HomeMy WebLinkAboutPermit Building 1997-06-23t
COM M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fiftn Street, Springf ield, Oregon 97477
LOCATION OF PROPOSED WORK:
l7t)33to t t
2 z# sl
JOB NUMBER ?
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT OC
SP'IINGFIELO
ASSESSORS MAP
V-(PHONE:
o*
k
STATE:
5L1t-14133,1
ZIP:11q t 8
OWNER
ADDRESS
CITY;
DEScRrproNoFWoRK' 'Rpohn^ - fr*a<.a b- T, -.I
NEW
-
REMODEL ADDITION VALUE:DEMOLISH OTHER
ARCHITECI
MECHANICAL:
ELECTRICAL:
NAME ADDRESS PHONE
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
CONST.
CONTRAGTOR '
GENERAL:
PLUMBING
NO.FFF CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service (t
Sanltary Sewer
ft
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
Nrl trFF CHARGF
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.
cool er
Vent Fan/Single
duct
Vent
from
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance s10.00
TOTAL PERMIT
- OFFICE USE -
ZONING
LIGHTING POWER BUDGET:OCCY GROUP:
* OF STORIES:
QUAD AREA:
# OF BLDGS
CONSTR. TYPE:
HEAT SOURCE:
* OF UNITS:
HANDICAP ACCESS:
-
WATER HEATER:
SQ. FT.$/so. FT.VALUE
TOTAL VALUE OF PROJ
X
x
X
SQ. FTG MAIN
SQ. FTG ACCESS
SO. FTG OTHER
RCPT#PLAN CHECK FEE OATE BY
el >{
BUILOING PERMIT 52,%PLUMBING OEMOLITION
5% State
Su rcharqe 7,-B.z 5% State
Surcharge
MECHANICAL FENCE
VALUE $
5% State
Su rchAroe
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
I
LAND USE:FLOOD PLAIN:
REOUIRED INSPECTIONSIt is the responsibill ty of the permit holder to see that all lnspecilons are made at the pro per time. To request an in spection, call
726-3759 (reco rder),state your City desi gnated job nu mber, job add ress, type of i nspectio n requested and when you will be ready
for inspecilon.R equests received before 7:00 a.m. wil l'be made the same working day, req uests made after 7:00 a.m. will be made
the following work day.
SITE INSPECTION To be ROUGH P LUMBINGmadeafter excavati on, but ELECTRl CAL &PAVING: After gravel is inp rior to setup of forms.MECHANICAL:No work is to place but prior to placi ng
UNDERS be covered u ntil these asphalt or con crete.
ELECTRI
LAB PLUMBING,inspecilons have been made spEctAL I NSPECTI ONS: tn accordanceMECHANICAL:'Ic be made and a pproved
before any work ls covered-.Section 306 of the State S pecialt y Code
CONCRETE SLAB: To bemade after att tnJraoliiroino
::ly]"" equ i pment,' c;;;j t., "prping, accessories
"no Jitiu,ancillary equipment items-aietn place but before ,.,r...- -'"
concrete ls placed.
ATTIC DRAFT STOPS &CURTAIN WALLSFOOTINGS &FOUNDATI ONS:To be made after tren ches areexcavatedand forms areerected,all steel ln place, butprior to placing con crete.
UNDERGROU ND: plumbi ng,electrical , gas, sanl
a special i nspector shall be emp loyedby the Ow ner/ Contractor durin sconstruction of the fol lowin g work. Acopy of th e special testing reports shallbe furnis hed to the Buildin g Division
storm s ewer, waterdralnagellnes. To be madepriortocovering or fiiltngtrenches.
