HomeMy WebLinkAboutPermit Building 1995-01-04COMM ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fif|h Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:
lffi JOB NUMBER ?.*tuf,
ASSESSORS MAP:/2e7- 35^ =/
INSPECTION LIN
OFFICE: 726-3759
TAX LOT:A,fu5,
ztPzSTATE:
OWNER
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER VALUE: /?: -
DESCRIPTION OF WORK:
ot I rltotiln.
EI EfrOIAAI
NAME ADDFIESS PHONE
AD EXPIRES PHONECONTRACTOR'S NAME
ARCHITECT:
MECHANICAL:
GEN
CONST.
CONTBACTOR #
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg
(new fix. addtl)
Water Service
f t.
Sanitary Sewer
ft.
Storm Sewer
ft
Backf low Device
MECHANICAL
NO FFF l1}1A EG 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
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE _
ZONING* OF UNITS:
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
LAND USE:
OCCY GROUP:
I OF STORIES:
QUAD AREA:
C OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
VALUE$/SQ. FT,SO. FT.
TOTAL VALUE OF PROJ
x
X
X
SQ. FTG MAIN
SO. FTG ACCESS
SO. FTG OTHER
RCPT#PLAN CHECK FEE BYDATE
,7.97
BUILDING PERMIT 5a. ra PLUMBI NG DEMOLITION
5% State
Surcharqe
Fft -7'12 5% State
Su rc harge
vECneNICAL ' -FENCE
VALUE S
5% State
Su rcharoe
SIDEWALK SUBTOTAL
PERMITS
PAVING RBCUT SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
?:r>
PHoNE: ? /1^ /q-^
TOTAL PERMIT
FT.
FT.
REQUIRED INSPECTIONS -'
It ls the responslbility of the permit holder to see that all inspectlons 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.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
CONCRETE SLAB: To be
made after all lnslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
ln place but before any
concrete is placed.
UNDERcROUND: ptumbing,
electrlcal, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be madeprior to covering or filling
trenches.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspectlons have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing inspectlon.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all plpes, chimneys
and vents are complete and
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
LATH ANO/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
interior and exterior, ls inplace but before anyplastering is applied or beforegypsum board joints and
fasteners are taped and
f inished.
SIDEWALK & DRTVEWAY:
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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
the rough electrical, ptumbing HlcH STRENGTH BOLTTNG:and mechanical are approved. During all bolt installation and
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Specialty Code
a special inspector 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: In
excess of 2500 p.S.t. (306 a.l)
STRUCTURAL WELDS:
Performed on the job. (2722 t)
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFTNG: U.B.C.
Standards 43-9.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
--- STR
a.7)
UCTURAL MASONRy: (306
x
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.
UNDERFLOOR: ptumbing,
electrlcal, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
During earthwork. (306 a.11 &Chapter 29)
cLU.LAM BEAMS: lnspection
Certificate by an approved
agency, furnished to the City'sBuilding Division before
beams are placed. (2501 U.BC.
STDS. 25-10,11).
POST & BEAM: To be made
prior to lnstallation of floor
insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRTERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams groutlng or
verticals ln accordance withuBc 2415.
ROOF SHEATHING AND
NAILING: Prlor to lnstalling
any roof coverlng.
'ln addition to the inspec-
tions specified, the BuildingOfficial may make or requl16
other inspections of anyconstruction work to ensure
c_ompliance with the Building,City or Development Code.
By signature' I state and agree' that I have caref ully examined the completed application and do hereby certify that all informationherein is true and correct, and I further certify that any and all work performed shall be done in accordance with the ordinancesof the city of Springfield, and the Laws of the state of oregon p"it.intng to the work described herein, and that No occupANcywill be made of any structure wlthout permission of the Builiing'safeiy Dtvision. I further certify that only "onti""too and employeeswho are in compriance with oRS 701.055 wilr be used on tnis-project.
Signatu
Date
cons
I further agree to ensure that all required ins pections are requested at the proper time, that project address is readablestreet, that the permlt from theisldattfront of the property, and th e approved set of plans wlll remain on thetimes durin site at all
VALIDATION AMOUNT RECEIVED:
RECEIPT *:RECEIVED BY:
DATE PAID:
FINAL PLUMBING
FINAL ELECTRICAL
F]NAL MECHANICAL
FINAL FtRE DEPARTMENT
ADDITIONAL COMMENTS:
SITE
'LAN
REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. Ail project
"onoition's-such aslandscaping, parking rot striping, etc. must ue compieleo beforerequesting thls inspection.
