HomeMy WebLinkAboutPermit Building 1995-6-12
COMM ERCIALlI N DUSTRIAL
PERMIT APPLICATION
~OB NUMBER 9~V/
INSPECTION LINE: 726.3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:' 'et:,/2.
ASSESSORS MAP: /7'1':)3-'27- V2.
//-.e> ~Gc7~C~r-
/....... 'i-, .,..,
TAX LCe (!7 ~tJ tJ , '
OWNER _;67'.L'9YP'/-- #./~~
ADDRESS' /~7"? 6/,-~,,4A';,?'7~.
, ,~t"~ e-~€
CI1Y: _~.._~.. .....""",=?'~_~/~__
PHON" ?~t!;'r- ~"5'
9?Y-r?n- Ctll:C4
~...?=?- ___ ZIP: .-::jJ:> ~"...
STATE:
ADDITION
11lijliJ..tJ
V DEMOLl~
VALUE:
DESCRIPTION OF WORK:
NWJ (V<t
rflh..<~_ \
,
81!.1' 'lI'2..)
NEW )t
REMODEL
OTHER
, NAME / VO.c:; '~~~;; ~/1f?
ARCHITECT:,~A~~~ ~~~k:-r.~::
CON~T
CONTRACTOR'S NAME A~~ ~ W CONTRACTOR' EXPIRES PH 0.('1 E
GENERAL:~//~ ,f-'....-=~ ~~A:2??~~ ~~ ?I~"'%:, ~5'~ ~
PLUMBING:~5 ~qOt\p A'8~lt'lP lo~'~~~
MECHANICAL 4f'~~~.7..s & ~~qo I ~..' ?~t.1'1t\5
ELECTRICALl~";~ 5tt31 Q.?{) ,QS (n<l:0-l1lfF...
PLUMBING
.J
NO,
'27 Single Fixture
Relocated Bldg, _
(new lix. addU)
Water Service ./".......
~"""" It.
Sanitary Sewer
"2$1 It.
Storm Sewer
!~~It
Back/low Devjce
TOTAL PERMIT
QUAO AREA: -L~N vJ
, \
:)..1"- "2-
\
. OF BLOGS'
OCCY GROUP:
. OF STORIES:
PHONE
? .~ -h'>'//
I I MECHANICAL
FEE CHARGE I I~ ""L _Cf:lARGE-.
:Z:~<4 Furnace/burner & vent 6- /'2. . -e
/~ < 100,000 BTUs
I I Furnace/burner & vent
> 100,000 BTUs
-::?~I I Floor furnace and vent
'2.5; -t Suspended wall or floor
mounted unit heater
:i3 6:'-1 "3 Appliance Vent '3~- <9,~ ..-
separate
I 2 Stationaryevap. ~- /2. C'6
cooler 'f"
I ? I Vent Fan/5ingJe ~,- "7. -e:>
duct
I I Vent System apart
Irom AC or htg,
I / I Mechanical exhaust ~.~
hood and ducl
I S~7J~ ,9 ;z.~
I Permit Issuance $10,00
'/~-1 TOTAL PERMIT 'I? ~
~-.., -
- OFFICE USE -
LANO USE:-Ll.l+
. OF UNITS: 14: b~
.d:"_A-7 ~~~
CONSTR. TYPE: -d "''l' <:-;.; .......~
HEAT SOURCE:~ r:~,
HANOICAP ACCESS: i
FLOOO PLAIN'
ZO N I N G: /v'L-D (2...
LIGHTING POWER BUOGET:
WATER HEATER: _';-:::;A'S'
,
SQ, FT. $/SQ, FT, VALUE I
<:~ "3~"~ ,,' I
SQ, FTG MAIN 'X \
;?--
SQ, FTG ACCESS X \
\
~ ,
:::? ?.7"" ,
SQ, FTG OTHER X
TOTAL VALUE OF PROJECT "'3'~. 9~.. -
DATE~-R'9'_5" BY ~~ .....
.I" -
\' ,
PLAN CHECK FEE t:; Yv. /t;;" RCPT# /77//
I
I BUILDING PERMIT
5% State
Surcharqe
MECHAN~:~:"
15% State .....rl
Surcharcte ~3
1~~/2.:~
.
PLUMBING
9'7/. -..
