HomeMy WebLinkAboutPermit Building 1993-1-14
~
...
COMMERCIALIINDUSTRIAL -.-'. SpmNGFOELD
PERMIT APPLICATION ~
INSPECTION LINE: 726-3769
225 Fifth Street, Springfield, 'Oregon 97477 ti, OFFICE: 726.3759
LOCATION OF f'ROPOSED WORK: \ ~~ ~N q, .f\~'
(~ '--> \ -. r,oY" ,,-. r
ASSESSORS MI,pj: t:L~._._f{, 'u_<J.",-'/"r,_.~J'l,_v..J_)OO (,oo~. (,. .., 'I ' ) TAX L~(""ci~C!(; ;;- r;:'l~
.JOB NUMBER'23'OO4...3~___
OWNER:_~,Lc.LLr 1'-2. I Ll/,,;;;, )
.-, .. - /: / -"?' / /)
ADDRESS: _._,/ .;__! c: _ilp _uLLI'5-y'" )_~~/L~.L
CITY: j2.cLc'c/,::,rlj,
DESCRIPTIO"I OF WORK: ~11-j_,,_Ll:~:.i/ _!/L;:.J_'_Z--;i
PHONF.
:1//0--1 7 :J e,
STATE: _,,2:1:_-'" '";)(2-"..1
C)/]/~'/~
__ ZIP: ...J_/...!LL~
NEW _~__
REI,lODEL
ADDITION _____
J i' iJ....~L.-!J_'L~!.JL!(.j/_,.:ft~(/J t:l_}:...d~/f.'
/ /
DEMOLISH OTHER _J' VALUE:
NAME
ADDRESS
PHONE
r,R'Ct-IITECT: . /-1 />\
cornnr,CTOR'S I "..I~E ADDRESS
.". '-J ---~_? ~/........
GEIJERAL: __LG ! __'-'--'_'cLLL_LLi<."~L__/~<:./.J.2Q"L' "ck,L
- O"r.~
/_i! (;";E".i0,jl:_ ,;._
CONST,
CONTnACTOR .
:::~V/ ~<;>
EXPIRES
Lcd::: -:' k,-:,
r '
PHONE
<1BS -/7<:;:;
PLUI~BII'JG: __m_.
'?"7.:Jf-...1
MECHANICA"
ELECTRICAL: _
,-
I NO. I
--I
I
'--.EEE_.'_CHARGE
_NO._'
MECI:iA!'I!CAL
I
I EEE_I_CHARGE_\
I I
I
I
I
PLt,J.MJllNG
II.
Furnacelbulllcr & venl
< 100.000 BTUs
Furnace/burncr & vent
> 100.000 BTLJ.~
Floor furnace Clnd vent
Suspendc(J wall or floor
mounted unit l1eater
Appliance Vent
separate
Stationary c:vap.
cooler
. -Vcji1F~i7s.i'l{Jlu
duel
Vent Sysleiil apart
from AC or I1lg.
Mechanical cxtwusl
1100d and duct
Single Fi:llure
Relocflt€:(1 Bldg.
(new fiX. addlll
--~--- \fJalct Service'
------\ -Saniulfi' SeVIer
!-~Sior-iil Si:wer
1. 8;Ir;kfl(J'~ Devir:c
It.
It.
---r--
I
--''----
Permit Issuance
$10.00
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
OUAD AREA:__
LAND USE:
FLOOD PLAIN:
, OF BLDGS:_
/I OF UNITS:_
ZONING:
OCCY CROUP:
CON Slit TV PE:
, OF STORIES:
HEAT SOURCE:__
L1G HTlNG POWEn BUDGET:
WATER HEATER:
SO FT.
$/ SQ. FT.
VALUE
so. FIG MAlli
X
SO.
FTC /\CCES~; _ _ ~
FTG OTHEr< d{:)r:xJ
x
-- ccn-cD
~~U~;F PR~JECT_~_I_Q()() (D
so.
X -cY-, r;;q
'ry' .~:-c:.
PLAN CHECK FEE ~:_-,;;:/(>
RCPT'
OAT"
BY
I BUILDIHG PEn"r..'iI-r"- -1"-
5% Stale
~~r_ctlarCJ~_ __
MECHANICI<L
5% Slate
_Surchargg____
PAVlI'iG
I
-I
I
-1---
T ~~__
------- -I Pt_UMBINC-
5% State
Surctl3!ge
FENCE
VALUE $
SIDEWALK
DEMOLITION
cu},'..r("/,"'J ':'" Icle.
-2 "'i.[..:C, ~-'7-'
;:#/ c..c,
.' Gel-
FT.
SUBTOTAL .1' ,::-LAIJ
_PEr~MITs r:'/....7~:r.
SYSTEMS
J?E'{f'LOPIYlENT
__ZUI-
(~0:"
CURBCUT
_.___r::r~,
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
s:/.'
..',J ;(, ! c/-
<?..9-
~~ ~
RESID~NTl"'L. ACRIt"'G~. INCD""~. COMMIERCIAL
{Cli~
"I~b'
'.
"~I
it
;:
.'
~ .
