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Home My WebLink AboutPermit Building 2000-1-3 COMMERCIALIINDUSTRIAL ~SPRINGFIELb JOB NUMBER' 9<Jo25, PERMIT APPLICATION . . . . . INSPECTION LINE: 726-3769 225 Fifth Street, Springfield, Oregor;1 97477 ~ , . OFFICE: 726-3759 ZJ2 't;f'3 LOCATION OF PROPOSED WOR~i 8s:J &/&? .i?//~qLtp &/%,u.A'y ~<.t2";;A'i'.f ASSESSORS MAP: /7tJ3/..s. / P TAX LOT:~a? . / ( , f7 //. OWNER: . ~YLC/.I bL.t:J/? ADDRESS: ~:fO~/~ d/w CITY: ~//~7/i'////, DESCRIPTIO~ OF WORK: ~x:#4fl,iJ/J djc5" ~/?;/~P//b/ /0 /'~i./Wil//~t7;2/l'J~/ NEW ~ REMODEl:. ADDITION DEMOLISH OTHER VALUE://mi.? . .' . . ,- ./". PHONE: 7~bf}1~-f1 . STATE: ()f ZIP: Pffl'7 . NAME ADDRESS PHONE ARCHITECT' CONTRACTOR'S NAME ADDRESS CO NST. CONTRACTOR # EXPIRES PHONE GENERAL: PLUMBING: J-/o/\revt- l~( /, MECHANICAL: ELECTRICAL: I PLUMBING I MECHANICAL I NO. . FEE CHARGE I Nn FFF I r.HARr:F= I Si ngle Fixture. I Furnace/burner & vent < 100,000 BTUs I Relo.cated Bldg. I Furnace/ burner & vent , (new fix. addtll > 100,000 BTUs I Water Service I. Floor furnace and vent I I ft. I S~nitary Sewer I Suspended wall or floor I I ft. mounted unit heater I Storm Sewer I Appliance Vent I I ' ft. separate I I Stationaryevap. I I Backflow Device cooler I I Vent Fan/Single I I duct I I Vent System apart I I " from AC or htg. I I I Mechanical exhaust I I I hood and duct I I I~UAA!: I P1M). J~~ I I Permit Issuance $10.00 I' TOTAL PERMIT I TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN' QUAD AREA- . LAND USF' # OF BLDGS' # OF UNITS: ZONING: OCCY GROUP: CONSTR. TYPF=' # OF STORIES: HEAT SOURCF=' LIGHTING POWER BUDGET: WATER HEATER: SQ. FT. $/SQ. FT. VALUE SQ. FTG MAIN x SQ, FTG ACCESS SQ. FTG OTHER x X TOTAL VALU.E OF,PROJECT PLAN CHECK FEE RCPT# DATF BY I PLUMBING I I DEMOLITION I / %' State I I :surcharge I FENCE I I VALUE $ I SIDEWALK FT. I .1 SUBTOTAL PERMITS I CURBCUT I. - I SYSTEMS FT. DEVELOPMENT I BUILDING PERMIT I /'1o State Surcharge MECHANICAL I S-. ~ _ 11S"~G /t';J. DC 7 % State ~ ,.-"., Surcharoe IfJ 1+.*1> /.J- PAVING .~, -\ "- v ::I> ~ ~ ~n::' ;l'j ::I> ::I> """--::::l~ rrr rrr C,IJ C"J .. '** . J:'"l 1-1(:,-=1 .. ::I> .. X> Cl rn /',"1 Z 1-4 ::J: I ~~ClO ;2-IJ:; '-.J Cl F'..J Cl I.. ::z: cr--- t-:l Cl f...Jf...IJII '-.It- .--. rl., 'r n 0 ,p.- O'. ',", U w ul ;;\ " '.-, _I"'. TOTAL PERMIT FEES EXCLUDING ELECTRICAL t..... ....,.. ;;:::-:, 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 ROUGH PLUMBING, made after excavation, but ELECTRICAL & prior to setup of forms, MECHANICAL: No work is to be covered until these inspections have been made and appro:v_~d,.. .; PAVING: After gravel is in place but prior to placing asphalt or concrete. 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 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. ATTIC DRAFT STOPS & CURTAIN WALLS CONCRETE SLAB: To be made after all inslab building service equipment, conduit, pi ping, accessories and other ancillary equipment items are in place but before any concrete is placed. FRAMING: To be made after the roof, ?oil 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) 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 required vapor barriers are in place but before any lath or gypsum board interior wall covering is applied. . HIGH STRENGTH 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) POST & BEAM: To be made prior to Installation of floor insulation, decking or floor sheathing. 