HomeMy WebLinkAboutPermit Building 1994-04-14COM M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fitlh Street, Springfield, Oregon 97477
LOCATION OF PRO
ASSESSORS MAP
SPRIl.GFIELO JOB NUMBER
INSPECTION LINE: 726-3
OFFICE: 726-3759
TAX LOT:
PHONE:
1LezZ,zZ)ZIP:STATE:v vCITY:
ADDRESS
OWNER
NEW
-
FIEMODEL b// ADDITION DEMOLISH OTHER VALUE:
DESCRIPTION OF WORK
ARCHITECT:
CONST,
CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIBES PHONE
MECHANICALi
NAME ADDRESS PHONE
ELECTRICAL:
PLUM B I NG:
G ENERAL:
PLU MBING
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
NO FFtr CHA RGF
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall otlloor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
LAND USE:
ZONING
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
OCCY GROUP:
* OF STORIES:
QUAD AREA:
C OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
4oD,*TOTAL VALUE OF PROJ
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RC PT#DATE BY
75
a
BUILDING PERMIT,Wzt9,/ud PLU M BI NG DEMOLITION
5% State
Surcharge .7r 5% State
Surcharge
MECHANICAL FENCE
VALUE $5% State
Su rcharg e
SIDEWALK
FT.
SUBTOTAL
PERMITSPAVINGCURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
\
?747e
_ OFFICE USE -
* OF UNITS:
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.
S|TE TNSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is in
made after excavation, but ELECTRICAL & place but prior to placing
prior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB pLUMBING, inspections have been made SPECIAL INSPECTIONS: ln accordance
ELECTRICAL & and approved. section 306 0f the state Specialty code
MECHANTCAL: To be made _ a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor duri ng
CURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: E'DED| ^E. E 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' STRUCTURAL CONCRETE: ln
prior to placing concrete. FRAMINGr To be made after excess of 2500 P.S.l. (306 a'1)
coNcRErE sLAB: ro be l!:#:f; ilJ'iil'Jlfl;tl,? ," srRUcruRAL wELDS:
made after all inslab building place and all pipes, chimneys Performed on the iob. (2722f)
service equipment, conduit, and vents are complete andpiping, accessories and other the rough electrical, plumbing HIGH STRENGTH BOLTING:
ancillary equipment items are and melhanical are approved. During all bolt installation and
in place but before any tightening operations. (306
concrete is placed. TNSULATTON & VApOR a.6)
BARRIER: To be made after all
UNDERGROUNDT Plumbing, insulation and required vapor SPRAYED ON
electrical, gas, sanitary sewer, barriers are in place but FIREPROOFING: U.BC.
storm sewer, water and before any lath or gypsum Standards 43-8.
drainage lines. To be made board interior wall covering is
prior to covering or f illing applied. SpECIAL GRAD;NG,
t renc hes.
,NDERFL..R: p,umbins [:::,i'"'"'fl#Jfl[H]"' fi:iU1!iil-tll''5J:'i]'"1
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
f loor 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 made interior and exierior, is in Building Division before
priortoinstallationoffloorplacebutbeforeanybeamsareplaced.(2501U.Bc.
insutation, decking or f loor plastering is applied or before STDS' 25-10J1)'
sheathing.gypsumboardiointsand iasteners are tiped and STRUCTURAL MASONRY: (306
FLooR TNSULATToN & finished' a'71
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.
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 require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information
herein is true and correct,-anj 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 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 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 proiect address is readable from the
street, 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
DateSignature
t
times during construction
VALIDATION
7rAMOUNT RECEIVED
RECEIPT #RECEIVED BY:
DATE PAID
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 inspection. All project conditions such as
landscaping, parking lot stri ping, etc. must be completed before
requesting this insPection.
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
iertificate of Occupancy has been issued by the Building Division
and posted on the Premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE