HomeMy WebLinkAboutPermit Signage 1994-03-02SIGN PERMIT APPLICATION SPFINGFIELD JOB I.'-,I \L3
225 Fifth Street
Springf ield, OR 97 477
SITE ADDRESS 3
ASSESSORS MAP:
OWNER
ADDRESS:
CITY: 5
BUSINESS NAME, FIRTI/ ETC.:
Zfr,
lnspecti
726-3759 t /
PHoNE: 724- zt27
B
E
y(&,
STATE:ztP..? 7 {z 7
-tle ,g ntl atu t? E. f,g u r?
TAX LOT:
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
t-/Wutt
-Freestanding -Pro,iecting -Roof -Marquee-/-a/- Single Face
-
Double Face _ Billboard _ Other
Square Footage:4V
Vertical Dimension of sign or enclosure: C I
Dimension from Grade
to bottom of Sign Enclosure:
Electrical?(lf yes additional
Total Height above Grade:
Ho Width of sign or enclosure:
_ No VALUE
is required) OF SIGN:
oZl/oo
Material Sign is constructed of:tr/4 5J,.E nd L
List ALL existing signage and attach a photograph of each sign:EV / S *rt-1 3t lzs To
(a) Type
(c) Type
Sq. Ftg.
Sq. Fts.
(b) Type
(d) Type
Sq. Ftg.
Sq. Ftg.
CONTRACTOR/INSTALLER://t oRy',;v Bnr 5 tzns PHONE: 3 2-/7 6
79. Bo*. RdtTADDRESS:
CITY:,c STATE:2E zr:Q7/6>-
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER VibrY EXPIRES -q
CITY BUSINESS LICENSE NUMBEB:cr{PIRES:
OFFICE USE
Sign Di
Zoning:
Sign Permit Fee:
REOUIRED INSPECTIONS
_ Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
Attachment
after fasteners are
installed/prior to cover
V,^n
Completion of sign
installation
Use <,)3r)D Ouad Area:
Code Section:
Approved By:
(
Electrical
energizing
electrical installation
Additional Comments andlor Conditions:
By signature. I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereinis true and correct, and I further certify that any and all work performed shall be done in accordance with the ordinances of the City ofSpringfield, and the Laws of the State of oregon pertaining to the work described herein. I further certify that only contractors andemployees 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, thatthe permit card is located at the f ront of the property, and the approved set of plans will remain on the site at all times during the installationof the sign(s)
Signature Vt Date
Validation:
Receipt Number:
of)
Received By
2-
?Amount Received: 6C,Date Paid
g
ql
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 from 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 to install 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 application.
lf there are existing wall and/or freestanding signs, a photograph(sl of each existing sign needs to be attached to the
application. The size of each existing sign also needs to be listed on the application.
PLANS
To submit for a sign permit, you need to prepare two complete sets of drawings showing all dimensions, total height, and
a plot plan indicating where the proposed sign will be located. lf you are installing a freestanding sign which exceeds 20
feet in total height, the footing detail needs to be prepared and stamped by a registered engineer or architect. After the
plan review process is completed, and, if your sign(sl is approved, one set of plans 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
of your sign:
Site: To be requested after indicating 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 and the forms 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 inspections that are required for your sign installation 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 when
you will be ready for the inspection. All inspections called in to the recorder prior to 7:00 a.m. will be made the same
working day, all inspections phoned in after 7:00 a.m. will be made the {ollowing work day.
lI you have any questions regarding the application, required plans or inspections, please feel free to phone the Building
Safety Division at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
?
