HomeMy WebLinkAboutPermit Building 1991-05-28COM M ERCIAL/I N DUSTRIA-
PERMIT APPLICATION
225 Fiflh Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
iffi JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:
(
OWNER:
ADDRESS:
CITY:
PHON E
STATE:ZIP:
-1
VALUE:DEMOLISH OTHER
DESCRIPTION OF WOR
NEW
-
REMODEL ADDITIO
NAME ADDRESS PHONE
ADDRESS EXPI RES PH NEE
ct
SN
ELECTRICAL:
MECHANICAL:
ARCHITECT:
CONTRACTO
PLUMBING
GEN
CONST.
CONTRACTOR #
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg
(new fix. addtl)
Water Service
f t.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
NO trFtr CHA RCF
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 Fan/Single
duct
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
AOD\D OFFICE USE _-
5S(TJLAND USE:
ZONING
HANDICAP ACCESS
FLOOD PLAIN
WATER HEATEFI
Y OF UNITS:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTFI. TYPEr
HEAT SOURCE:
SO. FT,$/SQ. FT.VALUE
rc
X
X
TOTAL VALUE OF PROJ
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
BUILDING PERMIT Loi) bl)PLU MBING DEMOLITION
5% State
Su rcharqe 3.\3 5o% State
Surcharge
MECHANICAL FENCE
VALUE $
5% State
Su rcharoe
SIDEWALK
FT,
SUBTOTAL
PERM ITS
PAVI NG CURBCUT
FT.
SYSTEMS
DEVELO PMENT
tp:i bqTOTAL PERMIT FEES
EXCLUDING ELECTRICAL
LIGHTING POWER BUDGET:
. REQUIRED INSPECTIONS V
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. Reguests received before 7:00 a.m. will be made the same worki ng 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: ln 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 duringCURTAIN WALLS construction of the following w6rk. A
FOOTINGS & FOUNDATIONS: cooy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be'furnished io the Buildiig Division.
excavated and forms are facing materials and before
erected, ail steel in place, but framing inspection' STRUCTURAL CoNCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 25OO P.S.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made after ail insrab buirdins 3l::5:x.":f, il'3:I.",1,;l:r" BII3,TJJ3.L.Y5t,3ol',rrr, ,,
service equipment, conduit, and vents are complete andpiping, accessories and other
incirary equipment items are :X? ?,::[f,li"il:,X'JJ;[3::: El?Xf],?E]*"1[,?,o*lH:"0in place but before any tighte;ing operations. (306concrete is placed. TNSULATTON & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, Oas, 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 isprior to covering or filling applied. S'ECIAL GRAD'NG,t renc hes.
,NDERFL..R: p'umbins ll::,S""=",f;m',J3[Hi"' El;flt',iiil:lL:,5Jb'i],"t
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
f loor sheathing. - BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agency, furnished to the city's
POST & BEAM: To be made interior 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 plastering is applied or before STDS' 25-10'11)'
sheathing. - Sypsum board joints 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
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
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
APRONS: After forms are
erected but prior to placing
concrete.
"ln 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.
verticals in accordance with place.
UBC 2415.
CURB AND APPROACH
f ront
tio
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 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 OCCUpANCywill be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employeeswho are in compliance with ORS 701.055 will be used on this project.
s are requested at the proper time, that project address is readable f rom thethe property, and the approved set of plans will remain on the site at all
sig 1,Date
I further agree to
e
INS
thrmit card is
truction.
street, that
times durin
VALI
RECEIVED BY:
DATE PAID:AMOUNT RECEIVE
RECEIPT *:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDIT AL COMMENTS:
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such as
landscaping, parking lot stri ping, etc. must be completed before
requesting this i nspection.
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
Certificate of Occupancy has been issued by the Building Division
and posted on the premises.
PLANS FIEVIEWED BY DATE
N