HomeMy WebLinkAboutPermit Building 1992-6-15
LOCATION OF PROPOSED WORK' 2,'1<16
17- ()7 - 70
~
mo yei'.,1 a. 00.
.JOB NUMBER 92059 '\
INSPECTION LINE: 726.3769
OFFICE: 726.3759
COM M ERCIALlI N DUST RIAL"
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
ASSESSORS MAP'
TAX LOT'
7()(J
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OWNER: The D-u'ld C€vI fev-
ADDRE~: ~5 0io..rQrk. Qj.
CITY: 0.~' C'1 . .
DESCRIPTION OF WORK: L'")Y'\ tE'V-€V\C',€
NEW REMODEL ADDITION t-
PHONE: 'l[)( dLJ..G,b
,
STAT'"
f',Y.
ZIP: -9:::1fl'
...
room
0l::H ; + I/'"Wt.
DEMOLISH
OTHER
VALUE: Uj./VY)_ O(J
ARCHITECT'
T~C.,.
NAME
ClV"(',"'; +ecJ5
~
rtDDRESS
I-La.hnP~ .
CO NST.
CO NT RACTO R #
lO(D?1Ct,
PHONE
( n~I-IOI()
CONTRACTOR'S NAME ADDRESS
GENERA" Q.\ \. \.l.vt Jrrr.lr'I"f'~ Crn*. lnfl.
EXPI RES
tC.qO
PHONE
lc.ko.IG,~ 3
PLUMBING:
MECHANICA' . \.
ELECTRICA" ~ "'fr., In-e>
bid
NO
FEE
CHARGE
MECHANICAL I
Nn """ ~U^Dr.!t: I
\ Furnacel burner & vent
< 100.000 BTUs
Furnace/burner & vent 1
> 100.000 BTUs
Floor furnace and vent 1
Suspended wall or floor I
mounted unit heater
Appliance Vent I
separate
Stationaryevap. I
cooler
Vent Fan/Single 1
duct
Vent System apart I
from AC or hlg.
Mechanical exhaust 1
hood and duct
/}?/A: ~ "'""I
Permit Issuance $10.00 I
TOTAL PERMIT J
PLUMBING
. Single Fixture
Relocated Bldg.
Inew fix. addtll
Water Service
It.
Sanitary Sewer
It.
Storm Sewer
ft.
Backllow Device
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
aUAO AREA'
LANO US".
# OF BLDGS'
# OF UNIT~'
ZONING'
OCCY GROUP'
CONSTR. TYP'"
# OF STORIES:
HEAT SOURC'"
LIGHTING POWER BUDGET:
WATER HEATER'
sa. FTG MAIN
sa. FTG ACCESS
\&tfXT x
\T4P
$/sa. FT.
VALUE
./ .~
c L~./>'>::"
i'
x
sa. FTG OTH ER
x
TOTAL VALUE OF PROJECT
PLAN CHECK FEf
2o'Z,. "'5
RCPP
~37/
DATE _6h~L BY
A'~
-" \
I BUILDING PERMIT
15% State
Surcharae
1 MECHANICA~J
15% Slale 1
Surcharae
I PAVING I
:;;;/::ij. c:sD 'PLUMBING
.... r- 5% Slate
~C;-. c>..;> Surcharoe
"I ",' . _iP FENCE
k~. --0 VALUE $
SIDEWALK
.~
. DEMOLITION
FT.
SUBTOTAL
PERM ITS
SYSTEMS
DEVELOPMENT
I
I
I
I
Kfr!
CURBCUT
FT.
-&-
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
q5"7'.i/.o
.
.
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all Inspections 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 ~ 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 ROUGH ~._.,......,,~. PAVING: After gravel IS In
made after excavation, but ELECTRICAL & It place but prror to placIng
prior to setup of forms. MECHANICAL: No work Is to asphalt or concrete.
be covered until these
inspections have been made
and approved. i) y.
\
I
I
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Ownerl Contractor during
. construction of the following work. A
copy' of the special testing reports shall
'be furnished to the Building Division.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
.'
ATTIC DRAFT STOPS &
CURTAIN WALLS
fJ-
cj?
.,
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
~
STRUCTURAL CONCRETE: In
eXCess' of 2500 PS.I. (306 a.1)
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are In
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
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.
UNDERGROUND: Plumbing.
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U.S.G.
Standards 43.8.
SPECIAL GRADING.
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
yJ
I
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building.Division before
beams are placed. (2501 U.S.G.
STDS. 25.10,11).
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
interior and exterior, is in
place but before any
plastering Is applied or before
gypsum board Joints and
fasteners are taped and
finished.
:Jl
I-
POST & BEAM: To be made
prior to Installation of floor
insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after ail
excavating complete and form
work and sub-base materiai in
place.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
USC 2415.
*In addition to the inspec-
tions specified, the Suilding
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
~Q
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
ROOF SHEATHING AND
NAILING: Prior to Installing
'any roof covering.
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All project conditions such as
landscaping, parking lot striping, etc. must be completed before
requesting this inspection.
FINAL PLUMBING
~
1
4
FINAL ELECTRICAL
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
Certificate of Occupancy has been issued by the Building Division
and posted on the premises.
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
I
~\l'C\A~ C~~l\fl,,;. "( U H ~>- ' ~\QIZ;,s~"t~,
- It Ai /
PLANS REVIEWE~~~
DATE,,-~,:)),'lfD
By signature, I state and agree, that I have carefully examined the completed applidatlon and do hereby certify that all Information
herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances
of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY
will be made of any structure without permission of the Building Safety Division. I'further certify that only contractors and employees
who are in compliance with ORS 701.055 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that project address Is readable from the
street, that the permit card is located at the front of the rty, nd the approved set of plans will remain on the site at all
times during CUft ~ /- I " I 6-15-7 ~ _ 7
Signatur~~/ /t'~~ ~/ )0 Dat~ 4"/7~
AMOUNT R:CEIVED:...,-, ' ~~..q( ]
RECEIPT ": . t=<.11L./! -
)
DATE PAID: ~ p iQ. ~.'-1r
RECEIVED'v71!,L X A ./
VAll DATION: