HomeMy WebLinkAboutPermit Building 1995-7-18
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COMM ERCIALIIN DUST RIAL
PERMIT APPLICATION
SPRINGFIELD
JOB NUMBER ,~~~.:;S-
, INSPECTION LINE: 726-3769
OFFICE: 726-3759
225 Fifth Street, Springfield, Oregon 97477
~~
LOCATION OF PROPOS~D WORK: -SS~~- ?'f!!r/"!!!' ~..:r-/~
I' ?e'P;Z '3 ~ "Y"y , ./ - ". --
ASSESSORS MAP: /'?<1!l2 ~ ,'9'3:;7
OWNER: ~~ L A~~ /"~ ..
/' I> ..' 'r V/
ADDRESS: .0 /~ ~~~ ~ .
E/~~~~
~'
-~~ .. /'
/ ~;4:1~ I' ~-=<cs- /
TAX LOT: ~~
PHONE:~ /"Y~-~6'3??
DESCRIPTION OF WORK: ~~~~
NEW k REMODEL ADDITION
NAME
~71 . ZIP: ~?Y~r
~ l' ~/ c- P7?'~7?JC-~ ~ _"> .2~/,7S
CITY:
STATE:
DEMOLISH
OTHER
VA LU E:
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
GENERAL~~-i~.P~~5
PLUMBING:
CONST.
~~;K<Ae- h~;';CTOR'
EXPI RES
/~~?
PHONE
2......~~//~
MECHANICAL'
ELECTRICAL'
I PLUMBING I MECHANICAL
I NO. I FEE CHARGE I NO ~~~ r.HARr:~
I Single Fixture I Furnace/burner & vent
< 100,000 BTUs
I Relocated Bldg. I Furnace/burner & vent
(new fix. addtl) >100,000 BTUs
I Water Service ~ I Floor furnace and vent
~Olt.
I Sanitary Sewer If'/ S- Suspended wall or Iloor
A::SO 3Tt. mounted u nit heater
I Storm sew/6;p' Appliance Vent
It. 2b,~ separate
I . Stationary evap.
Backflow Device cooler
I I Vent Fan/Single
duct
I Vent System apart
from AC or htg.
I Mechanical exhaust
hood and du'ct
I
I Permit Issuance $10.00
I ..
TOTAL PERMIT Y67'. L- j TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN:
~UAD AREA:
LAN 0 USE:
# OF BLDGS:
# OF UNITS:
ZONING:
# OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER'
OCCY GROUP:
".
SO.F.T.
$/SO. FT.
VALUE
'. .
SQ. FTG MAIN
x
SQ. FTG ACCESS
X
SO. FTG OTHER,
x
, .
TOTAL VALUE OF PROJECT-,-~;?"" ~....,.~
- . - /"
PLAN CHECK FEE
RCPT#
DATF
BY
I BUILDING PERMIT
15% State
Surcharge
. I MECHANICAL
15% State
Surcharge
I PAVING
o/g~ .::z.S-
2.~~
/0/- .t<~
PLUMBING
5% State
Surcharge
FENCE
VALUE $
SIDEWALK
~
I
Y,f~
7"3.. 22-
/~. -95.-
-, -
DEMOLITION
FT.
SUBTOTAL
PERMITS
SYSTEMS
, DEVELOPMENT
I
I
o/.,11L.7'~~~~
CURBCUT
FT. ,
. "
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
/~~7/
~
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
made after excavation, but
prior to setup of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANiCAL: To be made
before any work is covered.
~ FOOTINGS & FOUNDATIONS:
/' -- To be made after trenches are
excavated and forms are
erected, all st.e.eL.in place, but
prior to placi ng concrete.
V CONCRETE SLAB: To be
/-........... made after all insiab building
service equipment, conduit,
pi pi ng, accessories and other
ancillary equipment items are
In place but before any
concrete Is placed.
V UNDERGROUND:-.ElLlmhin~
/ '-. electrical, gas,~ry sewer
,--slorm sew~--, VVdlt::' SJlId
~:Glllldge lI'nes. 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
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof coverl ng.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered 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.
FR'AMING: To be made after
the roof, all framl ng, fi re
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 PS.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt installation af'\d
tightening operations. (306
a.6)
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.
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
Du rl ng earthwork. (306 a.11 &
Chapter 29)
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
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.C.
STDS. 25-10,11).
STRUCTURAL MASONRY: (306
a.7)
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.
-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 placing
concrete.
FINAL PLUMBING
-------------------------------------------------------
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
7/775 ,..//~IH/T /<; ~
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 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.
ff7MA.:)A'7?~( ,; .~ /II'/~g tt1~7'
,4f~
DATE ?/r~/i[-
PLANS REVIEWED BY
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th~t 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. '-
j further agree to ensure thc;.t111 retluired i pe lions are requestec.j.at the proper time, tl:1at project address Is readable from the
street, that the permit caf~~ located a the ront of the property, and the approved set of plans will .remain on the site at all
:i:::t:'+~. .b/~,tJ ~ 4 ~ 9 ) Date 0!'~-
VAliDATION: AMOUNT RECEIVED: /030, 5"5'/ DATE PAID: ,~1?-.hS-
RECEIPT #: J ~ -:< S-~ RECEIVED BY: ~~
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