HomeMy WebLinkAboutPermit Building 1997-4-30
SPRINGPIELD
~
LOCATION OF PROPOSED WORt<. 5"/57 ~N!.Al#JL~Pv
/;/,/:/ .-
ASSESSORS MAP' /)-o~-2 '/-/"2
OWNER' kRA!"I"z:> F /~/Z
ADDRESS' /~~ c / q$" # /
-
~~.E 47~
-- ',/ /
DESCRIPTION OF WORK' ;1v:'17bC. ~ / ~iY~A'7
NEW REMODEL ADDITION
ARCHITECT'
CONTRACTOR'S NAME ADDRESS
GENERAL:&~#..b ~h /~A2~
PLUMBING' U
\
.
COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
,
.
-
225 Fifth Street, Springfield, Oregon 97477
CITY:
NAME
MECHANiCAl.
ELECTRICAl.
PLUMBING
NO.
FEE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewe, 1?"3
ft.
Backflow Device
TOTAL PERMIT
QUAD AREA
- OF BLDG~'
OCCY GROUP'
- OF STORlEc,
SQ. FT.
SQ. FTG MAIN
SQ. FTG ACCES~
SQ. FTG OTHER
PLAN CHECK FEr
RCPT-
1 BUILDING PERMIT
15% State
SurcharQe
I MECHA~ICAL
15% State
Surcharae
I PAVING ,_ .
)
'....
.
JOB NUMBER 9~::::?"'3' /
,
INSPECTION LINE: 726.3769
OFFICE: 726.3759
fi/5
TAX LOT'
~(/1fP'ii?
PHON~'
=?=;,,"Y'-&7'6'2 ~.
- . .
STAT~'
~~-
<9"/ y~/
ZIP'
......... ,
,
DEMOLISH
-?'n..:.::::.,";'~ ~z;>/~ ~~~ t:..
- - - r /,~~'/,'.. ,/,,-;";;. ~~ -
OTHER VALUE:
ADDRESS
PHONE
CONST.
CONTRACTOR -
EXPIRES
PHONE
I MEr.HAN,r.AL
CHARGE I Nn ~~~ "'1-I6hn~
I Furnace/burner & vent
< 100.000 BTUs
I Furnace/burner & vent
> 100.000 BTUs
I Floor furnace and vent
I Suspended wall or floor
mounted unit heater
~.-I Appliance Vent
separate
I Stationary evep.
cooler
I Vent Fan/Single
duct
I Vent System apart
f,om AC 0' htg.
I Mechanical exhaust
hood and duct
I
I Permit Issuance S10.00 I
I TOTAL PERMIT I
- OFFICE USE -
LAND USF'
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING:
LIGHTING POWER BUDGET:
- OF UNIT'"
CONSTR. TYPF'
HEAT SOURCE:
WATER HEATER'
S/SO. FT.
VALUE
X
,
X
'X
TOTAL VALUE OF .PROJECT
DATF
BY
PLUMBING
~a 6<:>-
";.2-"t>'
/. .::?O'
DEMOLITION .1
~U'7I"''?1 /;::~/7~~::>
'If/ ~~ ,~ , -*'O....--r
. .. I
. .
SUBTOTAL "7_ -. I
PERMITS ~.o. <"'"
SYSTEMS I
DEVELOPMENT
5% State
Surcharae
FENCE
VALUE S
SIDEWALK
~
CURBC,UJ
~~
FT.
FT.
/// 5:P
/7.~
,'." '. . I
TOTAL PERMIT FEES
EXCLUDING ELECTRICA'
::(7:' <,0
l
. REQUIRED INSPECTIONS
I
I
,,-
I
....
"
--
11 Is the respon'siblllty of the permit holder to see that all Inspections are made at the proper time. To request an Inspection, call
726.3769 (recorde,), state you, City designated job number, job add,ess, type of Inspectivn 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 wo,k day.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered un'til these .
inspections have been made
and approved.
