HomeMy WebLinkAboutPermit Building 1999-07-309g!,! M E RC|A L/ I N D U ST R tA LPERMIT APPLICATION "-
225 Fitth Street, $pringfield, Oregon g7471
JoB NUMBEa V/alD
I NSPECTION LtNE: 726-3769
OFFICE: 226-3259
SPFINGFIELD
LOCATION OF PHOPOSED WOBK:a
ASSESSORS MAP:2oz ,ZEn
TAX LOT:
PHONE:
ZIP:STATE:
OWNER:
ADDRESS:
CITY:
to OTHER VALUE:29*.
DESCRIPTION OF WORK:
NEW- BEMODEL
NAME ADDRESS PHONE
EXPIRES PHONE
ELECTRICAL:
ARCHITEC-I:
CONTRACTOR'S NAME
MECHANICAL:
GENERAL:
PLUMBIN
CONST,
CONTRACTOR #
PLUMBING
NO.FEE CHARGE2Single Fixture //a ?AP
Relocated Bldg
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
NO FFF C}.IA RGtr
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
from
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
LAND USE:
ZONING:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
* OF UNITS:
$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
x
x
X
SQ. FTG MAIN
SO. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
BUILDING PERMIT v6,fu PLUMBING 22.n DEMOLITION
y' 7o State
Surcharge
2 >a/A l%' $tale
!iurcharoe
,/. c/a,ka
MECHANICAL FENCE
VALUE $
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
6/,74TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
/t
:_@
SQ. FT.
It ls the resPonsibllltY of
7 26-37 69 (record e r), state
for insPection. Requests
the following work daY'
SITE INSPECTION: 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 in Place, but
prior to Placing concrete.
CONCRETE SLAB: To be
made after all inslab building
service equiPment, conduit,
piping, accessories and other
ancillarY equiPment items are
in place but before anY
concrete is placed.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
dralnage lines, To be made
prior to covering or f illing
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to installation of floor
lnsulation, decking or floor
sheathing.
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 24"15.
ROOF SHEATHING AND
NAILING: Prlor to installing
any roof coverlng.
ROUG
ELECTRI
MECHANICAL: NO WOTK
be covered until these
inspections have been made
and aPProved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
PAVING: After gravel is in
Place but Prior to Placing
asPhalt or concrete'
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
bv the Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
REOUIRED INSPECTIONS
the permlt holder to see that all lnspectlons are made at the proper time' To request an inspection' call
your city designated job number, JoU aOOress, iype ot inspection requested and when you will be ready
received before 7:OO a.m. will be made the same working day, requesis made after 7:00 a m' will be made
is to
FIREPLACE: Prior to Placing
facing materials and before
framing insPection.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all PiPes, chimneYs
and vents are comPlete and
the rough electrical, Plumbing
and mechanical are aPProved.
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vaPor
barriers are in place but
before anY lath or gYPsum
board interior wall covering is
:rpplied.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
interior and exterior, is in
place but before any
plastering is applied or before
gYPSum board joints and
fasteners are taped and
f inished.
S]DEWALK & 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.
STRUCTURAL CONCRETE: IN
excess of 2500 P.S.l. (3OO a.1)
STRUCTURAL WELDS:
Performed on the iob. (2722 l)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
During earthwork. (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. 25-10J1).
STRUCTURAL MASON RY: (306
a.7l
*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 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 Clty 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 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 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
times during construction.
"7-3o_11SignatureDate
VALIDATION AMOUNT 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. AII project conditions such as
landscaping, parking lot striping, etc. must be completed before
requesting thls inspectlon.
,V 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
Certlficate of Occupancy has been issued by the Building Division
and posted on the premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
i
Q-La
44.%
-+