HomeMy WebLinkAboutPermit Building 1994-4-12
.
COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
-
.
~
JOB NUMBER ~O...c::i:>--
INSPECTION LINE: 726.3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK' !" / -S- ,M~.("~ 37.
ASSESSORS MAP' /?-~~'7S--7/
CONST.
CONTRACTOR'S NAME ADDRESS .yi'2....;,.t.['')~.
GENERAL:~p'&>.~~~ ~~4,.~>;-.ae'~~.~~-
PLUMBING'
OWNER' / !AV/7J ~/~~r ~
ADDRESS: -"~/ 5"" ~~V ?/' .
CITY' ~p~p-
-~. /
DESCRIPTION OF WORK: K~~/<:./?
, ..
NEW REMODEL Y ADDITION
NAME
ARCHITECT'
MECHANICA' .
ELECTRICA' .
PLUMBING
NO,
FEE
CHARGE
Single Fixture
Relocaled Bldg.
(new fix. add! Il
Water Service
It.
Sanitary Sewer
It.
It.
Storm Sewer
Backflow Device
TOTAL PERMIT
QUAD AREA: ~ 0, 3..D
TAX LOT' /~~OO
PHON~'"? r"::t . ~.:;"''5~.~
STAT~'
.....s/=? ..
- ~
ZIP:
9;;>Y??
~z:;>/.c:> ~G .
.J
-z::tJG.IC:.....
VALUE:g\.~-I.,.--
DEMOLISH
OTHER
ADDRESS
PHONE
EXPIRES
PHONE
~~/ V~ ~Y2~~e-'l'
',*
~
I MECHANICAL ~HARG~
I Nn ...
I Furnace/burner & vent
< 100.000 BTUs
1 Furnace/burner & vent I
> 100.000 BTUs
1 Floor furnace and vent I
1 Suspended wall or floor I
mounted unit heater
1 Appliance Vent I
separate
1 Stationary evap. 1
cooler
1 Vent Fan/Single I
ducl
- 1 Vent System apart 1
from AC or hlg.
I Mechanical exhaust 1
hood and duct
I 1
I Permit Issuance $10.00 1
I TOTAL PERMIT 1
- OFFICE USE
LAND USE: ~nO
HANDICAP ACCESS:
. OF BLDGS:
. OF UNIT~'
'(o~
CONSTR. TYp.,
HEAT SOURCE:
OCCY GROUP'
. OF STORIES:
SO. FT.
$/SO. FT.
SO. FTG MAIN
x
SO. FTG ACCESS X
SO: FTG OTHER ~~...'I"~ /~.,;:.~.&>~c
,
PLJf,8~;~~jf.... ~~~. ~TN //?9?
I BUILDING PERMIT
15% State
Surcharrte
1 MECHANICAL
15% State
Surcharae
I PAVING
I/cf.?c>
-:z :2 3
I PLUMBING
15% State
SurcharQe
1 FENCE
VALUE $_
SIDEWALK
CURBCUT
FLOOD PLAIN:
(', ,f '.
ZONING: l' ,,'-...,/
LIGHTING POWER BUDGET:
WATER HEATER:
VALUE
.<,1'002:>
,
. TOTAL VALUE OF PROJECT
DAT. 7-.<a'-?=-/ BY
r-Z--.-._ .
,"-'" -
- .
FT.
FT.
I I
?~ ~r-"~
~~;6.AtV - j~ 6P
liSu~~ 1
PERMITS, 7"h;7~
I SYSTEMS 1 J.J2:
DEVELOPMENT -e-- u.:.
DEMOLITION
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
3/./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 after 7:00 a.m. will be made
the followin9 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.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
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.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
d ral nage II nes. 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.
POST & BEAM:'To be made
prior to installation of floor
Insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
FINAL PLUMBING
]I
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
Y ROUGH PLUMBING,
('fE..CTRIC~
MECHANrCAL: No work is to
be covered until these
Inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and befor.e
framing inspection.
;f'
, ,
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.
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 diJrlng
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 PS,I. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 I)
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.se.
STDS. 25.10,11).
STRUCTURAL MASONRY: (306
a.7)
*In addition to the inspec-
tions specified, the Bullding
Official may make or require
other Inspections of any
construct/on work to ensure
compliance with the Building,
City or Development Code.
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.
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 t9 plans.
,)I'
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.
SIDEWALK & DRIVEWAY:
Aequlred 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.
CURB AND APPROACH
APRONS: After forms are
erected but .prlor to placing
concrete.
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 qn the premises.
~
PLANS REVIEWED BY /Z~ - ~_.~ DATF ~':::<o/-~
- //- . " /' - -;/ --"
By slgnature,l 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 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 require n ctions are requested at the proper time, that project address Is readable from the
street, that the permit card Is located a the fr t of the property, and the approved set of plans will remain on the site at all
times d n nstructlon.
.""
CL.-... _ ~,~f
,
'-../
AMOUNT RECEIV}~P;, ,.~I , k..-)
RECEIPT': "\ ~ ~
DateA/r 7 (q 4
I ('
DATE PAID: "it '. ~~
RECEIVED B~ (/'0... /