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 b()ard 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 UB.C, STDS. 25-10,11). FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of de<::king or floor sheathing. ST~UCTURAL MASONRY: (306 a.7) ~ MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415. . SIDEWALK & DRIVEWAY: Required for all conc'rete pavifl9 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, ',.-f>. ':"'~OOF.l?I:I.~A:rHING AND.::".:: -:S-':.,.'. '<'i'~ .. NAILING: Prior to installing '- any roof covering. CURB AND APPROACH APRONS: After forms are , erected but prior'to placing concrete. . ------------------------------------------------------- FINAL ELECTRICAL 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 PLUMBING FINAL MECHANICAL 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 posfed on the premises. FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: PLANS REVIEWED BY DATE' By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thf-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 thatNO 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 comp~iance with ORS 701.055 will be used?, this p~oject. I further agree to ensure that all required Inspeot1on~~,fequested at the ~roper time, that project address is readable from the street, that t. h e permit card is located~ .a<ih'€!1'~ . -o!}h~ pro. perty, and the approved set of Plans..,w...._..III:.rem.ain on the site at.. all times during oonstruotlon. ,~ ~~... . (: \ ... ., cr ~ ~. l~\:l ......\. ,~',\ ''\.;'J''''',''J~-'<.. Slgna;~;': '~~ -=. - 4- Z?/C. Y~40 ~/ Dat~ (,~k;&? , .., t,;\(~ ;=::.; ~ ~. ../ /' / ~ .>t:' / tj.. S t ( n ~_ ~ vALloAt@r'lr'. ~.. ,-::-~.;.:~ . . :.=~ ....:r AMOUNT RECEIVED' //!/a0 . I I A RECEIVED BY: /if/' ,~ DATE PAID: , t'I~~~ . ~;: ... RECEIPT #: . ~.~,~~..,:s:~ '. ,.-.". ..:::' I.. ..1 'j , :. ~ t....~_ j ." . .. COMMERCIAL/INDUSTRIAL SPRINGFIELD JOB NUMBER 9~:.l~ PERMIT APPLICATION ~ INSPECTION LINE: 726-3769 225 FUth SUeet, Springfield, Oregon 97477 ""_ OFFICE. 726-3759 LOCATION OF PROPOSED WORK: -.Zt/#/J4' !T ~~y /'~/d6~l" t?QJ&$" ~ .1 C1" /' ./ ASSESSORS MAP: /!?GJ:! /fatJ ' TAX LOT: ~LJ/.J PHONF' ~..~. OWNER: .j~8a/.p. ADDRESS: J~O-5'&,6G d?'M..I CITY: ~/'/h4/W~ /' /7 ~ DESCRIPTION ~ WORK: 0-"7(1_ ("D.)/ ~S<;'..etl'l1~'v ii{~f-a.ll rt!~(;r~A-d NEW k REMODEL ADDITION DEMOLISH OTHER STATE: ..t::::Y? ZIP: ~??}J'7 " VALUE: I;;!/ t1:ZJ J ARCH ITECT: NAME Lil'"7Jt (A ~st ADDRESS PHONE ~ ;r1~c.s1/ CO NST, CONTRACTOR'S NAME , ADDRESS. ~ ~ CONTRACTOR # EXPIRES PHONE GENERAL: ~~#~~~~.~~-,:'J /,/?~/~/_-:J..2-S-~~7~~Y~l PLUMBING: MECHANICAL: ELECTRICAL: / PLUMBING MECHANICAL NO. FEE CHARGE Nn ~F=F I r.I-IARr.i I I ft. Furnace / bu rner & vent <100,000 BTUs Furnacel 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 Single Fixture Relocated Bldg. (new fix. addtl) Water Service Sanitary Sewer ft. Storm Sewer ft. Backflow Device Permit Issuance $10.00 TOTAL PERMIT TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN: ZONING' QUAD AREA- LAND USE: # OF BLDGS: # OF UNITS: OCCY GROUP: CONSTR. TYPE' LIGHTING POWER BUDGET: # OF STORIES: HEAT SOURCE: WATER HEATER: SQ. FT. $/SQ. FT. VALUE SQ. FTG MAIN X X SQ. FTG ACCESS SQ. FTG OTHER X TOTAL VALUE OF PROJECT I BUILDING PERMIT I 7% State ~urcharge MECHANICAL 1~6'. ~~ /~: ~~ PLUMBING / '1o, State :su rcharge FENCE VALUE $ I SIDEWALK I CURBCUT FT. DATE /7":</",~~ BY ~~ , c./"/v - " .... I' I DEMOLITION I I I SUBTOTAL PERMITS I SYSTEMS DEVELOPMENT PLAN CHECK FEE ~&:;: '2"3 RCPT# ~ y~~ 7% State Surcharge I PAVING FT. TOTAL PERMIT FEES EXCLUDING ELECTRICAl /6/f/~ " '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 ROUGH P,LUMBING" PAVING: After gravel is in 'made after excavation, bLJt 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. UNDERSLAB PLUMBING, EL~CTRICA,L & MECHANICAL: 'To be made before any work is covered. ATTIC DRAFT STOPS & CURTAIN WALLS 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 t~sting reports shall be furnished to ,th~Building Division. FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to placing concrete. " " .1...; .x' ,FIREPLACE: Prior to placing facing materials and before ,frami ng ! n~p~ctiO~. FRAMING: To bem~de'.afier 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,I. (306 a.1) .' '. CONCRETE SLAB: To be made after all inslab building service equipment, conduit, pi.ping, accessories and other ancillary eq'uipment items are in place but before any concrete is placed. STRUCTURAL WELDS: Performed on the job. (2722 f) UNDERGROUND: Piumbing; 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 required vapor barriers are in place but ' before any lath or gypsum board interior wall covering is applied. HIGH STRENGTH 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 & SEP~RATION WALL: Located and constructed according to plans. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) x 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 UB.C. 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 decking or floor sheathing, 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. MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415. ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. 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 )( FINAL' BUILDING: Requested after the final plumbing, electrical, FINAL MECHANICAL mechanical and Fire Department inspections are made and approved. No occupancy of the premises can be made u[1til a Certificate of Occupancy has been issued by the Building Division , FINAL FIRE DEPARTMENT and posted on the premises. ADDITIONAL C~MENTS: ,~ ~~ ~~/ #~~ ~~~e:-e-> ~~ ~+' T~~~~~~~ ~ ~C~,;,./~ ~~ JAI~/q /??~,~ /$~ ~~~/~J' -~7-,~~-S ~~ - .. .---, PLANS REVIEWED BY ./ /., / /V' By si~inature, I state and agree, that I have carefully examined the completed application and do hereby certify th~t all information herein is true and ~orrect, and I further certify that,any and all work performed shall be done in accordance with the Ordinances of the Ci'ty of Springfield, and the Laws of the State of Oregon pertaining to th'e work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are i~ compliance with ORS 701.055 will be used on this proje . ATF /". 3,~ I further agree to ensure that all required inspections are r street, that the permit card is located at the fron pr times during construction. o- r- -"--. Signature \. \.~.. ""- - - -- ues a e proper time, tl1atPr?j~pt address Is readable from,the rty d the approved set-of pla);ls will remain on the site at all ~~~$~ate #$$ /" /' ~ ./ '/ '. VALIDATION: AMOUNT RECEIVED: RECEIPT #: /-6/ ~ /7'" ~ DATE PAID: / ... -:S~~ RECEIVED BY: /" ~ ~ t //c? . ( ""1" .: