HomeMy WebLinkAboutPermit Miscellaneous 1994-8-7
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COMMERCIAL/lNDUSTRIAL SP~'NCF'ELD' JOB NUMBER~I 2CJ3
PERMIT APPLICATION ~
..~ INSPECTION LINE: 726.3769
225 Fifth Street, Springfield, Oregon 97477 ~ OFFICE: 726.3759
LOCATION OF PROPOSED WORK' AdUul\~b
ASSESSORS MAP' n 03 ~ QO
~T oF ~ R<.~"", (to r\11
TAX LOT:
~llJqO "L
OWNER: ~~SMI( ~16~ 'l1sS'oc~~;~h\\lo\V\ 1'. I'\os;eA-,
,.., '\ C I ~"'I< .-r .jlv....t,Dj"" I
AODRI=~c:.. ~().-:) \"(h.J" ,:>,
.
PHON'"
10 ~<O 61..10
CITY'
(; \)~
STAT'"
O~Eb()1J
ZIP' C/l<./O I
DESCRiPTION OF WORK:
:r~ \ \
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT'
IJ\A
CONTRACTOR'S NAME
GENERAL: ~~Li-~
PLUMBING'
ADDRESS
c;AlLC? ~~
CONST.
CO NT RACTO R #
10 to 'Z ~K..lE..
974-40 -/O(P7
EXPI RES
PHONE
~&::f-57q.1
MECHANICA' .
ELECTRICAl'
I PLUMBING MECHANICAL
I NO. FEE CHARGE Nn """ ~I-ILU:::t~1=
1 Single Fixture Furnace/burner & vent
<100.000 BTUs
I Relocated Bldg. Furnace/burner & vent
(new fix. addtl\ > 100.000 BTUs
1 Water Service Floor furnace and vent
It.
I Sanitary Sewer Suspended wall or floor
It. mounted unit heater
I Storm Sewer Appliance Vent
It. separate
1 Stat ionary evap.
Backflow Device cooler
I Vent Fan/Single
duct
I Vent System apart
from AC or htg.
I Mechanical exhaust
hood and duct
1
I Permit Issuance $10.00
1 TOTAL PERMIT TOTAL PERMIT
I
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
QUAD AREA:
. OF BLDGS:
LAN D USE:
# OF UNIT~'
'.
Sa. FT.
. $/SQ. FT.
ZONING' .
LIGHTING POWER BUDGET:
W-^:~ER HEATER'
VALUE.
OCCY GROUP:
CONSTR. TYP'"
. OF STORIES:
-'
HEAT SOURC'"
SQ. FTG MAIN
x
SQ. FTG ACCES~
SQ. FTG OTHER
x
x.
TOTAL VALUE OF .PROJECT
PLAN CHECK FF"
RCPT#
DATF
BY
I BUILDING PERMIT
15% State
Surcharoe
1 MECHANiCAL
15% State
Surcharoe
I PAVING
I PLUMBING
I DEMOLITION
5% State
Surcharoe
FENCE
VALUE $_
SIDEWALK
CURBCUT
FT.
FT.
Pc. A N-.CJ:l.l3:C-/:..
10;000 Ct':
4t?llOIAlG ',&,,,,,.r
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
.40~
7("4-~1
I
J
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
304
00
-
"
. 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 setu p 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.
ATTIC DRAFT STOPS &
CURTAIN WALLS
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.
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.
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.
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.
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.
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 n.-r:-:1
finished. .-.-e;;:;q. '~'I\
,;;r;;t';,_l ~,~,;.:... ~ " ,1\
SIDEWALK BilDRIVEWAY: ;. ~
Required for 1I1i.\conc.rei~....... ~
paving withIn 'Il~e.ehrlgfit of
way, to be made after all
excavating complete and form
work and sub.base material In
place.
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 Dr
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.