SIGN PERMIT APPLICATION-
225 Fifth Street
Springf ield, OR 97 477
SPRII{GFIELD JOB ' ,IBER Llptz;
lnspection Line: 726-3769h,
SITE ADDRESS:4o
ASSESSORS MAP:
owNER: m'ft. ACe
Dt3l
PHONE: 7 7>g
TAX
ADDBESS: V
CITY 'SpfZirya ''a/p STATE:ZIP:277r
BUSINESS NAME, FIRTVI -y'a ,,-l)q<
DESCRIPTION OF PRO
-t-{at
Single Face
Dimension from Grade
to bottom of Sign Enclosure:
Material Sign is constructed of:
Electrical lnstal
(lf yes additional
_ No VALUE
is required) OF SIGN
POSED SIGN(S): (please check and complete all appropriate information)
_ Freestanding _ Projecting _ Roof _ Marquee
Double Face _ Billboard _ Other
Square Footage: 7a I Total Height above Grade , .l c' /
Vertical Dimension of sign or enclosure:?Width of sign or enclosure:/o
oA/966
v/,nc/,;I fDr /__
List ALL existing signage and attach a photograph of each sign: FX tt/*4 5t ? /t/b Yo Er< n ,Prkr;Eis
(al Type
(c) Type
Sq. Ftg.
Sq. Ftg.
(b) Type
(d) Type
Sq. Ftg.
Sq. Ftg.
CONTRACTOR/I N STALLEB:R*)" Bnus it 2s PHoNE: 342- /"/f
ADDRESS:/
CITY:u rl, F
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER
SrArE: OQ-P- ze:a7y'6"-
(rtl
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
EXPIBES:
OFFICE USE
Sign Di
Zoning:
Use:
Code Section
Sign Permit Fee:OC Approved By:
REOUIRED INSPECTIONS
Ouad Area:
_ Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
Attachment
after fasteners are
installed/prior to cover
Yau"r,,""t l/ r,nr,
py'or to energizing ffi[ution of sign
dlectrical installation /nstallation
Additional Comments and/or Conditions
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereinis true and correct, and I further certify that any and all work performed shall be done in accordance with the ordinances of the city ofspringfield, and the Laws of the State of oregon pertaining to the work described herein. I further certify that only contractors andemployees 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, thatthe permit card is located at the front of the property,and the approved set of plans will remain on the site at all times duringof the sign
Signature V/,Date 3 - 2-
Validation:
(sl. )d,J
Receipt Number:?Received By /.,t", e-
the installation
Amount Received Date Paid:)') 7r/
f1 krZ
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 Irom 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 to install 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 application.
lf there are existing wall and/or freestanding signs, a photograph(s) of each existing sign needs to be attached to the
apptication. The size of each existing sign also needs to be listed on the application.
PLANS
To submit for a sign permit, you need to prepare two complete sets of drawings showing all dimensions, total height, and
a plot plan indicating where the proposed sign will be located. lf you are installing a freestanding sign which exceeds 20
feet in total height, the footing detail needs to be prepared and stamped by a registered engineer or architect' After the
plan review process is completed, and, if your sign(s) is approved, one set of plans 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
of your sign:
Site: To be requested after indicating 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 and the forms 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 inspections that are required for your sign installation 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 when
you will be ready for the inspection. All inspections called in to the recorder prior to 7:00 a.m. will be made the same
working day, all inspections phoned in after 7:00 a.m. will be made the following work day.
lf you have any questions regarding the application, required plans or inspections, please feel free to phone the Building
Safety Division at 726-3759.
City of Springfield
Building Safety Division
225 Fifth Street
Springfield, OR 97477
CO M M EItC!AL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fitil"r Street, Springfield, Oregon 97477
SPFlINGFIELO JOB NUMBER ?1an>
INSPECTION LINE: 726-3769
OFFICE: 726-3759h,
LOCATION OF PROPOSED WORK:60 w\.9^r)
ASSESSOBS MAP:./2 e3-29^==TAX LOT:
j1
=,r. 11t{ot
L
\.
PHON E:1a(;-?_gag
STATE:OY'L
CU.t^
ooL
CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
- ft<^,i"/6R"
Y)
r
VALU
",tu\4.,a/,\DESCRIPTION OF WORK:
-t-W^//t[o.\
NAME ADDRESS PHONE
EXPIRESADDRESS PHONE
t
CONTRACTO
GENERAL:
ARCHITECT:
ELECTRICAL:
PLUM BI N G:
MECHANICAL:
CONST.
CONTRACTOR #R'S NAME
Ifiwr Qe^-\^- G^rt
PLUMBING
NO.FEE CHARG EbSingle Fixture "/a 46
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
NO trFF CI{AEIGF
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 System apart
from AC or htg.
Mechanical exhaust
hood and duct4fiv,,a 2zZ /*'?
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
LAND USE
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
* OF UNITS:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
# OF BLDGS
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT,VALUE
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SO. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
%8."7
BUILDING PERMIT PLU M BI NG Zb.eo DEMOLITION
5% State
Surcharqe
5% State
Su rcharqe -,D3"MEcH4ryw ,*-a FENCE
VALUE $
5% State -
Su rcharoe .>,SIDEWALK
FT.
SUBTOTAL
PERM ITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT /*.5r
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
ZONING:
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
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 working day, requests made after 7:00 a.m. will be made
the following work day.
SITE INSPECTION: To be ( ROUGH PLUMBING, pAVtNG: After gravet 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: copy 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 place, but framing inspection' srRUcruRAL CoNCRETE: lnprior to placing concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made after ar insrab buirdins 3l::5 ::.':fl 3,T:ii?r,;;:r" ;:I3,"J"',X3"t H5f3of',rrr, ,,
service equipment, conduit, and vents are'complete andpiping, accessories and other
incirrary equipment items are n".';::[j,lt'ji:fl'jJ;[}:?: Bl?,lfl?E]nol|",?,o,"tl}t"oin place but before any tighte;ing operations. (306concrete is placed. INSULATION & 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 isprior to covering or fiiling appried. spEcrAL GRADTNG,trenches.
,NDERFL..R: prumbins l:::,S"":'f;m',J3[Hi"' EMfiiiltil:,5Jb']],'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
floor sheathing. BOARD: To be made after all Certificate by an approved
Iathing and gypsum board, agency, furnished to the City,s
poST & BEAM: To be made interiol and exierior, is in Building Division before
prior to installation of floor place but before any beams are placed' (2501 U'B.c'
insulation, decking or floor plastering is applied or before STDS' 25-1011)'
sheathing. - Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR INSULATIoN & 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 sHEATHTNG AND iHSS^Hi,ti'T'of""X'"
NAILING: Prior to installing erected but prior to placing
any roof covering. concrete.
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.
'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
Sig n atu re Date 2-7-?ftimes during ruction
VALIDATION ffi^%e2zAMOUNT RECEIVED:
RECEIPT *:RECEIVED BY:
DATE PAID:
X 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 aArE ?^2-27
JOB NO.??o v
ATTACHMENT BI
CITY OF SPRINGFIELD S.YSTEMS DEVELOPI'IENT CHARGE
I.IORKSHEET
(C0HHERCTAL & RESTDENTTAL)
NAHE OR COMPANY:
LOCAT ION:
DEVELOPMENT TYPE:
3.. TRANSPORTATION
NO OF UNITS X TRiP RATE X COST PER TRiP
2. SANITARY SEI^IER-CITY
NO. OF PFU'S
(See Reverse)
x
x
x
4. SANITARY SEI,IER-MI.IMC
FC
LOT SIZ
x 50.203 PER SQ. FT.s
X S42.OB PER PFU
x $424.3i
x $424.31
x $424.3i
$15.125 PER PFU + $10 MI,IMC ADM FEE
s
TOTAL-I'iIl,lMC SDC
SUBToTAL (ADD ITEHS 1,2,3 & 4)
$
BUILDING SIZE:. Ft.
s /-iG.=/
1 STORM DRAINAGI
TMPERVIoUS SQ. FT.
s
$
s
NO. OF PFU'S
(Use PFU Total From Item 2 Above)
HI,IMC CREDIT IF APPLICABLE (SEE REVERSE)
r /q.4
ADI.'IIN I STRATiVE FEES
CHARGE (SUBToTAL AB0VE) X .0s
ip i'di ck
SDC Coordinator
$ E-58
ToTAL sDC *#
ry2 /7
5
BAS
4'
4x
COM M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fitth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK;
ASSESSORS MAP:
SPRI,YGFIELE,JOB NUMBER
INSPECTION LIN E: 726-3769
OFFICE: 726-3759
TAX LOT:
STATE:ZIP:
PHoNE: 7-<-?F.?R
CITY:
ADDRESS:
OWNER
NEW
-
REMODEL ADDITION DEMOLISH OTHER LU
DESCRIPTION OF WORK:r'
ARCHITECT:
CONST.
PLUMBING:
MECHANICAL:
-
NAME ADDRESS PHONE
'S NAME EXPIRES PHONE
ELECTRICAL:
NTRACTOR #CONTRACTO
G EN ERA
PLU M BI NG
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft
Backflow Device
TOTAL PERMIT
MECHANICAL
NO trFtr CHARGE
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
from
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
LAND USE:
ZONING
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
OCCY GROUP:
Y OF STORIES:
OUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
* OF UNITS:
SQ. FT,$/SQ. FT.VALUE
2 4---F -aa
TOTAL VALUE OF PROJ
X
X
SQ. FTG MAIN
SQ, FTG ACCESS
SQ. FTG OTHEH
RCPT#DATE BYPLAN CHECK FEE 72q ///z {2
6=.7<
BUILDING PERMIT v8-5?PLUMBI NG DEMOLITION
5% State
Surcharqe /.rv 5% State
Surqharge
MECHANICAL FENCE
VALUE $
5% State
Su rch arg e
SIDEWALK
FT.
SUBTOTAL
PERMITS Jde7>
PAVING CURBCUT
FT,
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
?/e/=-
tD4
=2=a
- REQUIRED INSPECTIONS
It is the responsibility of the permit holderto 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:O0 a.m. will be made the same working day, requests made after 7:OO a.m. will be made
the following work day.
stTE |NSPECTION: To be x 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 specialty code
MECHANICAL: To be made _ a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & ny ine Owner/ Contractor during
CURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: E'hEh, 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 place, but framing inspection' srRUcruRAL CoNCRETE: ln
prior to placing concrete. l/ FRAMING: To be made after excess of 2500 P.S.l' (306 a'1)
coNcRErE sLAB: ro be ' $:#:L:[J'tsH:'nt]i ," srRUcruRAL wELDS:
made after all inslab building place aid all pipes,ihimneys Performed on the iob. (2722t)
service equipment, conduit, and vents are complete and
:fl1,?;".".T;"J:? ?i:'-.,"'TJ *?'fl'"$.",ligi:..X i,l;H:?: El?:fL?EI?l*,?,'"Tli".
in place but before any tightening operations. (306
concrete is placed. INSULATION & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SPRAYED ON
electrical, gas, sanitary sewer, barriers are in place but FIREPROOFING: U.B.C.
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 GRAD;NG,trenches.
,NDERFL..R: p,umbins ll::,fl""="'fl*'J3[Hf "' il;iUt'iiil-tl-''5Jb'j]'"i
electrical, mechanical. To be according to plans. Chapter 29)
made prior to installation of
ftoor insulation, decking or X LATH ANDToR 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
posr & BEAM: To be made interiol 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'gypsumboardjointsand 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 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
compliance with the Building,
City or Development Code.
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 oCCUPANCY
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 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
cti ontimes during con
Signature Date
7Z*2{VALIDATION {}aa---vRECEIVED BY:
DATE PAID:AMOUNT RECEIV
RECEIPT *:
Y FINAL PLUMBTNG
-,( FrNAL ELEcTRTcAL
-A FINAL MECHANICAL
f FINAL FIRE DEPARTMENT- -7\-
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: 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.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY D^rE 2 './/'7 7