HomeMy WebLinkAboutPermit Building 1997-07-08COM M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fiftn Street, Springfield, Oregon 97477
SPRINGF]ELD q7lo3tJOB NUMBER
INSPECTION LINE: 726-3769
OFFICE:726-3759
LOCATION OF PROPOSED WORK:^^-v K
ASSESSORS MAP:725 nv TAX LOT tffi)
OWNER:
ADDFIESS:
CITY:
PHONE:
STATE:ZIP:
VALUE
i
TION
-
DEMOLISH OTHER
DESCFIIPTION OF WORK:
NEW
-
BEMODEL -X.
AFICHITECT:
trr trrrf ot/.a I .
NAME ADDRESS PHONE
ADDRESS PHONE
772
EX
7
ta 33ot
CONTRACTOR'S NAME
G EN ERAL:
PLUM BI N G:
MECHANICAL:
CONST.
CONTBACTOR #
PLUMBING
NO FEE CHARGE
Single Fixture
Relocated Bldg
(new fix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backflow Device
I
I
TOTAL PERMIT
MECHANICAL
NN trtrF EHA RG F
Furnace/burner & vent
<100,000 BTUs
Furnace/burner & vent
>'100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Statlonary evap.
cooler
Vent Fan/Single
duct
Vent sy"
AC
tatn aiart
or htg.from
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
ZONING:
LAND USE
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
* OF UNITS:
OCCY GROUP:
I OF STORIEST
QUAD AREA:
I OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
DATEPLAN CHECK FEE BYRCPT#
/6,xo
BUILDING PERMIT
)t1 rn t4. tIt)PLU M BI NG DEMOLITION
5"/. Slate .z-> C,l^t
Surcharoet )ht lhh rih .75 t. t/€5% State
Surcharoe
MECHANICAL FENCE
VALUE $
5% State
Su rcharoe
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
SQ. FT.
3 Yao
$/so. FT.VALUE
SQ. FTG MAIN
SO. FTG ACCESS
5u. r ru ul htrn
x
X
x
TOTAL VALUE OF PROJECT-
7,7a1
rnlgnature L /S
hereby oertlfy thFt
accordanco wlth t
descrlbed hereln,
er certify that ohly
v
rsst l! rcadable lrom thr
remaln on the slte at all
f-
By slgnature, I state and agree, that I have carefull examlned the completed appltcailon and do all lnformailonherein ls true and correct, and I further cerfl fy that any and all work performed shall be done tn he Ordlnanceaof the Clty of Sprlngfleld, and the Laws of th e State of Oregon pertalnlng to the work and that NO OCCUpANCywill be made of any structure wlthout perml sslon of the Bulldlng Safety Divlslon. I furth contractors and em ployeeswho are ln compllance wlth ORS 7O1.OS5 wlll be used on thls proiect.
I further agree to ensure that all requlred lnspectlon! arc requcrtcd at tha proper tlm€, that projsct addstreet, that the permlt card ls located at the front of the property, and the approved set of plans wllltlmes durlng constructl
-inw
RECEIVED BY:lAn
AMOUNT RECEIVED:
RECEIPT *;
DATE PAID:
\)
VALIDATION:a-
It is the res ponsibiilty of the permit holder to s
REQUIRED INSPECTIONS
ee that all ln spectlons are726.3769 (recorder), state your City des ated job nufor lns pectlon. Requests ign
the fol lowing work day.
received before 7:00 a.m. wil
SITE
ype of inspectio requested and when you will be ready
made at the pro pe r time. To request an ln spection, callmber, job address. tI be made the same worklng day, req uests made after 7:00 a.m. will be made
n
To bemadeion, butp rior to setup of fo rms.
UNDERSLAB P LUMBING,ELECTRTCAL &MECHANT CAL: To be madebeforeany work ls covered
FOOTINGS &FOUNDATI ONS:To be made after trenc hes areexcavatedand forms areerected,all steel in place, butprior to placing con crete.
CONCRETF SLAS: ro ror'taOe after
M_ECHANTCAL: No work isoe covered until thesernspections have been madand approved.
4TT!C DRAFT STOPS &CURTAIN WALLS
ROUGH P LUMBIN G,ELECT RICAL &
FIREPLACE:
PAVING: After gravel is inplace but prior to placing
rrete.asphalt or conc
INSPECTION:
after excavat
to
faci ng materi
framing ln spection.
FRAMING:To be made afterthe roof att ; iir,
' r ' s
:,':'j"? 311:i:' 3:',I
'IONS: tn ac cordance
a special ins State S peci alty CodePector shall be employedby the Own erl Contractor du ringconstruction of the follow in g work. Aof the special testi ng reports shallrnished to the Buil di ng Division.
STRUCTURAL CO NCRETE:Inexcess of 2500 Ei,. t 1306 a..1)
E SPECIAL INSPECTSection 306 of the
piping,accessories and otherancillaryequipment item s arelnplacebutbeforeanyconcrete ls placed.
ROOF SH EATHING ANDNATLING:Prlor to lnstalll ng
and b raclng are ind all pipes, Lhim neysand vents are complete andthe rough
and mech
electrical , plumbing
anical are approved
INSULATION &VAPORBARRTER: To be made aft er alllnsulationand required vaporbarrlersare in place b utbeforeany lath or gypsumboardlnterlorwall covering isapplied.
STRUCTURAL WELDS:rerrormed on the job. (2222 I)
service equ
all inslab buildipment, condui
blocking
place an
ing
t,
U.NDERcROUND: ptumbing,
etectrical, gas, sanitary i"iLr.storm sewer, water an6oratnage llnes. To be maOeprior to coverrng -oii,;ii;;=
trenches.
UNDEBFLOOR: ptumbing,
electrical, mecnanical T6 h6made prior to instairiiroi Iif toor i nsularlon, o""[rni' "i,floor sheathlng.
POST & BEAM: To be madeprtor to tnstalratron?.ii6lllnsutalon, deckinf ;; ii;;;sheathlng.
MoR tNsuLAflON &VAPOR aannren$ io-oemade prlor to lnstallailoi ofdecktng or ftoor "n"rinlnol,
MASONRy: Steet locailon.bond beams grouilng oi",verilcals ln aCcordan-ce wlthuBc 2415.
FIRE & SEPARATION WALL:Located ano constiu;t"e-..according to plans.
BOABD: fo Oe made-itter arrIathtng and gypaum Ooari.-"Intertor ana 6-xieiJi i"'T.,",place but beforC "nv'-
",
3ll**',tJ#Ell,"i or lef o re
fasteners are tipea anJ-
f lnlshed.
SIDEWALK & DRIVEWAY:Requlred tor att concieie
IJar'ing with,n street right ofway, to be made afteriti -.
€xcavaflng complete and formworx and sub-base matertat inplace.
CURB AND APPROACHApRONS: after formiare
:p_oleq but prtor to ptactngconcrote.
SPECIAL GRADING
EXCAVATTO N ar.r-dir r_ r-rru c,Durtng earthwork. (306;:1i&Chapter 29)
cLU.LAM BEAMS: tnspectionc_eruftcar6 oy an appiJv-e;," ,
aocncy, furnBulrdtns Dt"l:ilXd torth€ clty's
3?fl3: ff#'"".' t-jstii u' ec'
STRUCTURAL MASONRy: (306a,7'
Durin g alt boltightening o perations. (306a.6)
9PRAYED O NFIREPROOFING: U.B.C.Standards 43-B
'ln add Itlon to th;lnspec.tlons
HIGH SIREN GTH BOLTING:t installation an d
Offlct the Bultdtn s
other lnspect ke or requ lrelons of anyconstrugtlon work to ensurecom
speclf led,
al may ma
any roof coverlng,
Clty
pll
or
ance wlth theDevelopment Bullc,tnO,
Codc.FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
9lIF PIAN REvtEw BoAHD: Muor the date you wlsh lnspectlon,
lii9.::l,eltq, parkrns tot stripins,requesilng thls lnspecilon.
!.t..bc rcquBotcd 2 day! ln advanceAli project condltloni such asetc. must be completeO Oefoie
FINAL BUILDING: Requested after the ftnal ptumbing, electrtcat,mechantcal and Flre oepartmeni-i"i:p"JiiJ"" are made andapproved. No occuoancy of the pr"rni"""'irn be made unill acertlfrcate of occu'oanry nas oeln'is"-rJo"6v the Buirding Drvisronand posted on the irremlses.
DATE
PLANS REVIEWED BY
7-