HomeMy WebLinkAboutPermit Building 1991-6-6
SP~'NGF'ELD . fA' \ ~ p:. C
~ JOB NUMBER ~\ ( f rl.. \. )
INSPECTiON LINE: 726,3769
225 Fifth Street, Springfield, Oregon 97477 ~ OFFICE: 726,3759
LOCATION OF PROPOSED W~K: " \.~q <6'1 '~riuI e:nl.rio$L ~
ASSESSORS MAP' n Dd. \ C\ O() TAX LOT (}3"3C:f:')
OWNER r\ 1 )f~ PHONE--=1K4-CJ4U
ADDRESS'. f-fY) ,.9....... L\- ~
rJ.)~~ _
DESCRIPTiON OF WO-RK' , (\om J) N .> uF\Oll [')L t5llY () /
NEW * REMODEL ADDiTION DEMOLISH' OTHER ~
COMMERCIALIINDUSTRIAL.
PERMIT APPLICATION
CITY:
STATEj\. ) Jt' ..)
ZIP'
L{ 1\44( )
VALUE:
NAME ADDRESS
~Q~~
>>l'C' "~:'C~' "::::Qfl...-z:> /fAHh?A'A') e~
CONTRACTOR'S NAME ADDRESS
GENERA' /~RR.<:'5, 4/rc.7r; ?t:S/ h>7/.?/9'.fl>e::>C=--
PLUMBIN("
PHONE
CONST,
CO NT RACTO R .
EXPiRES
/7--//-'"9/'
PHONE
"'3':::>'r.r::>
MECHANICA! '
ELECTRICA! '
PLUMBING I MECHANICAL I
NO, FEE CHARGE I Nn 000 ""^B.Gi
tf Single Fixture /P ?-'~. en:> I Furnace/burner & vent
< 100,000 BTUs
Relocaled Bldg, I I Furnace/burner & vent I
lnew lix, addll) > 100,000 BTUs
1'2.~1 Water Service I ~_~.-'7' I Floor furnace and vent I
II.
I Sanitary Sewer I I Suspended wall or floor I
II. mounted unit heater
I Storm Sewer I Appliance Vent I
II. separate
I I Stationary evap. I
Backflow Device cooler
I I Vent Fan/Single I
duct
I I Vent System apart I
from AC or htg.
I I Mechanical exhaust I
hood and duct
I I I
I I I Permit Issuance $10,00 I
I TOTAL PERMIT I ?t;:~ I TOTAL PERMIT I
QUAD AREA:'- ~0 j\J{l J
- OFt-ICE USE -
LAND USE:~R \n
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING: ,,0 L
. OF BLDG~'
OCCY GROUP: ~ - c.;
J
. OF UNITS'
CONSTR, TYPO'
I
LIGHTING POWER BUDGET:
. OF STORIE~'
HEAT SOURCF'
WATER HEATER'
SQ, FTG MAIN
SQ, FT,
0..--.. ~ <'"5
$/SQ, FT,
VALUE
SQ, FTG,OTHER'
X
= "'3L./~ 1l'Y 4;?7?f .
/.0.'2'0 'Brc~
, r~... 7/0
TOTAL VALUE OF PROJECT~~
I
. '
-ceo rTe ACCCCf'
X
X
PL,~N CH~p~~Jn~~ ~}{,j~~~ / 9A!E c~;:J~ B~ (j)() )
I BUILDING PERMIT
5% State
Surcharoe
MECHANICAL
'A~9. s-c:>
/?-. '7'.8
I PLUMBING
9S=-
L/.7~
I'DEMOLlTION
J
~/~~;; ~~L/ .?J'=Y~.' II
~~~~ -~_ 7.Po.
SUBTOTAL I
PERMITS 3 g ::? 7-:5
SYSTEMS ~~
DEVELOPMEN1"" '2 ~.6. 0/9
15% State
Surcharae
I PAVING
5% State
SurcharQe
FENCE
VALUE $
I SIDEWALK
I CURBCUT
FT,
FT,
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
~I.o: '/"1.
, .
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.
FINAL BUilDING: Requested alter the linal 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,
ADDITIONAL COMMENT'" -4 ~~~~,...,,- ~.A'"?T ?"h'?T~L "'1? ~ ~.Q"a;r)
J?7" ,~'i-=- ~~'=---.:~/~ "'5~2?~~n- ~~- /71, ~N'~/~""'7/~_'
r>ft ,!#-'/.-,4' ~fif /h';;;....,,~=- hz;>;;.:;:?,4LL;SL, -/ ,~".,..", 0.r.?E"r ~.,Q?-:1~~~
/" 4ff:.;:qc,V.E~ J?~ ~~ /~~ U~y ~~~"""''''''L ,9' <:""...,.~5:PA>mdn"::::"'.
PLANS REVIEWED ~ ~ - ('~---~ DAT" ~-31'- 5'/
'/- ..... - -/ '
.
REQUIRED INSPECTIONS
.
x
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.
x
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
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 specla,1 testing reports shall
be furnished to the Building Division.
,X
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 PS,I. (306 a,1)
FRAMING: To be made alter
the roof, all framing, fire
blocking and bracing are in
place and all pi pes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a,6)
J.
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)
INSULATION & VAPOR
"BARRIER: To be made alter all
l'nsulation and required vapor
barriers are In place but
before any lath or gypsum
board Interior wall covering Is
applied,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
l-
UNDERGROUND: Plumbing,
electrical, g~an~ary sewer,
storm sewer a er nd
d rai nage Ii nes. 0 e made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U.B.G,
Standards 43,8,
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
lIoor sheathing,
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
GlU,LAM BEAMS: Inspection
Certificate by an approved'
agency, lurnlshed to the City's
Building Division before
beams are placed, (2501 U,B.G,
STDS, 25,10,11),
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
Ilnished,
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-
tions specllled, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
x
MASONRY: Steel location,
bond beams groutlng or
verticals in accordance with
USC 2415,
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: Alter forms are
erected but prior to placing
concrete.
x
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.
x-
X
FINAL ELECTRICAL
y
FINAL MECHANICAL
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 1 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 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
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 during construction.
Signaturf"
VALIDATION:
GMo..,... ()./l~
Date
b!f.,/9J
AMOUNT RECEIVED: 0/0. C/L/"
-::<0:29 '7'
DATE PAID' h~C;-ql
RECEIVED BY: /.k~~~
'/- (''/
, RECEIPT ':
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