The URL can be used to link to this page

Home My WebLink AboutPermit Building 1999-2-18 , . CO M M ERCIALlI N DUST RIAL PERMIT APPLICATION ~ "OB NUMBER??' ~/?.i- INSPECTION LINE: 726-3769 OFFICE: 726-3759 225 Fifth Street, Springfield, Oregon 97477 /!,) ;ry.-J tl'1-- i LOCATION OF PROPOSED WORK. ~ "/ Jl t'J ASSESSORS MAP: 17 ~'3 ~2 '2.0 OWNER. ADDRESS' CITY. ,,6tfll TAX LOT' :z:. L L rf 1/15- 7: ;' ?0) \' (f// /Ir--.,) c<:::;/)f'~'/ j/./ ) :J PHONE: 7 f' ~-ft,/~<V. / /_J STATF. ZIp. NEW DESCRIPTION OF WORK: REMODEL 4J}P r_,1.fJ c.J_7',..-r- /.I, V-ADDITION DEMOLISH VALUE: ARCHITECT. OTHER NAME ADDRESS PHONE CDNST. CDNTRACTDR'S NAME ADDRESS . CDNTRACTDR ::-..>j)~EXPIRES;;.1'~ PHDNE GENERAL: ~~ .;Z~~er /'..J"r+v.1.SD 2117 ~.it...,,,...11,j5p_~ ...::: etffZ,?dO PLUMBIN(" ~1t.,"1" ~ '$38SI( (l...., 1t,,,41L . ~J V' ~pl.fl'f~ 1 "'-I2-~7.z1 N\iTICE: Thi.:i r-t:NMII IiHALL EXF IRE IF 1 fiE WORK t.:.m IJili'<:i::u UNUl:H TH S PER~ IT IS NOT ,....("\.p,...,.,....._~ _.- ..",-,..t"~,,VL.U un ,;:, flt:lfl ~UUNEII FOR ^l\fV.oj nJ"\ .....,t... "'-t'"" -- , -, ......'" ...."1. L.n'UIJ TOTAL PERMIT - ", . MECHANICAL' ELECTRICA' . I i NO. i I I I I I 1 I I I I I OUAD AREA: # DF BLDGS' PLUMBING MECHANICAL FEE NO r.HARl1F FFF CHARGE Single Fixture Relocated Bldg. Inew fix. addtll Water Service Furnace/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 ~. ._ VenLF.anI.Sin.Qle . AI'I crCludiJr~:ure\lon law reqUlrols you hi' 10110." Nml~Gl1l!ltiBp;;ny me ure~ Oil UlIlI'lY 'lOtili(atl~~~~~tt"F-~P ",I,,~ 0 -" ''''It f! rlh 'n OAll m~-\;~o"!tJ1K'ibugh OA ~ 952-0 )1- 0090, You may oDtalO copies or II Ie rUle~ oy s:'.!,~~:;~~""':' ':9nter {t\lnto' tho to. lO!"hQ[l1= numbEll'e1illitlrssQrregon Utility Notificatio, $10.00 TOTAL PEAMi~ter IS 1-8UU-;j;j~-~;j44), . It. Sanitary Sewer It. .zr:w Storm Sewer ft. Backllow Device - OFFICE USE - HANDICAP ACCESS: LAN D USE: FLDDD PLAIN' # DF UNIT!':' ZONING' CDNSTR TYPF. HEAT SDURCF' LIGHTING PDWER BUDGET: DCCY GRDUp. WATER HEATER" # DF STORIE!':. so. FT. VALUE $/SO. FT. X so. FTG MAl N SO. FTG ACCESS X so. FTG DTHER X . . TDTAL VALU E DF PROJECT PLAN CHECK FEF I BUILDING PERMIT 15% State Surcharg.e I MECHANICAL 15% State Surcharoe I PAVING RC PTN DATF BY PLUMBING z.s-e<> . I. 1..S'ln" DEMOLlTlDN 5% State Surcharge FENCE VALUE $ SIDEWALK SUBTOTAL PERMITS SYSTEMS DEVELDPMENT CURBCUT FT. FT. TOTAL PERMIT FEES I EXCLUDING ELECTRICA' ,:J. 7. ov . 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. 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. PAVING: After gravel is In place but prior to placing asphalt or concrete. ATTIC DRAFT STOPS & CURTAIN WALLS SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special Inspector shall be employed by the Owner I Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. 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. 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 equi pment items are C;nt>.lace but before any cjcrete is placed. UNDERGROUND: Plumbing, .... electrical, gas; sa1nitary sewer, storm sewer, water and d ral nage Ii nes. To be made prior to covering or filling trenches. FRAMING: To be made after the roof, all framing, fire blocking and braclng 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) .INSULATION & VAPOR BARRIER: To be made after ail 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.BG. 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) 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. LATH AND/OR GYPSUM BOARD: To be made after ail lathing and gypsum boar'd, 'Interior and exterior, is in place but before any plastering Is applied or before gypsum board Joints a'nd , fasteners are taped and finished. 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. MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415. *In addition to the'inspec- tions specified, the Building Official may make or require 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, 6ariY)rOOf covering. concrete. City 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 ELECTRICAL FINAL MECHANICAL 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 FIRE DEPARTMENT ADDITIONAL COMMENTS: PLANS REVIEWED BY DATF By signature, I state and agree, that I have carefully ex.amined 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 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 without permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with OAS 701.055 will.be used on' this project. I further agree to ensure that all required Jnspecti00s' a:e 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 durJng constructl~n. / Signature J1q0/~ Date-PJ-17 VALIDATION: :/ AMOUNT RECEIVED' 'RECEIPT .. J- 7, OJ) tl3...tlo 1 DATE PAID: _J:I'&/'1'! - "- RECEIVED BY' 'J {;J~