HomeMy WebLinkAboutPermit Building 1992-9-10
COMMERCIAL/INDUSTRIAL'
PERMIT APPLICATION
SPRINGFIELD
JOB NUMBER
9''2//7c'
, INSPECTION LINE: 726-3769
OFFICE: 726-3759
C'iR.
OO(.Q ()"-\
PHONE: '1 L.\ ~ ~ (.0 00J 0
STATE: 0Y2..
. ZIP: q'l'-\t"l
1'"' ST a rz.v.\(oy~,
DESCRIPTION OF WORK: ~ PO l T \ ()(\.) q 13A+l-\ l<.Of>Y\t1S
NEW REMODEL ADDITION -.....; DEMOLISH OTHER
VALUE:
ARCHITECT: '
NAME
~DvY\\JV\I c~ ~~
ADDRESS
CONTRACTOR'S NAME
GENERAL: RZ>Y\.l
REDO?,
t, -
~Co s. m\LL
CONST.
~i:, ~+\fC. Sf\J'~TR(;t4&'Z.
EXPIRES
0'1 { \01 q:s
PHONE
'1 ~ -~z.~ \
i~l~%S4
i/O' e.,e
1,11'te1 if:;I:L. ,
,t' r1~~
PLUMBING:
MECHANICAL'
ELECTRICAL:
ft.
I FEE I
1/t?~1
I I
I I
I
I
I
j
CHARGE I
/1 (!J .~~'
MECHANICAL
PLUMBING
NO,
II Single Fixture
Relocated Bldg,
(new fix. addtl)
r Water Service
NO
~~~
r.I-I,ARr:~
I Sanitary Sewer
I
I
I
I
I
I
I
ft.
Furnace/burner & vent
<100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationaryevap,
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Storm Sewer
ft.
Backflow Device
Permit Issuance
$10,00
I
J
I
- '/
I
TOTAL PERMIT
TOTAL PERMIT
QUAD AREA- ~ ~l0
# OF BLDGS: -. \
- OFFIC,E-UgErv\
LAND USF' .5 ~L.A-.-J
HANDICAP ACCESS:
# OF UNITS:
ZONING:
FLOOD PLAIN: _
(\i'./
OCCY GROUP:
CONSTR. TYP~'
HEAT SOURCE:
LIGHTING POWER BUDGET:
# OF STORIES:
WATER HEATER-
SQ, FTG MAIN
SQ, FTG ACCESS
SQ, FTG OTHER
SQ, FT,
(bfO
X
$/SQ, FT.
~OOf!)
, VALUE
2. 5't,;;~O
X
X
TOTAL VALUE OF PROJECT
PLAN CHECK FU
1/3,'7 ~
RCPT#
~O{)O
-
DATE
%/Z~L-- BY
( ,
/BUILDING PERMIT
/5% State I
Surcharge
I MECHANICAL
It(; t4t .~
15% State >11 ,{Ct,.
Surcharqe
I PAVING I
J75e~
~,7S
15~
/O..F 1-.
.?..r-
I PLUMBING. :
/5% State
Surcharge
I FENCE
VALUE $
SIDEWALK
/(0 (J8J
~!?;:>,
I DEMOLITION
I
/~
I
I
I
SUBTOTAL I j
PERMITS
I SYSTEMS /oft,'.r. . II tf!, I
DEVELOPMENT --roo / - eLl .
".-, ~ 5""3 <DUD .':)~ -fCh" '-
'1_~~ ,/i1 '
I
FT.
CURBCUT
FT.
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
REQUIRED INSPECTIONS
It is the responsibility of the permit holder,t6'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 excavation, but
prior to setup of forms,
x
'oj
UNDERSLA~UMBING0
ELECTRICAL~
MECHANICAL: To be made
before any work is covered,
'X
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, cill steel in place, but
prior to placing concrete,
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
pi pi ng, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
X UNDERGROUI\'O:'Plumbing.
r " electrical. g'as, sanl1ary sewer,
~m se~ water and
, drainage lines, To be made
prior to covering or filling
trenches,
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing,
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
.decki!1g-or floor.csheathing,
'X
/
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
y....... ROOF SHEATHING AND
, NAILING: Prior to installing
any roof covering,
r ~ ROUG~IMRIN-G?
~l;1 RICAL~ .
C:-W11::"'(;NANICA - 0 work is to
UI:: <.;uvered until these
inspections have been made
and approved,
PAVING: After gravel is in
place but prior to placing
asphalt or concrete,
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
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
STRUCTURAL CONCRETE: In
excess of 2500 P,S,I. (306 a,1)
><
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,
HIGH STRENGTH BOLTING:
During all bolt installation and
ti ghteni ng operations, (306
a,6)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
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, '
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
SPRAYED ON
FIREPROOFING: U,BC,
Standards 43.8,
FIRE & SEPARATION WALL:
Located and constructed
according to plans,
"X.
/
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),
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
fi nished.
STRUCTURAL MASONRY: (306
a.7)
SIDEWALK & DRIVEWAY:
~ Requir.ed. 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-
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,
CURB AND APPROACH
APRONS: After forms are
erected but prior to placi ng
concrete,
FINAL PLUMBING
-------------------------------------------------------
\\~\\).SC~Mi\ot,)\ O~_l ~l\~O(th. ~ r ~\r 1 fU~})OJ.n
PLANS REVIEWED BY - ~--ff/~
y
" ,
'X
,.
FINAL ELECTRICAL
X
"
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
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 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 Building Division
and posted on the premises,
8/6'fQ7
DATE l' hh 2-
--/ i
By signature, I state and agree, that I have carefully examined the completed application and do herel?y 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 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 remain on the site at all
times during construction,
I
? "-f?i gnature
Date
VALIDATION:
AMOUNT RECEIVED' 7' S" /,..r')
(PlfL~
DATE PAID:
RECEIVED BY:
~
RECEIPT #: