HomeMy WebLinkAboutPermit Fire Damage Report 1993-9-16
COMMERCIAL/INDUSTRIAL SP~RONGF'ELD " JOB NUMBER 0('3\3aJ
PERMIT APPLICATION ; INSPECTION LINE: 726.3769
225 Fifth Street, Springfieid, Oregon 97477 '..... ~ OFFICE: 726.3759
LOCATION OF PROPOiED WORK: I o? 3~ t~ m CU '/) ~ 00 j--i:b /4
ASSESSORS MAP" f) ()A,&~ \ TAX LOT: _il2S l{) I
OWNER:\. ~~ '--~UCU2 -! vQ~nQ)YLu?~ PHON~" I
ADDRESS: ,\' In f n'0.?35 t.~ ~ \CLU1I-StJlQd'
CITY: ~etjD j(J STATE: (j)fp../"J,fm_ ZIP: 414't7A
,--- II ......~
DESCRIPTION ~F ORd D D ,m ijJ, ~t7') f l.1ln!1{l~_ ')
NEW 'REMODEL ~~~I~ION - DEMOLISH -, . OT~ER- -a -
'.
NAME
ARCHITECT'
CONTRACTOR'S NAME {)
GENERAL: !3I'(~.__QJl.._
CMsN, Ar8AS()lO~~
PLUMBING'
MECHANICA' '
ELECTRICAl'
PLUMBING
CHARGE .1
1
I
1
1
1
1
NO.
FEE
Single Fixture
Relocated Bldg.
(new fix. addlll
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
ADDRESS
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QUAD AREA:
. OF BLDG~' .
LAND USE:
- OFFICE USE -
. OF UNIT~'
OCCY GROUP'
CONSTR, TYP~'
HEAT SOURCE:
. OF STORIES:
SQ, FT,
SISQ, FT,
SQ, FTG MAIN
SQ, FTG ACCESS
X
X
SO, FTG OTHER
X,
PLAN CHECK FEE
RCPP
I BUILDING PERMIT
15% Slale
SurcharQe
I MECHANICAL
15% State
SurcharQe
I PAVING
f\4,g)
~,'l~
5% State
SurcharQe
FENCE
VALUE $
SIDEWALK
PLUMBING
CURBCUT
DATC
FT,
,FT,
.
;:
j"'"
"
~.~
:.;
.,,'
VALUE:
IA
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,VA\\
.'\\
\.
i:.
;-;
PHONE
~::
"
. CONST,
. . CONTRACTOR'
~ftt(,,?-l
VI EXPIRES PHONE )
/.IQjf- +~K'~
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MECHANICAL
I
"HIillG~
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FCC
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Floor furnace and vent
Suspended wall or floor
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 Issuance
S10,00'
TOTAL PERMIT
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER:
VALUE
TOTAL VALUE OF .PROJECT
I?onn_ CO
J
BY
DEMOLITION
I
1
1
t
1
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
T~TAL PERMIT FEES I
EXCLUDING ELECTRICA'
1~J23
.
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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 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.
By signature; I state and agree, that I have carefully examrnedthe completed application 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 Bul}dlng 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 property, and the approved set of plans will remain on the site at all
times during construction.
.~
~
Slgnatur
"
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 Inslab building
servIce equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete ls~placed.
. ,.,}.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and .
drainage lines. To be made -
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made_ prior to installation of
floor insulation, decking or
floor,sheathing,
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing,
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
, decking or floor sheathing,
MASONRY: Steel location, '
bond beams grouting or
verticals in accordance with
UBC 2415,
ROOF SHEATHING AND
NAILING: Prior to Installing
any. roof covering.
FINAL PLUMBING
FINAL ELECTRICAL
"
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
ROUGH, PLUMBING,
ELECTRICAL. &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
PAVING: After gravel Is in
place b~t prior to placing'
as phal t or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the Stale Specialty Code
a special inspector shall be employed
by the Owner I Contractor during
construction of the following-work. A
copy of the special testing reports shall
be furnished to the Building DivisIon.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
,STRUCTURAL CONCRETE: In
excess of 2500 P.S,1. (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
{J the rou., gh electrical, Plumb.lng
. and mechanical arc approved.
....' .
INSULATION & VAPOR .
J . 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,
FIRE & SEPARATION WALL:
Located and constructed
according to. plans.
,
STRUCTURAL WELDS:
Performed on the job, (2722 f)
HIGH STRENGTH BOLTING:
During all boll installation and
tightening operations. (306
a',6)
SPRAYED ON
FIREPROOFING: U,B,C,
Standard~ 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapler 29)
'f
GLU,LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed, (2501 U,B.c,
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,
STRUCTURAL MASONRY: (306
a,7)
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excav'ating complete and form
work:and sub-base material in
place.
.'n addition to the Inspec-
tions specified, the Building
Official may make or require \,~
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
CURB AND APPROACH
- APRONS: After forms are
erected but prior to placing
concrete.
Y?
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish Inspection. All project conditions such as
i1andscaping, parking lot striping, etc. must be completed before
requesting this Inspection. .
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
JCertlflcate of Occupancy has been issued by the Building Division
and posted on the premises,
_ Ir
PLANS REVIEWED BY
DATF
"'J
9-/0-9-7
Date
AMOUNT RECEIVED: r J?:.. ? ;.~
II)~ .
-~
RECEIPT .'
,
DATE PAID: (, P Cf, (&, , q:,~
RECEIVED Bf.. 7j~