HomeMy WebLinkAboutPermit Building 1995-6-28
COMMERCIAL/INDUSTRIAL ·
PERMIT APPLICATION
225 Fifth Street, Springfield. Oregon 97477
1 \ \
7<;"
OWNER 14\ v.-d sh ield c;
ADDREQQ, / / / /'1 FV i/
CITY: ~, or,
J
LOCATION OF PROPOSED WORK:
ASSESSORS MAP: /717 J
~
.
JOB NUMBER
Q.5/07tfB
INSPECTION LINE: 726,3769
OFFICE: 726.3759
nQ\-t1
3..;2.-
~1IV1.{:;~\I'] ,or 9,478
TAX LOT: t9 C&> / ~(")
c,-J ,
n-r
sf
~Mt:.R\ CQ _
I s r:;rlJ1o,-{;,g Jd )
"-- STATf:-' 0 v
PHONEJSO~'
\ "
iLLo"" //toL
ZIP:
Cfi4i9,
DESCRIPTION OF WORK'
New T-f5<>,,<AZO<t " New drYwJ1 (,;J~1;; wJc.RJ-, ,A/ew €./ee-, //5-l.Jm5' -"
yr:JP1+ -IQ- J>/~ l!.,.::is-l-';'5 <J/~ w-vr.fW'fNV'. '
y-- ADDITIOr/ DEMOLISH OTHER VALUE: _'0 k
CONST, /0'2-572..-
CONTRACTOR'S NAME AOORESS CONTRACTOR' EXPIRES PHONE
LAC'!'f Alfl'lUtV\d-eK Av-n\,::w Ib-I~-qS" 9~~/~)<O
PLUMSIN(" Ma.r'L lZ-owa-.lo1. ?\V\'Y\b/~S - .k
7!~.
NEW REMODEL
NAME
ARCHITECT'
GENERA' '
MECHANICA"
ELECTRICAl' \:z \ eJc
ld)h~
ADDRESS
PHONE
A So/--JS
c:Jed-riL
I I MECHANICAL
CHARGE I I Nn coo rJ..l.o.l:l:nJ:
3c,- I I . Furnacel burner & vent
< 100,000 STUs
I I Furnacel burner & vent".
> 100,000 STUs
I I Floor furnace and vent
I I Suspended walt or floor
mounted unit heater
I I Appliance Vent
separate
I I Stationaryevap.
cooler
I I 1 Vent FanfSingle /:#/,v,
duct
I I Vent System apart
from AC or htg.
I I Mechanical exhaust
hood and duct
I I
I I Permit Issuance $10,00
SO ,60 I I TOTAL PERMIT /C-.
PLUMBING
NO, FEE
3 Single Fixture /0,"
Relccaled Bldg,
(new lix, addtl)
Water Service
It.
Sanitary Sewer
ft,
Storm Sewer
It.
Backflow Device
TOTAL PERMIT
OUAO AREA'
. OF SLDGS'
OCCY GROUP'
. OF STORIES:
SO, FT,
SO, FTG MAIN
SO, FTG ACCESS
SO, FTG OTHER d'~MZ.-c.
PLAN CHECK FEE
#~
I SUILOING PERMIT ';;:5 <eJ ,$".o
I ~~:c~~~e 1,93-{-/.(;; ,sf) '?
I MECHANICAL lis. d-O
15% Slale 7r~.....,1. I." D
Surcharoe t "-,rJ I ..e-
I PAVING I
- OFFICE USE -
HANDICAP ACCESS:
FLOOO PLAIN'
LAND USo,
. OF UNITQ,
ZONING'
CONSTR, TYpo'
LIGHTING POWER SUOGET:
WATER HEATER'
HEAT SOURCE:
$IS0, FT.
VALUE
X
x
X
2-7$",&-
TOTAL VALUE OF PROJECT
RCPTW
DATO
SY
I PLUMSING
I OEMOLlTlON
3(7,($,0
2~,o
I
MaH. 155v~>'W /fLj".OA'J I
I
I
I I
$. - ,_7'.JII::" Jc>.~ Ii \
~:.5----:" , .. /t ,.
,
5% State pC> '"
Surcharge /. r- "'4'
FENCE
VALUE $
SIOEWALK
SUBTOTAL
PERMITS
SYSTEMS
OEVELOPMENT
CURSCUT
FT,
FT.,
TOTAL PERMIT FEES
EXCLUOING ELECTRICA'
.
REQUIRED INSPECTIONS
.
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,
SITE INSPECTION: To be
made after excavation, but
prl,or to setup of ~orms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
X ROUGH~RI~,
r-' r:!,:~ &
(_lv,C.\..:;.1kN......,..,-.:l No work is to
be covered until these .
Inspections have been made
and approved.
PAVING: After gravel is In
place but prior to placing
asph!lrt or concrete.
ATTIC, DRAFT STOPS &
CURTAIN WALLS
SPECIAL INSPECTIONS: In accordance
Section 306 of Ihe 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.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected. ail steel In, place. ,but
prior to placing concrete.
.>c::::
FIREPLACE: Prior to placing
facing materials and before
fra.mlng I,nspectlon..
FRAMING:Tri be made after
the roof. all Iramlng, fire
blocking and bracing are in
place and all pipes. chimneys
and vents are complete and
the rough electrical. plumbing
and mechanical are approved.
. '
STRUCTURAL CONCRETE: In
excess of 2500 P,S,L (306 a,1)
,
".(:
'.......:.
r
CONCRETE SLAB: To be
made alter all Ins lab building
service eQul pment, conduit,
piping, accessories and other
ancIllary equipment items are
In place but before any
concrete Is placed.
STRUCTURAL WELDS:
Performed on the job, (2722 I)
UNDERGROUND: Plumbing.
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
INSULATION & VAPOR
, . BARRIER:To be made after ali
Insulation and required vapor
barriers are' In place but i
before any lath or gypsum
board Interior wall covering is
applied,
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightenln'g operations, (306
a,6) ,
SPRAYED ON
FIREPROOFING: use,
Standards 43.8.
UNDERFLOOR: Plumbing.
electrical, mechanical. To be
made prior to Installation of
floor insulation, decking or
floor sheathing,
SPECIAL GRADING.
EXCAVATION' AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
y::-
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,
GLU,LAM BEAMS: Inspection
Certificate by an approved
agency. lurnlshed to the Cily's
Sulldlng Division before
beams are placed, (2501 USC,
STDS, 25,10.11),
POST & BEAM: To be made
prior to Installation of 1I00r
Insulation, decking or floor
sheathing,
STRUCTURAL MASONRY: (306
a,7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or fioor 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.
.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.
MASONRY: Steel location.
bond beams grouting or
verticals in accordance with
USC 2415,
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete. .
-------------------------------------------------------
~.
_
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.
'X.
X
X
FINAL ELECTRICAL
ADDITIONAL COMMENTS:
~~~
FINAL BUILDING: Requested after the IInal 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 Bulldlng Division
and posted on the premises, t'
R-t't:!r 7 ~ A. ./ -;- /./ /J03-Y) ()
I / - -, ----{..:"I'
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
'.
'"
PLANS REVIEWED BY ~ ~~-1. Al'vf.
"bATE~/.~r
By signature, I state and agree, that I have carefully examined the completed application and do here,?x. certify th.at alllnformallon
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 01 the State of Oregon pertaining to the work described herein. and that NO OCCUPANCY
will be made of any structure without permission of the Bulldlng Safety Division. I further certify tha~ 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 re~ulred'inspectlons are requested at the"proper time, that proJe~t address Is reada'ble from the
streel. that the permit carnlocatVt the front of the property. and the approved set of plans will remain on the slle at all
times during co~str t10n ~ . i
~\: - '(0 ,?;? -95
Slgnaturp (I' _ -'" ~J '\ Date - "
J 'I
VALlDATI6N: \./ AMOUNT RECEIVED: /012-- /5' DATE PAID' ;::, -- 2. ~ -)'J
" ":, ':_' RECEIPT .' /~r1 ?O RECEIVED BY: ./.o~