HomeMy WebLinkAboutPermit Building 1999-12-13
I
I
I
1
I
I
I
I
I
I
I TOTAL PERMIT
I COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
SPRINGFIELD
225 Fifth Street, $pringfield, Oregon .97477
LOCATION OF PROPOSED WORK: ..-15/\.H<;;QF"A/'
ASSESSORS MAP: I?<p '::3 -;z. "? '"3 4/
--".. , .. ,
OWNER: -;~R/A/&HFz:'"tl ;:J./~//('
ADDRESS: ,~/~S- MLL ~
CITY: .$:>..-2// ~ k /ct':..,.()
_'~/Nl/
STATE:
DESCRIPTION OF WORK:
C:>".c~~.r=
//:r~{)/)~ t"
NEW REMODEL' j---- ADDITION
DEMOLISH
NAME
ADDRESS
ARCHITECT:
CONTRACTOR'S NAME
GENERAl . ()u..Nri"/?
PLUMBING:
ADDRESS
MECHANICAL:
ELECTRICAl'
PLUMBING
I
.JW
NO.
FEE
CHARGE
Single Fixture'
Relocated Bldg.
(new fix. addtll
Water Service
ft.
Sanitary Sewer
ft.
ft.
Storm Sewer
Backflow Device
I '
I
I
TOTAL PERMIT
- OFFICE USE -
QUAD AREA:
# OF BLDGS:
LAND U~I='
# OF UNITS:
CONSTR. TYPI='
OCCY GROUP'
# OF STORIES:
HEAT SOURCE:
so. FT.
$/SO. FT.
so. FTG MAIN
x
so. FTG ACCESS
SO. FTG OTHER
x
. X'
JOB NUMBER 99/"~
INSPECTION LINE: 726.3769
OFFICE: 726.3759
~G1 J / ":-/11/ A-t"' h~h'" ,c/'tl7""..-u:>( / )
. ( j
TAX LOT: -CJ 2qt:f!>/
,. ,
PHONE:
(10
Y'7C/77
ZIP:
OTHER
VAL..l}~ L./OC>c .---
i PHONE
CONST.
CO NT RACTO R #
EXP\RES
PHONE
MECHANICAL
I FEE I CHARr::E
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.
c.o61er
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit Issuance
$10.00
HANDICAP ACCESS:
FLOOD PLAIN:
ZON1W::'
LIGHTING POWER BUDGET:
WATER HEATER:
VALUE
PLAN CHECK F~.2$. ~
RCPT#. ~~'Ylg
TOTAL VALUE OF .PROJECT
DATE /2 ~-'7C$ . BY /' /~;;?
. - /I'~-- ~
DEMOLITION
, .
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL I
I BUILDING PERMIT
"'10 State 1'7-
SurcharQe T ":J
MECHANICAL
PLUMBING
'f'flt
I ,.,
,:.... ...~,:,,-~. ,...~.
/70/ State
::>urcharge
FENCE
VALUE $
I SIDEWALK
I CURBCUT
FT.
~ 7%State
SurcharQe
I PAVING
\"
"
FT.
.-/
SUBTOTAL
PERMITS
.SYSTEMS
DEVELOPMENT
I '/$. 9.
I
~ 7":/,16-9 "11. 6j,
REQUIRED INSPECTIONS
It Is th'e resr:ionslblllty of the permit holder to see that alllnspectlons,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 thesame workIng day, requests made after 7:00 a,m, will be made
the followIng work day,' . "
'" . \ -~"!. \ ~:'~
SITE INSPECTION: To be-",.. ROUGH'pLiJMBING,
made after excavatIon, but ELECTRICAL &
pri~r to setup 'qf forms: .' MECHANICAL: No'work is to . I
.,:~ be "covered until,lth'ese .~,. .
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.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before~any work Is co'vered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
x
FRAMING: To be made after
the roof, all framing, fire.
blockIng and bracing are In
place and all pipes, chImneys
an9 vents' are complete and
the rough electrical, plumbing
and mechanIcal are approved.
STRUCTURAL CONCRETE: In
excess of 2500 PS,L (306 a,1)
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.
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.BD.
Standards 43.8,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
y
I
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 nlshed.
GLU.LAM BEAMS: InspectIon
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed, (2501 U.BD.
STDS, 25.10,11),
POST & BEAM: To be made
prior to Installation of floor
Insulation, deckIng or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
"'''i:JEfckih-g or floor sheathing'.
,MASONRY: Steel location,
bond beams grouting or
verticals In accordance with,
UBC2415.
SIDEWALK & DRIVEWAY:
Require.d fa~ all conc.r~t!L._
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 placI ng
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 projeQt conditions such as
landscaping, parking lot strl,ping, etc. must be completed before
requesting this InspectIon.
FINAL ELECTRICAL
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.
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY'., /. ? /:r~-
, /$;/ -.-,r"
By signature, I state and agree, that I have carefully examined ~~ i'm;,eted application and do hereby certify thp.t all Information
herein Is true and correct, and I further certify that any and all work perforrnE:!d shall be done in aC,cordance with the Ordinances
of the City of Springfield. an'd the Laws of the'State of Oregon pertaining to the' work described herein, aria'that NO OCCUPANCY
will be mage of any structure without permissIon' of the'Bullding Safety Division. I further certify that on'ly contractors and employees
who are in compliance with ORS 701,055 will be used on this project. ' ,. , . '.
DATF /2.,... h ~
(r /"
. [_..
I further agree to ensure that all requlr:.ed.j'Flspections are requested at the proper time, that,project a.ddress Is.readable from the
street, that the permit card Is IOQated at th.~ front of the property, and the approved set bf 'plans will remain on the site at all
times during constructl .. ,// /e----" /;/. .' . '.
", y // //'?/" ."
.__-'. / /.4;> Date /7.../:3-7'7
SignatfJre / '"
VALIDATION:
AMOUNT RECEIVED: ~ / ./. 39
3'c o//~
RECEIPT #:
,-.
DATE PAID: /2 7"7---S ~
RECEIVED BY:/~~'
" I