( lltL BUtLDtNG: Requested after the final plumbing, etectricat,mechanlcal and Fire Department inspections are maEe andapproved. No occupancy of the premises
""n oe .J"- untir ,certrfrcate of occupancy has been issued bt G B;ir;iig Divisionand posted on the premises.
PLANS REVIEWED BY DATE
tffi-, ND.-4.ECG
. U. [. CTASS A/St0pE RAitGE: 0, to 1/zo
nailable deck
APPUCAr,0it"
THE R@F DECK Ehat, bo tirm. clsa. J and .6Mrh on^^^^, -L--^L: - , ..
\
L{nJonery naiie6.';i f,r;'A"l?,lr,"iff1lffijt;,5lffi".jli,T:ln sharr be suppor,ed on ari edses
THE O{NT STBIP Ehall b€ nsiled to the dock *irf, p-p.. Lngih ,;"hanicat ,ast€ne6 12,, o.c.coNBAsE w-, lv shar bo eppriad ar dghr ang,es to the ontiiuous Jornls of the surface ro be r@red cor
!:s? w-l !V :h.flt be tapr€d'i, on giai ino 6; on il". -G; ;;;j r@ o, waro, is over or oaralet ro bur
l1e-t a93i1"l' tho laFe. Tlrn uP 2' aloo top ol cant on all walls and v€rticat surfaces. Mechinrciir, i".r". g
o.c. on laps and.Staggor lwo (2) rows lE' o.c. 12' dislanl rrom each edge. Atternatej uecrranriatty ia'sren w,.napprovgd stapldtapg mdthod. Rm o, tap€ whall b 12" o-c. stapte spic;ng shail comp,y wrrh minuiacr,re, s
req uirsmonts.
CONPLY AIV shall b€ ,appod so the tlolv o, tvaler is ovet ot pa'allel to, but nev€r against, lhe laps. All end
laps shall bo at loast.l, and sdlacent end laps shall bo at least t2, apart.
EMBED two (2) plias Conply AIV in shingle tashion,
'apping
19' with a 17" €xposur€.
EMBEO tho tull width ot oach sh€€t in hot aspharl sppliad al a nominal rate of 30 lbs. per 100 sq. tt. ol rool
arga. Each ply ghall b€ liohtly broomsd, using a modsratoly $tl commercial pueh b'oom, s it i5 aPPrieo. Arl
prica .h.I tp-turnsd up e-- abovo rha cant aad shall be solid moppad to th€ cant and vertical wall. Buckles or
lishmouths shall be cul and repairsd proporly.
THE SURFACE to rocoivg coating shall b€ clean, unilorm, smooth, and dry All fishmouths. buckles or drr'
laps shall be properly ropairod prior to applying coating.
COAT THE ENTIRE SUBFACE with Concoat (plaln) emulsion appliod at a minimum rate o, nine (9) gallons per
'l0O sq. tt. ot rool araa. Chopp€d libsr glass ,oring shall b€ simultanoously 6mb6dded in the emulsion al a
minimum rate ol thr6o (3) lbs. p€r 100 sq. tt.
ALUMINUM COATING shall be applisd in strict complianco with manulacturer's recommendations and app rec
al a minimum rato ot ong (1) gallon per 100 sq. ft. of roof aroa.
VALLEYS/WATERWAYS shall roceive an oxtra la)€r of Conply A-lV which shall be at l6ast 36" wide ll shall er'
tond at leagl 8' up incllnes out o, vallsy!. This ply shall bg laid on top ol base sheet prior lo applicalion ol
othor plies. Embod the full width o, each shsel ln a cnitorm mopping ot hot Gphalt applied at a nomrnal rale
ol 30 lbs. per 100 sq. ft. ol r@, s6a.
