HomeMy WebLinkAboutPermit Building 1992-06-17COM M ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
SPRINGFlELO JoB NUMBEa ?=-egZ-
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK AZ
ASSESSORS MAP TAX Lor: O *- '
PHONE:
STATE ztP
ADDRESS
CITY:
224VALUE
DESCRIPTION OF WORK:
NAME ADDRESS PHONE
R#ADDRESS EXPI RES PHON ECONTRACTOR'S NAME
ARCHITECT:
ELECTRICAL:
CONST.
CONT
GENERAL:
PLUM BI NG
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg
(new f ix. addtl)
Water Service
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MECHANICAL
Nr)FFF CHA 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 $10.00
TOTAL PERMIT
- OFFICE USE _
LAND USE:
ZONING* OF UNITS:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWEB BUDGET:
WATER HEATER:
OCCY GROUP:
g OF STORIES:
QUAD AREA:
r OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SO. FT.$/SQ. FT,VALUE
TOTAL VALUE OF PROJECT
X
x
X
SQ. FTG MAIN
SO. FTG ACCESS
SQ. FTG OTHER
pLAN cHEcK FEE?S, C > Rcpp DATE BY
65. /6
BUILDING PERMIT 3g-so PLUMBI NG DEMOLITION
5% State
Su rcharge /- 2=5% State
Surcharqe
MECHANICAL FENCE
VALUE S Zs,r ?fr#:zf 22
5% State
Su rcharqe
SIDEWALK
FT.
SUBTOTAL'
PERMITS z/r. q7
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERN4IT FEES
EXCLUDING ELECTRICAL
trtrnuAf,ilnAt.
ft.
.1. REQUTRED TNSPECTIONS -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.
SITE INSPECTION: 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: tn accordance
ELECTRICAL & and approved. Section 306 0f the State Speciatty 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. AV FOOTTNGS & FOUNDATTONS: copy of the special testing reports shall
i"-;;;;J.;fter trenches are FIREPLACE: Prior to placing be iurnished io the Buitding Division.
excavated and forms are facing materials and before
erected, ail steel in ptace, but framing inspection'
-
srRUcruRAL CoNCRETE: ln
prior to placing concrete. V FRAMING: To be made after excess of 250O P.S.l. (306 a.1)
coNcRETE SLAB: To be ' the roof' all framing' fire
made arter ail insrab buirding 3i::5 ::.':fi 3lE:It"f,;;:r" BIR:,.TyI3l.Y5tT',rrr, ,service equipment, conduit, and vents are complete andpiping, accessories and other
incin-ary equipment items are :i?H::Hl["ji:,1'iJ;[i:1: Bl?lf],?Eo]uoT*,?i,,T]X"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.BC.storm sewer, water and before any lath or gypsum Standards 43-8.drainage lines. To be made board interior wall covering isprior to covering or f illing applied. SPECIAL GRAD,NG,trenches.
,NDERFL..R: prumbins H:,S"5:"m'Jfl[Hf"' il;iJfiiil-tlP,5Jh'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
Iathing and gypsum board, agency, furnished to the city's
poST & BEAM: To be made interiol and exierior, is in Building Division before
prior to installation of floor place but before any beams are placed' (2501 U'B.c'
insulation, decking or floor flastering is applied or before STDS' 25-1011)'
sheathing. ' Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR TNSULATToN & finished' a'7)
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 sHEATHTNG AND :Hl3^H?,ti",:'of""X'"
NAILING: Prior to installing erected but prior to placing
any roof covering. concrete.
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.
*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 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 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
is located at the front of the property, and the approved set of plans will remain on the site at all
Signatu Date
he
proper time, that project address is readable f rom the
street, t
times d g ru ct
VALIDATION AMOUNT RECEIVE
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 this inspection.
FTNAL BUILDING: Flequested 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 D^rE4-/6-<2--
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