HomeMy WebLinkAboutPermit Building 1997-9-22
I1\;JN/rJC, s
.
~,
.
ASSESSORS MAP'
1'1 03
~
'3 {50 G4. -rEWA-V
Z7-
JOB NUMBER
U\l[io2..Cf,- .
Ii
I
COMMeRCIAL/INDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726,3769
OFFICE: 726-3759
LOCAT]ON OF PROPOSED WORK-
LOdP .
-zo
TAX LOT:
031(00
OWNER'
e.mA1J 4J-1..E}J HOME "LN (t::-/ClC-rS
3(50 GArEW/'t'1 LDo;:>
SPt2,i.J(!;rFl E:w>
PHON'"
7~ - b'i/(f
ADDRF"'"
OTHER
ZIP: q..,t/-17
, i I
VALUE: I
,
PHONE I
CITY'
STATF'
O~
DESCRIPTION OF WORK: ~ /JON~ t'u...UIU'IIJIt~
NEW REMODEL ADDITION)( DEMOLISH
Awn in,~S'-
NAME
ADDRESS
ARCHITECT'
CONTRACTOR'S NAME
C':~A< ,eSM. we-:
(:J./.O
":DDR~$S
QAKPIt"feif '/Rb.
- ' --
"
CONST,
CO NT RACTO R N
III 7..:S-fD
EXPIRES
z./-Z./~11
"
,
PHONE L
<('85-55'1&:. ;
PLUMB]NG'
MECHANICA] ,
ELECTRICAL:
l
,'/ "!
PLUMB]NG MECHAN]CAL ],
NO, FEE CHARGE NO Fr" ~1-{4.Rn.1= 1
Single Fixture Furnace/burner &'venl.
< 100,000 BTUs
I Relocated B]dg, Furnace/burner & vent I
(new fix, addlll > 100,000 BTUs
I Water Service 'Floor furnace and vent I
ft.
I, Sanitary Sewer Suspended wall or floor I
fl. mounted unit heater
I Storm Sewer Appliance Vent, I
f], separate
1-. , Stationary evap.
Back'fJow Device cooler
I Vent Fan/Single
duct
I Vent System apart .1
from AC or hlg.
I Mechanical exhaust I I
hood and duct
I I 1
I Permit Issuance $10,00 I
I TOTAL PERMIT TOTAL PERMIT " I
- OFFICE USE -
HANDICAP ACCESS'
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
,
i""
QUAD AREA:
LAND US'"
N OF BLDG'"
. OF UNIT~'
N OF STORIE~'
CONSTR. TYPF'
HEAT SOURCE:
OCCY GROUP'
SQ, FT,
$fSQ, FT,
VALUE
SQ, FTG MA]N
X
I'
~Q, FTG AyCESS
SQ, FIG OTH ER
X
". , X
/~~:z.?s........_
TOTAL VALUE OF PROJECT1I..{"f, (;)f17 1''''_ !'
.... ~
PLAN CHECK FEE ~."'~
RCPT' .!k 1<4 q: \
\
DATE~l.l/.q'l BY~)
"' '
I BU]LDlNG PERM]T
15% Stale ~
Surcharge n
I MECHANICAL
15% Slale.
Surcharoe
I PAVING\. ..
, 1.. \\ .\. ~
1-:ZZ..5'::>
EO . ~:::!..
?~
.
, PLUMB]NG
'DEMOLITION
I
]
,'-!
5% Stale
Surcharoe
FENCE
VALUE $
SIOEWALK
CURBCUT
.,.
...
. FT,
SUBTOTAL
PERM]TS
, I SYSTEMS .
DEVELOPMENT
13'"2:3/
-......~ J
(, '"
.' .
, ..
"
FT,
, '
-~~)
, .
1'\
,\
i-(:-'
r'rOTAL'eE-RM]T FEES
EXC~UDING ELECTRICA'
-:2//.751
,..
I
1115 the responsibility of the permil holder to see that all inspections are made at the proper time, To requesl an Inspection, call :
726.3769 (recorder), slale your Clly designated job number, job address, Iype of inspeclion requesled and when you will be ready
for Inspecllon, Requesls received before 7:00 a,m, wll] be made Ihe same working day, requeslS made aller 7:00 a,m. will be made
Ihe following work day, '
S]TE ]NSPECTION: To be ROUGH PLUMBING, PAVING: Aller gravel ]5 In
made aller excavation, but ELECTR]CAL & ' place bul prior to placing
prior to setup of forms, MECHAN]CAL: No work Is 10 asphall or concrete.
be covered until these
inspections have been made
and approved.
