HomeMy WebLinkAboutPermit Building 1995-01-06CO M M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fitlh Street, Springfield, Oregon 97477
LOCATION OF PBOPOSED WOFK:
SPRINGFIELO
ASSESSORS MAP:/7o3 7 3z
JOB NUMBEFI
I NSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:Ct/ 7-Oo
PHONOWNER
61 ZIP:CITY:
c
?a1a ISTATE:
ADDRESS:
ia (
7 L{ €-13!t/ 5,t tte I I
ADDITION DEMOLISH OTHER vALUE: ?/rn ?
DESCRIPTION OF WORK:
NEW /f BEM9DEL
PHONE
ADDRESS
L UJAt
ARCHITECT:) rygs-ot a?
NECONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
NAME
CaPl .fr tt R N/-T Q
ADDRESS
l1b ilcu 1r. fa,rrn3 (so=
GENERAL:
PLUMBING
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new f ix. addtl)
Water Service
ft
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
NO trFtr CHA RG tr
Furnace/burner & vent
<100,00! BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or iioor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
$10.00
TOTAL PERMIT
\e A.)\r)- OFFICE USE -
LIGHTING POWER BUDGET:
LAND USE:
ZONING
CONSTB. TYPE:
HEAT SOURCE:
HANDICAP ACCESS:
-
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
WATER HEATER:-
* OF UNITS:
SQ. FT.$i so. FT.VALUE
TOTAL VALUE OF PROJ /q>
X
X
SQ. FTG OTHER
SQ. FTG MAIN
SQ, FTG ACCESS
oerc /2 -427 av
,,PLAN CHECK FEE RCPT#
54,?5
BUILDING PERMIT __3.?PLUM BI NG DEMOLITION-
5%State
urch furezevt-*MECHAN FENCE
VALUE $ _-5% State
Su rcharg e
SIDEWALK
FT.
SUBTOTAL
PERMITSPAVCURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
<- iJ
fuceur dk ?11+ot
Permit lssuance
FLOOD PLAIN:
/+^-?
-*
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, call726'3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be readyfor inspection' Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be madethe following work day.
SITE INSPECTION: To be ROUGH PLUMBING, PAVTNG: After gravet is inmade after excavation, but ELECTRICAL & place but prior to placingprior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB pLUMBING, inspections have been made SpECIAL ;NSpECT1ONS: In accordanceELECTRICAL & and approved' section 306 of the state speciatty codeMECHANICAL: To be made - a special inspector shatl be empt-oyedbefore any work is covered. ATTIC DRAFT STOPS & Oy tne Ownei/ Contractor during
r/ cuRTAlN WALLS construction of the following w6rk. A,.\ FOOTINGS & FOUNDATTONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished io the Buildi-ng Division.
excavated and forms are facing materials and before
erected, all steel in place, but framing inspection' srRUcruRAL ooNCRETE: lnprior to placing concrete. FRAMING: To be made after excess of 2500 p.S.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made after ar insrab buirdins 3i::5 :fl.':fl 3ffi:I?,i,';l:r" 3llx,"J"',f3"t,Y5i3oi',rrr, ,service equipment, conduit, and vents are'complete andpiping, accessories and other
incir-ary equipment items are :X".';:flljlt"ji:,X'JJ;[}::: Bl|,:f],?E],?T[Ei,.T],i".In place but before any tighte-ning operations. (306concrete is placed. TNSULATTON & 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.BC.storm sewer, water and before any lath or gypsum Standards 43_8.dralnage lines. To be made board interior wall covering is
P,ti::L:-""*rins or filling applied. SpEctAL GRADING,
,NDERFL..R: p,umbins [||5,S'":'flA'J3[[1"' il;fl1i:il-til:,5Jb'i],"1
electrical, mechanical. To be according to plans. chapter 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 interior and exierlor, is in Building Division before
prlor to installailon of floor place but before any beams are placed' (2501 u'Bc'
lnsulation, decking or floor plastering ls applie6 or before STDS' 25-10'11)'
sheathing. gypsum board Jolnts and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR TNSULATToN & finished' a'7)
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.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving wlthin 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.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all lnformation
herein is true and correct,-ani I further certify that any and allwork performed shall be done in accordance with the ordinances
of the City of Springfield, and the Laws of thsstate of Oregon pertainlng to the work described herein, and that No ocCUPANCY
wilt 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 project.
I further agree to ensure that all required lnspections are requested at the proper time, that project address ls readable from the
street, tn.t tn. permit card ls located at the front of the property, and the approved set of plans will remain on the site at all
tlmes during
Signature Datep0^t-7-7{
VALI DATION 3ez sAMOUNT RECEIVED:
RECEIVED BY:RECEIPT *:/q? 7B
DArE PA|D: /- 72,
FINAL PLUMBING
FINAL ELECTRICAL
FTNAL MECHANICAL
FINAL FIRE DEPARTMENT
{
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
requestlng this lnsPection.
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanlcal 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.
ADDITIONAL COMMENTS:
PLANS REVIEWED DATE /-1 .2-
'@
tions specified, the Building
Official may make or requlre
other inspections of any
constructlon work to ensure
compliance with the Building,
City or Development Code.