HomeMy WebLinkAboutPermit Building 1995-1-9
CO M M ERCIALlI N DUSTRIAL-
PERMIT APPLICATION
225 Fifth Street, Springfieid, Oregon 97477
LOCATION OF PROPOSED WORI<' 'S'1oo
ASSESSORS MAP' \~~~ \~\
OWNER: V", III' k,^Prk~
f
ADDREf''''' 3'106 ,/Vlr.A'~
'CITY:~;)v1'" 'I ~rf
DESCRIPTION OF WORK: IIe.oN
t...I~rp ~O\lC:;:t'
NEW V
REMODEL
ADDITION
ARCHiTECT:
NAME
~rb.'ck~
E",...
CONTRACTOR'S NAME ADDRESS
GENERA" g,\..l1..h.c<_ C.v~,-,..
PLUMBING' fZ,c;" t..../ P/" '"' b.\-r_
; ,
MECHANICA" r tJ ~,c.m_'" f:- /" "-"
ELECTRICA' ' vi" I (J 4--I..r-r.
( K()'<;\Cf'lIlIrh ,
PLUMBING
NO
FEE
Single Fixture
Relocated Bldg,
IneY/ Ilx, addtll
Water Service
It.
Sanitary Sewer
Storm Sewer
It.
It.
8ackflcw Device I
112~ ~G//~
I --:'.7" / """...... -I
I
I
I
TOTAL PERMIT
~
M ",'"
DEMOLISH
~ I ....., c.....
CHARGE I
<;.-,
STATE: --12~,
.
9S"'~22...
JOB NUMBER
INSPECTION LINE: 726.3769
OFFICE: 726.3759
Sf"'" (NielJ
TAX LOT: nA'2fQ/r;.fYj)
PHON'" 7 v/. - <{~3.2.
ZIP' q?'f7~
"
"",!:.,<!, 'CR
OTHER
.6
VALUE,~lr
'; ,"
PHONE
ADDRESS
i
I Nn
1'3'
I
I
I
I
I
Is
I
I
QUAD AREA ~~0JnLo.. ')
- OFFICE USE -
LAN D USE: .... t:).. f)j'()
. OF BlDGS:
OCCY GROUP:
. OF UNITS'
CONSTR, TYP.'
HEAT SOURC.'
. OF STORIE""
SQ, FT,
$/SQ, FT,
SQ, FTG MAIN P~E ?r~ '3......
SQ, FTG ACCESS ~n//!rt?~ X ;?&>~ X /?
SQ, FTG OTHER ~W~ X
PLAN CHECK FEf ?/I',)~. rs RCPP I?~ YC:> DAT.
I BUilDING PERMIT I
15% Stata 7"'2. I
Surcharae r;r
I MEC~~'
, - "?'
15% Stata ;'2:
Surcharae ?-?
I ~~1"...:?%1
/39/. So
~7' :> 2'
7'/. 2. S-
/.p. ~
y~.
-::?..;<,<:>
./. '"";2-
~.SO
, PLUMBING
5% State
Surcharoe
I FENCE
VALUE $
I SIDEWAL~ .1
FT,
I CURBCUT I
FT,
CONST,
CONTRACTOR'
7 b3 3>(..
R4.-\ \D
('{"A I d)
t'\\I[)n
= -
EXPIRES PHONE
/~/N/G, c; 1;;'(-'I>'1f.
\nI1l4'~~~~. \'f\t\
lol,Qf\rf:; eM, '0l()\
\ !~)~ lJ<X./l~~
MECHANICAL
I
("'I-l.o.Dnl= r
/;;.---=- I
I
~:..
I
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Floor furnace and vent I I
Suspended wall or floor~~';.o /)t'~li!!!i";J ~
mounted unit heater ~--"'r :r....;~ ;i ~ ~
I Appliance Vent ~/V6IP'.. 0'
separate ~ , I I
'I Stationaryevap. I I
cooler
Vant Fan/Single '<' -I-=c/ _I
duct /.. _ "....
Vent System apart I
lrom AC or htg,
Mechanical exhaust I
hood and duct
z--I
$10,00 I
~7". -<> I
I 64" ~n~.
Permit Issuance
TOTAL PERMIT
HANDICAP ACCESS:
FLOOD PLAIN'
(lf1/
ZONING'
liGHTING POWER BUDGET:
WATER HEATER'
VALUE
/~?_~oo
,
~.,~, /~~
-. ;' - I
~ . / 7"2.. 5''1 7r ,?'-"..<:-.
TOTAL VALUE OF,PROJECT ~R -;---
,
~~--
/'-""9 -'7 SSy
.-or
(
, DEMOliTION
,
I
I
j
I ~"Io$~1
It::>04-l'bl ~
I
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
,-#
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
"
19,~es."
It is the responsibility of the permit holder to sae that all Inspections are made at the proper time, To request an Inspactlon, 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. wll.1 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.
.
y'
UNDERSLAB PLUMBING.
, ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
^
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms "are
erected, all steel In place, but
prior to placing concrete.
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.
y
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines, To be made
prior to covering or filling
trenches. .
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing,
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
. sheathing:', '
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.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
I)(
FINAL PLUMBING
4-
tX
FINAL ELECTRICAL
FINAL MECHANICAL
tY
FINAL FIRE DEPARTMENT
~
~
REQUIRED INSPECTIONS
.
x
.J(
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 to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of Ihe State Specialty Code
a special Inspector shall be employed
by the Owner I Contractor during
construction of the following work. A
copy of the special testing raports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
STRUCTURAL CONCRETE: In
excess of 2500 P,S,I, (306 a,l)
Jt'
FRAMING: To be made aftar
tha 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.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations, (306
a,6)
,
STRUCTURAL WELDS:
Performed on the Job, (2722 f)
X"
,
,,(
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,
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 ,&
Chapter 29)
SPRAYED ON
FIREPROOFING: U.BG,
Standards 43.8,
,X
K
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division bafore
baams are placed, (2501 U.BG,
STDS: 25.10,11),
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
Intertor and exterior, Is In
place but before any
plastering Is applied or before
gypsum board Joints and
fasteners are taped and
finished,
STRUCTURAL MASONRY: (306
a,7)
SIDEWALK & DRIVEWAY:
Reqc!r~d for al! concret3
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
construction work to ensure
compliance with the Building,
City or Developmant Code,
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
)' 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 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
Certificate of Occupancy has been issued by the Building Division
and posted on the premises.
ADDITIONAL COMMENTS'
'- ID \~ '{\ \\Q '("" \.: 'I:\\1tJ ,~tJ: [',\~: :~Jr\ ~~) L ~ZY.A /~/LS':~~ ~"OCLO
PL;NS REVIEWED BY /' L~~/~_ '/ DATE -:< -~-"'7S--
/ /' /~. - ~ - /'
/'
By slgnature,l state and agree, that I have carefully examined the completed application and do hereby certify th?-t 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 Spririgfleld. and the Laws of the State of Oregon pertaining to the work describad 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 from the
street, that the permit card Is located at the front of the pr~perty. and the approved set of pra~s will remain on the site at all
times during construction.
Signaturp
7T
~
l
Date--dJ,1 <t :5
~tJ/C;F
277..-:p ',.
RECEIVED BY' l' .-- J--4
-
VALIDATION:
AMOUNT RECEIVED: 4k<f2, Yo. (00
R,ECEIPT .' /7 ~ '25'
DATE PAID: