HomeMy WebLinkAboutPermit Building 1996-12-6 (2)
COMMERCIAL/INDUSTRIAL e
PERMIT APPLICATION
~
e JOB NUMBEn --c;.iRJf, Z L
INSPECTION LINE: 726.3769
OFFICE: 726.3759
225 Flflh Slreet, Springfield, Qlegon 97477
LOCATION OF pnOPOSED worm: __ }Q.?_Q()':E}_s__S~,,~et (Dorris -.!'.'~1,,:1~)_
- ..- .---.-------------
ASSESSORS MAP'
lR 01 02 00
TAX LOT:
802
OWNER' Willamalane Park & Recreation District
ADDRESS:~ 1nth Street
CITY: Springfield
PHONE: __.726-4330
STATE: _ OR
97478
ZIP:_
DESCRIPTION OF WORI(: Renovation of interior of Tomseth House including new partitions and
new plumbilW
NEW REMODEL _X__ ADDITIO ____ DEMOLISH OHlER --.-.--,__.ESI. VALUE: _.. $.8.,000
NAME
ADDflESS
PHONE
ARCHITECT-
None
CONTRACTOR'S NAME
GENERAL: Willamalane
ADD RESS
680 36th Street. Sofd.
CONST.
CONTRACTOR'
97478
102974
EXPI RES
PHONE
726-4330
6!l&-4191
PLUMBING: Soecialtv P lu-"ping____._._
MECHANICAl' None selected yet
ELECT RICAL:
'.. .-.-- -+.--- -.-------. .--.--....----
Single Fixture
Relocated BI<lg.
-1r!ew Ilx. addlll
Waler Service
Pl\1Mi1i.f,jg______ _oo.____~
FEE CHARGE
------00-;0-- --fO~~
IIo\~CflANICAL
I
11
_NQ_. __'_00__
Furnace/burner & venl
< 100,000 BTUs
Furnace/burner & venl
> 100.000 BTUs
-EEE-. _CI:IABGE.....
II.
Floor furnace and venl
-'Slispcnlic<f-Wfiiiorlioor---
llIounled ullll healer
-.Appliancei.i"l,i----
scparale
Stationaryevap.
cooler
--VeniFaniSinglc
duel
VenlSysTein apart
Irol11 AC or hlg.
-Mecllanicaf exhaust
hood and duel
S'anifary-Scwc'iU.h.. -.--....., . -...
II.
-Slorln. Scwe;-.----.-----.---
II.
Oacl(t1ow Device
Permit Issuance
$10.00
TOTAL PEflMIT
~,oO
TOTAL PEflMIT
- OFFICE USE -
HANDICAP ACCESS:_
FLOOD PLAIN: _......
QUAD AREA: ____
LAND USE:__
. OF BLDGf'.
. OF UNIT'"
lONING:
OCCY GROUP:
· OF STORIES'
CONSTR. TYPE:
HEAT SOURCE:
LIGHTING POWER BUDGET:
. WATER HEATER:
SO. FT.
$/SO. FT.
VALUE
SO. FTG MAIN
SO. FTG ACCESf
x
x
SO. FTG OTHER
x
TOTAL VALUE OF PROJECT
PLAN CHECK FEE ~f 5"3 A
.-
IleFl'
DAT~
BY
I BUILDING PERMIT
15% Slale
Surcharg_e
I MECHANICAL
15./0 Slale
Surcharae
I PAVING
PLUMBING
-1- [). t:>-O
-15.2.0
DEMOLITION
5% Slale zDO+/2l
Surcharge {,
FENCE
VALUE $
- srDEWA~-
FT.
-suBioTAi:---- __u_
PERMITS
SYSTEMS
DEVELOPMENT
CURBCUT
FT.
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
r g7 73
. .-.-- .._---. ---.-----.
... .......-.......-..
.~...._._.__._.- ---..-.------- .---
e REQUIRED INSPECTIONS
e
II 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), slate your City designated job number, job address, type of inspection requested and when you will be ready
for Inspection. Requesls received before 7:00 8.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 to setup of forms.
I
UNDERSLAB PLUMBING.
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
_x ~'.GH PLUMBI~
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
PAVING: Aller 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 Ownerl Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Bulfdlng Division.
ATTfC 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 pi pes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
STRUCTURAL CONCRETE: In
excess of 2500 PS.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanllary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
INSULATION & VAPOR
BARRIER: To be made after alf
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
lightening opera'lons. (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43.8.
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.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 8.11 &
Chapter 29)
POST & BEAM: To be made
prior to Installation of floor
InsulatIon, 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.G.
STDS. 25-10,11),
FLOOR fNSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sllCathlng.
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,
CI ty or Development Code.
-------------------------------------------------------
'X
FINAL ELECTRICAL
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish Inspection. All project condItions such as
fandscaplng, parking lot slrlping, etc. must be completed before
requesting this Inspection.
FINAL PLUMBING
FINAL MECHANICAL
FINAL BUILDING: Requested after the final plumbing, eleclrlcal,
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 FIRE DEPARTMENT
ADDITIONAL COMMENTS: ?(/./g,<!/",12 APv".</eb'5 AtI('.~ 7Z'
jJ~~.T 1"?IA.,c /&(ULA.:>--~!y. .~ hPt=. .~ JZH- .d?.?~r
T# "uhJ/ilP_ V--ofZL A/I 1~ /.d~~'irr ?ktt5 /<;;J//~
E lJo .o~ r/~~ V ~~- ~~ /Y~/7X ~ r. t"~//rp~ )
jZl(~ PLANS REVIEWED BY OATF
C,FU~.17
77D
~L
,-If)":
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By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thpt all Information
herein is true and correct, and I further certify that any and all work performed shall be dore'ln accordance,wlth 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 inspection,s are requested at the proper time, that project address Is readable from the
street, that the permit card Is located at ttle front of the property. and the approved set of plans will remain on the site at all
times durIng constructIon.
SIgnature
Date
VALlOATION:
AMOUNT RECEIVED:
RECEI PT ': "? '2 C' n \-
;7 ~-
~?,73
DATE PAID:
RECEIVED BY:
J? -_I:. - 5'~
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