PAVING: Afte' gravel Is In
place but prior to placing
asphalt or concrete.
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment Items a,e
in place but before any
concrete Is placed.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
FRAMING: To be made afte'
the roof, all f,amlng, fire
blocking and bracing a'e In
place and all pipes, chimneys
and vents are complete and
the rough elect,lcal, plumbing
and mechanical are approved.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Ownerl Contractor during
construction 'of the following work. A
copy of the special testing reports shall
be furnished to the Building DivIsion.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor insulation, decking or
f1oo, sheathing.
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.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
y
UNDERGROUND: Plumbing,
~trical, Ras, sanitary sewer,
('"stofm sew!UJwater and
oralnage lines. To be made
p,lo, to covering 0' filling
trenches.
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
POST & BEAM: To be made
p,lo, to Installation of floo'
Insulation, decking 0' 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 boa,d Joints and
fasteners are taped and
finished.
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division befo'e
beams a,e placed. (2501 U.B.C.
STDS. 25-10,11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prlo, to Installation of
decking 0' floor sheathing.
STRUCTURAL MASONRY: (306
a.7)
fY
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street ,Ight of
way, to be made afte' 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.
k
CURB AND APPROACH
APRONS: After fo,ms a,e
erected but prior to placing
concrete.
"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 0' Development Code.
ROOF SHEATHING AND
NAILING: Prlo, to Installing
any roof coverl ng.
-------------------------------------------------------
FINAL ELECTRICAL
SITE PLAN REVIEW BOARD: Must be ,equested 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 PLUMBING
FINAL BUILDING: Requested after the final plumbing, elect,lcai,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made untll a
Ce,tlflcate of Occupancy has been Issued by the Building Division
FINAL FIRE DEPARTMENT lff)nd osted on the premises.
ADDITIONAL COMMENTS' ,-4lz?Z?/ 7./~.A/~L ~./7'""".3~~~ ,;z::;;,;:;?
~vm~ ~ -'5~_ -€J - ;;?:2r ~ a,r;;- //.,/,~ ?>?
-/ :i~7;'~..c 7;; //~-;,JL./L ~~ g6~.h"'C~_LM~:
. ,!,-,?L;:---'" ?~~eA"' ~/'"/"~/S~ _'2J~" r"/.7"fr ~ '.-
PLANS REVIEWED BY /7 ~~~
("'" ~(/- ,p" (
v
FINAL MECHANICAL
DATE
?0-~5;;;'
, .
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 Sp'ingfleld, and the Laws of the State of O'egon pe'talnlng to the work described he,eln, 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 ORS 701.055 will be used on this project.
I further agree to ensure that all required I spectlons are requested at the proper time, that project address is readable from the
street, that the per It card /Vd . t~f the property, and the approved set of plans will remain on the site at all
times du,ing c uctlo. L: V.
Signature . Date "')tl Aft:: 7 T
1 I
y-~.7?
//::/~-
?;7V
VALIDATION:
AMOUNT RECEIVED' "2 L). ::?~
"7 "5'<9 ~ $
- <
DATE PAID:
RECEIPT N'
RECEIVED BY'
i'
l' ..
.
.
COMMERCIAL/lNDUSTRIAL SP~'NQPIELD .
PERMIT APPLICATION L.........
225 Fifth Street, Springfield, Oregon 97477 ..... ~
LOCATION OF PROPOSED WORt<'. . 525 fbrkJu; Rol
ASSESSORS MAP: I 7() '3j 11 ..!....
,
12Mf1//1 G r (') I /
ADDRESS' ISq ~+ 7S"~#(
CITY- -VlA/!j//A 0_
DESCRIPTION OF WORt<'. Lfq I :<Y2t1 !I W
JOB NUMBER
c; 1'}Q31
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:
ODC[O,=)
~3 L(-C!6JS-
ZIP' U( /Cf~ /
~CW~ !/'hC
OWNER'
PHONE:
STATE: _f'lf/
<:57)' 61tJym
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME ADDRES~
GENERA" '1 f 0,
PLUMBING:f)A~~vv1.J... (~<pA
MECHANICA' .
