HomeMy WebLinkAboutPermit Building 1994-5-19
.
COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
.
JOB NUMBER :7~C2tbX,5'
INSPECTION LINE: 726-3769
OFFICE: 726,3759
22S Fifth Street, Springfield, Oregon 97477
~
LOCATION OF PROPOSED WORK: 4/ -; c:i
ASSESSORS MAP' \f){"fr4. ~ ~f'S - '
OWNER: ,~~/rr p~ jvt' /;=;~ ,lGcfl r
ADDRESS: .20, ~"';"..~,,(/ ~ -~, ,A< r, .
,
7/;?hA.1
:::::7:
TAX LOT'
rM-i.O[)
-,
PHONE:~2 - ~?~r
74 ~ -~?~~
,ZIP: 9 Z~A.tSi"
. '"'
CITY'
STAT~'
DESCRIPTION OF WORK:
NEW REMODEL
~?J AnA-, 7/1~hl',M:j
.....-- ADDITION DEMOLISH OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
AODRESS
CONST,
CONTRACTOR'
~ EXPIRES
~
J~
PHONE
GENERA' '
PLUMBING:
MECHANICAl'
.
ELECTRICA' '
PLUMBING
MECHANICAL
NO
FEE
CHARGE
"'0
...
,..u,a a(:l a:
Single Fixture
Relocated Bldg,
(new Ii x, addtll
Waler Service
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
It.
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 hlg.
Mechanical exhaust
hood and duct
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
Permit Issuance
$10,00
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING' '
QUAD AREA
. OF BLDGS'
OCCY GROUP'
LAND US.'
. OF UNITi"
CONSTR. TYp.'
. OF STORIE'"
H EAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER:
SQ, FT,
$(SQ, FT,
VALUE
SQ, FTG MAIN
SQ, FTG ACCES"
X
1't5'~ f6
X
h.~
//7CJ-O
SQ"FTG OTHER
X'
TOTAL VALUE OF ,PROJECT
, t~ 7/77J
PLAN CHECK FEf ~,/3
RCPTN
DATF
BY
I BUILDING PERMIT
15% State
Surcharoe
I MECHANICAL
15% State
Surcharoe
I PAVING
92.. .5".0
4- ,4:> s
,.,:7~
>
I PLUMBING
, DEMOLITION
5% State
Surcharoe
FENCE
VALUE $
SIDEWALK
CURBCUT
FT.
SUBTOTAL
PE RM ITS
SYSTEMS
OEVELOPMENT
FT,
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
~lldJM
,>
. REQUIRED INSPECTIONS .
It Is the responsibility of the permit holder to see Ihat all Inspections are made at the proper time, To request an Inspection, call
726,3769 (recorder), state your City designated job number, job address, Iype 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 10 setu p of forms,
)(
No work Is to
until these
Inspections have been made
and approved,
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
,
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.
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State 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 to the Building Division,
ATTIC DRAFT STOPS &
CURTAIN WALLS
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.
V
/'
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are In
place and all pi pes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
X 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,
STRUCTURAL CONCRETE: In
excess of 2500 P,S,(, (306 a,1)
STRUCTURAL WELDS:
Performed on the Job, (2722 f)
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations, (306
a,6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
'--
SPRAYED ON
FIREPROOFING: UB,C,
Standards 43-8,
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulallon, decking or
floor sheathing,
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
V
/'-
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 U,B,C,
STDS, 25-10,11),
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 all
excavating complete and form
work and sub-base material In
place.
'In addition to the Inspec-
lions specified, the Building
Official may make or require
other InspectIons of any
construction work to ensure
compliance with the BuildIng,
City or Development Code.
MASONRY: Steel locallon,
bond beams grouting or
verticals In accordance with
UBC 2415,
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH,
APRONS: After forms are
erected but .prlor to placing
concrete.
V
1'-
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.
'X
----
FINAL ELECTRICAL
FINAL MECHANICAL
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
Cerllflcale of Occupancy has been Issued by the Building Division
and posted on the premises,
)I-
X
FINAL FIRE DEPARTMENT
-
AODITIONAL COMMENTS'
l/?flJ /~h2A.~~~r-
PLANS REVIEWED BY
~~~
DATE P.M<z
By signature, I stale and agree, Ihat 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 shalt be done In accordance with the Ordlnar;lces
of the City of Springfield, and Ihe Laws of the State of Oregon pertaining to Ihe work described herein, and that NO OCCUPANCY
wlll 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 lime, 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
:;;Z:"'/,d;j6 ~lAJ11A ). ,,,. Ni- 94
VALlOATION: AMOUNT RECEIV~n, ) 111,0 ,O~
RECEIPT .' B ~
DATE PAID: ~.... H '<14-
RECEIVEO ByCi\\! 10