ON SLOPES sxcsoding 1-%" per root hot asphalt shall bs applied at a nominal rate o, 25 lbs. per 1oo sq tl
ol rool aroa. All BUh shall bo applied parallsl to ths slope ot dock. On slopes 2" par lool and greater the p !
sheots ghall b6 "back-nailsd" to the dock or wood nail€B (on insulatsd specifications) pe. the followrng
8chedulo:
Ply Shcat! Nsll lhos. Ollt$ccs From Back.dge
2 18',
s 12',
4 18"
Concap shall bo.back nslled wlth two (2) rows nails staggered 3" o.c.
OmION: The 6bove spocificatlon may be appllod wlth cold procoss adhesive by etl€cting the following
substitutlon8:
1. Sulstituts 3 gsllon8 Conhssivo por tOO sq. ft. vs. 30 lbs. hot sphalt.
2. Substitulg Conbaso W'l lV I a pty sh€et whorover Conply AIV rs requirod
' Relol to soclion 2.15, pa€o 18, lor propsl malt point ol sphatt lor slope involvod'
" ALL Spplication foquiremenE lrom tho "General Roqulrements" sadion are considered pad ol lhese
spocilication8.
ffEUY8COre6 c*r6c*o^ri.rx
MATERIAT REOUIRED PER 1(l(l SOUABE FEET
OF RO(IT AREA
M6chanical Fasteners
Conbase W.1 lV 1 ply
Conply A-lV 2 plies
Asphalt, plies
Concoat Emulsion, 9 gal.
Glass Fibers
Conshield Aluminum Coating, 1 gal.
Accessorigs and Flashing Materials as Required'
As required
25 lbs.
22 lbs.
60 lbs.
72 lbs.
3 lbs.
8 lbs.
QO!4 M ERCTAL/t N DUSTRTAL
PERMIT APPLICATION
225 Fitlh Street, Springfietd, Oregon g?4tl INSPECTTON LtNE: 726-3769
OFFICE: ?26-3Z59
SPRINGFIELO
LOCATION OF PRO
ASSESSORS MAP:
.l Vn
JOB NUMBER
TAX LOI
OWN
CITY:
AD
STATE:
PHONE:
ZIP:
DEMOLISH HER VALUE
OESCRIPTION OF WORK:
"NEW BEMODEL ADD
NAME ADDRESS PHONE
ADDRESS EXPIRES PHONE
ELECIRICAL:
ARCHITECT
CONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
CONST,
CONTRACTOR #
NO.FEE CHARGE
Single Flxture
Relocated Bldo.(new flx. addtl)-
ce
ft.
Sanltary Sewer
ft.
rm
ft.&sP
Backf low Device
TOTAL PERMIT
NO FEE CHARGFrnacI&burner ve ntFu
<1
1
F urnace/burner & vent
Floor furnace and vent
evanary p.
coo ler
an
duct
nt
ex aust
hood and duct
ec
Permit lssuance $10.00
TOTAL PERMIT
HANDICAP ACCESS: _
FLOOD PLAIN:
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER:._--N OF STORIES:
- OFFICE USE -
OCCY GROUP:
LAND USE:QUAD AREA:
* OF BLDGS:
CONSTB. TYPE:
HEAT SOURCE:
* OF UNITS:
SQ. FT.$/so. FT.VALUE
TOTAL VALUE OF PROJ
x
X
x
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
BUILDING PERMIT PLUMBING COSP DEMOLITION
5% State
Surcharoe
5% State
Surcharoe /.as
MECHANICAL FElr9f, A.Ay4nte+ r.-,tzr\. 0_\
5% State
Surcharoe
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
C)cTOTAL PERMIT FEES
EXCLUDING ELECTRICAL
Suspended wall oiiloor
mounted unit heater
Appliance Vent
separate
vent system apart
lrom AC or htg.
SITE INSPECTION: To be
made after excavatlon, but
Prior to setuP of forms'
UNDERSLAB PLUMBING'
ELECTRTCAL &
MECHANICAL: To be made
before any work is covered'
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel ln Place, but
Prior to Placlng concrete'
CONCBETE SLAB: To be
made after all lnslab building
servlce equlPment, condult'
PlPing, accessories and other
ancillary equiPment items are
ln Place but belore anY
concrete ls Placed.
UNDERGROUND: Plumblng,
electrlcal, gas, sanltarY sewer'
storm sewer, water and
dralnage llnes. To be made
prlor to coverlng or f illlng
trenches'
It ls the resPonslbllltY of
7 26.91 69 (recorde r), state
for lnsPectlon. Reguests
the following work daY.
UNDERFLOOR: Plumbing'
electrlcal, mechanical' To be
made Prlor to installation of
floor insulatlon, decking 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 sheathlng.
MASONRY: Steel locatlon,
bond beams groutlng or
vertlcals ln accordance with
uBc 2415.
ROOF SHEATHING AND
NAILING: Prlor to lnstalllng
any roof coverlng.
ROUGH PLUMBING'
ELECTR]CAL &
MECHANICAL: No work is to
be covered until these
insPections have been made
and aPProved'
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to Placing
facing materials and before
framing lnsPection.
FRAMING: To be made after
the roof, all framlng, fire
blocking and braclng are ln
Place and all PlPes, chimneYs
ind vents are comPlete and
the rough electrical, Plumblng
and mechanlcal are aPProved'
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vaPor
barrlers are ln Place but
before any lath or gypsum
board lnterlor wall covering is
applied.
F]RE & SEPARATION WALL:
Located and constructed
according 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 applied or before
gYPSum board jolnts and
fasteners are taPed and
f inlshed.
SIDEWALK & DRIVEWAY:
Requlred for all concrete
paving within street right of
way, to be made after all
excavatlng complete and form
work and sub-base material in
place.
CURB AND APPROACH
APRONS: After forms are
erected but prlor to placing
concrete.
PAVING: After gravel is in
Place but Prlor to Placlng
asPhalt or concrete'
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Specialty Code
i special lnspector shall be employed
bv the Owner/ Contractor during
construction of the following work' A
copy of the special testing reports shall
be furnished to the Bullding Divislon.
STRUCTURAL CONCRETE: IN
excess of 2500 P.S'l' (306 al)
STRUCTURAL WELDS:
Performed on the lob. (2722 ll
HlGH STRENGTH BOLTTNG:
During all bolt installation and
tightenlng operations' (306
a.6)
REOUIRED INSPECTIONS
the permit holder to see that all lnspectlons are made at the proper time. To request an inspection' call
your city designated iot-nu-oer, lou aooresJ, ivpe ot inspeciion requested and when you will be ready
received before 7:OO a.m. *irr u" mad6 the same worxing day' requesis made af ter 7:OO a'm' wlll be made
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43'8.
SPEC]AL GRADING,
EXCAVATION AN D FILLING:
Durlng earthwork. (306 a.11 &
Chapter 29)
GLU-LAM BEAMS: lnspectlon
Certificate by an aPProved
agency, furnlshed to the Clty's
Bullding Dlvislon before
beams are placed. (2501 U.BC.
STDS. 25-10J1).
STRUCTURAL MASONhY: (306
a.7l
'ln addltion to the lnspec-
tions speclfied, the Bulldlng
Offlclal may make or requlre
other lnspectlons of any
construction work to ensure
compllance with the Bulldlng,
Clty or Development Code.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish lnspection. All project condltlons such as
landscaplng, parking lot striping, etc. must be completed before
requestlng thls inspection.
FINAL BUILDING: Flequested after the final plumbing, electrical,
mechanlcal and Flre Department inspectlons are made and
approved. No occupancy of the premises can be made untll a
Certlflcate of Occupancy has been issued by the Bullding Dlvlslon
and posted on the premises.
ADDITIONAL GOMMENTS:
PLANS REVIEWED BY
By slgnature, I state and agree, that I have carefully examlned the completed appllcatlon and do hereby certlfy that all lnformatlon
hereln is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordlnances
of the Clty of Sprlngfleld, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY
will be made of any structure wlthout permission of the Bulldlng Safety Dlvlslon. I f urther certify that only contractors and employees
who are in compllance with ORS 701.055 will be used on this project.
I further agree to ensure that all requlred inspections are requested at the proper time, that project address is readable from theat the permlt card ls located at the front ff the property, and the approved set of plans wlll remaln on the slte at allng constructlon
Date
AMOUNT RECEIVED:DATE PAID:
RECEIVED
st
'toN:
RECEIPT *:
I
JZ
DATE