HomeMy WebLinkAboutPermit Building 1996-10-23
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CO M M ER C tAL II N DUST R t AL
PERMIT APPLICATION
JOB NUMBER
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726-3769
OFFICE: 726.3759
LOCATION OF PROPO~~'?t\~ / t'] ~
ASSESSORS MAP: \ U-.J0V~ ')
OWNER:~rt/;t(..r- Schu.,l T L
ADDRESS: .J ~(p it Ii) . S'r
CITY: S;/Jr/n J f/e./J
DESCRIPTION OF WORK: 711 r fell / t:l f/o-n
ADDITION ~
NEW
ARCHITECT:
0,pr/J1,J fJ'~/d 0 r -( .
TAX LOT: ("11 ?t..Y)
:;;~~~: 7L/ /-/30 s- ff~'Z 'fl ~ 7 V
STATE:
o I' ~__
ZIP:
i7 q 7 tF
REMODEL
tJ-P- ! ~L S" ~/I ~d I~,
(j
DEMOLISH OTHER VALUE:
ADDRESS PHONE
CONST.
CONTRACTOR # EXPI RES PHONE
NAME
Sl'e/f
CONTRACTOR'S NAME
ADDRESS
GENERAL:
PLUMBING: 0 11\ . '/7"")
MECHANICALl.tlt IJ'~
. ELECTRICAL:
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I
I
I
I
I
I
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I
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PLUMBING
MECHANICAL j
I-EEL '--.CHARG.E--'
Furnace/burner & vent I
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
NO.
FEE I
CHARGE
NO
Si ngle Fixt ure
Relocated Bldg.
(new Ii x, addtl)
Water Service
It.
Floor lurnace and vent
Suspended wall or Iloor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
Irom AC or htg,
Mechanical exhaust
hood and duct
I
I .
Sanitary Sewer
It.
Storm Sewer
It.
Backllow Device
I
I
I TOTAL PERMIT
Permit Issuance
$10.00
TOTAL PERMIT
QUAD AREA:
# OF BLDGS:
OCCY GROUP'
# OF STORIES'
SQ, FTG MAIN
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING:
liGHTING POWER BUDGET:
LAND USF'
# OF UNITS:
CONSTR, TYPE:
HEAT SOURCE:
WATER HEATER:_
SQ. FT.
$/SQ. FT.
VALUE
x
SQ, FTG ACCEC:C:
x
SQ. FTG OTHER
x
TOTAL VALUE OF PROJECT
PLAN CHECK FEE
,....- ...
j ~--.
I MECHANICAL I \'S p<.<
5% State ~\ '2aL _n l. 'LO
Surcharge" J7U _ _
~ ~U~a;
RCPT#
DATE ~
BY
I BUILDING PERMIT-
15% State
Surcharge
I PLUMBING
I 5% State
Surcharge
FENCE
VALUE $
SIDEWALK
I DEMOLITION
SUBTOTAL
PERMITS: , "'"
SYS-;-EMS .
, DEVELOPMENT
FT.
.I CURBCUT
FT.
TOTAL PERMIT FEES
EXCLUDING 'ELECTRICAL
6Zlo~W
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 '" V ROUG'H PLUMBING," :: ' PAVING: After gravel is in
made after excavation, but '. ~G:r-RleA~ . place but prior to placing
prior to setup of forms,~HANICAL:'~ work is to asphalt or concrete.
be covereauntTI these
inspections have been made
and approved.
UNDERSLAB PLUM~ING,.,
; ELECTRICAL & \'
, MECHANICAL: To be r:nade
before any work is covered.
,j
SPECIAL INSPECTIONS: In accordance
. Secti,on 306 of thj:3 ,State Specialty Code
a special in.spector sh').ll be,employed
by the Owner/ Contradp'r"during .
construc.tion of the following work, A
copy of the'speci'al. te?ting\ reports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
','
FOOTIN'GS"& FOUNDATIONS:
To be made. after trenches are
excavated and forms 'are
erected, all'.s,teel in place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing,inspection, \. .
... \" . . ~
,', \
, ,
STRUCTURAL CONCRETE: In
excess of 2500 PS.1. (306 a,1)
--
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.
''', ~
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,
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 re,quired vapor
barriers are in place but
before any lath or gypsum
board interior wall covering is
appl ied.
STRUCTURAL WELDS:
Performed on the job, (2722 f)
HIGH\STREN"GTH BOLTING:
During all bolt installation and
tightening operations, (306
a,6)
SPRAYED ON
FIREPROOFING: U,B,C,
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 a.11 &
Chapter 29)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing,
LATH AND/OR GY.PSUM
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 installation of floor
insulation, decking or floor
sheathing.
vi
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 coveri ng,
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 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 completed before
requesting this inspection,
FINAL ELECTRICAL
V" FINAL MECHANICAL
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department inspections are made and
appr'oved. 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 COMMENT~'
PLANS REVIEWED BY
DATE
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thft 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
tiftS during construction. I /
'~I",e. ~~.dM4~. Dale
/ VALIDATION: IAMOUNT R.E.CE~ED: r!JJO.W
I, RECEIPT', 6l3${~ 1,11
i'
DATE PAIDo 01. "'^ {().~ 'c(0
RECEIVED BY:~_J