HomeMy WebLinkAboutPermit Building 1991-11-22
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COM M ERCIAL/lN DUSTRIAL 6
PERMIT APPLICATION
~
,
~ JOB NUMBER
"7/13~~
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK: 6,// + ~/6 Majre. SfY'eet
ASSESSORS MAP: I?-c :;J-""'f c;;: ~ /
TAX LOT: ~.2._"'~"~_
OWNER: nQM. (l,1l~~""
-0D"f2 0 I. LIdO J/. OJ'' sf
ADDRESS: r: . nnX ~ n tJ 77 IV. /I
CITY:_ 5,1)t'/~4f/e/d STAT'"
, tl
DESCRIPTION OF WORK: AJd ( I) a,,:;" j~ 10 1h P. t'etA\"
NEW REMODEL ADDITION DEMOLISH
PHONE . 7 f't. - "I.(.%..l
OR ZIP: Cl7177.
oLeIl/!l aJJY'ess
~
OTHER VALUE: 7.t;~
NAME
ADDRESS
PHONE
ARCHITECT'
CONST.
CONTRAClOR'S NAME ADDRESS CONTRAClOR .
GENERAL:~etm-JJ€sTe)'x. S&" ".AI.OII;~II/JIO /J"M~fre. Z7&J">!J
PLUMBING'
EXPIRES PHONE
//J'lIS-9~3"f,g-3301
MECHANICA' .
ELEClRICAI .
PLUMBING I MECHANICAL I
NO FEE CHARGE I """ . (;HARGi
Single Fixture Furnace/burner & vent
< 100.000 BTUs
Relocated Bldg. 1 Furnace/burner & vent 1
(new fix. addtll > 100.000 BTUs
Water Service 1 Floor furnace and vent I
It.
I, Sanitary Sewer 1 Suspended wall or floor I
ft. mounted unit heater
I Storm Sewer 1 Appliance Vent I
It. separate
I 1 Stationary evap. I
Backflow Device cooler
1 1 Vent Fan/Single 1
duel
I I Vent System apart 1
from AC or htg.
1 1 Mechanical exhaust 1
hood and duct
1 I 1
I I Permit Issuance $10.00 I
1 TOTAL PERMIT 1 TOTAL PERMIT I
OUAD AREA-
- OFFICE USE -
LAND USF'
HANDICAP ACCESS:
FLOOD PLAIN'
. OF BLDG~'
. OF UNITS'
ZONING'
LIGHTING POWER BUDGET:
OCCY GROUP:
. OF STORIEf"
CONSTR. TYPF'
HEAT SOURCE:..
WATER HEATER:
sa, FT.
$/SO. FT,
VALUE
X
.4~3X
,,/'")I!:>
~
sa. FTG MAIN
sa. FTG ACCESS
sa. FTG OTHER
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEE 17. ~
RCPT' ~ /(' '?
DATE _/'/-7?_ ~ ( BY .4::?
. . .
1 BUILDING PERMIT
15% State .
Surchar~e
I MECHANICAL
15% Stat.e
SurcharQe
1 PAVING
/4):-
.75
I PLUMBING
DEMOLITION
5% Slate
SurcharQe
FENCE
VALUE $
SIDEWALK
CURBCUT
FT.
1 ~ ...--
1 SUBTOtAL
PERMITS
1 SYSTEMS
DEVELOPMENT
q'.x
FT.
. TOTAL PERMIT FEES I -:s 'S:,.. S-c::::J
EXCLUDING ELECTRICAl
1:'>-
.'.
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.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to p"lacing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
SPECIAL INSPECTIONS: In accordance
Seclion 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.
ATTIC DRAFT STOPS &
CURTAIN WALLS
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 braclng 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)
I
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
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. .
HIGH STRENGTH BOLTING:
During all bolt installation and
ttghtenlng operations. (306
a.6)
\1
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 sheathln9.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earlhwork. (306 a.11 &
Chapter 29)
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing.
LATH ANDIOR 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.
STDS. 25.10,11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a.7)
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
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.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof. covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
"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
FINAL MECHANICAL
.~
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
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENT'"
PLANS REVIEWED BY /~...?'-"""--, ----
{// -
DATE //-2~_"'?/"
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 certtfy 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, thai project address Is readable from the
street, that the permit card Is locatedtthe front of the property, and the approved set o'f plan's will remain on the: site at all
times during con ructlon. 4'
Signature 0, (\... _ 't?~ DateJ!-;l;r-q/
- ~ .
V
VALIDATION:
AMOUNT RECEIVED: --::z r~_ ~
RECEIPT ': ~~?
DATE PAID:---,.(/_"2:~r.
RECEIVED BY: ~L.P ~