HomeMy WebLinkAboutPermit Building 1998-05-05u6B
COM M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fitlh Street, Springfield, Oregon 97477
SPAlNGFIELE,JoB NUMBEa ?2?r<'72
INSPECTION LINE: 726-3769
OFFICE: 726-3759
7qLOCATION OF PROPOSED WORK
ASSESSORS MAP:TAX LOT:
PHONE:
'rtl*tZIP:
I t
STATE:
OWNER
ADDRESS;
CITY:
NEW
-
REMODEL t .- ADDITION DEMOLISH OTHER
UlA.
VALUE: 8:eaa , DDESCRIPTION OF WORK:
irEnuANlt^At.
NAME ADDRESS PHONE
EXPIRES PHONE
/o
o
ARCHITECT
ELECTRICAL:
7(b"3too
CONTRACTOR'S NAME
CONST.
CONTRACTOR #
G EN ERAL:
PLUMBING bbqlk Tzt-?t -7
P
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new f ix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MECHANICAL
NN FFF EHA RGF
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 duct
Permit lssuance $10.00
- OFFICE USE -
LAND USE:
ZONING* OF UNITS:
HANDICAP ACCESS:
FLOOD PLAIN:
LIGHTING POWER BUDGET:
WATER HEATER:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPEr
HEAT SOURCE:
VALUESQ. FT.$/SQ. FT.
TOTAL VALUE OF PROJ
x
x
X
SQ. FTG MAIN
SO. FTG ACCESS
SO. FTG OTHER
PLAN cHEcK FEE ?1 93 RCPT#DATE BY
BUILDING PEHMIT €B,P PLUMBING DEMOLITION
5% State
Su rcharge tr ,.7=2 -ba 5% State
Surcharoe
MECHANICAL FENCE
VALUE $
5% State
Su rcharqe
SIOEWALK
FT.
SUBTOTAL
PERMITS 77,fi
PAVING CURBCUT
FT,
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
//9,52
,4.
-9<
x
ADORESS
SnW*r*T \t&o B SkthZL*Llzr-
I
TOTAL PERMIT
.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.
made after excavation, but ELECTRICAL & plece but prior to placing
prior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB pLUMBlNc, inspections have been made SpEC1AL ;NSpECTIONS: tn 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 to the Building Division.
excavated and forms are facing materials and before
erected, alt steel in place, but framing inspection'
-
srRUcruRAL CoNCRETE: ln
prior to placing concrete. ,{ FRAMING: To be made after excess of 2500 P.S.l. (306 a.1)
CONCRETE SLAB: TO bE thE TOOf, AII fTAMiNg, fiTC
-
STRUCTURAL \
made arter ail insrab buirdins 3l::5 ::.":ff 3l'3:It";,;l:r" ;ln3,.Tyf3"t,Y5tT',rrr, ,service equipment, conduit, and vents are complete andpiping, accessories and other
incirrary equipment items are ffiH::[j,]i"""'l:,1'jJ;[l:t: Bl?,:f],?E]nol,l",?1,]l}t"oin place but before any tighte-ning 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.B.C.storm sewer, water and before any lath or gypsum Standards 43-8.drainage lines. To be made board interior wall covering is
irrJ::;:":*"ring or fillins apptied. spEctAL GRAD,NG,
,NDERFL..R: p,umbins [ll:,S'"'"? HJ8[HI"' il!tt'iiil#ll',5Jb'i],"i,
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
lathing and gypsum board, agency, furnished to the city's
posr & BEAM: To be macle interior and exierior, is in Building Division before
prior to lnstatlation of floor place but before anv !?flX"#?flaced' (2501 U BC'
insulation, decking or floor plastering is applied or before Drr'JD' z:)-ru'rr)'
sheathing. - gypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLOOR INSULATION &
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.
f inished
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.
a.7)
*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 informationherein 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 OCCUpANCywill 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.
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from thestreet, 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
Signature Date 5-s-
times during con
VALIDATION
,/'?-
RECEIVED BY:
DATE PAID:
RECEIPT *:
EIVEDnr'lro(Jirc
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE OEPARTMENT
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
requestlng this inspection.
FINAL BUILDING: Requested after the final ptumbing, electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until aCertificate of Occupancy has been issued by the Buitding Division
and posted on the premises.
ADDITIONAL COMMENTS:
--
PLANS REVIEWED BY DATE 5-9 ^7a
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