HomeMy WebLinkAboutPermit Building 1997-6-12
COMM ERCIALI.I NDUSTRIAL.
PERMIT'APPLlCATION
.
JOB NUMBER
9 7~"'30/
~
LOCATION OF PROPOSED,WORK: ~C4~ E )Cr'-)(''1 10/....
/ 70;'3 ':lr~2 - /
OWNER: ')p"'-';'- ./,~.// c~iOo/ f/,;/
ADORE'''' ,~;;r'(- fr7. -II sf-.
CITY: S..?1r,,;;~ ~;I)
Q' /'
DESCRIPTION OF WORK: f(, - /Ob;l-' Oh <: i
225 Fifth S,treet, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
ASSESSORS MAP'
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TAX LOT' () 0 ?rOC) .
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PHONE: 7t;-~-t,J'7)
"#/9
REMODEL .....-- ADDITION
STATE: Or~"r~.....
/ '
5fa~c::t;, ...
/
ZIP: -2.2)C-) 7
NEW
U.n'1e,
/
DEMOLISH
OTHER
~Q '" p-
VALUE: 2 7oo~ ,_
NAME
ADDRESS
PHONE
/
ARCHITECT'
CONTRACTOR'S NAME
GENERAl, OW" tS../
CONST,
ADDRESS CONTRACTOR N
/F;<5 MI/ Or
EXPIRES
PHONE
7~W::]7\- '
PLUMBING:
MECHANICAL:
ELECTRICAl'
PLUMBING
MECHANICAL
1
~I:lARGF I
I
NO,
FEE
CHARGE
Mn ~~~
Single Fixture
Relocated Bldg,
(new fix, addll)
Water Service
Furnacel burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
It.
Floor furnace and vent
Suspended wall or !Ioor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duel
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duel
H_1
I
I
I
Sanitary Sewer
It.
I
I
I
I
I
I
I
I
I TOTAL PERMIT
Storm Sewer
It.
Bacldlow Device
Permit Issuance
$10,00
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
OUAD AREA'
LAND USF'
FLOOD PLAIN'
N OF BLDG'"
N OF UNIT'"
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER:
OCCY GROUP'
. OF STORIES:
CONSTR, TYP~'
HEAT SOURCF'
SO, FT.
$/SQ, FT,
VALUE
SQ, FIG MAIN
X
SQ, FTG ACCES"
SQ, FTG OTHER
X
X
TOTAL VALUE OF PROJECT
~;? 70 Ot) .
PLAN CHECK FE!'
RCPTN
DAT~
BY
I BUILDING PERMIT
15% Slatel:~'
SurcharQe r::r
I MECHANICAL '
15% Slale
SurcharQe
I PAVING
17l2~
~~~
PLUMBING
DEMOLITION
5% State
Surcharge
FENCE
VALUE $
SIDEWALK
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
CURBCUT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAL
/?~.&.?
~..... ......1:
" . . REQUIRED INSPECTIONS, 'e, ' ,
It Is the respon'slblllty 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, w'llI 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
prior to .s!'tup of forms,
UNDERSLAB PLUMBiNG,
, ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICAL & '
MECHANICAL: No work Is to
be covered until these
Inspections have been made
and approved,
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOUNDATIONS:
To b"a made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete,
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 afe approved..
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduIt,
piping, accessories and other
ancillary equipment items are
In 'place but before any
concrete Is praced.
INSULATION & VAPOR
BARRI ER: To 'be made after all
Insulation and required vapor
barriers are In place but
befon, any lath or gypsum
board Interior wall covering Is
applied,
FIRE & SEPARATION WALL:
Located and constructed
according to plans,
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing,
LATH ANDIOR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
Interior and exterior, 15 In
place but before any
plastering Is applied or before
gypsum board Joints and
fasteners are taped and
finished.
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.
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 ',?r floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415,
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After torms are
erected but prior to placing
concrete.
PAVING: After gravel Is In
place but prior to placing
. asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a speclai"lnspector shall be employed
by the Owner I Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnIshed 'to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 P,S,I. (306 a,l)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations, (306
a,6)
SPRAYED ON
FIREPROOFING: U,B.G,
Standards 43.8,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,ll &
Chapter 29)
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),
tV
STRUCTURAL MASONRY: (306
a'7V-~J'1 Y1 9YV(f"~ 6
"In addition to the Inspec.
tlons specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code,
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 belore
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,
FINAL ELECTRICAL
D(
FINAL MECH.ANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
DATF
By signature, I state and agree, that I have carefully examined the completed applicatIon and do hereby certify that all Information
h~reln 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 thai NO OCCUPANCY
wl.1I 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 Inspections are requested at the proper time, that project address Is readable 'from the
street, that the permit card Is located at the front of the property, and the approved set of plaris will remain ,on the site at all
times during construction, ' '
SlgnalUrp' t~".,' ;; c::;:;r /;,;/
AMOUNT REC~VED: 'I q '3, :15 7
RECEIPT ': C:;( fa ;;
VALIDATION:
, ,
Date ~/r7
DATE PAID: {; '- / ;;-97
RECEIVED BY: iA/.
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