HomeMy WebLinkAboutPermit Building 1994-08-03CO M M ERCIAL/ I N D USTRIAL
PERMIT APPLICATION
225 Fiftn Street, Springfield, Oregon 97477
SPRINGFIELO
LOCATION OF PFOPOSED WORK:
ASSESSORS MAP:TAX LOX 43?D€
PHONE;
ADDRESS:
1
STATE:CITY:ZIP:2=zz>
NEW
-
REMODEL ADDITION DEMOLISH OTHEB VALU eWDESCRIPTION OF WOBK:
ARCHITECT:
MECHANICAL:
-
IELECIBICAL: $l*".4
NAME ADDRESS PHONE
EXPIRES PHONED
Z
CONST.
CONTRACTOR #CONTRACTOH'S NAME
GENERA
PLUMBING
PLU MBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft,
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
NO trFtr .t{A ETGF
Furnace/burner & vent
<100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent
from
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permlt lssuance $10.00
TOTAL PERMIT
7^4' a-_*
- OFFICE USE -
* OF BLDGS:
QUAD ABEA:
* OF STOBIES:
LAND USE:
HANDICAP ACCESS:
LIGHTING POWER BUDGET;
WATER HEATEB:
* OF UNITS:ZONING:
OCCY GROUP,-A-=9
FLOOD PLAIN:
CONSTR. TYPEr
HEAT SOURCE:
SQ. FT.$/SQ. FT,VALUE
2TOTAL VALUE OF PROJ
x
X
x
SQ. FTG MAIN
SO. FTG ACCESS
SO. FTG OTHER
#-2PLAN CHECK FEE DATE BY
.#6bp
BUILDING PERMIT ##*PLUMBING DEMOLITION
5% State
Surcharoe
lqt.44r't. i1a 3r*5% State
Surcharoe
MECHANICAL FENCE
VALUE $4/,fr
5% State
Su rcharo e
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVI NG CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PEBMIT FEES
EXCLUOING ELECTBICAL
JoB NUMBE " 7///2 4 ,
INSPECTION LINE: 726-3769
%/*aB//'
Floor furnace and vent
BCPT#
REOUIRED INSPECTIONS
It ls the responslblllty of the permlt holder to see that all lnspectlons are made at the proper tlme. To request an lnspectlon, call
726-3769 (recorder), state your Clty deslgnated job number, Job address, type of lnspection requested and when you will be ready
for lnspectlon. Requests recelved before 7:00 a.m. wlll be made the same working day, requests made after 7:00 a.m. will be made
the followlng work day.
SITE INSPECTION: To be
made after excavatlon, but
prlor to setup of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work ls covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel ln place, but
prlor to placlng concrete.
CONCRETE SLAB: To be
made after all lnslab bulldlng
servlce egulpment, condult,
plplng, accessorles and other
anclllary equipment ltems are
ln place but before any
concrete ls placed.
UNDERGROUND: Plumblng,
electrlcal, gas, sanltary sewer,
storm sewer, water and
dralnage llnes. To be made
prlor to coverlng or fllllng
trenches.
UNOERFLOOR: Plumblng,
electrlcal, mechanlcal. To be
mad'e prlor to lnstallatlon of
floor lnsulatlon, decklng or
floor sheathlng.
POST & BEAM: To be made
prlor to lnstallatlon of floor
lnsulatlon, decklng or floor
sheathlng.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prlor to lnstallatlon of
decklng or floor sheathing,
MASONRY Steel locatlon,
bond beams groutlng or
vertlcalg ln accordance wlth
uBc 2415.
ROOF SHEATHING AND
NAILING: Prlor to lnstalllng
any roof coverlng.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work ls to
be covered untll these
lnspectlons have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prlor to placlng
faclng materlals and before
framlng lnspectlon.
FRAMING: To be made after
the roof, all framlng, flre
blocklng and braclng are ln
place and all plpes, chlmneys
and vents are complete and
the rough electrlcal, plumblng
and mechanlcal are approved.
INSULATION & VAPOR
BARRIER: To be made after all
lnsulatlon and requlred vapor
barrlers are ln place but
before any lath or gypsum
board lnterlor wall coverlng is
applled.
FIRE & SEPARATION WALL:
Located and constructed
accordlng to plans.
LATH AND'OR GYPSUM
BOARD: To be made after all
lathlng and gypsum board,
lnterlor and exterlor, lB ln
place but before any
plasterlng ls applled or before
gypsum board lolnts and
fasteners are taped and
flnlshed.
SIDEWALK & DRIVEWAY:
Requlred for all concrete
pavlng wlthln street rlght of
way, to be made after all
excavatlng complete and form
work and sub-base material ln
place.
CURB AND APPROACH
APRONS: After forms are
erected but prlor to placlng
concrete.
PAVING: After gravel is ln
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owner/ Contractor during
constructlon of the following work. A
copy of the special testing reports shall
be furnlshed to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. (2722 t)
HIGH STRENGTH BOLTING:
Durlng all bolt installation and
ti ghtenl ng operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPEC]AL GRADING,
EXCAVATION AN D FILLING:
During earthwork. (306 a.11 &
Chapter 29)
cLU.LAM BEAMS: tnspection
Certificate by an approved
agency, furnlshed to the City's
Bullding Dlvislon before
beams are placed. (2501 U.BC.
STDS. 25-10J1).
STRUCTURAL MASONRY: (306
a.7)
'ln addition to the lnspec.
tlons speclfled, the Building
Offlclal may make or requlre
other lnspectlons of any
constructlon work to ensure
compllance wlth the Bulldlng,
Clty or Development Code.
FINAL PLUMBING
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
FINAL ELECTRICAL
ADDITIONAL COMMENTS:
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wlsh lnspectlon, All project condiilons such as
landscaplng. parklng lot strl plng, etc. must be completed before
requestl ng ttlp,lps pect I on..,,-+
FINAL BUILDING: Bequested after the final plumbtng, electricat,
mechanlcal and Flre Department lnspectlons are made and
approved. No occupancy of the premises can be made until a
Certlflcate of Occupancy has been lssued by the Buildlng Divlslonand posted on the premlses.
PLANS REVIEWED BY DATE
By slgnature, I state and agree, that I have carefully examlned the completed appllcatlon and do hereby certlfy that all lnformatlon
hereln ls true and correct, and I f urther certlfy that any and all wor\ performed shall be done in accordance wlth the OrdinaFges
of the Clty of Sprlngfleld, and the Laws of the State of Oregon pertalnlng to th6 work descrlbed herein, and that NO OCCUpANCy
wlll be made of any structuro wlthout permlsslon of the Bulldlng Safety Dlvlslon. I further certlfy that only contractors and employees
who are ln compllance wlth ORS 701.055 wlll be used on thls project.
I further agree to that all requlred lnspectlons are requested at the proper tlme, that prolect address ls readable from the
street, that the perml ls located at the front of the property, and the approved set of plans will remaln on the slte at all
tlmes durlng const
Slgnat 7DateB
VALIDATION:AMOUNT RECEIVED:
6z
DATE PAID:
RECEIPT *:, {, t"4
)<
*
RECEIVED BY:
COM M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fillh Street, Springfield, Oregon 97477
SPRI,tlGFIELcl
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:TAX LOT:
PHONE:
STATE:ZlPt
2
CITY:R,
OWNER
ADDRESS:
NEW
-
FIEMODEL J ADDITION DEMOLISH OTHER VALUE:
DESCRIPTION OF WORK:
GENEBAL:
[rtrnuANilnAl.
ELECIRICAL: ***4
NAME ADDRESS PHONE
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
ARCHITECT:
PLUMBING:
coNsT.
CONTRACTOR #
PLII MBING
NO.FEE CHARGE
2_Single Fixture / o,t/2CdQ
Relocated Bldg.
(new fix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MECHANICAL
NO trFtr NHA EIGtr
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
Stationary evap,
cooler
Vent FaniSlngle
duct
Vent System apart
from AC or hts.
Mechanical exhaust
hood and duct
Permlt lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
LAND USE;
g OF UNITS:
OCCY GROUP:
g OF STORIES:
QUAD AREA:
* OF BLDGST
CONSTR. TYPE:
HEAT SOURCE:
HANDICAP ACCESS:
FLOOD PLAIN:
LIGHTING POWER BUDGET:
WATER HEATER:--
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF.PROJ
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
2/,6q
BUILDING PERMIT PLUMBING P42rao
.,4
DEMOLITION
5% State
Su rcharo e
5% State
Surcharoe
'.ba
MECHANICAL FENCE
VALUE $
5% State
Surcharoe
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CUBBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELEfiBICAL
/'tv1
ZQNING:
- REOUIRED INSPECTIONS
It ls the responslblllty of the permlt holder to see that all lnspectlcns are made at the proper tlme. To request an lnspectlon, call
726.3769 (recorder), state your City deslgnated job number, Job address, type of lnspection requested and when you will be ready
for lnspectlon. Requests recelved before 7:00 a.m. wlll be made the same worklng day, requests made after 7:00 a.m. wlll be made
the followlng work day.
PAVING: After gravel is ln
place but prior to placing
asphalt or concrete.
made after excavatlon, but ELECTR
prlor to setup of forms.
/ 'uNDERs
MECHANICAL: To be made
before any work ls covered.
FOOTTNGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel ln place, but
prlor to placlng concrete.
CONCRETE SLAB:]io be
made after all lnslab bulldlng
servlce equlpment, condult,
plplng, accessorles and other
anclllary aqulpment ltems are
ln place but before any
concrete ls placed.
UNDERGROUN D: Plumblng,
electrlcal, gas, sanltary sewei
storm sewer, water and
dralnage llnes. To be made
prlor to coverlng or fllllng
trenches.
UNDERFLOOR: Plumblng,
electrlcal, mechanlcal. To be
mad'e prlor to lnstallatlon of
floor lnsulatlon, decklng or
floor sheathlng.
POST & BEAM: To be made
prlor to lnstallatlon of floor
lnsulatlon, d6cklng or floor
sheathlng.
FLOOR INSULATION &
VAPOR BARRIERS: To ba
made prlor to lnstallatlon of
decklng or floor sheathlng.
MASONRY: Steel locatlon,
bond beams groutlng or
vertlcals ln accordance wlth
uBc 2415.
ROOF SHEATHING AND
NAILING: Prlor to lnstalllng
any roof coverlng.
MECHANICAL: No work is to
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prlor to placlng
faclng materlals and before
framlng lnBpectlon.
FRAMING: To be made after
the roof, all framlng, flre
blocklng and braclng are ln
place and all plpes, chlmneys
and vents are complete and
the lough electrlcal, plumblng
and mechanlcal are approved.
INSULATION & VAPOR
BARRIER: To be made after all
lnsulatlon and requlred vapor
barrlers are ln place but
before any lath or gypsum
board lnterlor wall coverlng ls
applled.
FIRE & SEPARATION WALL:
Located and constructed
accordlng to plans.
LATH AND'OR GYPSUM
BOARD: To be made after all
lathlng and gypsum board,
lnterlor and exterlor, ls ln
place but before any
plasterlng ls applled or before
gypsum board lolnts and
fasteners are taped and
flnlshed.
SIDEWALK & DRIVEWAY:
Bequlred for all concrete
pavlng wlthln street rlght of
way, to be made after all
excavatlng corhplete and form
work and sub-base materlal ln
place.
CURB AND APPROACH
APRONS: After forms are
erected but prlor to placlng
concrete.
a speclal lnspector shall be employed
by the Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: ln
excess of 2500 P.S.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. 12722 l)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightenlng operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GBADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: lnspection
Certlficate by an approved
agency, furnlshed to the Clty's
Bullding Dlvlsion before
beams are placed. (2501 U.BC.
STDS. 25.10,11).
STRUCTURAL MASONRY: (306
a,7\
*ln additlon to the inspec-
tlons speclfled, the Building
Officlal may make or requlre
other lnspections of any
constructlon work to ensure
compllance with the Buildlng,
Clty or Development Code.
be covered untll these
lnspectlons have been made SpECIAL INSpECTIONS: ln accordanceand approved. Section 006 of the State Specialty Code
PLUMBI
FINAL PLUMBTNG
FINAL ELECTRICAL
FINAL MECHANICAL
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wlsh lnspection. All proJect condltlons such as
landscaplngr parklng lot stri ping, etc. must be completed before
requ estl n g tfris. l11s pect I on.
FINAL BUILDING: Requested after the flnal plumblng, electricat,
mechanlcal and Flre Department lnspectlons are made and
approved. No occupancy of the premises can be made until a
Certlflcate ,
and posted
of Occu pancy has been issued by the Bulldlng Divislon
premlses.FINAL FIRE DEPARTMENT
ADDITION COMMENTSI
the
PLANS REVIEWED BY DATE
By slgnature, I state and agree, that I have carefully examlned the completed appllcat!on and do hereby certlfy that all lnformatlon
hereln ls true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinagrges
of the Glty of Sprlngfleld, and th6 Laws of the State of Oregon pertalnlng to the work described hereln, and that NO OCCUPANCY
will be made of any structure wlthout permlssion of the Bulldlng Safety Dlvlslon. I further certify that only contractors and employees
who are ln compllance wlth ORS 701.055 wlll be used on thls prorect.
I further agr6e to ensure that all requlred lnspectlons are requested at the proper tlme, that proJect address ls readable from the
street, that the permlt card ls located at the front of the property, and the approved set of plans wlll remaln on the slte at all
tlmes durlng constructlon.
Slgnature e Date e/r/?r
6o
VALIDAf,ION:
oAMOUNT RECEIVED:
RECEIPT *:RECEIVED BY:
DATE PAID
1/,4-