~.::>> 5% State
,~:J1 Surcharoe
I" . ~ FENCE
~_ _ VALUE $
~ . Y;> SIDEWALK
I .. ~7 /~ FT.
-=~ .F-- CURBCUi
/~..J;,1> , ~ FT.
,/t? :>:-
~.'<:=-
/ '2 ' /'!r
OEMOLlTION
r:>'
~
.,
""'lA SUBTOTAL
~'V.. PERMITS
L .' &7 SYSTEMS
., _ ,DEVELOPMENT
W~",~.;
- I
TOTAL PERMIT FEeS,
EXCLUOING ELECTRICAl
165;'1'~
, -fl. 44(\ +e {#
/"',-...-
?~~. ~"3
It Is the responsibility of the permit holder to see that al/ 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 excavatlon";'but
, t prior to setup of !prms.
. .' .1.
'-
.
UNOERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: 'To be made
before any wo'rk'ls covered.
X'
FOOTINGS & FOUNOATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
,. -- ".-.11"".
~ :'J ~< 1"'f.; ,
REQUIRED ,'~SP~c;lb~~l-
~t~, ~\,4o, \, (,l~~
tr1",,;1--.';Y''lit "-:I '~
CONCRETE SLAB: To be
made alter all Inslab building
service equIpment, conduIt,
piping, accessorIes and other
ancillary equipment Items are
In place but before any
concrete Is placed.
J<
"'-,... )"
UNDERGROUND: Plumblng~'
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches. '."
'.{
,1
';ROUGH PLUMBING,
< EtECTRICAL & '
MECHANICAL: No work Is to
be covered until these .
Inspections have been made
and ~pproved.
PAVING: After gravel is In
place but prior to placing
?sphalt or concrete.
K
.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor insulation, decking or
floor 'sheathing.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special inspect'or shall be employed
by the o.wnerl Contractor during
. 'construction of the following work. A
copy of, the special testing reports shall
be furnished to"'the Building DivisIon.
,
IX'
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or tloor
sheathing.
)t
, - ,
ATTIC DRAFT STOPS & "
CURTAIN WALLS .
"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.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a,6)
-4'
FLo'OR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of,
decking or floor sheathing,
STRUCTURAL CONCRETE: In
excess of 2500 PS,I. (306 a,1)
STRUCTU RAL WELDS:
Performed on the job, (2722 f)
iii
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.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,l1 &
Chapter 29)
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
ROOF SH'EATHtNG AND' ..
NAILING: Prior to Installing
any roof covering.
SPRAYED ON
FIREPROOFING: U,B,C,
Standards 43.8.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
)(
GLU,LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.G.
STDS, 25.10,11),
LATH ANO/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,
STRUCTURAL MASONRY: (306
a.7)
. t{,_
c.o,..!'l;L~ (Ul..- DE.-SA<-
Cl.05u ~E. pU r=.HC,/Hlrfi:l<" 'G
; ~::::T.
~
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.
Q'
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
-------------------------------------------------------
- jt. FINAL PLUMBING
ADDITIONAL'C6MMENTtt-_ "-------
D~6- :y-r CfL{/ 1~-....~6CL VI ~ I~
a..J-. -r : 'fJ>- /Ct&J, 6~
a f1 f11 w.l1 /f1G !1 (] b. : 8..Lf7 g..---, // .)
PLANS REVIEWED BY / L~ ~~
r ~- 'r
.-.....
,
.vt
FINAL ELECTRICAL
/
SITE PLAN REVIEW BOARO: 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.
'".',,-
J'
FINAL MECHANICAL
/ArYtYl
!1/ff LI
J<
FINAL FIRE DEPARTMENT
OAT" $-t!5~S-
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th.at 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 01 Oregon pertaining to the work described herein, and thafNO 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 Vo'lth ORS 701.055 will be used on this project. .
t further agree to ensure that all required inspections are requested at the proper time, that-prOject address is readable from the
street, that the~er card Is located at the "front of the property, and the approved set ~f p.lans will remain on. the site at all
times during cons ;;:;u]lon ~ .:' _ .
" , ~'-(:'> -- is-
Signaturo.'.. Oato.
. .: -" . ........,...
VALlOATION:
AMOUNT' RECEIVED: ?"3ZJ!7. 6"3
RECEIPT': ~~
.
DATE PAID: _~v~~~
RECEIVED BY'-~ ~
, /}'-- ----.