HomeMy WebLinkAboutPermit Building 1999-09-27COM M ERCIAL/ I N DUSTRlAL
PERMIT APPLICATION
225 Fitlh Street, Springfield, Oregon 97477
SPRI'{GFIELO JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
3 lcLOCATION OF PROPOSED WORK:
ASSESSORS MAP:TAX LOT
PHONE:{-l s
ZIP:
D
c>LSTATE:
.3s-e-8, r.\nrs Vr z-z* fuOWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER VALUE:
DESCRIPTION OF WORK:
trtrr\uAtrilr-al.
NAME ADDRESS PHONE
ADDRESS EXPIRES PHONE
("
ELECTRICAL:
CONTRACTOR'S N
ARCHITECI
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
PLU MBING
NO FEE CHARGE
I Single Flxture /o .f/rd
Relocated Bldg.
(new fix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft.
Backtlow Device
TOTAL PERMIT / 5?o
MECHANICAL
NN trtrF NHA tr^tr
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.
c.ooler
Vent Fan/Single
duct
Vent
from
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
LAND USE:
* OF UNITS:
HANDICAP ACCESS:
LIGHTING POWER BUDGET:
ZONING:
OCCY GROUP:
'+ OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE;
HEAT SOURCE:WATER HEATER:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF,PROJ
x
x
X
SQ. FTG MAIN
SQ, FTG ACCESS
SO. FTG OTHER
DATEPLAN CHECK FEE BYRCPT#
/4,tu
BUILDING PERMIT PLUMBING /;,@ DEMOLITION
7% state
Surcharqe #;?',*f" /?r*4 f /,ro
MECHANICAL FENCE
VALUE $
-
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PEBMIT FEES
EXCLUDING ELECTRICAL
Y
0
FLOOD PLAIN:
7%stare
Surcharoe
REOUIRED INSPECTIONS
It ls the responsiblllty of the permit holder to see that all lnspectlons are made at the proper time. To request an inspection, call
126.g769 (recorder), State your City designated job number, job address, type of inspection requested and when you will be ready
for inspeclon. 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 |NSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is in
made after excavation, but ELECTRICAL & place but prior to placing
prior to setup of forms. Il"=;j/:X."lli Norryork is to asphalt or concrete'
UNDERSLAB pLUMBING, inspections have been made SPECIAL INSPECTIONS: ln accordance
ELEGTRICAL & and approved. Section 306 of the State Specialty Code
MECHANICAL: To be made a special inspector shall be employed
before any work ls covered. ATTIC DRAFT STOPS & ny ine Owner/ Contractor during
CURTAIN WALLS construction of the following work. A
FoOTtNGs & FouNDATIoNS: E,DEDT AnE. r copy of the special lesting reports shall
To be made after trenches are FIREPLACE: Prlor to placing be furnished to the Building Division.
excavated and forms are faclng materlals and before
erected, all steel ln place, but framing inspectlon' srRUcruRAL CoNCRETE: ln
prlor to placing concrete. FRAMING: To b€ mado aft€r excess of 2500 PS.l' (306 a'1)
coNcRErE sLAB, ro be H:J,ffilji|j,]'iil'Jlfl;t[,? ,n srRUsruRAL wELDS:
made after all lnslab bulldlng ptace aid all ptpes,ihimneys Performed on the iob. (2722 l)
servlce equlpment, conduit, ind vents are'cbmplete ancL
!1,'J'?,?;""".t;:{L? ?i:l":'::J *?'fl::["",lHI':,X'XJ;139:1Y 5l|,lfI?E]*ol[,?P*lST".ln place but before any tlghtenlng operatlons, (3Oo
concrete ls placed. INSULATTON & VApOR a,6)
BARRIER: To be made after all
UNDERGROUND: Plumblng, insulation and required vapor SPRAYED ONelectrical, gas, sanitary sewer, barriers are ln place but FIREPROOFING: U.BC.
storm sewer, water and before any lath or gypsum Standards 43-8.
dralnage llnes. To be made board interior wall covering is
prlor to covering or filling applied. S'ECIAL GRAD'NG,trenches.
,NDERFL..R: p,umbins I*:,$'"="'fl*'J3l:Hl"' ilifIt'iil-til:,5Jb'i|"t
electrlcal, mechanical. To be according to plans. chapter 29)
made prior to installation of
floor insulatlon, decklng or LATH AND/oR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathi;S: -- 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 lnterior and exierlor, ls in - Building Division before
prlor to lnstallation of floor place but before any beams are placed' (2501 u'Bc'
lnsulation, decklng or floor irlastering ls applied or before STDS' 25-10J1)'
sheathlng. gypsum board ioints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR INSULATToN & finlshed' a'7\
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams groutlng or
vertlcals ln accordance with
UBC 2415.
r
ROOF SHEATHING AND
NAILING: Prlor to lnstalllng
any roof coverlng.
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 requlre
other inspections of any
construction work to ensure
compliance with the Building,
Clty or Development Code.
By signature, I state and agree, that I have carefully examlned the completed appllcation and do hereby certify that all information
herein is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances
of the City of Sprlngfield, 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 compllance 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
street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln on the site at all
Signat Date
times durlng on
,/z -*VALIDATION:AMOUNT RECEIVED:
2RECEIPT *: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 inspectlon. All project conditions such as
landscaping, parking lot striping, etc. must be completed before
requesting this lnspection.
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 DATE