ELECTRICA' .
CONST.
Box: /tJ67 b;;;'Roe <; ;;;;~s
Lj6(tiJLf 1-23-1q .
PHONE
(.,<f:~ - 6 <;(/)
OUAD AREA'
I Nn
I
I I
1 I
~I
.1 I ~
iJ(
- I I
'mJ2~ ~
~, - OFFICE USE-
2~
CONST~
Furnacel burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
MECHANICAL
I
I
I
"""
rl-lA.RG.L
NO.
FEE
CHARGE
Floor furnace and vent
spended wall or floor
e unit heater
Vent
Yap.
f~
SO. FT.
$/SO. FT.
~
ZONIN
LIGHTING POWER BUD~
WATER HEATER: ~
-'~
.
. OF BLDGS'
OCCY GROUP:
. OF STORIE~'
HEAT SOURCE:
-
SO. FTG MAIN
x
SO. FTG ACCESF
X
SO. FTG OTHER
X
TOTAL VALUE OF .PRO'ECT
PLAN CHECK FEF
RCPP
OAT"
BY
1 BUILDING PERMIT 1
15% State I',
Surcharg.e
I MECHAN~CAL I
15% State . 1
Surcharae
1 PAVING 1
I PLUMBING ':50. OD
15% State 2.n lild . /;l"..,-o
, SurcharQef J 10 f'iE" II / : S"t'l :
I FENCE . "
VALUE $ .
I SIDEWALK
FT.
I CURBCUT
FT. "I
DEMOLITION
I
1
I
I
1
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
51{ 00
. REQUIRED INSPECTIONS
~~
.
;,
,\
~:"~,;.-fslblllty of the permit holder to see that all Inspections are made at the proper time. To request an inspectIon, call
\' 726.3769 ('~rde'), state your City designated job number, job add,ess, type of inspection requested and when you will be ready
lor 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 afte, excavation, but
prIor to setu~ of forms.
SPECIAL GRADING,
EXCAVATION AND FILLING:
FIRE & SEPARATION WALL: During ea'thwork. (306 a.11 &
Located and const'ucted Chapter 29)
according to plans. .
LATH AND/OR GYPSUM GLU.LA\t.,BEAMs: Inspection
BOARD: To be made afte, all Ce'tlflcate~by an:approved
lathing and gypsum boa,d, /'lllll.(1Cy, furnlshed:.to the Clty's
Interior and exterior, Is In ~ i'\Bul'tffi~.. Division before
place but befo,e any lih.-.,:'--"Il'~ 'be.ams are,placed. (2~01 UB.C.
plaste,lng Is applied or beforo~ '" STDS. 25.10,11). , .
gypsum board joints and<" ,,> '-,,, ;;-.. ",\
.AI fasteners are taped and" STRUCTURAL MASONRY: (306
....'Y finished. I> a.7) "'..""",,,, '..
FLOOR INSULATION & /Ilo.r" ~ " " "-
VAPOR BARRIERS: To be /-~.._ SIDEWALK & DRlqEWAY:";:'~.. ~l,
made prior to Installation Of~~.;;. ....;.:"jJ"!J""'.... Required for all concrete...... ',!, tll!lo. ..... '
decking 0' floo' sheathing. '(' paving within street right of ,"-., ~~ .....~~i ~~
... ~\i way, to be made after all .f ",- ,.
MASONRY: Steel I 0'i,!!tm,9 , ' excavating complete and form ~ . '-'-:'~.:I:I
bond beams gro\!.!ID~!.... <1>>'~ work and sub.base material In {( ~.'. 'In addition to the inspec.
verticals In a~~Bnte wlt~.... place. .. ;..~~ ~1.~~4tlons specified, the BuIldIng
UBS415.~.l' 'fi:~-- ~.~.. Official may make or require
.~ ff'~ CURB AND APPROm.!" ~ ; -- ..::~ other Inspections of any
cWO.QJ;}~}H.. ':1itjING AND APRONS:..,Af.ter forms af ' - ("",:-...::-:..~ constructlon~o!.k to ensure
~NAlq!:L.G: Prior to Installing e,ected bli1~'I'?,.tc:>_PIa: Ing , comPllanc~wf\h~t.l),e Building,
~$_~Y"~~CO~'I~________._~~cr~c~~~~~~-------~~~~~~~m~~~de~_
"Jl'. ..:c'''' ....~ --- "e --- -
'i(,- .' . ~FINAL PLUMBING )""iil'," SITE Pl'AN REVIEW BOARD: Must'liil'jequested 2 days In advance
tb.. '. _, of ihe date you wish inspection. )\It:i.t''Dl''ct conditions such as
,"'l~~>",- landscaping, parking lot strLp.!a~~~ob!:!!~~t.be completed before
FINAL ELE~f9.~.\;'jf"'" z' requesting this inspection.~-::...._;'i:ii'"
~-*,_-~. '-""';' FINAL BUILD!NG7":):~~~ested after the final plumbing, electrical,
FINA.LMI~,c.t'j(~tt:~ mechanlc;"""'n~Qre Department Inspections are made and
~I.:"":-~ approved:-N"o occupancy of the premises can be made until a
,..... <:r!n~"7~ certW.cate of Occupancy'has been Issued by the Building Division
_t::.~~AL FIRE DEPARTMENT and POStE,.(n,,~.,the p,emlses.
lt5bli-;O'NAL COMMENTS'
~~y/
UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
e,ected, all steei In place, but
prior to placing concrete.
CONCRETE SLAB: To be
made afte' all Inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
In place but befo'e any
~oncrete Is placed.
~ UNDERGROUND~
'..../ electrical) Q.as,F"anltary sewer,)
orm Se~i:UtH CUIU .
Uldllldbltl IIntlS. To be made
prior to covering or filling
hO 5a;',:&cheslOIWMjt~ ()i't-h'/
UND~FLOOR: Plumbing, pvb1r-v
elect,lcal, mechanical. To be /Ir-.e.... I
made p,lo, to Installation O~'fltTe
floor Insulation, decking or
floo' sheathing.
POST & BEAM: To be made
prlo' to Installation of floor
Insulation, decking or floor
sheathing.
<'-
t5.:~~
ROUGH p,LUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
Inspections have been made
and app,oved.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
ATTIC DRAFT STOPS &
CURTAIN WALLS
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.
FIREPLACE: Prior to placing
facing materials and before
f,amlng Inspection.
FRAMING: To be made alte'
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.
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)
INSULATION & VAPOR
BARRIER: To be made alter all
Insulation and required vapor
barriers are In place but
before any lath or gypsum
board Interior wall coverIng Is
applied.
SPRAYED ON
FIREPROOFING: U.B.G.
Standards 43.8.
-d:lJ
:y. ,y' __.....c: tr..,
/7~,s....:;-. ~~l"tOtk...,,-. ~
/ - - -... ~,.
~~...~~...
.- PLANS REVIEWED BY
~
OAT"
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 Sp,ingfleld, and the Laws of the State of Oregon pe'talnlng to the work desc,ibed 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 ORS 701.055 will be used on this p,oject.
I further agree to ensure that all required Inspection~ are requested at the proper tIme, that project address Is readable from the
street, that the pe'mlt ca'd is 10 at the n p pe,ty, and the approved set of plans III 'e aln on the site at all
times ~ng Jfn~.
Signature y! /L-r~
I 1
VALIJTION:
-....
Z-~
DATE PAID: _'1-.2 q -q 7-
//JL
AMOUNT RECEtVED: .~::;ll. (J(J
RECEIPT '.. Jc...n:7 7
RECEIVED BY'