HomeMy WebLinkAboutPermit Building 1994-10-10COMM ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon g7477
SPFINGFIELO
JOB NUMBER
INSPECTTON LtNE: 726.3769
OFFICE: 726-3159
--(ocarroru oF pRoposED woRK .?'\'2 .,42 u.
SESSORS MAP:/7-OZ -92-b7 TAX LOT bo
PHONE:
STATE:(.1O ZIP:ITY:<,[)a{-\9r Jq,
DRESS:
NER
VALUE:
CBIPTION OF WORK
NAME ADDRESS PHONE
ADDRESS EXPIRES PHONE
1
CONTRACTOR'S NAME
ARCHITECT:
MECHANICAL:
ELECTRICAL:
NERAL:
CONST.
CONTRACTOR /
NO FEE CHARGE
Single Flxture
Relocated Bldg.
(new fix. qddtl)
Water Servlce
ft
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
NO FFF CHARGF
F urnace/burner & vent
BT S
F u rnac e / bu rnii &lE nf--
>1Q0,000 BTUs
Floor turnace and vent
uspende or oormounted unlt heater
n a ry eva p.
coo I er
n e
duct
em apart
lrom or
ec ca
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
LIGHTING POWER BUDGET:CONSTR. TYPE;
HEAT SOURCE:
LAND USE:
, OF UNITS ZONING:
-
OCCY GROUP:
* OF STORIES:
QUAD ABEA:
I OF BLDGS:
HANDICAP ACCESS:
-
FLOOD PLAIN:
WATER HEATER:
SQ. FT.$/SQ. FT,VALUE
4/"'
X
, .P'AL VALUE oF PRoJ
4'O.{ 9O t //O* Zo-r 1
X S ):-?-7 - 14<l<)
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
/ /o'{(zu.++21 f)
r)'( /bo Y
?./ =
PLAN CHECK FEE RCPT'3 OATE BY
BUILDING PERMIT PLUMBING DEMOLITION
5% State
Surcharqe
5% State
Surcharge
MECHANICAL FENCE
VALUE $
-.-5% State
Surcharqe SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CUBBCUT
FT,
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
aO
o1/ s46
7-/
PLUMBING:
Appliance Vent
separate
Vent
REOUIRED INSPECTIONS
It ls the responslbility of the permit holder to see that all lnspections are made at the pr@per time. To request an inspectlon' call
726.g16g(recorder), state your City deslgnatediob number, lob address, type of inspection requested and when you will be ready
for inspectlon. Requests iecelved before z'oo a.m. will be made the same working day, requests made af ter 7:oo a'm' wlll be made
the (ollowing work daY.
SITE INSPECTION: To be
made after excavatlon, but
prior to setuP of forms.
UNDERSLAB PLUMBING'
ELECTRICAL &
MECHANICAL: To be made
before any work is covered'
FOOTINGS & FOUNDATIONS:
To be made alter trenches are
excavated and forms are
erected, all steel ln Place, but
Prlor to Placlng concrete.
CONCRETE SLAB: To be
made after all lnslab building
servlce equlPment, conduit,
piPing, accessories and other
ancillarY equlPment ltems are
in place but before anY
concrete ls Placed'
UNDERGROUND: Plumblng'
electrlcal, gas, sanltary sewer,
storm sewer, water and
dralnage llnes. To be made
Prlor to covering or filllng
trenches.
UNDERFLOOR: Plumbing'
electrlcal, mechanical, To be
made Prlor to lnstallation ol
floor insulatlon, decklng or
lloor sheathlng.
ROUGH PLUMBING'
ELECTRICAL &
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 bracing are ln
Place and all PlPes, chimneys
and vents are complete and
the rough electrical, Plumbing
and mechanlcal are aPProved'
PAVING: After gravel is in
place but Prlor to Placlng
asphalt or concreto.
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Specialty Code
a special inspector 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 Building Divislon.
STRUCTURAL CONCRETE: IN
excess of 2500 P.S.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the lob. (2722 tl
HIGH STRENGTH BOLTING:
During all bolt installation and
tightenlng oPeratlons. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B'C.
Standards 43'8.
SPECIAL GRADING'
EXCAVATTON AN D FILLING:
Durlng earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: lnsPectlon
Certiflcate bY an aPProved
agency, furnlshed to the CltY's
Building Division before
beams are Placed. (2501 U.BC.
STDS. 25-10,11).
STRUCTURAL MASONRY: (306
a.7l
.ln addition to the lnsPec'
tlons speclfled, the Bulldlng
Officlal may make or requlre
other lnspectlons of anY
constructlon work to ensure
compllance wlth the Bullding,
Clty or DeveloPment Code.
POST & BEAM: To be made
prlor to lnstallatlon of floor
lnsulatlon, decklng or floor
sheathlng.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made Prlor to lnstallation of
decklng or lloor sheathing.
MASONRY: Steel location'
bond beams groutlng or
vertlcals ln accordance wlth
uBc 2415.
ROOF SHEATHlNG AND
NAILING: Prlor to lnstalllng
anY roof coverlng.
INSULATION & VAPOR
BARRIER: To be made after all
lnsulatlon and requlred vaPor
barrlers are ln Place but
before anY lath or gYPsum
board lnterior wall coverlng 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 In
place but before anY
Plasterlng ls aPPlied or be{ore
gypsum board loints and
fasteners are taPed and
f lnlshed.
SIDEWALK & DRIVEWAY:
Flequlred (or all concrete
paving withln 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 Placlng
concrete.
1.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:o i^L-
o
SITEPLANREvIEwBOARD:MUstborequested2dayslnadvance
ofthedateyouwlshlnspection'Allprolectcondltlons.suchas
tandscaping,parklnglotstriplng,etc'mustbecompletedbefore
requestlng thls insPection.
FINAL eutLoittc: Requested af ter the flnal plumbing, electrlcal,
mechanlcal and Flre Department inspections are made and
approved. No occupancy of the premises can be made until a
ierttftcate of Occupancy has been lssued by the Bullding Dlvislon
and Posted on the Premises'
( lt,u\
l.(F
PLANS REVIEWED BY DATE
By slgnature, I state and agree, that I have carelully examlned the completed appllcation and do hereby certlfy that all lnformation
herein ls true and correct, and I further certify that any and all work performed shall be done in accordance wlth tht9l911il99.:
of the city of sprlngleld, and the Laws of the state of oregon pertainlng to the work described hereln, and that No occuPANCY
will be made of any structure without permission of the Bulldlng safety Division. I further certily that only contractors and employees
who are ln compllance with oRS 70'1.055 will be used on thls project.
I further agree to ensure that all required lnspections are requested at the proper tlme, that proiect address ls readable from the
street, that the permlt card ls located at the tront of the property, and the approved set of plans will remain on the slte at all
tlmes durlng constructlon.
Slgnature Date
AMOUNT BECEIVED:DATE PAID:
4-
/tVALIDATION:
RECEIPT #:0a RECEIVED BY:
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