HomeMy WebLinkAboutPermit Building 1994-10-18
COMMERCIAL/INDUSTRIAL.
PERMIT APPLICATION
.
JOB NUMBER
qWIZ,LL':l,
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
n
1":)':2,
'2.'2.
-7~
TAX LOT:
OWNER: 'DANID At-tDPC'lI(C,
ADDRESS: 2.;~o <:.D1Z.lZ.l;;L. 'A.L.i
CITY: &:'l\C~t1:=,
PHONE:
(Q~?":,e;o~,
STATE: ~~
ZIP: ~-r.40 I
DESCRIPTIoN OF WORK:~'\lt"'l
NE~ ~ REMODEL ADDITION
eJf'
1\I\.Cl6oOI.l~ 8t..(;x.. R)l2. l2eQ:'AllZMl't; ec26WHOJ'S..a
. "~?'
DEMOLISH OTHER .-\Il'.LUE: -6........1<..1..,.... .
chn ~ /~
PHONE .
_ NAME ADDRESS eoeetJ6
ARCHITECT: .MorzElc:.; p~~ ~i Wei>1--.:...L~ID aJE!Ua:~ r2.lJJ>.C)
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
GENERAL: ("'lAtA-\2L)I'l.e...C~ CoN~~c...lla...,
PLUMBING: .:pJJlIJ 12.\l(f:lZS
MECHANICAl' COM~T R.OuJ
ELECTRICAL: ~ILDea.s 1"1.0.-,,,, ('
~t;tl
?4ft;~ H)J~ ')
4-815..4Z?~
~ ::'l M'2.-~lot
~ 1'.1..... ~(COf;l~~I"'t+
r 4eho:\zz
I PLUMBING I. MEC,HANICAL I
I NO. FEE CHARGE I Nn eee f"'HARGE-1
I ~I Single Fixture I ~ Furnace/burner & vent 6 /9.-
/t> -=3/0 < 100.000 BTUs
I Relocated Bldg. I Furnace/burner & vent
(new fix. addtll > 100.000 BTUs
I Water Service I Floor furnace an'd vent
< ., <'!> It. ~'S'
I Sanitary Sewer 5: '2-S- I z Suspended wall or floor 6 /2.'-1
. <:: ~ ft. mounted unit heater
I Storm Sewer fjl5 I Appliance Vent I
'8~ ft. separate
I I I Stationary evap. I I I
Backflow Device Ib cooler
I I r Vent Fan/Single I~ I/J',.- I
duct
I I Vent System apart I I I
from AC or hlg.
I I :2 Mechanical exhaust IY-'~I ~.-I
hood and duct
I I /2 ~ l'/';;~/" ': I I 6.-1
I I Permit Issuance I S10.00 I
I TOTAL PERMIT .y~5'" I TOTAL PERMIT 16e'.-o I
QUAD AREA" \ ~ '\\ 'L.)
- OFFICE USE -
LAND USE: n'?J.YJ
J
HANDICAP ACCESS:
. OF BLDG'"
. OF UNITf"
ZONING'
FLOOD PLAIN'
(\ t ../
,I
OCCY GROUP'
. OF STORIEf"
CONSTR. TYPF'
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER:
SQ. FTG MAIN
SO. FT.
~9~ .p
S/SQ. FT.
VALUE
.""22 . /tt;t!:)
r
X
SQ. FTG ACCESc X
SQ. FTG OTHER aW~ ,I ~.nf""~pIl)_
~'? ,p-
o'
TOTAL VALUE OF PROJECT ~h ?'../.&:e::>
,
~~~~5fK~ ~~..:...L\~,...;.RCPT# 'A.S~
DATE
Ci{-~(- 'fe(
BY
ftkvvJ-
I BUILOING PERMIT I I~~. ~J:>
15% Slate "'1.? co.. "S8
Surcharpe r)"-;;t> ,./ ." IJ
I MECHA~'(f' .~ .--
7' ~.-
15% State ;< 3~r ' .,.-
Surcharoe r / . tile
I PAVING I -:269_ ~
PLUMBING
5% State oI>~
SurcharQe r- 1" ~
FENCE
VALUE $
SIDEWALK
o:J/4<' FT.
