HomeMy WebLinkAboutPermit Building 1992-6-30
OWNER: pO#' tu:/f?./L ~.r-
ADDRESS' -% ':?1"J:?9- A/~?~:::J7"'.
~77Z-~ '
DESCRIPTlONOFWORK: ?fg2:~/ 7:Z;Y??~ ~4'///.~ _~~""E~n:)
REMODEL Y ADDITION
CO M M ERCIALJ INDUSTRIAL"
PERMIT APPLICATION
. JOB NUMBER 9 ///t::b
INSPECTION LINE: 726-3769
OFFICE: 726-3759
225 Fifth Street, Springfield, Oregon 97477
SPRINQFIELD
~
ASSESSORS MAP:
/h5"/ M~/~
/7-0'3- 36--;?/
TAX LOT' ~7"7'~
LOCATION OF PROPOSED WORK'
"'57'
~.
II'
PHONE: -,"?p'::<,Y7?_
~#'Y/Y7 p,/~/:.>....-~
ZIP q?~7?
CITY:
STATE: __ ~.
NEW
DEMOLISH
VALUE:
OTHER
NAME
ADDRESS
PHONE.
ARCHITECT:
CONTRACTOR'S NAME
GENERAl' . ~~ &#~-
PLUMBING'
CONST.
~~2:~ ~. CONTRACTOR' _ EXPIBES
. ~,~~.;:;?;;>V~_ 4'5-7""7~ 6--;/:?~'2;,
/' ~ ,r r / - -/
MECHANICA' .
ELECTRICA' .
PLUMBING
MECHANICAL
NO_
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
It.
Sanitary Sewer
It.
Storm Sewer
It.
Backllow Device
~ .0:-7": ~p
;;, , -
Nn ~~~
FEE CHARGE
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
/-6:-
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
OUAD AREA:
. OF BLDGi"
OCCY GROUP: .7?~-:::2..-
. OF STORIES' 2.
LAND USE:
FLOOD PLAIN:
ZONIN''''
c:c
. OF UNITS'
CONSTR. TYPO.
<;:''':PS:7 .
LIGHTING POWER BUDGET:
WATER HEATER'
HEAT SOURCE:
so. FT.
$fSO. FT.
VALUE
so. FTG MAIN
x
so. FTG ACCESS
X
so. FTG OTHER >>~.--y~- '- X
'/0"''':::>
,~
TOTAL VALUE OF PROJECT
PLAN CHECK FE.E
RCPP
DATO
BY
I BUILDING PERMIT
15% Stale
Surcharae
I MECHANICAL
15% Slate
Surcharae
1 PAVI NG
I PLUMBING
15% State
Surcharae
1 FENCE
VALUE $
SIDEWALK
-=3/..2~
. /, $t:,.
Ie;, ,*p
,7~
I DEMOLITION
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
FT.
CURBCUT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
~9.>~
.PHONE
?&/7-::Z~/
I
~~AR~
1
I
1
I
1
I
I
I
I
$10.00 1
1
.
REQUIRED INSPECTIONS ..
, ]
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 (ree'order), 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.
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.
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.
SPECIAL INSPECTIONS: In accordance
Seclion 306 of the State Specialty Code
a special inspector shall be employed
by the Ownerl Contractordurlng
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
y
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 Inslab building
service 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:
During all bolt installation and
tightening operalions. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.G.
Standards 43.8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
I
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.ll &
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 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).
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 fioor sheathing.
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 Bul/ding
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
I FINAL PLUMBING
FINAL ELECTRICAL
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 afler the final plumbing, electrical,
mechanical and Fire Department inspectlons 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 MECHANICAL
)I FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
DATO
By signature, I state and agree, that I have carefully examined the completed, application and do hereby certify that 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 t~at all required Inspections are requested at the proper time, that I?roiec~ address Is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction. , (}) ~
Slgnaturp ~A.,j,,,,~~ fA... _~A Datp (.,. -"3 D -r-z---
'7'..e .5.6
s-36'"7
VALIDATION:
AMOUNT RECEIVED:
DATE PAID'
c-~
~~~.-<"
j;F/ - _
RECEIPT ..
