HomeMy WebLinkAboutPermit Building 1999-3-4
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co MivI ERCIALlI N DUSTRIAL
PERMIT APPLICATION
JOB NUMBER
'1100 K /
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726-3759
. LOCATION OF PROPOSED WORK: ICo(')() ~ C ~/l+eY1/14L 8LtJ/J,
. ASSESSORS MAP: 11o-;'t~3 'r -
OWNER' Lde Lis J-A+la.o BA-i1,J(
ADDRESS: )~ 00 ('e/J.-!-et/JIM g~t4)
CITY: 0f)/L'/J?Ce~n STATE: 0/2
TAX LOT:
O?'tto '2-'
PHON E:
ZIP:
DESCRIPTION OF WORK:
NEW REMODEL-tX
N'tw lit/A<- ~",,('r~
v
ADDITION DEMOLISH OTHER
VALUE:
PLUMBING'
NU IIl;f: ADDRESS
THIS PERMIT SHALL EXPIRF IF=TI..U: '^!0P.V-
AUT~66~l?s1P UNDER THIS PERMI~~~h~TOR #
COMMENCED OR IS ABANDONED FOR .
ANY 180 DAY PER/On.
C)fc_ef36/J-4f~E_ ~ c,-
NAME
PHONE
ARCHITECT:
CONTRACTOR'S NAME
EXPIRES
PHONE
GENERAl.
MECHANICAL:
CeLl;)' 3S
Cb~~). ;;~6~7'13D
0--"/~99 ~ (...;2b-.:20xX:.
ELECTRICAl'
FEE
I,
I Nn
k
I r
I Floor furnace and vent
I Suspended wall or Iloor
mounted unit heater
I Appliance Vent
separate
I Stationaryevap.
. cooler
I JteoboiWSingle
\ ?\N reQU Irt:(jM~~i\,t~
,. q~1'\ON.,\pregon the ora~. t 't apart
/l.i i ~ . ,.. '-'l~opted b.~ I ~ d.{~ <<0, tg.
i')\\oW IU\U-' - . t r ,hrose II.l\e.. .l\4slfll~llJll~xhaust
" t' on cell e : L lIoh O~o"tlaruL.C\ti()t
""1 '.Ii'('::\. 1 00" 0 t =\I'D - . \n'"' ,U\<:l'=' 1
,.... ,. . z-oUi-' , 5 I), v .
ill OA.R 95 obtain cople .:- tp\eohone
, gu, ','v:J r~ r, ~ \lOtl::l, t:.~ - 'Ucatlon
. QD ':"lIinQ the ente sn UtilitY ~m,t Issuance
B. he oree . '2Q4l4-)
number ior 1 '5 ~ _~ocr~-PERMIT
Csner I
MECHANICAL
PLUMBING
NO,
CHARGE
FEE
CHARGE
Single Fixture
Relocated Bldg.
(new lix. addt!)
Water Service
Furnace/burner & vent
<100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
It.
I
I
I
Sanitary Sewer
It.
Storm Sewer
It.
Backllow Device.
15.';0
TOTAL PERMIT
$10.00
, 2'- Z,o
- OFFICE USE -
HANDICAP ACCESS: .
FLOOD PLAIN:
QUAD AREA'
# OF BLDGS.
OCCY GROUP:
# OF STORIES:
...
I SQ. FT.
i
;:
-, SQ. FTG MAIN
SQ. FTG ACCESS
. SQ. FTG OTH ER
LAN D USE:
# OF UNITS.
ZONING:
CONSTR. TYPE:
LIGHTING POWER BUDGET:
HEAT SOURCE:
WATER HEATER:
$/SQ. FT.
VALUE
X
X
X
TOTAL VALUE OF PROJECT
PLAN CHEeK FEE
RCPTH
DATf
BY
I BUILDING PERMIT
15% State
Surcharge
I MEeHANleAL
15% State
Surcharge
I PAVING
PLUMBING
. DEMOLITION
5% State
Surcharge
FENCE
VALUE $
SIDEWALK
FT.
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
FT.
CURBCUT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
2- ~. 2-()
_I
~.r.:.O.Uolo~.r.:.O_lo"'.I.~~.r::.~"1:I.C\."'.1 ,..
I
'~I
-,-...''''......... .....-.......-..--.---....---.-....--.---7--....----..
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 stqJcture 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
times during constrUC~ion. d
Signature ~~.....t;::-~ Date 3-Q-;1';:3'
~ ?/4F ~"'" r~ . .
.v t..../ ~. -
AMOUNT RECEIVED: 2t ' 2AJ
rJ "5 07 , '1 7,--
\
,
VALIDATION:
DATE PAID:
3/ilf1 ;1
'dUVv/I
RECEIPT #-
RECEIVED BY:
. .
-. .'"1
COMMERCIAL/INDUSTRIAL
PERMIT A.PP,L1CATION
SPRINGFIELD
'JOB NUMBER W(}() f /
OWNER: vJeJ l:) ~ ~3'<O ~N K-
ADDRES~' >>beo ce+Ji-eN,\o.A 5 \ \ld.
CITY' 5-p'-n~5 WO\
DESCRIPTION OF WORK: "f\)u..Wc:o\ GeLS
ADDITION X
225 Fifth Street, Springfield, Oregon 97477
ASSESSORS MAP:
NEW
REMODEL
NAME
ARCHITECT:
CONTRACTOR'S NAME
GENERAL:~e.e- ~lt
ADDRESS
~sh
PLl.It19IW;:'
MECHANICAL:
Haf\.~-I ~ ~r)CtL-
J
J:L[0fRIOAL'
I PLUMBING
I NO. I
I Single Fixture
I Relocated Bldg.
