HomeMy WebLinkAboutPermit Building 1997-9-2
COMMERCIAL/INDUSTRIAL SPRINCFIELD
PERMIT APPLICATION L....u.
225 FUth Street, Springfield, Oregon 97477 . ..... ~.
LOCATION OF PROPOSED WORK: \.o'6(\\p.~{\tffi{\\etl Q:h'Y\.
\f)D~~~ . - --
OWNER: ~M.J ~\1,0J(\ , 1\
ADDRESF\ _~~CX ~J D. \~ ~e~9.\l(l. 'J.-;
CITY: ~~&. .
DESCRIPTIO: ~F WORK: ~-' ~J M
NEW REMODEL ADDITION \
ASSESSORS MAP:
NAME
ARCHITECT: '. iJ
CONTRACTORm~M~.A ' , '
GENERAL: \~
PLUMBING'
MECHANICAL:
ELECTRICAl'
PLUMBING
NO. .
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
:/'" .,! . ,!i ...!_ I'^. t !, .f.t.
\ J'~ Y' " Yl ~l'~' .' l' }, If \"';~t'r~,_t:I;'"
, \'., ' ,'''E}~c:k/flew Q~e~ice"l'.
I' .' I \r ". , -. '~ I "i'l ' I .<i ...-"
\, ,,;.,"....r'...~ -\~-""'I ';..)"fl~.'\~, ,:
I 1../
I
I
I
TOTAL PERMIT
QUAD AREA:
# OF BLDGS:
OCCY GROUP:
# OF STORIES:
sa. fT.
SQ. FTG MAIN
SQ. FTG ACCESS
SQ.r;T~~:6TH(EF;l. f';
\ {j {\"J ~._~
. -..::........'~..h ',--k,.,
Qr\\~ '
JOB NUMBER
INSPECTION LINE: 726.3769
OFFICE: 726-3759
TAX LOT:
fJQ((fXJ
PHONE: ~~'4~~~
STATE:~
-
l\rtll
ZIP:
DEMOLISH
OTHER
VALUE:
ADDRESS
PHONE
ADDRESS
CONST.
CONTRACTOR #
EXPIRES PHONE
I
I
I
'. 1\
, .
I
I
I
I
I
I MECHANICAL
FEE CHARGE I NO
, I Fv{W\~burner & vent
, -1t\~~Ct.i~~60- TUs
, f:.' ."h\~~ \t" ~rQi ~urner & vent
. ~~\.cllo'. 1 ~t>-\..\.. 'C,N ~~ ~~ mo, 00 BTUs
\'\r Qt.~~\\ '6 IC.~ 1\'\\S ~tI~Thrnace and vent
\r'~e ' \"~1~Q .IBt>-~~1 Suspended ~all or floor
r\\o\O?-.\~ O~ \$ It' mounted Unit heater
1"\5,. C...\C~ 0.1'\ I Appliance Vent
I, ~W\~\" o~~~ Ip' separate
I CQ ft,~ U~~ t' I I Stationary evap.
~~" \Q cooler
I I I Vent Fan/Single
duct
I 'I I Vent System apart
from AC or htg.
I I I Mechanical exhaust
, hood and duct
I I I
I Permit Issuance
I TOTAL PERMIT
$10.00
I
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I
I
I
I
I
~~I=
r.1-I,IHH'::1=
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING: .
LIGHTING POWER BUDGET:
WATER HEATER:
LAND USE:
# OF UNITS:
CONSTR. TYPE'
HEAT SOURCE'
$/SQ. FT.
VALUE
X
X
"'\;.. ,
:.....t\t-f'~ ..~ '.... J'
.~. . .'., ;";;. f\iJ., ~
, .. ,,", '" \~ ~ 'iX ,\{ '~\. ';,-:
~"";'~'\~ .):\.\.~. \. J\.~r't;i \ \
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PLAN CHECK FEE
I BUILDING PERMIT
15% State
Surcharge
I MeCI.JANICM. 3~
15% State I
Surcharge
I PAVING I
. CJ5.rsO
\. \<2S
. f1 (t)
~~.,.." l f'\ .' \
I ! """".,h t."