. r
- REQUIRED INSPE<i
I
It is the responsibility of the permit tlOldcr to see that all inspections au
726.3769 (recorder), state your City designated job number, j'ob address, I
I
for inspection. Requests received before 7:00 3.m. will be made the samo
the following work day. \
SITE INSPECTION: To be ROUGH PLUMBIN(
made after ELECTRICAL &
MECHANICAL: No
be covered until III
inspections have b
and approved. I
I
ATTIC DRAFT STOI
CURTAIN WALLS I
-
JERRY MILLER R~AI.TY IN(:.
JERRY MILLER
BROKER
:,~.t
F,l-t. .f GI::'A.l.r? lUG:...
UNDERSLAB PLUMBING.
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches arc
excavated and forms arc
erected, all steel in place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
3330 HAYDEN BIIIIDGE RD.
S~RINGf"IELD, O~GON 97479
(5031(.7460192.0 R 746.6920
.'.'";;/:[(797 ~
cons IUclton 01 the tollo','Jing wOlk. A
copy of the speci<'ll tcstin9 rCf)OdS shall
br.: furnished to lhr~ Bui!r.Jino O,'Jisir)n.
CONCRETE SLAB: To be
m'ade after all inslab building
service equipment, conduit,
piping, accessories and other
ancillary cqui pment items are
in place but before any
concrete is placed.
FRAMING: To be made arler
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 PS.1. (30G a.l)
STRUCTURAL WELDS:
Performed on tile 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 aHer all
insulation and roquircd vapor
barriers are In place but
before any lath or gypsum
board interior wall covering is
applied.
HIGH STRENGTH BOLTING:
During all bolt installation and
lightening OPCI;1lions. (306
a.6)
SPRAYED ON
FIREPROOFING: U.SC
Standards 43.e.
UNDER FLOOR: 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:
Durinfj carlllwUlk. (30G a.ll &
Chapter 29)
POST & BEAM: To be made
prior to installation of floor
lns.ulation, decking or floor
sheathing.
LATH AND/OR GYPSUM
BOARD: To be made nfter 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.
GLUoLAM BEAMS: Inspection
Corlificato by nrl .1pproved
agency, furnisIH!(1 to the City's
Building Division belollJ
beams are placlJd. (2501 U.BC.
STDS. 25.10,11),
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a.7)
MASONRY: Sleel localion,
bond 'beams grouting or
verticals in accordance wi th
UBC 2415.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavating complete and 101lll
work and sub-base material ill
place.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof coverl ng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
'In nddition lu tile inspec.
tions specified, the Building
Official may make or require
other inspections of any
construction wOlk to ensure
compliance with the Building,
City or DevelODment Code.
FINAL PLUMBING
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish lnspe.clion. All project conditions such as
landscaping, parking lot slripin~l. ctc. must be complctc(l before
requesting this inspection.
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL BUILDING: Requested altf)' tile final plulllbin~l, clcctlical,
mechanical and Fire Department inspections arc m:ldc and
approved. No occupancy of the premises can be mad/] unlil a
Certiflcate of Occupancy has be,!n issued by lhe Building Division
and posted on the premises.
ADDiTIONAL COMMENTS:
"
Ar.'''I'C iF <;
FINAL FIRE DEPARTMENT
/,(JOCJ:..
::jiU'\LL
C~.'U.:1J""? I. ~~.
.{,J....LLL('--C.::.~..{ It r '-rr=:.c'
Y.
6t=
i-.-'.It'~ C.iT~' l.~~'D6. _ C':'I,l~lL~r' '7:.
/)A-Jf, '-;-;-1 E C)lZct:=-/(.>~1 <:;;.u:2I2..'--_r:J..J:.l~I.-,1 ..;-~
,'" c:., I I r-:,'o './
j ,.J I '7~1-I
/J/,il! Fr'. D
PLANS REVIEWED SY r3; II ;,<11 ,. ,:CF/ ).:......<)/..!.UU~ DATE _~"::.!"'-
By signature, I state and agree, that I have carefully examined the completed application and do hereby certi fy that all information'
herein 15 true and correct, and I further certify that any and all work performed shall be done in accordance with the Oldinances
of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that f-JO OCCUPANCY
will be made of any structure without permission of the Building Safety Division. I further ccrtif~' ttlat only contractors and employees
who are in compliance with OAS 701.055 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper lime, that project address is readable from the
street, that the permit card Is located at the front of the property, and the approved sel 01 plans will remain on the site at all
times during cOflstruction.
Signatur....
-j-'
Date
VALIDATION:
AMOUNT RECEIVED'
RECEIPT ":
DATE PAID:
RECI:':IVED BY:
. .
,
..
'1
'-"
City of Sp~ingfield
225 Fifth St~eet
Sp~ingfield, OR 97477
(503) 72E.-3753
T~ansaction numbe~ 0072E.1
Janua~y 14, 1993 8:SE. AM
Received f~om: JERRY MILLER
Cont~act/Own : WRITTEN FOR VALIDATION
Add~ess: ONLY-PERMIT ISSUED E./1/92
City: St: Zip:
-BIJilding-
Job t: 930043
,
: Desc~iption
,
Fee
Plan Check/Res
'Paving
i
Tot"l:
.00
Thank you, Lisa H.