HomeMy WebLinkAboutPermit Building 1995-09-13!iPRINGFIELO
CO M M ERCIAL/ I N D USTRIA.
PERMIT APPLICATION
225 Fillin Street, Springf ield, Oregon 97477
LOCATION OF PROPOSED WOBK:
ASSESSOBS MAP:
Qrt,
JOB NUMBER
INSPECTION LIN E: 726'3769
OFFICE: 726-3759
IAX LOT:ffi+
STATE:ZIP
2 a
PHoNE: ?<//-de/ .<7//
CITY:
ADDRESS
OWNER
NEW
-
REMODEL ADDITION DEMOLISH OTHER VALU
DESCRIPTION OF WORK
NAME ADDRESS PHON E
EXPI RES PHONECONTRACTOR'S NAME
ARCH ITECT:
M EC HA N ICAL
PLUMBING
GENERA
CONST.
CONTRACTOR ,
ELECTBICAL:
CHARG E
Single Fixture
s
)
Relocated Bld
(new fix. addtl
Water Service
ft
Sanitary Sewer
ft
SI oiln Sewer
Backflow Device
TOIAL PERMII
Furnace/burner & vent<l S
RG
Furnace/burner & vent
BT
Floor furnace and vent
oormounted unit heater
pend e or
ntpliance
arate
o na evary p.
o rle
n ng e
duct
nt
tem apa
f rom or ht
Perm it lssuance $10.00
TOTAL PEBMIT
- OFFICE USE -
LAND USE:
* OF UNITS:
HANDICAP ACCESS:*
FLOOD PLAIN:
ZONING:
LIGHTING POWER BUDGET:
OCCY GROUP:
* OF STORIES:
OUAD AREA
/ OF BLDGS
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
"Ze<ar ___=2422_
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ, FTG ACCESS
SQ. FIG OTHER
PLAN CHECK FEE BCPT,DATE BY
<?Z7z-
BUILDING PERMIT alo PLUMBI NG DEMOLITION
5% State
Surcha
MECHANICAL
5% State
rcha
FENCE
VALU $5% State
Surch SIDEWALK
FT.
SUBTOTAL
PERMITSPAVI NG CUHBCUT
FT.SYSTEMS
DEVELOPM ENT
TOTAL PERMIT FEES
EXCLUOING ELECTRICAL
?-/r-
PLTJIVIBING
NO FFF
ft.
NN trtrtr
Mechanical exhaust
hood and duct
REQUIRED INSPECTIONS
It is the responsibillty of the permit hoiE-erIo see that all inspections are made at the proper time. To request an inspection, ca,726'3769 (recorder), state your city designated iob number, Job address, type of inspeciion requested and when you will be readyfor inspectlon. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:oo a.m. will be madethe following work day.
SITE INSPECTTON: To be
made after excavation, but
prior to setup of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel ln place, but
prior to placing concrete.
CONCRETE SLAB: To be
made after all lnslab building
gervice equipment, conduit,
piplng, accessories and other
ancillary equipment items are
in place but before any
concrete is placed,
UNDERGROUN D: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
dral nage lines. To be made
prlor to covering or filling
t re nc hes.
UNDERFLOOR: Plumbing,
electrlcal, mechanlcal. To be
made prior to installation of
f loor lnsulation, decking or
floor sheathlng.
POST & BEAM: To be made
prlor to lnstallatlon of floor
lnsulation, decking or floor
sheathlng.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to lnstallation of
decking or f loor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to lnstalling
any roof coverlng.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is ro
be covered until these
PAVING: Af ter gravel is inplace but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: tn accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owner/ Conlractor during
construction of the following work. Acopy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 PS.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREP ROOFING
Standards 43.8.
U,B,C,
SPECIAL GRADING,
EXCAVATION AN D FILLING:
During earthworl(. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: lnspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.C.
srDs. 25-10,11).
STRUCTURAL MASONRY: (306
a.7)
'ln ion to'th inspec
tions specified, the Building
Of f icial may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
i nsp
and
ectlons have been made
approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prlor to placing
facing materials and before
framing inspection.
FRAMING: To be made after
the roof, all framing, fire
blocking and braclng are rn
place and all plpes, chimneys
and vents are complete and
and mechanical are approved.
INSULATION & VAPOR
BARRIER: To be made after all
insulatlon and required vapor
barriers are ln place but
before any lath or gypsum
board lnterlor wall covering is
applied.
FIRE & SEPARATION WALL
Located and .constructed
accordlng to plans.
LATH AND'OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
lnterior and exterlor, ls ln
place but before anY
plasterlng ls apPlied or before
gypsum board Jolnts and
fasteners are taped and
fi nl shed.
SIDEWALK & DRIVEWAY:
Requlred for all concrete
paving within street right of
way, to be made after al I
excavating comPlete and form
work and sub'base material in
place.
CURB AND APPROACH
APRONS: After forms are
erected but Prior to Placing
concrete.
the rough electrical, plumbing HIGH STRENGTH BOLTING
x k{rtuZ,-,",
ring c
By slgnature, I state and agree, that I have carefully examlned 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 pertainlng to the work described herein, and that No oCCUPANCY
will be made of any structure without permission of the Buildlng Safety Divlslon. I further certify that only contractors and employees
who are in compliance with oRS 701.055 will be used on this pro.iect.
lfurther
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Sig Aatu re
ction
Date
VALIDATION
sz
RECEIPT.-#RECEIVED BY:
DATE PAID/ AMOUNT RECEIVED
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All proiect conditions such as
landscaplng, parklng lot striping, etc. must be completed before
requestlng thls insPection.
FINAL BUILDING: Requested af ter the f inal plumbing, electrical,
mechanlcal and Flre Department lnspections are made and
approved. No occupancy of the premises can be made until a
certiflcate of occupancy has been issued by the Building Divlsion
and posted on the Premises.#
PLANS REVIEWED BY DATE
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