HomeMy WebLinkAboutPermit Building 1993-12-8
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LOCATION OF PROPOSED WORK' ~3o MA,j.J S-r12-6€::,
ASSESSORS MAP V\{)?)~S~
JOB NUMBER
Cr~V1&~
COM M ERCIAL/ INDUSTRIAL
PERMIT APPLlCATlo.N
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
TAX LOT:
\
(J1i\ IJlXJ
ADDRESS:
CITY:
MAlLIA
.~3o
S-fl. (2 P
A, M'1'o1""'-
/71,Pnl--l Sr,
'PHON~'
74-b-5oo3
OWNER:
STATE:
0(2..,
ZIP:
..,+702-
DESCRi'PTION OF WORK:
NEW)( REMODEL
Ptp6- ~Ii... Jtt-vJo/lIv"'i
01./ S~:-VI
ADDITION DEMOLISH
OTHER
VALUE" Z,. ';:> <-A.J. GO'
'------, '.'
.NAME
ADDRESS
PHONE
ARCHITECT:
PLUMBING'
CONST,
CONTRACTOR #
12-/ <:> olti::.PIl Tc.ft ~ 2."101
?,fo ?-t1'f' Uc.lfNSf:. -#
EXPIRES PHONE
12.-).0 -'13 'H3S -5S"/{,
'!2-0<r.~
CONTRACTOR'S NAME ADDRESS
GENERAl' bA~fi+J~ Slq/J k Aw;.l/fJ"i
MECHANICAl'
ELECTRICAl'
I PLUMBING MECHANICAL
I NO, I FEE CHARGE ",n ~~~ "!:lARGE-
I Single Fixture. Furnacefburner & vent
<100,000 BTUs
1 Relocated Bldg. Furnace/burner & vent
(new lix, addll! > 100.000 BTUs
I Water Service Floor furnace and vent
It,
1 Sanitary Sewer Suspended wall or floor
It, mounted unit heater
1 Storm Sew~r I Appliance Vent
It. separate
1 I Slation.ary evap.
Backflow Device cooler
1 I Vent Fan/Single
duct
1 I Vent System apart
from AC or htg.
1 1 Mechanical exhaust
hood and duel
I I
1 I Permit Issuance $10,00
1 TOTAL PERMIT TOTAL PERMIT.
QUAD AREA:
\0 i\ lh)
- OFFICE USE -
LAND USE ~::\tf'),
HANDICAP ACCESS:
# OF BLDGF'
# OF UNITS'
ZONING'
FLOOD PLAIN'
rt)
OCCY GROUP:
CONSTR. TYP~'
LIGHTING POWER BUDGET:
# OF STORIE~'
HEAT SOURCF'
WATER HEATER'
SQ, FT.
$ISQ, FT,
VALUE
SQ. FTG MAIN
SQ, FTG ACCESf.
x
X
X
SQ, FTG OTHER
TOTAL VALUE OF PROJECT
PLAN CHECK FEF
05
,
RCPT#
DAT~
BY
I BUILDING PERMIT
15% Stale
SurcharQe
1 MECHANICAL
15% Slat,e
SurcharQe
, 1 PAVING,
~ 8, .5(')
l ,<.\~
PLUMBING
DEMOLITION
5% State
Surcharge
FENCE
VALUE $
SIDEWALK
FT..
SUBTOTAL
PERMITS
SYSTEMS '
DEVELOPMENT
CURBCUT
FT,
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
+CJ~
.
REQUIRED INSPECTIONS
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It is the responsibility of the permit holder to see that all Inspections are made at the proper time. To request an inspection, caJl
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 for~s..
UNDERSLAB PLUMBING,
ELECTRICAL'& .
MECHANICAL: To be made
befor~ any. w?rk Is covered.
ROUGH PLUMBING.
ELECTRICAL. & ~
MECHANICAL: No work is to
. be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
. 'CURTAIN 'WALLS
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.
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.
CONCRETE SLAB: To be
made after a/l" Inslab building
service"equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
.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.
UNDERGROUND: Plumbing. \\
electrical, gas,tsanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
.j..
UNDERFLOOR: Plumbing.
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
POST & BEAM: To be made
prior to installation of floor
Insulation, decklng.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 appiled, or before
gypsum board Joints and .
fasteners are taped ~nd
finished, .
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 materlal.in
place. '
MASONRY: Sleel 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.
PAVING: Afler gravel Is in
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specially Code
a special inspeCtor.shall be employed
by the Owner/.Contractor during
construction of fhew'following work. A
copy of the special testing reports shall
be furnished t.o.the Building Qivlslon.
STRUCTURAL CONCRETE: In
excess of 2500 P,S,I. (306 a.1)
STRUCTURAL WELDS: ':
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a,6)
SPRAYED ON
FIREPROOFING: U,S.G,
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
.x
GLU,LAM BEAMS: Inspection
Certifi,cate by an approved
agency, furnished to the City's
Buildln"g Division before
beams are placed, (2501 U.S.G,
STDS, 25.10.11),
STRUCTURAL MASONRY: (306
. a,7)
A\-\c-~,'h ~{>N-\
-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 qr Development Code.
FINAL PLUMBING
. .
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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 be'fore
requestlng 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 .th~ premises.
FINAL 'ELECTRICAL
A
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY f)-.,tI.,\
('{\ro~ p I \.,)J
I
DATE --.l'J...: '0 \ ~
I
By signature, I state and agree, that I have carefully ~xamined the completed appll.cation and do hereby c~rtlfy that aH"lnformation
herein is true and correct, and I f~rther certify that any and all work pertor:med shall be done In accordance with the Ordinances
. of the City of Springfield. and the Laws,of the Slate 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 thepermlt 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.
VAll DATION:
AMOUNT RECEIVED: on) ,0/\
III D \
RECEI PT #:
Datl?
II ~ Z. 2. -'7)