HomeMy WebLinkAboutPermit Miscellaneous 1999-10-6
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SPRINGFIELD CiIa/J r 5
~ JOB NUMBER -IYI :>
,INSPECTION LINE: 726.3769
.-;:: ,. . OFFICE: 726.3759
*- . '{If 6/ fl'i4,tJ sr.
LOCATION OF PROPOSED WORK' '7' f7T (... N\or,.. ~__ (4u-/1 D1,. ',,,/.'
ASSESSORS MAP' 176). J"2..0'" TAX LOT: (fd9~()
COMM ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
OWNER' n"rt T"""..Sf
ADDRESS' <;p-;a.lo( I'VIA.,..,
CITY' 5 ~"Jr:.tJ
PHONE: ?.2.' -::>'L1J'
~r.
STAT'"
..TI?
ZIP:-----" 7 v7 7
NEW
DESCRIPTION OF W<;JRK'
REMODEL
Sill "~L.
ADDITION
.
()&o, ,"Dille ~..".,,,/
DEMOLISH 5l
OTHER
VALUE: _.:t>.--
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
GENERA" f3A-1? - T
PLUMBING'
ADDRESS
6-ef., a--I c ",.. "hw.7.w
CONST,
CONTRACTOR'
13~l
PHONE
7~ J- ~t:,~ If
577- .;1'4/ t!)
EXPIRES
PLUMBING
. ~.......' lirp!; vQU \..
,\1TENTION:ure9",'h""t'h' e' -oregon Ut::,i)
f"\ I _.......r+on v ~ ~_....\
fO"OW1UI'Ci..:l..r.:-w.- --r~....c::::t ru\eSC;lIt;.;:;IV' ':~_
..1.....~:rcatIOII\.JCI..._.- __l_ , ,,,_....;IL-V'"
. .-; ~R95rJ nr.1_nmVI',"V..tl" -. ,MECHANICAL
CHARGE'I" , t. ~_'- ~ir. ~nOle::. VI ~l ,.... ,-" __
00 lO. You II ay -- - Fjurnacel,burlierl&Jvenf~
'aIling! 1R cent' ir.< 100:000. BTUNilir:atlO
ber or the C HF.lj;nace'-Diirn~[1& vent
"urn .._ ,>,100.000'BTUs ,.
~
J...~>
'=.~1I~
1 .~
ELECTRICAl'
MECHANICA' '
TOTAL PERMIT
I
I NO.
I
I
I
I
I
I
I
I
I
I
I
I
aUAD AREA
, OF BLDG'"
FEE I
1=1=1= r':~.o.tU::;1=
Single Fixture
Relocated Bldg,
(new fix, addUI
Water Service I
ft.
Sanitary Sewer I
~1!)TIr.i=. ft.
Storm ~HIS PERMlnlHAL .EXPIR: IFTHEWO~K
BackfloAtm>lQRIZED UNDI :RTHISIPERMIT IS ~~ I
COMMENCED OR I:)ABANllUl'Il:U run I
ANY 180 DAY PI::HII JU, I
I
I
I
I
\. tj! l! ~
Floor furnace and vent
Suspended wall or.floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/SIngle
duct I
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duct
Permit Issuance
$10.00
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN:
ZONIN(.:'
LIGHTING POWER BUDGET:
WATER HEATER:
LAND US"'
, OF UNIT'"
OCCY GROUP'
CONSTR. TYPF'
HEAT SOURCE:
, OF STORIES'
, Sa. FT,
$/sa. FT,
VALUE
sa. FTG ACCESS
X
X
X
sa. FTG MAIN
sa. FTG OTHER
PLAN CHECK F.~ RCPT' ' DAT"
I BUILDING PERMIT . PLUMBING
I y:l>State /:1>, State
Surchar~_e ::)urcharce
MECHANICAL FENCE
VALUE $
- 7% State Iii SIDEWALK -- . .
Surcharoe" .,~ -..... FT, , , , .( .. I -r
I PAVI NG I CURBCUT -'
FT,
TOTAL VALUE OF .PROJECT
BY
. DEMOLITION
-!<f, ""..-.
SUBTOTAL'. I
PERMITS " '
SYSTEMS
, DEVELOPMENT
I-~
TOTAL PERMIT FEES I.
EXCLUDINGELECTRIC~I !
/ ;. r r)
. 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 excBvatlo'n."but...'l..;. ':-'1
prior to setup of forms,
UNDERSLAB PLUMBING,
. ELECTRICAL 8<
MECHANICAL: To be made
before any work Is covered.
!
F.OOT,INGS 8< 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
serylce equipment, conduit,
piping, accessories and other
ancillary equipment Items are
In place but before any
concrete Is placed.
. - . ~
. -
. '. 'UNDERGROUND: Plumbl~g, .; '.
~. electrical, gas, sanitary sewer,
, storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
l '.....
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 a".J ,..... . . \.
MECHANICAL: No work Is to
be covered until these
Inspections have been made
and approved,
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
ATTIC DRAFT STOPS &
CURTAIN WALLS .,
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a'speclal Inspector shall be employed
. by the Owner! Contractor during
'\constructlori'ofthe following work. A
copy of the special testing reports shall
be furnlshe'd to the' Building Division.
, .
J- ~
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
.:.. : \' .'; :', 4.,,"~'"
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.
HIGH STRENGTH BOLTING:
During all bolt Installation and
lightening operations. (306
a,6)
., ,
" "
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
\
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.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
Sp,ECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
; .l
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43.8,
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,
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 UB.C,
STDS, 25.10,11),
STRUCTURAL MASONRY: (306
a,7)
SIDEWALK & 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.
.In addition to the Inspec.
tlons specified, the Bulldln9
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.
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.
PLANS REVIEWED BY
DAT"
By slgnature,l 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 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 profect 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.
Signature f'(\~ ~ "'-\~ ........~ Dato. 'CJ.'~
VALIDATION: AMOUNT RECEIVED' t7~ fO DATE PAID: J6j/. /Cf.'i _
RECEIPT #, (7 J.r781 RECEIVED .BY' t#tJJ