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 01 Ihe State Specialty Code
a special inspector shall be employed
by the Ownerl Contractor during
construction of the following work. A
copy of the special tesllng reports shail
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 I)
HIGH STRENGTH BOLTING:
During all bolt Installation and
tlghlenlng operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.G.
Standards 43.B.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division belore
beams are placed. (2501 UB.G,
STDS. 25-10,11).
x
STRUCTURAL MASONRY: (306
a.7)
C7I2I4DI'un
*In addition to the Inspec~
lions 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 compleled belore
requesting this Inspection.
FINAL ELECTRICAL
FINAL BUilDING: Requested alter the final plumbing, electrical,
FINAL MECHANICAL 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: ./ J Pt:liZ f.r "'5I:1.A L L _ (;.,n<t OL .~ ..LtJ'II-l to..1A.e.rEe X
il,;? I' r:L(!-~ "5 n>=- 7::}./e' C,-,-r,tJ ~r:?6 GIIL'[IZAr_1iJ1Z. 7n COA-10L~
J ~ >-'-X..../.,! /}J/j Tc;,.D .ll.,lJr7 u.;e tf/eqr,oIU <<::!IJl?l?I~ ,-;1.GM1<:;. 6..../.<<.1
r?Al.1 <I? AlZ.FA c::; 4,.,,,, i<L I'">A) "~r), C, E:; 0 F: LL g.,lIcJ PIL\.e. '1'. r,k1,/$-')
PLANS REVIEWED BY ~PDiZC?;;: /A JdL D""'E!:..- DATE _~.... /9-9 4._
PUiOv/ll1& 6eGb I/.
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 Ordlnar;lces
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 agr to ensure thatifJlI qui red InspectIons are requested at the proper time, that project address Is readable from the
street, that 1 permit card Is I c Vf;~e front of the property. and the approved set of plans will remain on the site at all
times durin nS,tnctlon:. ,. f/ I ;'. f Y
Signature .I ~ ~ Date:2
'-' . (/
VALIDATION:
AMOUNT RECElv"n.
RECEI PT #:
/
DATE PAID:
RECEIVED BY:
"""".l",,!~', if
11,\', !~
,V.: ;."". '---'
;, : '. BANFIELD PROPERTIES, LTD.
.; , ;' l A REAL ESTATE DEVELOPM':NT COMPANY
. ~ ~, .
871 COUIIlry Club Road, Suil~ B
P.O. Box 7455
Eug~Ile, Or~goll 97401
Jerry L. Knight
Acquisitiol18
(50J) 484-'/62J
J(FAX(50J) J45-'/966
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.age No, 4
EXHIBIT "A"
Be~inning as a point 981,42 feet South 26. 42' East and 366,9 feet South 89.
56 West from the Northeast corner of the Wm. Stevens Donation Land Claim No,
46, in Township 17 South, Range 3 West, Willamette Meridian, and run thence
South 89. 56' West parallel to the North line of said Claim 1101,89 feet,
thence South O. 04' East 188.2 feet, thence South 89. 56' West 457.5 feet to
the center line of County Road No.3; thence South 3. 52' East alon9 said line
430,48 feet; thence North 89. 56' East 1530.86 feet; thence North 0 04' West
617.75 feet to the Place of Beginning, in Lane County, Oregon.
EXCEPTING: Beginnin9 at a point on the centerline of County Road No, 3, said
point being South 26 42' East 981.42 feet, South 89. 56' West 1468.79 feet
from the Northeast corner of the William Stevens Donation Land Claim No. 46,
in Township 17 South, Range 3 West, Willamette Meridian; from said Point of
Beginning run South 3. 52 East along the centerline of County Road No, 3, a
distance 430.48 fe~t; th~nce North 89. 56' East 457.5 feet; thence North 3.
52' West 430.48 feet; thence South 89. 56' West 457.5 feet to the Point of
Beginning, in Lane County, Oregor.
ALSO EXCEPTING: The South 20 feet thereof.
TOGETHER WITH an easement for ingress and egress over said South'20 feet.
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