HomeMy WebLinkAboutPermit Building 1999-11-23
'-
.
.~
JOB NUMBER 99 J / 0ff")
INSPECTION LiNE: 726,3769
OFFICE: 726,3759
~
22V~ HaJDE:1'(SDA)
. -
/J ~ / 'S TAX LOT: rJO ~2f)
OWNER:' .....J.o~ ~iS...tLL~~ ) 76 ~a "!~ PHONE:_Q!5'Y, c-7/4>.s (Cc?k~)
ADDRESS:_190,~.2-lg,::r . _~\ '
HA ~ STATE: _~ ZIP' '77-fZtJ2-
COM M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
ASSESSORS MAP'
LOCATION OF PROPOSED WORK:
I 8(!/ ~
CITY'
DESCRIPTION OF WORK: F/AIE ,'ftp~.4Ir) d.7hJA), ~.
NEW REMODEL~ ADDITION DEMOLISH OTHER
I
),~~
VALUE:
NAME
ADDRESS
PHONE
ARCHITEcT:
CONTRACTOR'S NAME
ADDRESS
CON ST.
CONTRACTOR'
EXPIRES
PHONE
GENERA' .
PLUMBINf"
MECHANICA' .
ELECTRICAl'
PLUMBING
MECHANICAL
NO
FEE
CHARGE
Nn
FFF
~I-4ARn~
Storm Sewer
ft.
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unlt heater
Appliance Vent
separate
Stat [onary evap.
cooler
Vent fan/Single
duct
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duct
Single Fixture
Relocated Bldg.
(new fix. addtll
Water Service
ft.
Sanitary Sewer
ft.
Backflow Device
Permit Issuance
$10.00
, TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
QUAD AREA'
LAND U~c.
FLOODPLAIN'
ZONINf" '
. OF BLDGf"
. OF UNITF'
OCCY GROUP'
. OF STORIES:
,
CONSTR. TYPF'
I:iEf\T SOURCE:
'.
LIGHTING POWER BUDGET:
WATER HEATER'
.. '
,
,Sa. FT.
"
,$'/SQ. FT:'.\
VALUE
SQ. FTG MAIN
X.. '
'~,
'.
. SQ. FTG ACCESS
"
X "
"
SQ. FTG OTH ER
X
TOTAL VALUE OFPROJECT-...'3',)t7'V ~
PLAN CHECK FFF
RCPT'
DATF
BY
I BUILDING PERMIT
I .;t, State '2'.....LL3 ~
Surcharg.e o. .,.--.
MECHANICAL
11''>~
4,"'~
PLUMBING
I;t" Stale
::surcharge
FENCE
VALUE $
SIDEWALK
CURBCUT
I
JNi?:!7l~ ffl:J
DEMOlITION
I
4f)f~ I
I
I
I
I 10 Stale
Surcharoe <:
PAVI NG
FT.
SUBTOTAL .
PERMITS
SYSTEMS
, DEVELOPMENT
FT. ,
"
,
.' I
TOTAL PERMIT FEES
EXCLUDINGELECTRICA'
;!3~."? ~
, ,
.'
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 atter 7:00 a.m. will be made
the following work day.
SITE INSPECTION: To be
made after excavation, but
prior to s~tup of forms.
"
ROUGH .PLUMBING,
ELECTRICAL'& .
MECHANICAL: No work Is to
be covered until these
inspections have been made
and approved.
" \.:, . ,. . .
. ATTIC DRAFT STOPS &
CURTAIN WALLS 0.,
PAVING: After gravel Is In
prace 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 co'ncrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inspectlon:_
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
. a\speclal Inspec'tor'shall be employed
_, ,by the..Ol.Vnerl C9ntrac;:to~.<durlng
:' .'r.-:constfucti6ri of the following work. A
. copy of the special testing reports shall
be furnished to the Building Division.
UNDERSLAB PLUMBING.
.. ELECTRICAL & . .
MECHANICAL: To be made
before any work Is covered.
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.
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 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.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
DurIng all bolt installation and
tightening operations. (306
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
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.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
x:.
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.G.
STOS. 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 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.
FINAL PLUMBING
ADDITIONAL COMMENTS:
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
FINAL FIRE DEPARTMENT and posted on the premises.
\.A./AtI-::- ~~I/~~/N Ch1t~ A-<<M1"A!~ J'tJ5-U AiY.
...fib ~~" 14< WY'--L M ~(1 _.f /?~ LISE" dVfJ 5/(A1 ~)
;HiE # ,j::::.('! "l~0 ,~ /1,k/"/,/;Z .4'\",r~. 2-~(I ']411 'T1{,N2K
'~Yf1c...d,J ~) t",~..c:Z1).,.~7 / ~~, /,0 (. 5'A.4: I<}$. ,1=/,(1~ h-rll.rEUg--ffi,St
/At ulfro/1.:. PLANS REVIEWED BY AI/A-
v
FINAL MECHANICAL
/ "
OAT"
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 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 malle 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 from the
stre~t, that the pernillcard'IS}Ocatj9_at the front of the property. and the approved set of plans will rem"ajn on .the site at all
times ""r~on_ - . 3-
SlgnaturA ~';;~ _ -, Date..L! /~~/ /:r,9'
VALIDATION:
AMOUNT RECEIVED: ~fi3.'i'~
RECEIPT #: 3/- 2 7ft!:
DATE PAID:~/2."b/'LCf
RECEIVED BY: . -Y~4).lLe
. ~