HomeMy WebLinkAboutPermit Building 1999-04-16COMMERCIAL'INDUSTRIAL' -
FERMIT APP,LICATION
225 Fiftn Street, ipringf ield, Oregon 97477
!tPFINCFIELO
o )vD
JoB NUMBER frAffi
INSPECTION LINE: 726'3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:r.t TAX LOT:
PHONE:
STATE:22 ZIP:?>v >2
724^ 2za2wOWNER:
ADDRESS:
CITY:
VALUEADDITION DEMOLISH OTHER
DESCBIPTION OF WORK:
NEW- BEMODEL
PLUMBING:
MECHANICAL:
ELECIRICAL:
PHONEADDRESSNAME
PHONEEXPIRES
I
ARCHITECT:
CONST.
CONTRACTOR #CONTRAGTOR'S NAME
AeNeaAUrW:,
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft
Storm Sewer
ft
Backflow Device
TOTAL PERMIT
MECHANIEAI
NN FFF CI{A RGF
Furnace/burner & vent
<100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Statlonary evap.
cooler
Vent Fan/Single
duct
Vent
from
System apart
AC or htg.
Mechanical exhaust
hooci and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
ZONING:
LAND USE
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
x
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN cHEcK ,rs ?€2V RCPT#DATE BY
e6.6/
BUILDING PERMIT e4 4 PLUMBI NG OEMOLITION
5% State
Su rcharqe
^?
1,."r*5% State
Surcharqe
MECHANICAL FENCE
VALUE $
5% State
Su rcharoe
SIDEWALK
FT.
SUBTOTAL
PERM ITS ?/,%
PAVING CURBCUT
FT,
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
a=
r OF UNITS:
FCT
.. REQUIRED INSPECTIONS
It is the responsibility of the permit holderto see that all inspections are made at the proper time. To request an inspection, call726'3769 (recorder), state your City designated job number, .iob address, type of inspection requested and when r)u will be readyfor inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a..m. will be madethe following work day.
SITE INSPECTION: To be ROUGH PLUMB|NG, pAVtNG: After gravel is inmade after excavation, but ELECTRICAL & place but prior-to placingprior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB pLUMBING, inspections have been made SpECIAL INSpECTIONS: ln accordanceELECTRICAL & and approved. section 306 of the state specialty codeMECHANICAL: To be made ATT, ^hAF- - a special inspector shall bb emplbyedbefore any work ls covered. ATTIC DRAFT STOPS & Oyine Ownei/ Contractor duringCURTAIN WALLS ionstruction of the following work. AFOOTINGS & FOUNDATIONS: ErDEbr ^ E. r copy of the special testlng reports shallTo be made after trenches are FIREPLACE: Prior to placing be'furnished io the Building Division.excavated and forms are facing materials and before
erected, all steel in place, but framing inspection'
prior to pr.ci;;;;;;;;t".'--' ,u ;;;;,;" o" ,,.0".,,", :*'":'riitbr"r:J,:E5l=j,,i
CONCRETE SLAB: To be the roof, all framing, fire
made after ail inslab building blocking and bracing are in STRUCTURAL WELDS:
service equipment, conduit, - :iTi"l* lil'"3i";,!i":l:," Perrormed on the iob' (2722 t)
piping, accessories and other
anciil-ary esuipment items are *: H::H]t"ji:,x,jJ;[*t: Bl?xf],?E],?I*,?i,".IH?"0
concrete is placed. INSULAT|oN & vApoR a.6)
BARRIEB: To be made after allUNDERGROUND: Plumbing, insulation and required vapor SPRAYED ONelectrical, gas, sanitary sewel barriers are ln place but FlREpRooFlNG: U.BC.storm sewer, water and before any lath or gypsum Standards 43_g.drainage lines. To be made board interior walliovering isprior to covering or filling applied.trenches. SPECIAL GRAD|NG,
,NDERFL..R: p,umbing I:::,S".'^"f;m'J3I"Hl"' if,fI!il'-tli:,5J:'i},"telectrical, mechanical. T6'be according to plans. Chapter 29)
made prior to installation of
floor insulatlon, decking or LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathing. BOARD: To be made after all Certificate by an approved
lathing and gypsum board, qgency' furnished to the City's
pOST & BEAM: To be made interiol and exierior, is in ' Building Division before
prior to lnstallatlon of floor place but before any 99qt" are placed. (2501 U.Bc.
insulation, decking or floor plastering ls appliei or before STDS' 25'10J1)'
sheathing. - Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR INSULATToN & finished' a'7)
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accorcjance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prlor to installing
any roof coverlng.
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
nl aaavrqvv.
CURB AND APPROACH
APRONS: After lorms are
erected but prior to placing
concrete.
'ln addition to the inspec-
tions specified, the Building
Official may make or require
other inspections of any
constructlon work to ensure
compliance wlth the Bullding,
Clty or Development Code.
By signature, I state and agree, that I have carefully examined the completed applicatlon and do hereby certify that all lnformation
herein is true and correct, and I f urther certify that any and all work performed shall be done in accordance wlth the Ordinances
of the City of Springf ield, and the Laws of the State of Oregon pertainlng 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 that only contractors and employees
who are in complianco 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 ls readable from the
street, that the permlt card is located at the front of the property, and the approved set of plans wlll remaln on the site at all
Signatu re
Z
Date 4-lb -q ?
times during constructlon
DATE PAID:
RECEIVED
VALIDATION ZZ-AAMOUNT RECEIVED
RECEIPT *:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
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 stri ping, etc. must be completed before
requestlng this i nspection.
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
Certiflcate of Occupancy has been issued by the Bullding Division
and posted on the premises.
ADDITIONAL COMMENTS
PLANS REVIEWED BY o^rE /- { )<E?
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FRG{ : R. SILLER'S EI.ITEPPPISES Pl.0r'lE No. : 54148533??
B. SlrrrnS €r.rrenpm*s
,-/oJ KE,VtN$luna AvE-
EUG:ENE,OR. 9r/{05-rl07
ccB # lr452s
GENERAL CCI{TRACTOR. ALL STRUCTURES
Apr. 16 1999 11:44Pt4 P1
FAX MESSAGE
DATE:
T10:
April 16, 1999
CITY OT SPRINGtrIELD B/S
TIME:
Pf,ONE:
FAX:
PEOI\IE:
FAX:
I l:40 PM
726-366p
726}676
485-3377
4t53317
trROM:
RE:
CC:
Bob Siller
R. Siller'sEnt.
725 Sdilh42od. St. -Job#990509
LorncPl€Br
Number of pages induding sovcr shcet: I
Mxage
Lorne bcre's what we are going to k$tall at tbo above placc:
36" steel erccrio,r doord&ame -
LCN 4041 door closer w/ von # 99 bardclsre & tdm -
Thank-pu
Bob Siller