HomeMy WebLinkAboutPermit Building 1992-2-27
COMMERCJAL/INDUSTRIA~
PERMIT APPLICATION
~SP~R'NGF'ELD . JOB NUMBER C1,Q( B\I
"& INSPECTION LINE: 726.3769
225 Fifth Street, Springfield, Oregon 97477 .. OFFICE: 726.3fl\
LOCATION OF PROPOSED WORK: O;r:rh ~~ \ ...\.,\ytOj'f\\\ \:-1'~~ , __
\! O~ \ S Q() TAX LOT:""B\"\~~
OWNER' "f}\ A01l X\ ..l..~. \. ~EfD _ ~ __ . f}i~ ~-'({nr:/-
ADORES'" ~_~ ,-~~'i~\ )lQ )~
CITY:~u~ ~ (). S~ATE: P~'\-;-. ZIP: ctlL\ll
ADDI N DEMOLlS
NEW
REMODEL
OTHER
VALUE:
ASSESSORS MAP'
~~ ~Q~AME
~: ::-:-e-fc 'i0\ Cl.1\.0~
CONTRACTOR'S NAME ADDRESS
ADDRESS
PHONE
CONST,
CO NT RACTO R .
EXPIRES PHONE
GENER' , .
PLUMBING'
MECHANICA' .
ELECTRICA' '
NO.
FEE
CHARGE
IOn
"""
I
"'1ARGI
1
1
1
PLUMBING
MECHANICAL
ft.
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
Stallonary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duel
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
Permit Issuance.
$10,00
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
QUAD AREA"
. OF BLDGS:
LAND USF'
FLOOD PLAIN'
. OF UNITS'
ZONING'
LIGHTING POWER BUDGET:
OCCY GROUP'
. OF STORIES'
CONSTR. TYPF'
HEAT SOURCE:
WATER HEATER:
SQ. FT.
$/SQ, FT.
VALUE
SQ, FTG MAIN
x
SQ, FTG ACCESS
X
SQ. FTG OTHER
x
TOTAL VALUE OF PROJECT
PLAN CHECK FEF
RCPP
DAT"
BY
I BUILDING PERMIT
15% State
Surcharge
I MECHANICAL
15% State
Surcharae
I PAVING
PLUMBING
~;~;11~
5% State
SurcharQe
FENCE
VALUE $
SIDEWALK
FT. I
FT, ~
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
1
~(R.CUI
I
I
1
CURBCUT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
$ \.~IR.OO
...'.
.' REQUIRED INSPECTIONS' .
It Is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspectioQ, 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...fC?)lowing work day.
/<, SITE INSPECTION: T_ ROUGH PLUMBING, PAVING: After gravel is In
IIII iIIIIliIilIl . I ELECTRICAL & place but prior to placing
I'~' MECHANICAL: No work Is to asphalt or concrete.
be covered until these I
inspections have been made SPECIAL INSPECTIONS: In accordance
and approved. Section 306 of the 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 reports shall
be furnished to the Building Division.
UNDERSlAB PLUMBING,
, ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
I'
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
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.
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
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, .
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFlOOR: Piumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking. or
floor sheathing.
FIRE & SEPARATION WAll:
Located and constructed
according to plans.
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.
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 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.
FINAL PLUMBING
STRUCTURAL CONCRETE: In
excess of 2500 P,S,1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a,6l
SPRAYED ON
FIREPROOFING: U,B.C,
Standards 43.8,
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 before
beams are placed. (2501 U,B,C.
STDS. 25.10,11),
STRUCTURAL MASONRY: (306
a.7)
.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.
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
FINAL BUilDING: Requested after the final plumbing, electrical,
mechanical and Fire Department inspections are made and
approved. N.o occupancy of the premises can be made until a
Certificate of Occupancy has been issued by the Building Division
and posted on the premises.
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 requ t the proper time, that project address Is readable from the
street, that the permit card is located at th~ of t e p , and the approved set of plans will remain on the site at all
times d~urlng const~I:::,~_~:::. ~
Signatur c:::z.. --,<(""G;::-~_ Datp ~~
\i \ ~ -- ".r ./ .. )
DATE PAID: ' IJr{.!/) FA Cj/}---'
RECEIVED~J~'
.I
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
VALIDATION:
AMOUNT RECEIVE9'
~,r
RECEI PT N' <- j
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DAT"