RECEIVED BY'
COM M ERCIAL/I N DUSTRIAL.
PERMIT APPLICATION
.
- JOB NUMBER 9u~
~
INSPECTION LINE: 726-3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:
/b~/ r-?A/N ':5.7:
TAX LOT: C> ~q-.
OWNER: L}L># WR/6i#7
ADDRESS' -% 2~....y g!!:..~-
~P?LZ; _
"
DESCRIPTION OF WORK: /Al7"l~ ~~ 7' 4LL~
NEW REMODEL.x ADDITION DEMOLISH OTHER
ASSESSORS MAP: .17'-4>'3-:;>6- ~l
CITY'
NAME
ARCHITECT'
CONTRACTOR'S NAME
GENERA" ~~~~
ADDRESS
PLUMBIN'"
MECHANICAl'
ELECTRICAl'
PLUMBING
I
CHARGE I
I
I
I
I
I
I
:::r'~,--I
I - I
I I
I I
1 1
I~--I
NO_
FEE
Single Fixture
Relocated Bldg.
(new fix. addt I)
Water Service
I
1
I
I
I-'?
I
I
1
1
I TOTAL PERMIT
fl.
Sanitary Sewer
fl.
fl.
Storm Sewer
Backflow Device
Ci9"p&/~rF~T
PHON'"
7Y?-"2 ~ ~
STATO'
c::3~ _
9/$/7":/
ZIP'
.s~~~ bwS'7'S:-_
VALUE: 7GS~_"'"
ADDRESS
PHONE
CONST.
CO NT RACTO R .
EXPIRES PHONE
A
~A-
;,tb, t,r
p-~
MECHANICAL
I
(':1-l.a,Rn!: I
I
Nn
000
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
>100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit Issuance
$10.00
TOTAL PERMIT
aUAD AREA'
LAND US.'
- OFFICE USE -
. OF BLDG~'
OCCY GROUP:~~~-"2.
. OF STORIES: -:?
. OF UNIT~'
CONSTR. TYPE:
HEAT SOURCE:
sa. FT.
$fsa. FT.
sa. FTG MAIN
sa. FTG ACCESS
X
X
&-~,.oE2
X
sa. FTG OTH ER
PLAN CHECK F~ _t.flP-6::J
RCPTN ~o-v~
I BUILDING PERMIT
15% State
Surcharoe
I MECHANICAL
15% State
Surcharae
I PAVING
I PLUMBING
t::2- ~O
~/3
5% State
Surcharoe
FENCE
VALUE $
SIDEWALK
CURBCUT
~-A/
HANDICAP ACCESS'
FLOOD PLAIN'
ZONING: .'--- -_
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
'7. 6_
TOTAL VALUE OF PROJECT
DATE-I-~.~-9/ BY ~_? ~
~-
/_ ~t:>
, DEMOLITION
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
1#.#-
"
FT.
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
'77./~
,
4t-- REQUIRED INSPECTIONS
.
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 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.
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.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steer in place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
SPECIAL INSPECTIONS: In accordance
Sectlqn 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 Ihe Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
y
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..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.
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:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.G.
Standards 43-8.
x
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
y
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.G.
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.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after al I
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 Development Code.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
v
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
x
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 MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
J(
PLANS REVIEWED BY _ ~-q ~_, -..._~~~"""
DATE //---.z '2-9-./
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that 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 from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during constr~~~:~'4 rf Q-ci" crt !)J,..~
Slgnatun:'I~)D'11 tv....,.... J(, A "<V'(
o (("-'
AMOUNT RECEIV~' if q 1, /3
~~
Date
I r!u-! '1/
I f
RECEIPT ':
DATE PAID /1/;)-6 Fil
RECEIVED BY: ~ iLJv"..,~
VALIDATION: