HomeMy WebLinkAboutPermit Building 1993-9-13
III
G.'f"e.cl.'le5
Pcr~" 4-
1l-'8"~O
.
OLD .:JlS
. .8bI.:
S'"~, 9~'/h
11:.-"7Q-z..
tt3-- 00 43
:OMMERCIALlINDUSTRIAL' Srn'NGFIELD JOB NUMBER
'ERMIT APPLICATION -' ~
~ INSPECTION LINE: 726.3769
25 Fiflh Street, Springfield, Oregon 97477 --.... tiff OFFICE: 726.3759
OCATION OF PROPOSED WORK "3 3 30~A) 8v~J J;i:.!~~--'/e}oJ .Y7'-f1l7
SSESSORS MAP: 1:14). ~ ~ lU n)^1 ; ~c ICJ (-rL 57)0/ tRfJO.;-f/f;/AX L~" . ~f~R'" 9 "
IWNER: .Tl"vv)f M,I/~J! . ' PHON~' 7'1(o-1,,\200rf',d'.
,ODRESS ?"5 5{) 1:z:1 r?ll) ff':f..1'd9 e ;flu) ;.,j;.~ -:. '9:'~ ~;~%"" e.
:ITY ,'Sf"',!;'), f'i ;,;:. --; C"" STATE: 01 e ;J.E:..Li} ZIP: '9 P J/ "?.IJ
IESCRIPTION OF WORK: (,J,'I/Of.-(~ 'In lfl~ I~) t;!t;'~;/..f-3'V"A-,.fp-- (jP()P ( 'jYOvwJ t;/t-.&)
/fEW REMODEL ADDITION DEMOLISH" OTHER V VALUE:
\RCHITECT: ",(
:ONTRACTOR'S NAME
;ENERAL: fJ I,' / it ~ L
'LUMBING'
NAME
ADDRESS
PHONE
f4r);'()j
CONST.
ADDRESS CONTRACTOR'
f-,. 1fn X r7 1-/ 1-- ?r -; q t.f -z- '7
FC/qPdJ"",- (,iy~o,.,,J 9740/
I i
EXP.IRES, PHONE I
/0 -2Z.5f5., i-l y').-/100
/
'~ECHANICAL'
,LECTRICAI .
Sanitary Sewer
It.
I
F_E_E_'_CJ:I.!W;.Li
I
I
I
I
I
iNO
I
MEC.I:t~NICAl
PLUMBING
_FEE- _CHARGE-
_N.o
Single Fixlure
Relocated Bldg.
,new fix. addtB
Waler Service
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100.000 BTUs
It.
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duct
It.
Storm Sewer
,
Backflow Device
Permit Issuance
~.
SIO.00
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
OUAD AREA'
LAND US"'
. OF BLDGS'
. OF UNIT~'
ZONING'
LIGHTING POWER BUDGE',.'
/
,
OCCY GROUP'
CONSTR. TYPE'
. OF STORIE~'
HEAT SOURCE:
WATER HEATER'
SO. FT.
S/SO. FT.
VALUE
sa. FTG MAIN
x
sa. FTC OTHER
x
x
sa, FTG ACCESS
TOTAL VALUE OF PROJECT
PLAN CHECK FEE
RCPP
DATE
BY
_.1
B
J
5
. S
""iJ
J
5
S
~
aROKER
': -ftr!,t
[ DEMOLITION
I ~ Ot:" ::roe-#: "I'Z.-Oi"lZ. ~e:.
L (see CZ:1lA~,)(: ~5-/~.'1)
I SUBTOTAL
T. PERMITS
I I SYSTEMS
T. _DEy'!,lOPMEN]"
~ I07~
JERRY MILLER REALTY INC,
RESIDENTIAL. ACRIEAGE. INCOME. COMMERCIAL
JERRY MILLER
3330 HAVDIEN aRIDGIE RD.
S~RINGFtIELD. OIllIEGON 97478
(503) 746-1920 OR 746-6920
PAGER 741-9466
FAX 746-8158
TOT^!. PERMIT FEES I
EXCLUDING ELECTRICAl
J. 00
-f> /07 -
'1'"
~ "
.
.
.
REQUIRED INSPECTIONS
It is the responsibility of the permit holder1o see thal all inspections arc made at the proper time. To request an inspection, c<.lll
726.3769 (recorder), state your City designated job number, jOb address, type of inspection rcquc5Lcd and wlllln you will be rcady
tor inspection. Requests received before 7:00 a.m. will be made the same working day. requests made after 7:00 a.m. will be mmJc
t~e jollowing work day.
X SITE INSPECTION: To be
made after
Au.. f GIZAD I iJ C:>
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 becn made
and approved.
