HomeMy WebLinkAboutPermit Building 1996-11-18
.
COM M ERCIALlIN DUSTRIAL
PERMIT APPLICATION
~
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK' \.j t I 0 0 L \' lNl ~ l c.... <:::;, T .
ASSESSORS MAP: II .- 6 1.. - <,() - 6U -. Co '--/00
OWNER' M A '?s H'i'\: U. '\::JA/'..J!\j F A.J
ADDRESS: ~ I \ 0 CLL Y WI f-' I c:. <- T _
CITY: ~Q I k.)(~ ~l r:::, '\) STATE:_" R
DESCRIPv6N OF WORK:
NEW'; REMODEL
Ot"lW1PAc.To12 A12EA ~\)eR
ADDITION / DEMOLISH
NAME
ADDRESS
ARCHITECT'
CONTRACTOR'S NAME ADDRESS
GENERAl' M AeSH ALL <. 0 I L
PLUMBIN'"
MECHANICAl'
ELECTRICAl'
PLUMBING
Nn
Single Fixture
Relocaled Bldg.
(new fix. addtll
Water Service
I FEE
CHARGE
Nn
It.
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
TOTAL PERMIT
..
".
JOB NUMBER
q~/7"..?~
INSPECTION LINE: 726.3769
OFFICE: 726.3759
TAX LOT'
PHONE: I 4"")- I II q ")
ZIP: 0,'4/,0,
OTHER
VALUE: Jt/:'-=1?j<I>
PHONE
CONST.
CONTRACTOR'
z..r:.,C1l)
EXPIRES PHONE
/2-/~'5>/
MECHANICAL
ccc
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
Stationary cvap.
cooter
Vent Fan/Single
duel
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duCI
TOTAL PERMIT
Permit Issuance
- OFFICE USE -
HANDICAP ACCESS:
~UAD AREA'
LAN D USE:
. OF BLDGS:
. OF UNIT~'
OCCY GROUP:
CONSTR. TYP.'
HEAT SOURC.'
. OF STORIE~'
SO. FT.
$/SO. FT.
SO. FTG MAIN
SO. FTG ACCESS
x
X
SO. FTG OTHER
X
FLOOD PLAIN:
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
PLAN CHECK FEE r? ~ ~ ~ RCP.T' ::<'3S2 S2.
TOTAL VALUE OF PROJECT_
DATE /../-;/~- 5< BY /?_~
"""'''--/c..-"
I BUILDING PERMIT
15% Slale 1'-">
SurcharQe /"'-"':l
MECHANICAL I
I
I
PLUMBING
, OEMOLlTlON
'/'/.$0
~.;;(?
/ . "30;{
5% State
SurcharQe
FENCE
VALUE $
SIDEWALK
CURB CUT
FT.
5% State
Surcharae
I PAVING
FT.
I ' SUBTOTAL
PE RM ITS
I SYSTEMS
DEVELOPMENT
9'.B: ~ :/
/VAt,.
c;g.~?
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
j
"I:lABGi
I
I
I
I
I
I
I
$10.00
. 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 excavatlon, 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 concrete.
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.
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.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.L (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
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.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43.8.
UNDERFLOOR: Piumbing,
electrical, mechanical. To be
made prior to installation of
floor insulatIon, 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)
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 applled 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 pi aced. (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 instailing
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 MECHANICAL
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.
,y FINAL BUILDING: Requested alter 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.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
-
PLANS REVIEWED BY
r;:;;;:~:"':.~~ATE /'2.-//-~
By signature, I state and agree, that I have carefully .examlned the completed application and do hereby certify thflt 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 project address Is readable from the
street, that the permit card Is located at the front of the pro"erty, and the approved set of plans will remain on the site at all
times during construction. .. .
Signature
J1/!
(I ...J r?____
Oatf>
VALIDATION:
AMOUNT RECEIVED: /2-/740
2. ~l/f2, 7 '
RECEIPT ':
DATE PAID:
RECEiVED BY'
/2-124t,
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