HomeMy WebLinkAboutPermit Miscellaneous 1999-4-8
COMMERCIALlINDUSTRIAtt SPRINGFIELD · JOB NUMBER JdYnrr15-
PERMIT APPLICATION ~
~ - INSPECTION LINE: 726.3769
225 Fifth Street, Springfield, Oregon 97477 ~ ,. OFFICE: 726.3759
LOCATION OF PROP9SED WORK: ~ a.'?-.L1l1JO 1 n ~ot
ASSESSORS MAP: L fJ('j~::z..,....t' 1..( ) . - TAX LOT: l1'\?lCf)
OWNER:~ ~).t-\ 0 ttY~~\lt\ PHONE ,0..l...,,\,
ADDRE~. \'071 \.. ~\ \'N\ If\ ~f>t- l\ .
CITY: ~\~'(\ "- STATE: \.'J.("~OQY\ ZIP: l\\'\-r,
\\. -1..' (\
DESCRIPTION OF WO~l<:()\\ ()f\, D~ -, 0 ~ > \. ~). 0 , ')(\~~
'~"\ _.J\' c::c
NEW REMODEL ADDITION 1 DEMOLISH OTHER VALUE: ~\ !r'T"'!).....
NAME
ADDRESS
PHONE
ARCHITECT.
CONTRACTOR~ I1A,ME A
GENERAL: rJ I:::) -T
\g\~R(~y~
CONST.
CO NT RACTO R .
()~ia.~
EXPIRES PHONE
Q.. \.00 4e5'~S'\k
PLUMBING.
PLUMBING
4/.'').,.. _
..~:~.
':y '".
..." ."
t::""'-'"fIIAI.,. .
<<!'In' - """"'L
".II,,>... -tf/tl~JJ L IJ~ MECHANICAL
FEe: I CHARGE'.. 1'."NlJ>>.. ""N.O'!::"
"Y'V""V '". ~...t~f)L"": -"-1/ ~a .. ~ ,F,urfl~ce/burner & vent
I, r, /1:10 IJ.. r<:O ~ ''710' /ilt::1 ,. <'100:000'BTUs
1 ,.." ., I "".!:h ~~ lib,,;, 7/j~F,urnacel Durner & vent
~f:.r.. '1,IOh'A, '7!'tjN." - >100,000,BTUs
1 "VII '""'VDJ1 ."'l'"j'l:.rJ/../'_.
.. . YJl;M ~ ~tqO(furnace and vent
1 I I -"'C 9Suspended wall or floor
mounted unit heater
1 1 I Appliance Vent
separate
1 1 Stationaryevap.
cooler
I Vent Fan/Single
duct
I Vent System apart
from AC or htg.
1 I Mechanical exhaust
A.ri{::^,..... hood and duct
Toi OW "., ..IN.Or I
NM" rUle., ~:. egon /''''
.. ~"'Tlo.~v,.,red j" requ.j
~n 0,4 t;' a:::.~ (:entar ::", by he c"o~le~ ~OIJ to:, Permit Issuance
u~~... YOU rn~~1:0010 th~~~ rUles a~~TotA~!!1ERMIT
~"'"n fL '" "'U(~i_ 'toMh ()J'1 _ - ut:[ 10MJ..
"'umber 'or-th~"'Tlter. (N-'::~OFFlce'USE".ii,"001_
eo Ole. th .,.", 'UI
Ce reOn_. e tel es by
nteTIit<NDusE:II"'i' eDhn_"
"oUO'33 'J ,vOlific :V
. OF UNITS. 2-234<1' at/on
. I.
~~~
rl-lll.Rr.:c:
MECHANICA' .
ELECTRICA' .
NO"
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
It.
Sanitary Sewer
ft.
Storm Sewer
It.
Backflow Device
$10.00
TOTAL PERMIT
HANDICAP ACCESS:
QUAD AREA-
FLOOD PLAIN.
. OF BLDGF.
ZONING.
OCCY GROUp.
CONSTR. TYP~.
LIGHTING POWER BUDGET:
. OF STORIEf'.
HEAT SOURCE:
WATER HEATER.
SQ FT.
$ISQ. FT.
VALUE
SQ. FTG MAIN
X
X
i '
.C:1IlX
~.,
, I
,~.l
~" ~ {l I
SQ. FTG ACC ESS
,r" r"" : f"'\ ('.
"SO:, FTG' OTJfE!f1 r: '
,
I
.1:
n'}l
TOTAL VALUE OF PROJECT
~ltft~?J
PLAN CHECK FEF
RCPP
DAT~
BY
I BUILDING PERMIT
15% State
Surcharoe
I MEC~.A~CAL ". .1 n
15% S~ate.J. (.~ ..
Surcharoe '''-->' ./
I PA;'"IN;~ ~.\ \
.Ji..... i'\.-r..
. ... r \
'. ("" '. ./.
;\ ,... ')- I'. .
~.' -. '.'
