HomeMy WebLinkAboutPermit Building 1997-01-28lrb'
COM M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
SPRINGFlELO
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JOB NUMBER
INSPECTION LINE: 726.3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK
ASSESSORS MAP:t103A5 33 TAX LOT:
7,1
PHONE: 72b^o 7 ta
(QqcSTATE ZIP:
OWNER
ADDRESS:
CITY:
VALUEC(DEMOLISH OTHERNEW
-
REMODEL ADDITION
I
DESCRIPTION OF WORK:
MECHANICAL:
NAME ADDRESS PHONE
tu €
ru
b-
1-l+rr \-,< sTCr.. ^rh tl ta bsL ?">e 7-7
CONST.
CONTADD RESSCONTRACTOR'S NAME
ARCHITECT:
RACTOR #
{str, *-
EXPI RES
hlt/q z
PHONE
?21{1c1G EN ERAL:
PLUM BI NG
PLUMBING
NO.FEE CHARG E
Single Fixture
Relocated Bldg.
(new f ix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MECHANICAL
NO trtrF .I{AtrGtr
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
se parate
Stat io nary evap.
cooler
\/an+ E^n /Ci^^t^v.'tl Gt,, v,"3rs
d uct
Vent sys
AC
tem apart
or htg.f rom
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
ZONING
LAND USE
LIGHTING POWER BUDGET:
WATEB HEATER:
* OF UNITS:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
0DTOTAL VALUE OF PROJ
XSO. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHEB
2l.rb ^"rr,2(364
I -aa"/-Q7
PLAN CHECK FEE DATE BY
vr,//
BUILDING PERMIT 92.fu PLU M BI NG DEMOLITION
5% State
Su rcharo e ie I ,63.q3 5% State
Su rc h arge
MECHANICAL FENCE
VALUE $
5% State
Surcharqe
SIDEWALK
FT.
SUBTOTAL
PERM ITS
PAVING CURBCUT
FT.
SYSTEMS
D EVELO PMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
' \\ "-^l) ^),1a, -* . L^--Zu^, L c tle- Qoi---
U
ELECTRICAL:
-B
HANDICAP ACCESS:
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, call
226-9769 (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:O0 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 iorms. 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 0f 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 work. A
FOOTINGS & FOUNDATIONS: ErbEnr A^E. r 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 ptace, but framing inspection'
-
srRUcruRAL CoNCRETE: ln
prior to pracing concrete. Y FRAMTNG: To be made.after excess of 2500 P's.,. (306 a.1)
coNcRErE sLAB: ro be $:JffiL ilJ'3l'Jlflirt]i ," srRUcruRAL wELDS:
made after all inslab building place aid all pipes,ihimneys Performed on the iob. (2722f)
service equipment, conduit, and vents are'complete ancl
:l,?,?3'i'"?,:;H!"; ?['-:'::J :i". H::[i;tT:,X'i,1;[?:?: 5l?:f],?E],?l*,?1"'lg:"0in place but before any tightening operations. (306
concrete is placed. TNSULATION & 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.
drainage lines. To be made board interior wall covering is
prior to covering or f illing applied. SPECIAL GRADING,
t re nc hes.
,NDERFL..R: p,umbins ll?:,S'.="'f;m'Jfl[Hi"' il;flt!iil-tii.:,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 Certificate by an approved
lathing and gypsum board, agency' furnished to the city's
posr & BEAM: To be made interior and exierior, is in Building Division before
priortoinstallationoffloorplacebutbeforeanybeamsareplaced.(2501U.Bc.
lnsulation, decking or floor plastering is applied or before STDS' 25-10J1)'
sheathlng. gypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR TNSULATToN & finished' a'7\
VAPOR BARRIERS: To be
made prior to installation of
donlrinn nr f!oor shqafhing
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 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.
* ln addition to the inspec-
tions specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compllance with the Building,
City or Development Code.
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 requested at the proper tlme, that project address is readable from the
Signatu re
u
Date /o
epe t card is located at the front of the property,
//
the approved set of plans will remain on the site at allstreet, that th
times during ction
VALIDATION
,Z
AMOUNT RECEIVED:
RECEIPT *:RECEIVED BY:
DATE PAID
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 project conditions such as
landscaping, parking lot stri ping, etc. must be completed before
requesting this inspection.
FINAL BUILDING: Flequested 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.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY oerc /*23-22
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