HomeMy WebLinkAboutPermit Building 1997-5-19
CO M M ERCIAL/I N DU STRIALe
PERMIT APPLICATION
~
.'-'
JOB NUMBER q /~?:> R
INSPECTION LINE: 726.3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
ASSESSORS MAP'
LOCATiON OF PROPOSED WORi<' ? 7(/ 17
/7-.p:<'-~~7 Y
()I.y loOl t:.
9T.
TAX LOT: ~c::; _......' ./
M /tAT/IV 9lflflE,
ADDRESS' ." 2 (')5 I?L '-I U 'Iv f To
CITY: 7nflA/~;t'I&:/}}
F~'1
N...ElLI--t.
PHONE:
746 'i5"'1~/
,
OWNER:
,
STATE: OK
ZIP:
'17",fl1Jf
DESCRIPTION OF WORK:
NEW REMODEL
r $;1"" t7r.# A'J/J? /lE~(';O~
ADDITION
DEMOLISH
~FrIC I:. : 5C#flLI.M ;,dEC
OTHER_It'JAlr ~VALUE:
A~AlC
/.?57~
NAME
ADDRESS
PHONE
ARCHITECT'
PLUMBING'
ADORESS
RO. by., 2J~~q
15 tl&- 5KJ ~ 'fl~t/ iI
CONST.
CONTRACTOR #
EXPIRES
1~~7
PHONE
7,4402,69
CONTRACTOR'S NAME
GENERAL:JfI/E 1f~1'//II;: lA/C.
.:J:L..L 9' O?-
MECHANICA' .
ELECTRICAl'
PLUMBING
MECHANICAL
J
('I:IARGi
1
I
I
1
1
I
1
j
I
$10.00 I
I
NO,
FEE
CHARGE
Nn ~~~
It.
Furnace/burner & vent
<100.000 BTUs
Furnacel burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
Stationaryevap.
cooler
Vent Fan/Single
ducl
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Single Fixture
Relocated Bldg.
(new Ilx. addtl\
Water Service
Sanitary Sewer
It.
Storm Sewer
It.
Back(low Device
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
OUAD AREA'
# OF BLDGS:
LANO USE:
FLOOD PLAIN:
II OF UNIT~.
ZONING'
LIGHTING POWER BUOGET:
WATER HEATER'
OCCY GROUP'
# OF STORIE~'
CONSTR. TYPF'
HEAT SOURCE:
SO. FT.
$/50. FT.
VALUE
SO. FTG MAIN
SO. FTG ACCES~
X
X
SO. FTG OTHER
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEE
RCPT'
OAT"
BY
I BUILDING PERMIT I
Al
-:2 ~ . !S"t?
':*6
PLUMBING
DEMOLITION
15% State
Surchas.oe
1 MECHANICAL'
[5% State
Surcharoe
I PAVING
,
5% State
Surcharoe
FENCE
VAIIJF $
. -/SIOEWACK
I CURBCUT
FT.
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
FT.
TOTAL PERMIT'FEES I
EXCLUDING ELECTRICAl
~.B'~5
. 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 yqur 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 to'lIowlng work day. '..
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
UNDERSLAB PLUMBING,
ELECTRICAL & ..
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICAL &
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 cOf)cr~te.
CONCRETE SLAB: To be
made after all inslab building
service equl pmenl, condui t,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete Is pl~ced.
FIREPLACE: Prior to placing
facing materials and before
framing !f1Sp.:.~t1on., '".
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,
SPECIAL INSPECTIONS: In accordance
Sedti'on 306 of the State Specialty Code
a special Insp'ector shall be employed
by the Ownerl Contractor during
construction of the following work. A
copy of the special testlng reports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FO'eTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel'ln place, but
prior to placing concrete. .
_. STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELOS:
Performed on the job. (2722 I)
UNDERFLOOR: Plumbing.
electrical, mechanical. To be
made prior to installation of
floor Insulation, decking or
floor sheathing.
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.
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
pribr to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION ANO FILLING:
During earthwork. (306 a.11 &
Chapter 29)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
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 Installatlon of floor
Insulation, deckIng or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7) ,
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
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.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
-In 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.
-------------------------------------------------------
FINAL ELECTRICAL
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
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
Certificate of Occupancy has been Issued by the Buliding Division
and posted on the premises.
FINAL FIRE DEPARTMENT
ADDITIONAL .cOMMENTS:
PLANS REVIEWED BY
DATI=
By sIgnature, I state and agree, that I have carefully examined the completed application and do hereby certify thfll alllnformatlon
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 property, and the approved set of plans will remalr:'! on the site at all
times during construction.
Signature ~.d~/tt#~
/' . -
Date
_~/;;o//t;7
VALIDATION:
AMOUNT RECEIVED' 2~:t
;Z'?~.--.;s-
RECI'jPT ..
DATE PAID'
RECEIVED BY'
?Y"9 -::$""::>
~-~
"./
-
.-\,