.
REQUIRED INSPECTIONS
.
..,
.....
I,
II
\
FOOTINGS & FOUNDATIONS:
To be made aCter trenches arc
excavated and forms are
erected, all steel In place, but'
prior to placing concreto.
FIREPLACE: Prior to placing
facing materials and before
framlnginspect\qn.
SPECIAL INSPECTIONS: In accordance
Seclion 306 of Ihe Slale Specially Code
.3 special inspector.shall be employed
by the Ownerl Contractor during
construction of the following work. A
COpy 01 the special tesling reports shall
be furnished to the Building Division,
,
t.
UNDERSLAB PLUMBING,
ELECTRICAL & '
MECHANICAL: To be made
before any work is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
, .
STRUCTURAL CONCRETE: In
excess of 2500 P.S,1. (306 a,1)
CONCRETE SLAB: To be
made after all Jnslab building
service equipment. conduit.
piping, accessories and other
ancillary equipment items arc
in place but before any
concrete is 'place,d.
FRAMING: To be made aller
the roof, all framing, fir'e
blocking and bracing are in
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
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 Oiling
trenches.
INSULAT]ON & VAPOR
BARRIER: To be made aller 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
0,6)
SPRAYED ON
FIREPROOF]NG: U.B,C,
Standards 43-8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installatJon of
floor insulation, decking or
fl~or sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
Dur]ng earlhwork, (306 a,11 &
Chapler 29)
-In addition to the Inspec.
tlons specified, the Bulld]ng
Official may make. or requl~e
CURB AND APPROACH other Inspecllons of any ,
ROOF SHEATHtNG AND APRONS: After lorms are construction work to ensure
NA]L1NG: Prior,to inslalllng erected but prior 10 placing compliance with Ihe Bulld]ng,
any roof covering, concrete. City or Deve]opment Code. ,
-------------------------------------------------------
MASONRY: Slee] location,
bond beams grouting or
verticals In accordance with
UBC 2415,
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. .
y
, GLU.LAM BEAMS: ]nspecllon
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 MASONR.Y: (306
a.7)
df1/~~ ~~.
.;;. , f /~L:YP~cr:-
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 jolnlS and
fasteners are taped and
finished.
FLOOR tNSULATION &
VAPOR BARR]ERS: To be
made prior to Installation of
decking or floor sheathing.
FINAL ELECTR]CAL
SITE PLAN REV]EW BOARD: Musl be requesled 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: Requesled after the IIna] plumb]ng"e]eClr]Ca],
mechanical and Fire Department in~pectlons are 'made and
approved. No occupancy of the premises can be made until a
Certificate 01 Occupancy has been issued by the Building Division
and posted on the premises.
FINAL PLUMB]NG
FINAL MECHANICAL
F]NAL FtRE DEPARTMENT
ADOITIONAL COMMENTS:
~
, ..,
f ,I
By s]gnature,1 stale and agree, Ihat ] have carefully examined Ihe compleled appiication and do hereby cerlify that all Informalion
here]n is true and correct, and] further cerlify thai any and all work performed shall be done in accordance with the Ordinances
of the City of Springfield, and lhe Laws of Ihe Slate of Oregon pertaining 10 the work described herein, and Ihat NO OCCUPANCY
will be made of any struclure wlthoul permission of Ihe Bulld]ng Safety Division, I furlher cerlily that only contractors and employees
who are in compliance with ORS 701,055 will be used on this project.
Ilurlher agree 10 ensure Ihal all required Inspeclions are requested al the proper lime, thai projeCI ad~ress Is readable from the
slreel, thallhe permll card Is localed at lhe Iront of the properlY, and the approved sel of plans wlJl!ema]n on Ihe site al ~II
" times during construction, '
~O$C-~
AMOUNT RECE]VED~II ,Lf1
RECEIPT .' 9.: \
, \
PLANS REVIEWED BY
~/~~
DATE q~ ~-:>:
.'
,-
Q..I+@2'(( (!bvJ(,e1'2-
Oat'"
Q-I?-'1,
VALIDATION:
OATE PAID: W')
RECEIVED BY: rY) - )
Signature