HomeMy WebLinkAboutPermit Building 1997-5-19
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CO M M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
~
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: S 770 mAW sf'.
ASSESSORS MAP: 17/)"} 2 '2 L/ /
v., ..,,_
OWNER: ...LArry a J,4.<.11L ?nfett
ADDRESS: 2 IC\...( (")/yIA<tP'(,~,
CITy:...5r>""",~Ct~JJ. 0(1 '
, I .
STATE: -f2D
DESCRIPTION OF WORK:
(No -l.i)A~ '1
DEMOLISH
NEW
REMODEL
t:> I v..LS.1/hlJ (.l~ U _
Y ADDITION
,
ARCHITECT: .-U1
NAME
\.I(to.5.~
ADDRESS
l..., ~ .C1J.
CONTRACTOR'S NAME
GENERAL:_l>(tA'LE' l'{l.
PLUMBING' AlIA
MECHANICAL: AlIA
1-'
ELECTRICAL: UPOf(lllF;t)
ADDRESS
'\14\\ ~\",~~.t)._
PLUMBING
NO.
FEE
CHARGE
Single Fixture
Relocaled Bldg.
(new fix. addll)
Water Service
It.
Sanitary Sewer
fl.
Storm Sewer
It.
Backflow Device
.
9,7/)7!R~
JOB NUMBER
INSPECTION LINE: 726.3769
OFFICE: 726,3759
TAX LOT:
CJ ( q fJ()
PHONE: _J:i..~./- ?tIl, . ~",
ZIP:
91'177
OTHER
A
~J-... VALU~~/ -;( ~./. ~
;f-'lT' "
p ~ PHONE
CON ST.
J.ONTRACTOR .
nIZ.O~"o
EXPIRES
z.,~t:z
PHONE
sW. 3W 19r1t
MECHANICAL
Nn
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r.~.6~n.1=
Furn-ace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
Irom AC or hlg.
Mechanical exhaust
hood and duct
Permit Issuance
$10.00
TOTAL PERMIT
TOTAL PERMIT
.
- OFFICE USE -
QUAD AREA:
LAND USE:
. OF BLDGS'
. OF UNITf"
OCCY GROUP'
CONSTR. TYP~'
. OF STORIEf"
HEAT SOUR("~'
SQ. FT.
$(SQ. FT.
SQ. FTG MAl N
SO. FTG ACCESS
SQ. FTG OTHER
X
X
X
PLAN CHECK FEiO
~C" ,7.3
DATF
RCPP
I BUILDING PERMIT 5b ,:>0
15% Stale :2. S ).L! '0 A ))
SurcharQe f I' "r,
I MECHANICAL I
15% Stal,e I
SurcharQe
I PAVING I
PLUMBING
5% State
Surcharge
FENCE
VALUE $
I SIDEWALK
I CURBCUT
FT.
FT.
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
TOTAL VALUE QF ,PROJECT
BY
DEMOLITION
,
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
9? 7~
. REQUIRED INSPECTIONS
..
It is the responsibility of the permit holder to see that ai/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. 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.
UNDERSLAB PLUMBING,
, ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prlor,to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inspectl.on.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
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 Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
><
, '
STRUCTURAL CONCRETE: In
excess of 2500 PS.1. (306 a.1)
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 placed.
FRAMING: To be made 'after
the roof, all framing, fire
blocking and bracing are In
place and all pi pes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are' approved.
STRUCTURAL WELDS:
Performed on the job. (2722 I)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor Insulation, decking or
floor sheathing.
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vapor
barriers are I n place but
before any lath or gypsum
board Interior wall covering Is
applied.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt rnstallatlon and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.c.
Standards 43,8.
". . ...
. UNDERGROUND: PI,jmblng,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
'X
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
Interior and exterior, Is in
place but before any
plastering 15 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.B.C.
STDS. 25,10,11).
.
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
SIDEWALK & DRIVEWAY:
Required tor all concrete
paving within street right of
way, to be made atter all
excavating complete and form
work and sub-base material In
place.
-------------------------------------------------------
ROOF SHEATHING AND
NAILING: Prior to Installing
any root coverl ng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
'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.
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.
-X FINAL BUILDING: Requested after the Ilnal 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
FINAL FIRE DEPARTMENT and posted on the premises.
ADDITIONAL COMMENTS: ---tl13:tt?~ Q(I../l~A7t-'~J&.< R1)' 71ft..! A$K/C.h4 A"IA
( ,
NoT ..&-'~~ VJ/71ItJ~ !J~er~/.lV~.J7Ak' r ~...-...( ,~~
~ ?f=rt't:
FINAL PLUMBING
v
" ,
FINAL ELECTRICAL
FINAL MECHANICAL
PLANS REVIEWED BY
~~
o.Jv
DATE - ?JA7
By signature, I state and agree, that I have carefully examined the completed applicatIon and do hereby certify th:9t 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 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 trom the
street, that the per ~d oeated front of the pr~perty, and the approved set of plans.will remaIn on the site at all
times during co truct . / / ~~
Signature' t( Date s-; '/9 97
//1/ II .
V 'AMOUNT RECEIVED: 97,1(/:1 DATE PAID: ~--K1;J
RECEIPT N: 2..~~~r... RECEIVED BY: /~
,
VALIDATION: I