HomeMy WebLinkAboutPermit Building 1997-1-27
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
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JOB NUMBER 9?L::J/ ~
INSPECTION LINE: 726,3769
OFFICE: 726,3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: s;- r;,:r IInISl IOllJ ~l:"'~.
ASSESSORS MAP' / 7 -d?J' '27 - /::J.....
OWNER: ('(l)r?11:b:..~ I: 1 ~~,
ADDRESS: l), 'r::: & 10.. I
CITY: 5f(JI'l!( R. /,.!
TAX LOT:
o ~~.-zc..
-
9fl('-h,t"r~
PHONE: .\<-11 -7UrlL/11
STATE: G&'<i IHI
ZIP: '1'1 '-1.--7f'>
DESCRIPTION OF WORI<.
NEW JL REMODEL
ADDITION
DEMOLISH
OTHER
VALUE: /6' yy:()
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME ':.?.y~~~ Al::>
GENERAL: Cffh!. Y$ni\.~./~~,_
PLUMBING'
CONST.
CONTRACTOR # EXPIRES PHONE
6o/Cj JJ? SI'?'~ -?~~, y~y
I '
MECHANI('" ,
ELECTRICA' '
It.
I I MECHANICAL I
FEE CHARGE I 10 I-EEL._CHAflGi
I Furnace/burner & vent
< 100,000 BTUs
I I Furnace/burner & vent I
> 100.000 BTUs
I I Floor furnace and vent I
I I Suspended wall or floor I
mounted unit heater
I I Appliance Vent I
separate
I I Stationary evap. I
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 duel
I I I
I I Permit Issuance $10,00 I
I I TOTAL PERMIT I
PLU MBING
NO
Single Fixture
Relocated Bldg.
{new fix, addtll
Water Service
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
QUAD AREA-
LAND US.'
FLOOD PLAIN:
# OF BLDG~'
. OF UNITS'
CONSTR. TYP.'
ZONING'
LIGHTING POWER BUDGET:
OCCY GROUP:
# OF STORIES'
HEAT SOURC.'
WATER HEATER'
SQ. FT.
$/SQ. FT.
VALUE
SQ, FTG MAl N
X
X
X
SQ, FTG ACCESS
SQ:FTG OTHER
,
TOTAL VALUE OF PROJECT
I BUILDING PERMIT
15% State
Surcharge
I MECHANICAL
15% State,
Surcharae
I PAVI NG
//6 j U
C- 1(5
,"",("D
PLUMBING
DATE/'::>';).~? BY ~~~"!
1!'~
DEMOLITION
-
PLAN CHECK FEE 7-5'" 7 '3
RCPTN ?'!'ye::e:>
-'
5% State
SurcharQe
FENCE
VALUE $
SIDEWALK
CURBCUT
FT,
SUBTOTAL '. /....,~..". 3
PERMITS oNe ./._
SYSTEMS
DEVELOPMENT
. "
FT,
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
~/ 5'6
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.
. '
.
REQUIRED INSPECTIONS
, .
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered untll these
Inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
v
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.
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.
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.
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,
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. 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.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
POST & BEAM: To be made
prior to Installation of floor
Insulation, 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.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing,
SIDEWALK & DRIVEWAY:
Aequired 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,
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
.
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,
STRUCTURAL CONCRETE: In
excess of 2500 P,S.1. (306 a,1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43,8.
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),
STRUCTURAL MASONRY: (306
a,7)
"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,
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 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 ELECTRICAL
v
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
./' L~_~~
~
DATE
/<2?'~L
By signature, I state and agree, that I have carefully examined the completed applicatIon and do hereby certlfy that all Information
herein Is true and correct, and I further certify that any and all work performed shall be done In accor:dance 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 inspections are requested at the proper time, that project address Is readable from the
street, that the rmlt c rd s located at the front of the property, and the approved set of plans will remain on the site at all
tlmes during true
Slgnatu~re' _
VALIDATION:
AMOUNT RECEIVED: _ :2~/. "5'6
: RECEIPT .' '2 rv ~
DatF>
/~ :27-97
DATE PAID:
RECEIVED BY:
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