HomeMy WebLinkAboutPermit Building 1996-11-12COM M ERCIAL/I N D USTRIAL
PERMIT APPLICATION
225 Fillh Street, Springfietd, Oregon g7477
SPNINGFIELO
JOB NUMBER
INSPECTION LtNE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOS K:Miil
ASSESSORS MAP:5
e
OWNER:
ADDRESS
CITY:
PHON E:
STATE:ZIP:
ADDITION OLISHD
DESCRIPTION OF WORK:
NEW- REMODEL OTHER VALUE:
NAME ADD PHONE
ADDR trV PHON Eu,r Ll,r
S
AM ESII
ELECTRICAL:
ARCHITECT:
CONTRACTOR'S
L
MECHANICAL:
CONST.
CONTRACTOR '
G EN ERA L:
PLUM B I NG
NO.FEE CHA RG E
Single Fixture
dg.
t l)
Reiocated Bl
(new f ix. add
Water Service
ft
Sanitary Sewer
ft.
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
NO trFtr CHA RG trFurnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Floor furnace and vent
Suspended watloill,ror
mounted unit heater
Appliance Vent
se parat e
Stationary evap.
cool er
Vent Fan/Single
duct
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
_ OFFICE USE -
ZONING
HANDICAP ACCESS:
FLOOD PLAINLAND USE:
OCCY GROUP:
* OF STOFIIES:
QUAD AREA:
I OF BLDGS:
CONSTH. TYPE:
HEAT SOURCE:
* OF UNITS:
LIGHTING POWER BUDGET:
WATER HEATER:
SQ. FT.$/SO. FT,VALUE
TOTAL VALUE OF PROJ
X
X
X
0q)
SQ. FTG MAIN
SQ, FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RCPT#DATE BY
BUILDING PERMIT n1.50 PLUMBING DEMOLITION
5% State
Surcharge 5% State
Surcharge
MECHANICAL FENCE
VALUE $
5% State
Su rch arg e
SIDEWALK
FT.
SUBTOTAL
PERM ITSPAVINGCURBCUT
FT.
SYSTEMS
DEVELOPMENT
I .fi7TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
TAX LOT:(
REOUIRED 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.g769 (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 worki ng day, requests made after 7:0o a-m' will be made
the following work daY.
SITE INSPECTION: To be
made after excavation, but
prior to setuP of forms.
SPECIAL INSPECTIONS: ln accordance
Section 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 the Building Division.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before anY work is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in Place, but
prior to placing concrete.
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.
UNDERG ROUN D: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or f illing
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made Prior to installation of
f loor insulation, decking or
f loor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or f loor
sheathi n g.
\_>\ \-FtOOF INSULATION &I vAPoR BARRIERS: To be
made Prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
uac 2415.
the rough electrical, Plumbing
and rlg;!"asrqal are aPProved'
V (r.r-g!J*rroN-u vAPoR/" BARRIER: To be made after all
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
lnspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to Placing
facing materials and before
framing inspection.
FRAMING: To be made after
the roof, all f raming, fire
blocki ng and bracing are in
place and all piPes, chimneYs
and vents are comPlete and
insulation and required vaPor
barriers are in place but
before any lath or SYPSum
board interior wall coveri ng is
applied.
FIRE & SEPARATION WALL:
Located and constructed
according to Plans.
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 loints and
fasteners are taPed and
finished.
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.
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.
STRUCTURAL CONCRETE: IN
excess of 2500 PS.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. (2722 f\
HIGH STRENGTH BOLTING:
Duri ng all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: lnspection
Certif icate by an approved
agency, f urnished to the CitY's
Building Division before
beams are placed. (2501 U.BC.
sTDS. 25-10,11).
STRUCTU RAL MASON RY: (306
a.7)
- ln addition to the insPec'
tions specified, the Building
Off icial may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof coveri ng.
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify th.at all information
herein is true and correct,ind I further certify thit any and allwork 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 occuPANoY
will be made of any struciure 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 proiect.
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the
street, tnat the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
n stru ct i on.times du
Signatu re
q
- 12-1(4,
VALIDATI DC'
RECEIVED BY:
DATE PAID:AMOUNT R
RECEIPT *:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All proiect conditions such as
landscaping, parking lot stri ping, 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
iertificate of Occupancy has been issued by the Building Division
and posted on the Premises,
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
N