HomeMy WebLinkAboutPermit Building 1998-8-27
'.
COMMERCIAL/INDUSTRIAL SPRINGFIELD
PERMIT APPLICATION L~
225 Fifth Street, Springfield, Oregon 97477 ~
LOCATION OF PROPOS~D WORK: ,~VA \\'<\ 1 f'\ ~'I\ 0 0-+
ASSESSORS MAP" I' J()"'~~~4fJ _ '
OWNER: ~ 00. \.~\\\ f\~ 0 \\~'\;> .
ADDR~r--~Q 4 ~ t ui-- ~ 0 0'\1- ,
CITY: ~ _"\ ~ 0 Q ~ STATE:~~() W"
DESCRIPTION OF WORK\ _ck t ')\\ \ f\C) "
NEW ~ REMODEL ADDITION \\ DEMOLISH OTHER
~
NAME
ADDRESS
ARCHITECT:
CONTRACTOR'S N~E
GENERAL:""'lf\M) ~\r~~
PLUMBING' .
.
G\610IR. .'
JOB NUMBER
INSPECTION LINE: 726.3769
OFFICE: 726.3759
-TAX LOT' r1.n\('{ )
PHONE:Mln .Pl2!}J 1
, <=>
ZIP'C) ,4:"ll
VALUE:
PHONE
CONST.
~::-r~ t1Ql]~'~ift
PHONE
If:.t1.a~ ~
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or hlg,
I Mechanical exhaust
AlTEr 1~'~~I}G.l ~E~': :':'"u:,o', 'V'
NpTICE: I fOJ~ow r lIes adopted by the Orea~r 'uiilifl'
Tf-lIrS PERM _ .J ~VUlllidllun vanlllar. Thoesa rules are set forU'
, 'r IT SHALL EXPIR~ THf: IMI )gK I AI'! Q,,<:e,,1.'I1 dffflj~~re~"L;);;R """,.uu ,_
To-rllbJP\J~ED UNDER THIS PERMIT Ig' hl~T a0lTA'Ol1lma1J'Tobtain copies of the r"I,,~ h..,
r"'I\",r1[~J""~"" -....- vCllllnqlneCen!Ar (1\Int~'.hn.,..,I.~..l..___ -
--- J. \ '" /"\lm"uUI~tU t-OR _ OFFfCE u~lI1Der for the Oreg~lqA~~:_
ANY 180 DAY PERIOD. . Center is 1-800-332-2::14..1.\ "
QUAD AREA- LANa USE: . FLOODt'LI\IN:
MECHANICA' .
ELECTRICAl'
PLUMBING
I Nn
I.
I
I
I
I
I
I
I
NO,
FEE
CHARGE
Single Fixture
Relocaled Bldg.
(new fix, addll)
Water Service
fl.
Sanitary Sewer
It.
Storm Sewer
ft.
Backflow Device
. OF BLDGS'
. OF UNIT~'
OCCY GROUP:
CONSTR. TypF.
. OF STORIE~'
HEAT SOURCF'
sa. FT.
$/SQ. FT.
SQ. FTG MAIN
SQ. FTG ACCES~
SQ. FTG OTHER
x
x
X
PLAN CHECK F~..Q-~ 95
RCPP
DATF
I BUILDING PERMIT
15% Slate
Surchar~e .l-M.mi".
I MECHANICAL
15% Slate
Surcharae
IPAV~NG
':~~~
\ . C1 :::5
~ i ,"
5% State
SurcharQe
FENCE
VALUE $
SIDEWALK
I PLUMBING
FT.
CURBCUT
FT.
\.
I
"
EXPIRES
-~.
'}
p
MECHANICAL
FFF
f"U.o.Rn:1:
Furnacel burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
$10.00
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
= TOTAL VALUE OF .PROJECTc)f)5~
BY
.1 ~EMOLlTION
I Jllt) f\ V~)
2J~ 03
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
j
TOTAL PERMIT FEES I '\ 0 1o'L.
EXCLUDING ELECTRICA' LO.
"'- )...\~ 'l D .OD
Tn-\b1l ,~ Lc>.LP2--
.
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. wil.!)e made the same workIng day, requests made after 7:00 a.r:n. will be made
the following work day. l../" _ _ .
. SITE INSPECTION: To be R N, , PAVING: After gravel Is in
made after excavation, but LECTRICAL place but prior to placing
prior to setup qf forms. : No work Is to \ asphalt or concrete:
be covered until these
inspections have been made
and approved. .
FOOTINGS & FOUNDATIONS:
. To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to I?laclng concrete.
FIREPLACE: Prior to placing
facing materials and before
framing fnspectlon.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Owner I Contractor during
co!",struction 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.
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 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 ..1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor Insulation, decking or
floor sheathing.
INSULATION & VAPOR
BARRIER: To be made after all
insulation and .requlred 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
d ral nage II nes. To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U.S.c.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
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,
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).
"In addition to the inspec-
tions specified, the Building
Official may make or require
CURB AND APPROACH other inspections of any
ROOF, SHEATHING AND APRONS:,After forms are construction work to ensure
NAILING: Prior to Installing erected but prior to placing compliance with the Building,
any roof covering. ,. concrete. , ' City.o_r Development Code.
-------~----------------7--~---------------------------
.,,1
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
USC 2415.
SIDEWALK & DRIVEWAY:
Requlred.for all concrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub~ba5e material in
place.
STRUCTURAL MASONRY: (306
" v<:kW't~h'\1)"'
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
v
FINAL ELEcTRICAL
.-
SITE PLAN REVIEW BOARD: Must be requ~sted 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 PLUMBING
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
\. LQ Q ~ ; IS' n \J ~() lrffi,l. -\: l i\il ~ 0 \ n~)
/} .<#.~A
PLANS REVIEWED ~ ~~/ V/~ DATE ~rf1'e
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 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 perm rd located at th t of the property, and the approved set of plans will remain on the site at all
times during co u 10
Signature
,/
'--.......-/
Date
P/27/qZ
(
~!;;1JJf-
!
VALIDATION:
AMOUNT RECEIVED:
RECEIPT ':
1/[ I. 7-
/) 7.,j z. ;1,)
DATE PAID:
RECEIVED BY'