HomeMy WebLinkAboutPermit Building 1999-09-29COM M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fitlh Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WOR
/7032
SPFINGFIELD
I Oz,
JOB NUMBER 3zf
INSPECTION LINE: 726-3769
OFFICE: 726-3759
7
ASSESSORS MAP;TAX LOT:Dn6
PHONE:
C2.a.STATE:
jowruen:
JADDRESS
) CITY:
6.*
NEW
-
REMODEL ADDITION DEMOLISH OTHE
a
T)-DESCRTPTTON OF WORK:a/J ' 7a-o s 7o u zy'aaz,
ADDBESS PHONENAME
R#EXPIRES PHONE
coNsT.
CONTRACTO
ELECTRICAL:
0. You mav
MECHANICAL:
CONTRACTOR'S NAME
ARCHITECT:
callinq ths c
GENERAL:
PLUMBING
MECHANICAL
N6 FFF NHARGF
Furnacei burner & vent
<100,000 BTUs
Furnace/burner & vent
>100.000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
IRFItrT
Appliance Vent
lFBsF|lnocr
ISPEBI\evap.Stationaivtlt6NOT'
{DONEI ; tdH ranrsinste
Vent System apa(
from AC or htg.
Mechanical exhaust
hood and duct
$10.00Permit lssuance
TOTAL PERMIT
PLUMBING
FFF CHARGENO.
Single Fixture
Relocated Bldg.(new fix. addtl)
Water Service
ft
NC TICE:Sanitary Sewer
ft
THII iPERMITSHStorm Sewer
ft.
AUI HORZEDUN
Backf low Device WI\IIVItr,I\UEUUI.
I rJv aJl.lI TEr
TOTAL PERMIT
ER
IS
- OFFICE USE -
LAND USE:
* OF UNITS:
HANDICAP ACCESS:
FLOOD PLAIN
TIGHTING POWER BUDGET:OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:WATER HEATER:
$/SQ. FT.VALUESQ. FT.
(>
K)?)TOTAL VALUE OF,PROJ
X
x
X
SQ, FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
DATEPLAN CHECK FEE BYRCPT#
BUILDING PERMIT PLUMBING DEMOLITION
State
Surch
l%' state
uurcharge
MECHANICAL FENCE
VALUE $
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
zte: ? 212 3
obtain copies of the rules lli
ADDRESS
REOUIRED TNSPECTIONS
It ls the r6sponslblllty of the permit holder to see that all lnspectlons are made at the proper time. To request an inspection, call
726-3769 (recorder), state your Clty deslgnated Job number, Job address, type of inspection requested and when you wlll be ready
for lnspectlon. Requests recelved before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be made
the followlng work day.
SITE INSPECTION: To be
made after excavatlon, but
prior to setup of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work ls 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
servlce equipment, conduit,
piplng, accessorles and other
ancillary equipment items are
ln place but before any
concrete is placed.
UN DERGROUND: Plumblng,
electrlcal, gas, sanltary seweL
storm sewer, water and
dralnage llnes. To be made
prlor to coverlng or filling
trenches.
UNDERFLOOR: Plumbing,
electrlcal, mechanical. To be
made prlor to installation of
floor lnsulatlon, decklng or
floor sheathlng.
POST & BEAM: To be made
prlor to lnstallatlon of floor
lnsulatlon, decklng or floor
sheathlng.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspectlons have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prlor to
materials and
PAVING: After gravel is in
place bUt prlor to placlng
asphalt or concrete.
SPECIAL INSPECTIONS: ln accordance
Section 306 of th6 State Specialty Code
a special inspector shall be employed
by the Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
Durlng all bolt installatlon and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U,BC.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
Durlng earthwork. (306 a.11 &
Chapter 29)
GLU-LAM BEAMS: lnspection
Certificate by an approved
agency, furnlshed to the City's
Bullding Dlvislon before
beams are placed. (2501 U.B.C.
STDS. 2s-10J1).
STRUCTURAL MASONRY: (306
a.7l
-ln addltion to the inspec-
tions specifled, the Building
Officlal may make or require
other inspections of any
constructlon work to ensure
compllance with the Building,
Clty or Development Code.
placing
before
-F
f ram lnspectlon STRUCTURAL CONCRETE: In
excess of 2500 PS.l. (306 a.1)ING: To be made after
roof, all framing, fire STRUCTURAL WELDS:
Performed on the iob. (2722 f)ocking and braclng are ln
place and all pipes, chlmneys
and vents are complete and
the rough electrlcal, plumblng HIGH STRENGTH BOLTING
LATH AND'OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
lnterlor and exterlor, ls ln
place but before any
plasterlng ls applled or before
gypsum board Jolnts and
fasteners are taped and
f inlshed.FLOOR INSULATION &
VAPOR BARRTERS: To be
made prlor to lnstallation of
decklng or floor sheathing.
MASONRY: Steel location,
bond beams groutlng or
vertlcals ln accordance wlth
uBc 2415.
RooF sHEATHTNG AND :HI3^H?fi"t:'o#""L"
NAILING: Prlor to lnstalllng erected but prlor to placing
any roof coverlng. concrete.
and mechanlcal are approved.
INSULATION & VAPOR
BARRIER: To be made after all
lnsulatlon and requlred vapor
barrlers are ln place but
before any lath or gypsum
board lnterior wall covering is
applied.
FIRE & SEPABATION WALL:
Located and constructed
according to plans.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavatlng complete and form
work and sub-base material in
place.
By slgnature, I state and agree, that I have carefully examlned the completed appllcation and do hereby certify that all lnformation
herein is true and correct, and I f urther certify that any and all work performed shall be done in accordance wlth the Ordinances
of the Clty of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work described hereln, and that NO OCCUpANCy
will be made of any structure wlthout permission of the Bullding Safety Dlvlsion. I further certify that only contractors and employees
who are ln compllance with ORS 701.055 will be used on thls project.
I further agree to ensure that all requlred inspections are requested at the proper tlme, that project address ls readable from the
street, that the permlt card ls located at the front of the property, and the approved set of plans wlll remaln on the site at all
DateSignature
times durlng constructlon
AMOUNT
RECEIPT
VALIDATION:fr:*w FIECEIVED BY:
DATE PAID:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
/*sf+f t e
l+\
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. AII proJect conditions such as
parklng lot striping, etc. must be completed beforels inspection.
L BUILDING: Requested after the final plumbing, electrical,
lcal and Fire Department inspectlons are made and
approved. No occupancy of the premises can be made until a
Certlficate of Occupancy has been issued by the Building Division
and posted on the premises.
?'7 2o"r'C (/F_AD€I<a
4
PLANS REVIEWED BY DATE
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