CURBCUT
'2- ~ ' FT.
'/-5~.-::>> DEMOLITION _ I
-:<l'2. 7S: .fr-~ <,-",,_ t /"" "77.Y I
/.q,~~..-^,=- ....-:Z':2,~
- I I
I "2 "3J~~$1 I
1t'Z';iCf 5 ~ if>
?;?,/c:>
4'~.SO
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
~
It is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, cail
726.3769 (recorder), state your City designated job number,' jOb address, type of inspection requested and when you wili be ready
for Inspection. Requests received before 7:00 a.m. will be made the same working day, requests m~de after 7:00 a.m. will be made
the following work day.
SITE INSPECTION: To be
made after excavation, but
prior to s7tu p of forms.
~. 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.
K 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
A/ Certificate of Occupancy has been Issued by the Building Division
~ FINAL FIRE DEPARTMENT and posted on the premises.
ADDITIONAL COMMENTS: _];b t5:/or- t:'5.t'.SC- (J.~/ft:.. _~~
~~~~.~ ':;q~~Gn.. ~ /t>-.#--:~'C_
\=A.~ -r', \\ \_O:\?D'\ ( 5A\ 1\0 ~,\'\(l t 0-;. \0\ \Oh
\..1.A rc't )[\ ~ G\(" . '0 '(S\ j:j:. . ..-. . - /".., , .
. - - . PLANS REVIEWED BY ..>;;;;;;'~.2,~~79"7' DA~
~
"
.
x
UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
REQUIRED INSPECTIONS
.
J(
Fo"OTINGS & FOUNDATIONS:
To 'be made after trenches are
excavated and forms are
erected, all steel in' place, but
pri~)f to placing 'concrete.
, ,
J'
.
y
ROU.GH PLUMBING,
ELECTRICAL' & .
MECHANICAL: No work is to
be covered until these' .
inspections have been made
and approved.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
CONCRETE SLAB: To be
made after all inslab building
service equi pment, conduit,
pipi'ng, accessories and other
ancillary equipment items' are
in place but before any
concrete is placed.
r
U'NDERGROUND: Plumbing,
'electrical, gas, sanitary sewer,
stor~m sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
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 r.eports shall
be furnished to the Building Division.
UNDERFlOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
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.
v
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ATTIC DRAFT STOPS &
CURTAIN WALLS
><
FIREPLACE: Prior to placing
facing materials and before
framing ins~e~~lon,
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, plumbin'g _
and mechanical are approved.
,HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
y
FINAL PLUMBING
,
STRUCTURAL CONCRETE: In
excess of 2500 PS.1. .(306 a.1)
v
,.
FINAL ELECTRICAL
K
..v
STRUCTURAL WELDS:
Performed on the iob. (2722 f)
A'
FINAL MECHANICAL
It'
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vapor
barriers are In place but
before any lath or gypsum
board In,terior wall covering is
applied. .
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
'.
SPRAYED ON
FIREPROOFIN'G: U.B.G.
~t~nda~ds 43-8.
FIRE & SEPARATION WAll:
Located and constructed
according to plans.
x
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).
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.
STRUCTURAL MASONRY: (306
a.7)
A"
l'
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,
v
CURB AND APPROACH
APRONS: After forms are
erected but prIor to placing
concrete.
~J:'t!!Zs::;. ~/~ -
~ -?~o/'
"b. ~-~y
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 Dlvlsi n. I fu~ther ertify that only contractors and employees
who are in compliance with ORS 701,055 will be used on this proj t
I furth~r agree to ensure that all required inspections a~e re a the p. p; lme, that project address Is readable from the
street that the p rmlt card is located at the front o~ . ' ,. d'" e approved set of plans will remain on the site at all
~ign:tu~in struction.:;~~ ~ Date~~B
/ 7. -,p ./ ;/ ,
V~IDATION: AMOUNT RECElv~\n. DATE PAID: -d,.J,l) 'M) Yf:t-
( RECEIPT': 5\10 RECEIVED B:tl...}lLl()
I
...