HomeMy WebLinkAboutPermit Building 1996-1-23
.
COM M ERCIALIIN DUSTRIAL
PERMIT APPLICATION
~
.
JOB NUMBER
~5"/7~
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726,3769
OFFICE: 726,3759
LOCATION OF PROPOSED WORK:
~7"'~/ N~~
~.2 -'3:<'- "'3' /
A~L-..c/
,.;)- ,
TAX LOT: ~~L1:::>
ASSESSORS MAP:
OWNER: ~a,4y~ ~~~~...-s-- / ~~/ =....-. c:::; PHONF' 70/'/--:2 ~/
ADDRESS: ij?/ L/ /~/.A/ ,/?7-, ~=MA'~t/~
CITY -;;)P~9- STATF' ~~ ZIP' "977 : ~
DESCRIPTION OF WORK: ~...<l?~~7~~?~ 4~,~-~oC"/57A /~ ~~ ~.-l,-
NEW REMODEL ADDri-loN ~ DEMOLISH OTHER VALUE: /~.--
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
GENERAL:C~~
PLUMBIN'"
MECHANICAl'
ELECTRICA' '
ADDRESS
CONST,
CONTRACTOR'
EXPIRES
PHONE
~ .
~
NO.
FEE
CHARGE
I
~I
Furnace/burner & vent
< 100,000 BTUs
Furnacel burner & vent
> 100,000 BTUs
MECHANICAL
I
I
EEF
_,
r"ARGE-1
PLUMBING
Single Fixture
Relocated Bldg,
(new fix. addtl)
Water Service
It.
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent FanfSingle
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
1
J
j'
J
J
I
I
I
$10.00 I
I
Sanitary Sewer
It,
Storm Sewer
It.
Backflow Device
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
OUAD AREA-
LAND USF'
FLOOD PLAIN'
. OF BLDG'"
. OF UNIT'"
ZONING'
OCCY GROUP:
. OF STORIES:
CONSTR. TYPF'
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER'
SQ, FT.
$/SQ, FT,
VALUE
SO, FTG MAIN
SQ, FTG ACCES"
SQ. FTG OTH ER
/ ~ .r/1
X
X
x
TOTAL VALUE OF PROJECT
/~ e=>
PLAN CHECK FEE
//,~
RCPT'
DATF
BY
I BUILDING PERMIT
15% State
SurcharQe
1 MECHANICAL
15% State
SurcharQe
1 PAVING
/7.~
.De
.~3
, PLUMBING
I DEMOLITION
5% State
SurcharQe
I FENCE
VA~~~ ~_
SIDEWALK
FT,
SUBTOTAL
PERMITS
SYSTEMS
, DEVELOPMENT
~.9/
FT.
CURB CUT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
;?.a "<?
..
REQUIRED INSPECTIONS
.
It Is the responsibility of the permit holder to see that alt 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 lnspection 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
Ihe following work day,
SITE INSPECTION: To be .
made after excavation, but
pri or to setu p of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is ~overed.
ROUGH PLUMBING,
ELECTRICAL' &'
MECHANICAL: No work Is to
be covered until these
inspections have been made
. and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
x'
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steer In place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
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.
CONCRETE SLAB: To be
made after all lnslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
In place but before any
concrete is placed.
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and required vapor
barriers are In place but
before any lath or gypsum
board Interlor 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.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing,
LATH AND/OR GYPSUM
BOARD: To be made afler 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.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prlor to Installation of
decking or floor sheathing.
SfDEWALK & DRIVEWAY:
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,
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAfLlNG: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
PAVING: After gravel Is in
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the Slale 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 10 the Building Division,
\
STRUCTURAL CONCRETE: In
extess of 2500 P,S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
HIGH STRENGTH BOLTING:
During all bolt installation and
lightening operations, (306
a,6)
SPRAYED ON
FIREPROOFING: U.B.C,
Standards 43,8,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earlhwork, (306 a,11 &
Chapter 29)
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),
STRUCTURAL MASONRY: (306
a.7)
.In addition to the Ins pee,
tions specified, Ihe Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
FINAL PLUMBING
-------------------------------------------------------
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 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.
By signature, I state and agree, that I have carefully examined the 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 accoraance 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 OAS 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
:::~~~c:QD~~ Datp '~3~
(' --- - ~
VALIDATION: AMOUNT RECWlt Ol ):L..9
RECEIPT '. -6UJ { '0 <K
FINAL ELECTRICAL
)'
FINAL MECHANICAL
y
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
~
PLANS REVIEWED BY /' ~~
(//
,
...----"-
~~~ DATE //-/5'-9..~
DATE PAID:
RECEIVED BY: