issuanc~
TOTAL PERMIT
- OFFICE USE -
VALUE:
PHONE
EXPIRES
PHONE
?7"6~~ ~/
OFF
I
r:I:lARGE-
I
1
I
I
I
I
1
I
$10.00 I
A?A~ -:1:=_ ryl
.L-~--
QUAD AREA
. OF BLDGS'
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING:
LIGHTING POWER BUDGET:
LAND USE:
. OF UNIT~'
OCCY GROUP'
CONSTR. TYPF'
. OF STORIES'
HEAT SOURCE:
WATER HEATER'
sa. FT.
VALUE
$/sa. FT,
sa. FTG MAl N
sa, FTG ACCES~
sa. FTG OTHER
X
X
x
TOTAL VALUE OF PROJECT
PLAN CHECK Fu,..,9.?5"!._ RCPT' 7~~ DATE '2-2,9-~ BY ~ ~ -
I BUILDING PE~1
15% State ,..
Surcharoe r
1 MECHA~A~
15%Slae r'~
Surcharae -r ~~'
I PAVING
PLUMBING
DEMOLITION
/5.""-
-~
/&>' . k.
~ - .....
. ?="-
. if'?
5% State
Surcharoe
FENCE
VALUE ~
SIDEWALK
CURBCUT
r -
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
5:2. ,y~
?2./~..
.
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 wlll"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.
)(
ROUGH PLUMBING,
'ELECTRICAL &
~ECHANICAP. No work Is to
be covered l.Jntll these
Inspections have been made
and "approved.
f-
PAVING: 'After gravel Is In
place but prior to placing
asph~1t or concrete.
UNDERSLAB PLUMBING,
ELECTRICAL & ,
MECHANICAL: To be made
before any work Is covered.
, .
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 Siate 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,
ATTIC DRAFT STOPS &
CURTAIN WALLS
x
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)
UNDERGROUN~~um~n~
electrical, gas, sanitary sewer,
storm sewer, water and
d ral nage II nes.. 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. .
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) ,
/
. 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 ptaced, (2501 UB.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)
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 all
excavating complete and form
work and sub.base material in
place.
'In addition to the Inspec.
tlons specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
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.
.. - . -.
----------.---------------------- ..::....---.-.-:::-:-'.;;::-,,,---------------
FINAL PLUMBING StTE 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 ELECTRICAL
y
.(
x
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
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
//.........~
'.tV' ..
OAT"
"2 -;2..~~
By signature, I state and.agree, that I have carefully examined the completed aRpllcatlon and do herebx~certl.fy th!it 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'pertalnlng to the work described herein, and that NO OCCUPANCY
~i11 be made of any structure without permission of the.Bu}ldlng Safety Division. I further certify that only contra~tor~ and employees
who are In compliance with ORS 701.055 wil,1 b.e used on this project, .
, 1 . ~
I further agree to ensure that all required Insp~~tlons are requested,at the proper time, that project address"':ls readable from the
street, that the permit card is located atahe fro of the property, and the approved set of plans will re~.aln on,the ~Ite at all
times during constr Ion. ~
. , ,I t"""- . ,
Slgnat~re ,. ' " -- , II.A. . Date .
\....0""'--"'" c--
VALIDATlOI'!:.
~....,,-- .
- .-;).." RECEIPT"
AMOUNT RECEIVED: ~2, /S--
~",>yg
DATE PAID:
7-"2..'3~
RECEIVED BY'
~ c~.i-C
//'