HomeMy WebLinkAboutPermit Demolition 1992-06-28COM M ERCIAL/ I N DUSTRlAL
PERMIT APPLICATION
225 Fiffi Street, Springfield, Oregon 97477
LOCATION OF PRO
ASSESSORS MAP:
SPFIINGFIELO
,h,
JOB NUMBER
INSPECTION LINE: 726-3769
OFFI 726-3759
TAX LOT:
CITY:
OWNER:
ADDRES
ONE:
ZIP
NEW
-
REMODEL ADDITION DEMOLISH OTHER VALUE
DESCRIPTION OF WORK:
ELECTRICA!-:
NAME ADDRESS PHON E
,S NAM ADD PIR PHO
t(t(
5
rLMECHANICAL:
ARCHITECT
PLUM BI NG:
GENERAL:
CONT
CONST.
CONTRACTOR #
PLUMBING
NO.i FEE CHARGE
Single Fixture
Relocated Bld
(new fix. addtl
s
)
Water Service
ft.
\sanirary r"*flQD *\5O
Storm Sewer - \ft
Backf low Device
TOTAL PERMIT \5 c.i,
MECHANICAL
NO FFF EHA RGF
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent FaniSingle
duct
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
LAND US
WATER HEATER:
LIGHTING POWER BUDGET:
C OF UNITS:
HANDICAP ACCESS
FLOOD PLAIN
ZONING:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
C OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RCPT#DATE BY
BUILDING PERMIT PLU M BI NG \5rc DEMOLITION
5% State
Su rcharge
5% State
Su rc haroe ,15 UqrnnO \%@MECHANICALFENCE
VALUE $5q.qo
5% State
Surcharoe
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
OFFICE USE.-5gDo
(r
-! 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 7:0O 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 ROUGH PLUMBING, PAVING: After gravel is in
made after excavation, but ELECTRICAL & place but prior to placing
prior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB pLUMBING, inspections have been made SpECIAL INSpECTIONS: tn accordance
ELECTRICAL & and approved. Section 306 of the State Specialty Code
MECHANICAL: To be made a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor during
CURTAIN WALLS construction of the following w6rk. A
FOOTINGS & FOUNDATIONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished to the Building Division.
excavated and forms are facing materials and before
erected, ail steel in place, but framing inspection' srRUcruRAL CoNCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
coNcRETE SLA,B: To be the roof' all framing' fire
made after ar insrab buirdins 3l::5::.':fl ilE:IZ,l,Xl:r" Fln8,."J"',f3l,Y5f3olirrr, ,
service equipment, conduit, and vents are complete and
:i?1,?f""".",1;:{:"; ?i"i:'::J *: H::[i,li""ii:,X'iJ;[::i: Hl?:f],?E],?H,?,',h1]:".in place but before any tighte-ning operations. (306
concrete is placed. INSULATTON & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SPRAYED ONelectrical, gas, sanitary sewer, barriers are in place but FIREpROOFING: U.B.C.storm sewer, water and before any lath or gypsum Standards 43-g.drainage lines. To be made board interior wall covering is
prior to covering or f illing applied. SPECIAL GRADING,trenches.
,NDERFLo.R: p,umbins ll?:,s'"=,'f;m'J3[Hl"' iffilJt'iil#ll',5Jh'i],'L
electrical, mechanical. To be according to plans. hapter 29)
made prior to installation of
floor insulation, decking or LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathing. BOARD: To be made after all Certif icate by an approved
lathing and gypsum board, agency, furnished to the city's
posr & BEAM: To be made interiol and exierior, is in Building Division before
prior to installation of floor place but before any beams are placed (2501 u'Bc'
insulation, decking or floor flastering is applied or before STDS' 25'10'11)'
chaarhinn gYPSum board ioints anderrvq.r'rrv' fasteners are taped and STRUCTURAL MASONRY: (306
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.
f inished
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
a.7)
"l 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.
x
excavating complete and form
work and sub-base material in
place.
RooF sHEATHTNG AND iH[3^il'^,tJ'T'of""l'"
NAILING: Prior to installing erected but prior to placing
any roof covering. concrete.
\_v
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information
herein is true and correct, and I f urther 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
is located at the front of the property, and the approved set of plans will remain on the site at all
Signature 3 ?Date
permit
on.
street, that the
times during co
\, tr^"il AMOUNT RECEIV
RECEIPT *:
DATE PAID
RECEIVED
FINAL PLUMBING
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ONAL ENTS
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 stri ping, etc. must be completed before
requesting this insPection.
FINAL BUILDING: Bequested 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.
NS IEWED BY DATE
FINAL ELECTRICAL