(new fix. addtl)
I Water Service
ft.
I Sanitary Sewer
ft.
I Storm Sewer
ft.
I Backflow Device
I
I
I
I
I
I TOTAL PERMIT
FEE CHARGE
I
I
I
I
I
I
I.
QUAD AREA:
LAND USE:
# OF BLDGS:
# OF UNITS'
OCCY GROUP:
# OF STORIES'
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.
$/SQ. FT.
SQ. FTG MAIN
x
SQ. FTG ACCESC:
x
SQ. FTG OTH ER
x
PLAN CHECK FEE
RCPT#
I BUILDING PERMIT
15% State
Su rcharge
I MECHANICAL
15% State . I,
Surcharge
I PAVING I.
PLUMBING
5% State
Su rcharge
FENCE
VALUE $
I SIDEWALK
I CURBCUT
, , - ,; , ~
~~, \, \
"
. '.'., " .; ......
INSPECTION LINE: 72()-3769
OFFICE: 726-3759
L cJ...;7~ ,vl-/Jk )
TAX LOT:
?? If l.{ V 'Z-
PHONE:
STATi='
ZIP:
{./t-f ('10-,
DEMOLISH OTHER
VALUE:
ADDRESNOTICE: PHONE
THi6rls~NlIi Si-l,;i.l EXPIf1C IF THE WQRK
AL1,oH5r<t2E<rlVNDER TH!B<~lllE~~IT IS NOifHONE
~ -,. '.' '''''r'rrD O~ I~ h9^!\ln()t\Ir=n ~()R
'I.,;UIVIIV\[;: 'l1..lL.l . ii''''' , ._;\, ... -
~l5 tJl~~Yi0Df\YPEb~. 9''103
.Wl2f 7Lf'~-lb~1
I
I NO
I
I
I Floor furnace and vent
I I Suspended wall or floor I
mounted unit heater
I ATl'El\Rtl\.iance Vent I
. 1~M:lNiOregon law reauir,~!': \/n. I t.h
I iO~I?1V WI:eI$loof)Pte~ by the Oree on UtiliJy'
Not.ific=ta ' Tlws ,~ ~
I in OArl t oaF ~rl'lgl!J c I UIl::~ cte set y Ilh
. ~ 1-OO1Othrou h - 1-
I l)Ut:1=. o.uillll~ ailWiopies of t . I
~ r ifg , _ e ru es y
I BC n I x . [1,1:: leI ~pnone I
num eliJ08t G:}oeQon Utilitv No 'ifif'~ti')..J.
I I Genter is 1-800-332-2344 . r Ko ~
I Permit Issuance 4 15 I $10.00
I TOTAL PERMIT . I I U Ou
MECHANICAL
1=1=1=
r.HARnF
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100.000 BTUs
- OFFICE USE -
HANDICAP ACCESS'
FLOOD PLAIN:
ZONING: .
LIGHTING POWER BUDGET:
WATER HEATER:
VALUE
TOTAL VALUE OF.PROJECT
DATF
BY
DEMOLITION
FT.
SUBTOTAL
PERMITS
SYSTEMS
I DEVELOPMENT
FT.
TOTAL PERMIT FEES
. EXCLUDING ELECTRICAL
"'''"-~--'-'.:-
\, : ,\. REQUIRED INSPE,CTIONS _ ~.
It is the responsibility of the permit holder to see that all inspections are made at the proper time, To request an i~lspection, 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 tos~tu'p o,~ forms. MECHANICAL: No work is to . "
be covered until these -,
inspections have been made
and approved. '.,','
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
ATTIC D.'RAFT STOPS &1
CURTAIN WALLS
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
framin.g inspection.
'. I ..! .
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,
pi ping, 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.
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.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
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 board joints and
fasteners are taped and
finished.
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 .coVerlng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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..
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
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.G.
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
a.7)
DLW~
, ,
"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.
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
requesti ng this inspection.
FINAL PLUMBING
FINAL ELECTRICAL
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 bi the Building Division
and posted on the premises.
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVI EWED BY
DATF
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 OR~}OH)55 will be used on this project.
I further agree to ensure that all r~quired 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
times during /tstructi21
Signaturi/f~ U~ Date f-do-cc9
VALI~~: AMOUNT RECEIVED: 2"~. L I~ DATE PAID: II J.c.Jtf~ /1
RECEIPT#: -?-3.~....~~~~~~ RECEIVED BY: ' ~tJ~
I
6 ?/J./,J? IS-
- GALV. PIPE STRAP.
- GAS PIPE
flJru
.. -.
P.T. 4X6X12" BtOCKS
AT 8'-0" OIC MAX.
DO NOT FASTEN
- TO ROOF
SUPPORT
. . ,J.~.';fOo;Y
JIA4IJ?
,J.';J.
+) J.'~
/
RUN GAS LINE AS CLOSE
TO CORNER AS POSSIBLE
- - PAINT TO MATCH WALL -
COLOR
/
I
I
CENTENNIAL BLVD.
1\ SITE I ROOF PLAN
W SCALE: 1" = 20'-0"
\. . ~
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~
"
.