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Home My WebLink AboutPermit Building 1995-8-28 -"" I . COMMERCIAL/INDUSTRIAL PERMIT APPliCATION ~ -JOB NUMBER '3 ~./~ L. INSPECTION LINE: 726.3769 OFFICE: 726.3759 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: IASSESSORS MAP: /,7/7:<' :v:o ~c;- fr7 F/ I/f/ ~ I ~;;O,e/~tU> De TAX LOT' .,f) g; / bn OWN ER: (1 CAVa,. /" ?i3/? LI9-e /-I ADDRESf" :;< I./\' -p/!/'i./2 r/f0.0 CITY: ~.n 1"uu;C J ~ L-n PHONE' STATE: a.R ZIP: 97'177 DESCRIPTION OF WORK: NEW ~~EMODEL 4ft _It?oo?'- ADDITION DEMOLISH OTHER VALUE: 9-7~ ~ NAME ADDRESS PHONE ARCHITECT' i CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR' GENERAl' ~AWS/7~~ f"aVSr. 4'/0.r. ~7t!l51h.f). Z-ZDS!3 ELECTRICAl' EXPIRES PHONE J 2-J/-7'S"' ?~&,-f35'SO ~ ~.~ / / PLUMBING: MECHANICA' . PLUMBING MI'CHANICAL I ""!.IRG1 I I I I I I , I I I $10,00 I I NO FEE CHARGE Nn I=~J: Single Fixture Relocated Bldg. Inew lix. addtl) Water Service Furnace/ burner & venl <100.000 BTUs ' Furnacel burner & vent > 100.000 BTUs It. Floor furnace an'd vent Suspended wall or floor mounted unit healer Appliance Venl separate, Stationaryevap. cooler Vent Fan/Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duct It. Sanitary Sewer It. Storm Sewer Back/low Device Permit Issuance TOTAL PERMIT TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: OUAD AREA' . OF BLDG~. LAND USF' FLOOD PLAIN: . OF UNITS' ZONING: LIGHTING POWER BUDGET: WATER HEATER' OCCY GROUP: CONSTR. TYPO. . OF STORIES: HEAT SOURCO' SO, FT. $/SO. FT. VALUE SO, FTG MAl N SO. FTG ACCESS SO, FTG OTHER x X x TOTAL VALUE OF PROJECT PLAN CHECK FEE RCPTN DATF BY I BUILDING PERMIT 7f,'SO I ~~:c~t:r~ee '5 ,n.J. Z. 14 5)' 7 MECHANICAL' PLUMBING DEMOLITION 5% State Surcharae I PAVING 5% Stale SurCharQ8 FENCE VALUE $ SIDEWALK D;..,~ "?'.... ~~o::....::l.;rr- ~::' , I FT. SUBTOTAL PERMITS SYSTEMS DEVELOPMENT CURB CUT FT. TOTAL PERMIT FEi.:S EXCLUDING ELECTRICA' ~ () ,1- 7 /~ . 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 iob 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 prior to setup of forms. REQUIRED INSPECTIONS . 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. PAVING: After gravel Is In place but prior 10 placing asphalt or concrete. ATTIC DRAFT STOPS & CURTAIN WALLS SPECIAL INSPECTIONS: In accordance Section 306 of the State Specially 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. , FOOTINGS & FOUNDATIONS: To be 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 are approved. STRUCTURAL CONCRETE: In excess of 2500 P'S,1. (306 a,1) CONCRETE SLAB: To be made after all lnslab building ~ervlce equipment, conduit, piping, accessories and other ancillary equipment Items are In place but before any concrete Is placed. STRUCTURAL WELDS: Performed on the job. (2722 f) 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 all insulation and required vapor barriers are In place but before any lath or gypsum board Interior wall covering Is applied. HIGH STRENGTH BOLTING: Dur'lng all boll Installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.B,C. Standards 43.8. 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.11 & Chapter 29) POST & BEAM: To be made prior to Installation of floor Insulation, decking or 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 board Joints and fasteners are taped and finished. GLU.LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.S.c. 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: Steel location, bond beams grouting or verticals In accordance with UBC 2415. 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 con~tructlon work to ensure compliance with the Building, City or Development Code. 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. FINAL ELECTRICAL FINAL MECHANICAL FINAL BUILDING: Requested alter 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 Olvlslon and posted on the premises. FINAL FIRE DEPARTMENT ADOITIONAL COMMENTS: --~ ~.t:rr/~-"'77 ;- ~-4-El~&n~~ ~(' PLANS REVIEWED BY DATF By signature, I state and agree, that I have carefully ex'amlned the completed application and do hereby certify th?l 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 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 certi (y that 'only contractors and employees who are In compliance with ORS 701.055 will be used on this project. " Date 'y-;;EJ -5'S-- ~/2eh.r ~f;C _ Signature .:..- ,/ V' VALlOATION: AMOUNT RECEIVED: RECEIPT .. ~(<j #'7 /~ $.,L 1 DATE PAID: RECEIVED BY: ~, 'G; SENDER: ~ HUt 7dt}l7"'!('r... --Rr'A "fi11n-in -sf I ~ . Complete item~o~litr~l;1Ilk-k..I I also ~h^t6 rec~ the . l CD . Complete items 3. end 40 & b. ./ following services (for an extra CD I ~ . Print xour name end address on the reverse of this form so that we can fee): .~ I CD return this card to you. ~ > . Attach this form to the front of the mailpiece, or on the back if space 1. 0 Addressee's Address }! l l!! W I does not permit. ... .! . Write "Return Receipt Requested" on the mailpiece below the article number 2. 0 Restricted Delivery .~ I ... . The Return Receipt will show to whom the article was delivered and the date U I S delivered. Consult postmaster for fee. ~ "C - 3. Article Addressed to: 4a. Art cIa Number II !) PI=)7 ffY129L/ ~ II' ~oE. Clcw.oe.. GwlaG~ 4b. Service Type ri I 0 Registerod 0 Insured I ~ lf63 ~i ~iOuJ 13hJC ClI(C~rtified 0 COD ,~ ... Sr"'1 Y\ ~ ,Id On 0 Express Mail 0 Return Receipt for ~ a: I \V \ K Merchandise J ! _ I c!7L{77 7. Date ~V!!J -CJ5' i a: 5. Signature (Addressee) 8. Addressee's Address (Only if requested ~ :J and fee is paid) i ~ 6J~gn::g7LL &. f}uI) / r= ,; PS Form 3iI11:-D;;;;~ber ;991 vU.S.GPO,'..3-352-714 DOMESTIC RETURN RECEIPT UN'TEO STATES POSTAL SERVICE ..1 II . Official Business PENALTY FOR PRIVATE' USE TO AVOIO PAYMENT .' OF POSTAGE, $300 ~ lIB D5D .pri'2.;;ts n;:;e55/~re~-t-d ZIP Code here. .sp9Io\j oR . Q7t.../77