I ~ I PLUMBING
I'".l.. "=l. 15% State
..T)~,J Surcharoe
\ M'--"'I FENCE r.
. . - .. II / VALUEr$ . , ~,." 1\ \ ."
',f:'.', \,.\'t~ I"S~D:~~t~:'!j :~Ft. .,\ '; ':\\' \. C:\\ 1~~~~i~~~St (y: rCt
\ '''1 CURBCUT SYSTEMS I' .
I.' F.T.' "':' \ r' .' DEVELOPMENT ! :-- ~.
(_._' J.. ~\,J '
" '\ (., "'1 I
"'-:..-......-y\.....
TOTALPERMIT,FEES
EXCLUDING ELECTRICA'
, DEMOLITION
ls2\9~
.J
.rf()(){)W . REQUIRED INSPECTIONS . . .
It Is.the resPonslblfltY 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 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. L ,,' f6 .
_...., ,.., ~ ^A1 t
SITE INSPECTION: To be . l\f\\;\ OUG P'Lr.MBING,\ ,po. \ PAVING: After gravel Is In
made. a~ter e'l..cavatlon, but "~J,J"J.E~ECi;~dA:ll&\ \'0,/ \\....:~ \ a1ace but prior to placing
priOr to s.G'4P..of'10rms. MECHANICAL: No work Is tp 0, (\ 1.1:"5aSPh'a\tjOr concrete.
~ .A.....l.>/ V be covered until these ,~..-, ~JJJ.:Jl
UNDERSLAB PLUMBING. Inspections have be~n made SI'ECIAL INSPECTIONS. )n accordance
(' IF.LE~F.lICI\I, ~ n (.... and approved,) i -, ~"'((.Y.~' I Stctlon/306/ot t1:ieJ~~,SP}"'lalty Code
'..-'MECHANICAL,"To'be made I. 1-../ I. "--=; i.~_..<,. al.s'peg~!;1 1~~pe'Cfdr:!!hW' ~e employed
before any work Is covered. ATTIC DRJ>.$T_STQI?S ,& "/J'1 !,he)9wnerl C'1r1lf~ot~\durl.'.'g
(\ CURTAIN. WAL1.5/,__.' . constttlJ:tlon'of the-followlng'work. A
1'f60;'~"GS''&!FOUNDATIONS1(1) 0'4 '; J: copy otftti<:l~pe~lavt~stlngfeROTts shall
To be. mad~ after trenches"are' .. ...' "FIREPLACE: Prior to placl'1g be furrtlshed to,the SUlfdlng.Iilvlslon.
ex ated and forms are .') facing materials and before : / ./ I
er~~:ed. all ~1.e(j~?JI!o.C;&.'Y'" J..'l.L2.. ~a~ftt~;~~Jn- )(.Jf1J/JC'J.Y"ST:RUCTURAL CONCRETE: In
( .'-'C' , "dor to placing concrete. FRAMING. T b d f excess of 2500 PS.\. (306 a.1)
.l.... 1\..t"! I ,::;J . 10 e ma e,a ter
. ..-T 'J...JL,~/ the roof, all framIng, flre./
CONCRETE SLAB: To be blocking and bracing are In STRUCTURAL WELDS:
made after all Inslab bulld.lng place and all pipes, chimneys Performed on the job. (2722 f)
s~r~lce equipment, conduit, and vents are complete and
piping, acce~sorles <:,nd other the rough electrical, plumbing
. ancillary equipment Items are and mechanical are approved.
In place but before any
. '- c..oQcrete, I~ plj'ced"
() .1"\;'}':;. r"{/-'-. UC).! '.~ . \' P,"rID
'. . .~. -'lUNDERGROUND: Pluml>lng, .....,.
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
INSU1ATI9.1I!_&Y'A[',O,R, --- I'~ .
o. ~ftRI~l'lii"j:~.,b'1 "~ge,afte~all) I
Insulation and-requIred vaporV,
barriers are rn place but
before any lath or gypsum
board Interior wall covering Is
applied.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6), . (> :.:'\
i-\ 1" 0 -.J
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.B.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:
Requ'ired 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.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
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.
-------------------------------------------------------
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 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.
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS.
(Xj ~ '\ ,'-1
;,~..pl'\ .I~ /-
PLANS REVIEWED BY~ -R .~ ~ DATE~o~\ oL\~
By signature, I 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 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 certlf"y' that only contractors and employees
who are In compliance with ORS 701.055 will be used on this project. (:t;=;. Q)(:!..
I further agree to ensure that all required inspecttons are requested at the proper tlmeJ'\t."a~roJ~ct address Is readable from the
street, that he permit card Is located at the front of the property, and the approved set'lof..ptans wIll remain on the site at all
::::t:urlnlconstru~t1o. lOb Acn;jJ . Pou1~~ 4.E>.q::r
AMOUNT RECEJ:t,j.p;~:(1 ~ DATE PAID:~ ~q
RECEIPT '; ::f:RJT) RECEIVED ~.A )
v
VALIDATION:
,,- -- I j
CU. Q