HomeMy WebLinkAboutPermit Building 1994-9-2 (2)
COMM~RCIAL/INDUSTRIAL .
PEBMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
~SP~R'NCFIELD _B NUMBER~
'.Q INSPECTION LINE: 726.
~ OFFICE: 726.3759
h(\ffiO m\\ffi Qmrl 0 ~~
- - TAX LOT: 0 ~ ~(j )--<!!J
LOCATION OF PROP01l\D W~K~C1[)~)
ASSESSORS MAP' \ r I N :J:::A d.. \ - --')
OWNER: _7' N\1'Nlfi.u.ntL\ ~ t )\-;\ ~ \\
ADDRESt'~~\)~l ~C\ffiQ) R\ J\.f{\
CITY: '- ~Vl\\-nfr\ )Jl.Ol STATE: \~\0 \.~
DESCRIPTION ~F WORK:\. . .'OJ\ [tJ1 \ \ 1\ ~ _Ul('r\ J
. NEW REMODEL ADDI~ION \ '\ DEMOLISH OTHER
ZIP: Yl4U
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'~~E -'"" 1
GENERAL=,~\.~Q~
ADDRESS
CONST.
CONTRACTOR'
EXPIRES
PHONE
PLUMBING'
MECHANIC''' I . ___
ELECTRICAl'
I PLUMBING I MFr.HANIr.AL r"P.B.G~
I NO, FEE CHARGE I 000
I Single Fixture Furnace/burner & vent
< 100.000 BTUs
1 Relocated Bldg. furnace/burner & vent
(new fix. addtl) > 100.000 BTUs
I Water Service Floor furnace and vent
II.
I San I t ary Sewer Suspended wall or floor
II. mounted unit heater
1 Storm Sewer Appliance Vent
II. separate
I Stationary evap.
Backflow Device cooler
1 Vent Fan/Single
duct
"1 Vent System apart
trom AC or htg.
I Mechanical exhaust
hood and duct
I '" .
I Permit Issuance $10.00
I TOTAL PERMIT TOTAL PERMIT
OUAD AREA: ~ (\) uJ
- OFFICE USE
LAND USE: f!1?-'(()
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
, OF BLDG'"
, OF UNIT'"
OCCY GROUP:
, OF STORIES:
CONSTR. TYpo.
HEAT SOURCE: _"
SO. FT.
$/SO. FT.
VALUE
SO. FTG MAl N
SO. FTG ACCESS
SO. FTG OTHER
X
X
X
TOTAL VALUE OF ,PROJECT
I (1"1) a:J
J .
PLAN CHECK FE~
RC PI'
DATO
BY
I BUILDING PERMIT
15% Stale
Surcharge
Itli!:1 ~
15% Stat~:J. .
Surcharae
I PAVING
-
\ 1 \.~ )
.~R
5~
I PLUMBING
DEMOLITION
5% State
Surcharoe
FENCE
VALUE $_
SIDEWALK
CURBCUT
FT.
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAL
IBq(
.
REQUIRED INSPECTIONS
.
It Is the re5p'~siblllty of the permIt holder to see that alllnspectlons are made at the proper time. To request an Inspection, call
7,2~.~~~, ,) der), state your City designated job n~mber. job address, type of inspection requested and when you will be ready
"'!1PMn.!pootr6 ." equests received before 7;00 a.m. will be made the same working day, requests made after 7:00 a.m. will be made
\\ihti'lollowing ,\ rk day.
~\\ _SrrE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel Is In
\ J~" made after excavation, but ELECTRICAL & place but prior to placing
prior to setup of forms. MECHANICAL: No work Is to asphalt or concrete.
be covered until these
inspections have been made
and approved.
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 Building Division.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
made alter 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 alter
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.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
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
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
Ourlng earthwork. (306 a.11 &
Chapter 29)
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
MASONRY: Steel location, excavating complete and form
bond beams grouting or work and sub.base material in *In addition to the Ins pec-
VJ verticals In accordance with place. tlons specified, the Building
USC 2415. Official may make or require
CURB AND APPROACH other Inspections of any
ROOF SHEATHING AND APRONS: After forms are construction work to ensure
j NAILING: Prior to Installing erected but prior to placing compliance with the Building,
any roof covering. concrete. City or Development Code.
- -----------------------------------------------------
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 cOl"!'pleted before
requesting this Inspection.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
LATH AND/OR GYPSUM
BOARD: To be made alter 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.BC.
STDS. 25.10,11).
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7)
FINAL ELECTRICAL
FINAL MECHANICAL
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 FIRE DEPARTMENT
AOO",~'^~i~~\rnl Q 1(HnrU\t UllD toJio Ow
PLANS REVIEWED BY
OAT"
By signature, I 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 Ihat 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 remain on the site at all
~::QJ~/7J ~
VAL ~ON: .\ AMOUNT RECEIVED'.7~ r.;;. ,f), !.J;i!:i(
rATI( RECEIPT N:. !-r Cf) J
~. --
-'-'~.--.' ..
T.W.u- Date '1-~ .. &f r
DATE PAID: ~C(.& .qq-
RECEIVED BY~} )' .
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