HomeMy WebLinkAboutPermit Building 1992-09-13COMM ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
SPRI^lGFIELO JOB NUMBER q) I 3o3
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PBOPOSED WORK:
,h,
!80
)6 TAX LOTASSESSORS MAP:
3qs -qq bqPHONE:
ZIP:o{41c+0l
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH 12,90VALUER
DESCRIPTION OF WORK:
MECHANICALi
ELECTRICAL:
NAME ADDRESS PHONE
ADDRESS EXPIRES PHONE
a 5
lvs -8)-n
CONTRACTOR'S NAME
ARCHITECT
PLUM B I NG:
G EN ERAL:
CONST.
CONTRACTOR #
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
MECHANICAL
NO trFF 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
from
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
LAND USE:
ZONING
FLOOD PLAIN
LIGHTING POWER BUDGET:OCCY GROUP:
* OF STORIES:
QUAD AREA:
r OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
HANDICAP ACCESS:-
WATER HEATER:
SQ. FT.$/SQ. FT.VALUE
ie3qoI
TOTAL VALUE OF PROJ
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RCPT#DATE BY
s lD3 ry3
BUILDING PERMIT q? so PLU M BI NG DEMOLITION
5% State
Surcharge qp.3 5% State
Surcharge
MECHANICAL FENCE
VALUE $
5% State
Surcharoe
SIDEWALK
FT.
SUBTOTAL
PERMITSPAVINGCURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERIVIT FEES
EXCLUDING ELECTRICAL
O? oon
_ OFFICE USE _
* OF UNITS:
J REOUIRED INSPECTIONS E
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
made after excavation, but
prior to setup of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
FOOTINGS & FOUN DATIONS:
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 equi pment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before anY
concrete is Placed.
UNDERGROUND: PIumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made Prior to installation of
f loor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, 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
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
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
applied.
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 ls aPPlied or before
gypsum board joints and
fasteners are taPed and
f inished.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
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
by the Owner/ Contractor during
construction of the following work. A
copy of the special testing reportg shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. (2722 t\
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: lnspection
Certif icate by an approved
agency, furnished to the CitY's
Building Division before
beams are placed. (2501 U.B.C.
STDS. 25-10,11).
STRUCTURAL MASONRY: (306
a.7)a.of,--
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
way, to be made after all
excavating complete and form
work and sub-base material in
APRONS: After forms are
erected but prior to Placing
concrete.
6
.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.
verticals in accordance with place.
uBc 2415.
CURB AND APPROACH
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 Springf ield, and the Laws of the State of Oregon pertaining to the work described herein, and that No oCCUPANCY
will be made of any struciure 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.
inspections are requested at the propertime, that project address is readable from the
the front of the property, and the approved set of plans will remain on the site at all
vr'*?-=--Signat Date
I f urther agree to e
street, that the
times during
I requi
at
[03 ,la
VALIDATION
l.LLA L tt-
AMOUNT RECEIVED:
RECEIPT *:
-1F-DATE PAID:
RECEIVED
FINAL PLUMBING
FINAL ELECTR]CAL
FINAL MECHANICAL
FINAL FIRE OEPARTMENT
ADDITIONAL COMMENTS
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
certificate of occupancy has been issued by the Building Division
and posted on the P ISES
PLANS REVIEWED BY DATE