. I' -"U J
~. .... ~~~t\, ': r~l.:.p:,:
....I~,.."I . j .j, ! / i 'i
',-..1 t1.~,;'IW#' I I
, 'i, \ ",,; ~
.'" ..
-/{OW l4Co
TOTAL VALUE OF ,PROJECT
RCPT#
DATF
BY
PLUMBING
I
I
I
FT. I
FT. I
DEMOLITION I
(_ ~\t)j\, ~hrl J
I ~~ I
SUBTO A
I PERMr't~ .1
I SYSTE~ I
DEVELOPMENT
5% State
Surcharge
FENCE
VALUE $
"' SIDEWALK
I CURBCUT
\~.Q.!?,
p."..,,, t . 1'''- \
.. ."','l 1(' f'
\.;~:<,~ \.""...~..,~ >'.
~ ,) V,"" l
I tOTAt""PERM1T- FEES
. EXCLlJDINGELECTRICAL
4Q.l9tp
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. :.. '. ". . :' : , '..:-,- .:: ').. " '-' (,:;,1' '
SITE INSPECTION: To be .! ROUGH PLUMBINGt .,'.... PAVING: After gravel is in
made after, exc;?:v?tron, but ElECr"RICAL & { ." '>'.... p1ac~ but prior to placing
prior to setup'cjf'forms. MECHANICAL: No work is t.o..::..... \:.:', asptiq.lt or concrete.
be covered until these
inspections have been made SPECIAL' INSPECTIONS: In accordance
and approved. . Seption 306,6f\th~'S~a~e Specialty Code
. i"' '''(~ a special Ins.pE;lctorfs'h'all be employed
ATTIC DRAFT STOPS & " ~ .~Yithe OWflefl.Co,n'tractorduring
'..' CURTAIN WALLS construct:t0ri of.thffollo,win'g .work. A
I ~ copy of the special t~~t.ing. repotts shall
be furnished tO,the Building Division.
",'::'1' ','
... . ~.~ '. '. '
.. :.. .
REQUIRED INSPECTIONS
UN DERSL:AB,.?LI/I\?B IN G,
ELECTR~CAL &-. : ~
MECHANICAL: To be' made
bE?fore qnX ~ork Is covered.
~~ ill ~
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. ~
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.
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.
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.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, 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.
LATH ANDIOR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
Inter,lor and exterior, Is,ln
placeputbefoi'e any
plastering Is applied or before
gypsum board Joints and
fasteners are taped' and' '
finished. . ... ,
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.
SIDEWALK & DRIVEWAY:
Required for all concret;;;,l;
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.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt installation and
tlgh$e[lir:g operations. (306
a.6) 1-"
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
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
Va.7) Q1u:b152-
~~ecU
tlons 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 BUI.LDING: 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 ELECTRICAL
v/'
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
I
7ft-
~ - l{j
I . 'I'
DATE~
By signature, I state and agree, that I have carefully examined the completed application and do hereby 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 fhat~onJY contractors and employees
who are in compliance with ORS 701.05:5 will be used on this project. "',' :
~ ~, ~ 'f . . ,-;'fl"'- . .,~ ,.
I further agree to ensur~l\~a~"all re~tJtJire~ Inspections are requested at the proper time, that project address Is readable from the
street, that}he, permit card rs located at the frontJ" he prope"y. and the app",ved set oflplaps 'wlll 'emalo 'OJ' the slle at all
times 'au[in,.g, ~structlo~: ':., 'I '. . '. ~, ~
Sign 'e/rY ~d~ . Date ,Y-:~ 97
AMOUNT RECEIVED:r ~) ,t 0, - (
RECEIPT #: ~\'8kV\
"t
DATE PAID: q ~!j._ 41 )
RECEIVED BY: ~O\ l()1)...-/'