INSULATI ON & VAPORBARRIER:To be made after allinsulationand required vaporbarrlersare ln Place butbeforeany lath or gypsum
applied.
board I nterlor wall coverlng ls
RETE: ln
(306 a.t)
STRUCTU RAL WELD S:Perform ed on the jo b. (2722 O
HIGH STRENGTH B OLTING:Durl ng all bolt inst allation andtightening operati ons. (306a.6)
SPRAYED ONFIREPROOFTNG: U.B,C.Stand ards 43-B
'ln dltlon to lnspec.tlons s €d,the B ulldlng
requ lreOfflclamrke oroth.r I n!plotlon!of anyconStructlon work to en8uro
FIREPLACE: prtor to ptacing
I3_"]1S materiats and before"rramlng inspecilon.
I"ltYlTci.rq be made after
il:+ll tll."Sllfl;*i
":lT:fl : lli o-r qes, ini. n"y"
;: ,-,,.: a,e comptete and
:1e_ rougfr etectricat, ntrmUingand mechanlcal are' jpproved.
STRUCTURAL CONCexcess of 2500 pS.l.
tary sewer,
and
y,x"T :5:?,?: ; Slis t, +:,
^
-made prtor to inst;il;;io; ;ifloor lnsular";; ;;;;rjlli;, o""*'n, o'
POST & BEAM: To be madeprtor to rnstalratron-Jr,iil;ilnsulauon, Oecklng ;; i;;;;sheathlng.
FI.OOR INSULATION &VAPOR BARRTER& io-bemade prtor to lnstailailJi ordeckir,g or rtoor "neiinlnsl'
M r.,uO,t t.11,: Sleel locailon,Lond heams groutfng oi ,
verilcals ln aCcordan"ce wlthuBc 2415.
FIRE & SEPARATION WALL:Located and constiu;G;-..according to plans.
LATH AND,OR GYPSUMBOARD: ro oe-mfde-irter arrtathlng and gypsum Uoi-ri.-,,tnterlor and exierlor. liI;,ptace but Oetori ani'- ,,,
plasterlng ts apptG6 or beforegyDsurn bcald joi,rts inJ- -,"
fasteners are tipeo ,ij-ftntshed.
SIDEWALK & DRIVEWAY:Flequlred tor af t concreiepavlng wtthtn street;;ir-t ofway, to be made after iti- -.
;I":i,: ll'" ;3fl Xi:' ?":i$, :f ixplace.
CURB ANO APPROACHApRONS: Atter foime are
:9cteq but prlor to ptacingconcr€te.
SPECIAL GRADING,
EXCAVATTON a r.r dll r_ r- lru c,During earthwork. (io;; rilChapter 29)
cLU.LAM BEAMS: lnspecilonC_ertificate by .an approvedagcnoy, ,urfi
s-, I ii I i's' ijr Jr
c hed lor t hc cl ty's
B?flEl ril.?.:,
r"
"
u a.-r-z sri I u, sc,
-
STRUCTURAL MASONRY: (306a.7)
rpeclfl
I may
!!fl,"H=#[1l::*ffi,"nany roof coverlng.com
By slgnature' I stat€ and agree' that I have carefully examlned th€ completed rppllcatlon and do hereby cerilfy thgt 8ll lnformeflonhereln ls true and correct' and I further c€rtlfy that any and lll wori pbrlormei'arrait oa oon" ln rooordrncc wlth the ordlnenorrof the clty of sprlngfleld, and the Laws of the state of oregon pertalnlng to the work J"""iru"o rreiern, anJirrai'ilo occupANcywlll be made of any structure wlthout permlssion of the Bullalng Safety Dtvtston. I further certify that ohly contractors and employeeswho are ln compllance wtrh oRS 70i,0ss wilt be uged on ttrie projlct.
t further agree to ensure that all requlred lnspectlons are requested at thE proper ilme, that prolect addres8 lE readable lrom lh6street, that the permlt card ls located at the front of the property, and the approved set of plans wlll remain on the slte aI alltimes durlng constructlon.ka<._4_Signatu re Date $^ z-]7
^2VALIDATION:
RECEIPT *:a62>/RECEIVED BY:
DATE PAID:AMoUNT RECEIVED: 4q >,
pllance wlth the Bultdl i0,Clty or Develo Pment Code,FTNAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICI\L
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
Y