HomeMy WebLinkAboutPermit Building 1996-08-26CO M M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fitlh Street, Springfield, Oregon 97477
LOCATION OF PROPOSED
ASSESSORS MAP:
SPF|lNGFIELO JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:
PHONE
STATE:ZIP:
a
o
rr'?74L -
q7/CITY:
ADDRESS:
OWNER:
NEW
-
FIEMODEL ADDITION DEMOLISH OTHER aoVALUE:,4^ fr:
DESCRIPTION OF WORK:
5LSCTRICAL:
NAME ADDRESS PHON E
ADD RESS EXPIRES PHONE
S)o
GEN
ARCHITECT:
MECHANICAL:
PLUM BI NG
CONTRACTOR'S NAME
CONST.
CONTRACTOR #
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bld
(new fix. addtl s
)
Water Service
ft.
Sanitary Sewer
ft"
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
MECHANICAL
NO trtrtr CHA FIGF
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Floor furnace and vent
Suspended wall or iloor
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 $10.00
TOTAL PERMIT
_ OFFICE USE -
ZONING
LAND USE
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
* OF UNITS:
OCCY GROUP:
Y OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
SQ, FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
BCPT#PLAN CHECK FEE DATE BY
o &
BUILDING PERMIT gA.Ef)PLUMBING DEMOLITION
5% State
Su rcharee \. \q3 5% State
Su rcharge .Ilhr\QL A).13
b{trr}Af{t€rrt Wa )qa FENCE
VALUE $Snrn
5% State
Su rcharoe
SIDEWALK
FT.
S-UBTOTA\
PERMIT$}
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERN4IT FEES
EXCLUDING ELECTRICAL
t
Euft,r at lolca
a
+
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. Requests received before 7:00 a.m. will be made the same worki ng day, reguests 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 0f the state speciatty 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 work. A
FOOTINGS & FOUNDATIONS: cooy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be'furnished io the Building Division.
excavated and forms are facing materials and before
erected, ail steel in ptace, but framing inspection'
-
srRUcruRAL CoNCRETE: ln
prior to placing concrete. ,f FRAMING: To be made after excess of 2500 P.s.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made arter a, insrab buirding 3l::5 ::.":fl ilE:It",l,;;:r" EI,S,.Tyfl"t HStT',rrr, ,service equipment, conduit, and vents are complete and
in place but before any /|fZC//a??&/ ,fa'6e4 - tishte-nins operations. (306concreteisplaced. ,''.- ff.f-SUUffON &VApOR a.6)
UN DERGROUN D: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or f illing
t renc hes.
UNDERFLOOR: PIumbing,
electrical, mechanical. To be
made prior to installation of
f loor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or f loor
sheathing.
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.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
BARRIER: To be made after all
insulation and required vapor
barriers are in place but
before any lath or gypsum
board interior wall covering 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 joints and
fasteners are taped and
f inished.
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.
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
During earthwork. (306 a.l1 &
Chapter 29)
GLU-LAM BEAMS: lnspection
Certif icate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.C.
STDS. 25-10,11).
STRUCTURAL MASONRY: (306
a.7)
.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.
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 time, that project address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
Signature
times during construction
VALIDATION AMOUNT RECEIV
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 striping, etc. must be completed before
requesting this inspection.
FINAL BUILDING: Requested after the final plumbing, etectrical,
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 DATE lil ^$a *€
o^,. V- 24- 96
SIGN PERTVIIT APPLICATIO\I
225 Fif th Street
Springf ietd, OR 97 477
LOCATION OF PROPOSED WORKI
SPFI^lGFIELl,JC ,IUMBER
lnspection Line: 726-3769
Office: 726-3759
o
ASSESSORS MAP:
OWNER PHONE: 7 /6-nq //q
TAXLOT
ADDRESS: ) S 60 fr/rJ.
CITY
BUS INESS NAME, FIBM ETC
STATE ZIP:
.s
DESCRIPTION oF PROPOSED SIGN(S): (please check and complete all appropriate information)
-
Wall Freestanding
-
Projecting
-
Roof
-
Marquee
_ Single Face _ Double Face Billboard Other
Square Footage:Total Height above Grade /32"
Vertical Dimension of sign or enclosure:ol izontal dth of sign or enclosure /o
Dirnension from Grade
to tlottom of Sign:8'v Electrical lnstal
(lf yes additional
Yv No
VALUEequired )o
[Vlaterial Sign is constructed of :
List ALL existing signage and attach a photograph of each sign:
(a) Type 4y
(c) Ty
+
(b) Type
(dI Type
Sq. Ftg
Sq. Ftg
70
CONTRACTOR/IN STALLER:
ADDRESS
CITY
?
CONSTBUCTION CONTRACTORS REGTSTRATTON NUTvIBER , D 7 f,"
CITY BUSINESS LICENSE NUMBER o
OFFICE USE
NE:
STATE Dr(
EXPIRES:
EXPIRES: 6
Sign District
Zonir.rg
Sign Permit Fee
REOUIRED INSPECTIONS;
-- Site
to be made prior
to sign placement
Code Section:
Approved By:
t-rio uru Ouad Area ,/-
DATE:
Final
coffietion of sign.
installation
Footing
prior to placement
of concrete
, -a'
Attachment
iilEiJlstene,.s a,e
installed/prior to cover.
Electrical
prior to energizing
Additional Co
1
mments and/or Conditions
By ture, I state and agree, that I have carefully examined the completed application and do he reby certify that all information hereinis true and correct, and I f urther certify that any and all work performed shall be done in accorda nce with the Ordinances of the City ofSpringfield, and the Laws of the State of Oregon pertaining to the work described herein. lf urther certify that only contractors andemployees who are in compliance with oRS 70.l.05b will be used on this project
I further agree'
the perrnit card
of the sign(s).
to ensure that all required inspections are requested at the
is located at the front of the property, and the approved se
p{oper time, that project address is readable from the street, that
t oJ plans will remain on the site at all times during the installation
Sig nature Date /-a t^
Amount Received
Receipt Number: .
Date PaidValidation
Received By
?6
q 7y'7 7
I
L
Sq. Ftg.
Sq. Ftg.
'?vtr- ' ooil,S*
ztP: q Zy' 7f
-
tt
SIGN PERMIT APPLICATION
The application on the reverse side needs to be completed entirely. lf you are the sign contractor/installer, or if you are
hiring a contractor, you need to make sure that both the City of Springfield Business License Number and the Registration
Number f rom the State of Oregon Construction Contractors Board are listed on the application along with the expiration
date of each.
lf the sign you are proposing is illuminated, an electrical permit application also needs to be completed and signed by either
a supervising electrician, limited sign electrical contractor, or if you are the business owner who also owns the building in
which you are occupying, and you will be performing the electrical installation yourself, you may sign the electrical
a pplication.
lf there are existing wall and/or freestanding signs, a photograph(s) of oach oxisting sign needs to be attached to the
application. The size of each existing sign also needs to be listed on the application.
PLANS
To subrnit ior a sign permit, you need to prepare two complete sets of drawings showing all dimensions, total height, and
a plot plan irrdicating where the proposerj sign will be located. lf you are installing a freestanding sign which exceeds 20
f eet in total height, the footing detail needs to be prepared and stamped by a registered engineer. After the plan review
process is completed, and, if your sign(s) is approved, one set will be returned to you. The approved set of drawings need
to be at the site when an inspection is requested for the inspectors reference.
INSPECTIONS
Depending on your sign(s), you may be required to request one or all of the following inspections during the installation
ol your sigrt:
Site To be requested af ter indicatirrg on the lot where the proposed sign will be located but prior to any work
being performed for the installation of the sign. This inspection is required if there is a question on the
location of the proposed sign.
Footing: To be requested after excavation ar'rd the forrns are installed, but prior to pouring concrete. lf there will be
electrical conduit placed in the footing, it must also be in place prior to requesting this inspection.
Attachment: To be requested when all fasteners are installed but prior to cover.
Electrical: To be requested after the electrical connection to the sign is made, but prior to energizing,
Final: After all required inspections are conducted and approved and the sign installation is complete.
The inspectiqns that are required f or your specif ic sign will be indicated on the application during the plan review process.
Failure to request ANY of the required inspections could result in sign removal in order to inspect the sign at the required
intervals of work,
To request an inspection, phone 726'3769. This is a 24 hour recording. On the recording you will need to leave your City
Designated Job Number, location of where the sign is being installed, the type of inspection you are requesting, and whenyou will be ready for the inspection. All inspections called in to the recorder prior to 7:00 a.m. will be made the sameworking day, all inspections phoned in a{ter 7:00 a.m. will be made the following work day.
lf you have any questions regarding tlre application, required plans or inspections, please feel free to phone the Building
Safety Division at 726-3759.
City of Springtield
Building Sal'ety Division
225 Filih Sfreet
Springl'ield, OR 97477
I