PAVING: Aller gravel is in
place but prior to placing
a~phalt or concrete.
FOOTINGS & FOUNDATIONS:
To be made alter trenches are
excavated and forms arc
erected, all steel in place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
SPECIAL INSPECTIONS: In accordance
Section 3QG of the Slate Specialty Coue
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 Buildlny Division.
ATTIC ORAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
piping, accessorics and other
ancillary cquipment items are
in place but before any
concrete is placed.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing arc in
place and all pipes, chimneys
and vents arc complete and
the rough electrical, plumbing
and mechanical arc approved.
. STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (J06 a.l)
STRUCTURAL WELDS:
Performed on (he jOb. (2722 'l
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer.
storm sewer, water and
drainage .lInes. To be made
prior to covering or liIUng
trenches.
INSULATION & VAPOR
BARRI ER: To be made altcr all
insulation and required vapor
barriers arc in place but
before any lath or gypsum
board interior wall covering is
applied.
HIGH STRENGTH BOLTING:
During all boll installalion and
lightening operalions, (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standard;; 43-0.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.ll &
Cllapter 29)
POST & BEAM: To be made
prior to installation of floor
Insulation, decking or floor
sheathing.
LATH AND/OR GYPSUM
BOARD: To be made afler 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: Inspeclion
Certificate by an approved
agency, furnish.... j to IllC Cily's
Building Division belore
beams arc placed. (2501 U.8C.
STDS. 25.10,11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
mad~ prior to installation of
decking or floor sheathing.
STRUCTURAL .MASONRY: (306
a.7)
MASONRY: Steel iocation.
bond beams grouting or
verticals in accordance with
USC 2415.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavating complete and forrn
work and sub-base material in
place.
.In addition to the inspec-
tions specified, the BuildinU
OfficiClI may make or require
other inspections of any
construction wOlk 10 ensure.
compliance with the Building,
City or OuveIOI-.Il11cnt Cot/c.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FtNAL PLUMBING
SITE PLAN REVIEW BOARD: Must Ill' requested 2 days in advance
of the date you wish inspectJon. All project conditions such as
landscaping, parking lot striping, ctc. must be completed before
requesting this inspection.
FINAL ELECTRICAL
ADDITiONAL COMMENTS'
wo~
SHALL-
FINAL BUILDING: Requested arter nIl' final plumbinn. electrical,
mechanical and Fire Dcpartrnt.:nt in~;JH,~ction~; ::lle made ;Int/
approved. No occupancy of IIle prellli:..:es can be Ill,Hle 1lI1til LI
Certificate of Occupancy has been issued by the Building Division
and posted on the premises.
COMP~'6
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
Ae.TI<'L~
I.J/"Tl..j
f'l!lZMIT
GAAPlroJG
5
,.,t. c)..,-. c:.. D. AND
""'L~ €>6op f31!TW~ -f1lr:: AP-fZA /J~ _ F'J,Dob e;.AiH ANO 11.6. e.
f'QR f./e tJPfI.J: etJ8t"- ~AA'PS"'T}\AH STAI,." '''''P'''C>- 7,,-Q,.,"L-. ,/ J
PLANS REVIEWED BY 6. WAlKr=g ~~ ~'"":1!.t:I:L__ DATE _..:J..IJ..3/_q~
-r: fo'I cAL.1..1 :'>TE~
op
-mE
CIN
CDOC. .
IoJIT\o\ CHAP("'E:IL. X
COt-JrfZAC.TOR..
77J
COMPL.!JI
7'14t:.
o 12€.60N
S iJ PPL.E. M ~1'lT"S .
By sl~nature.1 state and agree, that I have carefully examined the completed <:1pplication and do Ilcrcby certify lhal all Information
herein I:"; true and correct, and I further certify that any and all work performed shall be done in ~ccordancc with the Ordinancl.:s
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 Division. I further certify tlK11 only contractors .:md employees
who are in compliance with ORS 701.055 will be used on this project.
I further agree to ensure that arl required inspections are requested at the prope~ t.irne. thaL proj~cl addres$ is re..HJablc from the
street, ttrat the permit card Is located at the (ront at the property, and the 'approved :iCl of IJI<.Jn::; will relllain on tile Sill' at all
limes during construction. . \
Signature' az.~-, ~./t.fL
, /' / v
AMOUNT RECEIVECl: I/o 7 ~
/O'2.,?O
RECEIPT N'
Dale 7'~/<' =-7'~
DATE PAID ,,In'/9"S
. '~diJ, .":'A4.J
RECEIVED Q;P.~~&I ~~
VALIDATION: