HomeMy WebLinkAboutPermit Building 1995-09-13CO M M ERC IAL/ IN DUSTRIAL
PERMIT APPLICATION
225 Fitlh Street, Springfield, Oregon 97477
!iPFIINGFIELO 251aan-JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:4a*r--revNfxu- @leL
ASSESSORS MAP:TAX LOI:
PHON E:
at 4-1STATE:ZIP
L-V
4-CITY:
ADDRESS:
OWNER
l37A M, HA\^/lz- bvv>
NEW
-
REMODEL ADDITION DEMOLISH OTHER o?n,qVALUE:
DESCRIPTION OF WORK:L- NE\ / MEryl
N4ECHANICAL:
PHONENAMEA.DDRESS
EXPI RES PHONE
77
ADDRESS
]surJ r-tf 3$64 u't
PLUMBING
ARCH ITECT:
ELECTRICAL:
CONTRACTOR'S NAME
GENERAL:Ar-
CONST.
CONTRACTOR ,
PLU MBING
NO.FEE CHARGE
Single Fixt ure
Relocated Bldg
(new f ix. addtl)
Water Service
ft
Sanitary Sewer
ft.
Storm Sewer
f t.
Backflow Device
TOTAL PERMIT
M ECHAN ICAL
Ntn FFF CHA TIG F
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 pa rat e
Stationary evap.
cooler
Vent Fan/Single
duct
Vent
f rom
Sys
AC
lem apart
or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
_ OFFICE USE _
LAND USE:
ZONING* OF UNITS:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
OCCY GBOUP:
I OF STORIES:
QUAD AREA:
r OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
35cn
TOTAL VALUE OF PROJ
X
X
X
SO. FTG MAIN
bLl. r lLr AUUtr)D
SO. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
/ 30 'o/
BUILDING PEHMIT b2,''PLU M BI NG DEMOLITION
5% State
Su rcharge 3.'3*/j ,ct 5% State
Su rc harqe 4oUaA b2';o
MECHANICAL FENCE
VALUE S
5% State
Surcharqe
SIDEWALK
FT.
SU BTOTAL
PERM ITS
PAVI NG CU RBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
-\
I \
Wet++z 5ppNAFLevo
It is the responsibirrty or the pe-rmit no[.,,. ":j,3Y:fPrJ]::::tJ:]: *,"1.op", time. ro request an inspection, ca,726'3769 (recorder), state your City designated iob number, job address, type of inspection requested and when you wi1 be readyfor lnspection. Requests received before 7:00 a.m. will be made the same working day, requests made af ter 7:00 a.m. will be madethe following work day.
slrE INSPECTIoN: To be RoucH PLUMBING, pAVtNG: After gravet js inmade after excavation, but ELECTRICAL & place but priorlo placingprior to setup of forms. MECHANICAL: No work is to asphalt or concrete.be covered until these
UNDERSLAB PLUMBING, inspections have been made SPECIAL INSPECT|ONS: tn accordanceELECTRICAL & and approved' section 306 of the state speciatty codeMECHANICAL: To be made ATT'^ nDAET --^-- - a special inspector shall be empr'oyeo--before any work ls covered. ATTIC DRAFT STOPS & by the Owner/ Contractor duringCURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: E,6E6, copy of the special testing reports shalt
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, all steel in place, but framing inspection. STRUCTURAL 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 a, insrab buirdins 3i::5:H..:ff 3ffi:::?f,';l:r" 8lx:,.TJJ3nt,Y5.rT,,rrr, ,,service equlpment, conduit, and vents are complete andpiping, accessories and other
incir-arv equipment items are ffiH::[#i""ii:fl JJ;[i::: Bl?XrTiE],?l[g,o*tlH:".
concrete is placed. |NSULATIoN & vApoR a.6)
BARRIER: To be made after allUNDERGROUND: Plumbing, insulation and required vapor SPRAYED ONelectrical, gas, sanitary sewer, barriers are ln pijce Urt ---
FIRE,ROOFING: U.B.C.storm sewer, water and before any lath or gypsum Standards 43-8.drainage lines. To be made board interior walltlvering isprior to covering or f illing applied.trenches. SPEC|AL GRAD|NG,
,NDERFL..R: prumbins i:::,S"":'fmX3[Hi"' Ef,lU1']il"^,:lL',fJb'lT,"ielectrical, mechanical. T6 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
pOST & BEAM: To be made interior and exterior, ls 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. 25'10,11).
sheathlng. - Sypsum board ioints and
fasteners are taped and STRUCTURAL MASONRy: (306
FLooR rNsuLATroN & finished. a.7\
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
vertlcals in accordance withuBc 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
SIOEWALK & 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 BuildingOfficial may make or require
other inspections of anycon$truction 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 informationherein is true and correct, and I further certi{y that any and all work performed shall be done in accordance with the ordinancesof the City of Springf ield, and the Laws of the State of Oregon pertaining to the work described herein, and that No 6CCUpANCywill 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.
requested at the proper time, that project address is readable from theproperty, and the approved set of plans will remain on the site at all
Date
times durln o co-astruction.
ignature
I further agree to ensure that all required inspections are
street, that the permit card ls located at the front of the
7
So.o tAMOUNT RECEIVED
RECEIPT #RECEIVED BY:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FtRE DEPARTMENT
slrE PLAN REvrEw BoARD: Must be requested 2 days in advanceof the date you wish inspection. Alr project conditionL such aslandscaping, parklng lot stri ping, etc. must be completed beforerequesting thls inspection.
FINAL BUTLDTNG: Requested af ter the finar prumbing, erectricar,mechanlcal and Fire Department inspections are male andapproved. No occupancy of the premises can be made until acertificate of occupancy has been issued by the Buirding Divisionand posted on the premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
VALIDATION:DATE PAID: