HomeMy WebLinkAboutPermit Building 1992-09-18CO M M ERCIAL/ I N DUST RIAL
PERMIT APPLICATION
225 Frtfi Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK ( Q-l
o o o('' 'r
SPRINGFIELE,
JOB NUMBER 4)t 30'
INSPECTION LINE: 726-3769
OFFICE: 726-3759
ASSESSORS MAP:c TAX LOT o:l o e
PHONE:
OQ ztPt qlqo t
v bae4s -OWNER:
ADDRESS
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OT VALUE:'35111o"
DESCRIPTION OF WORK
II4ECHANICAL:
NAME ADDRESS PHON E
EXPIRES PHONEESS3t'
CONTs :11^
CONTRACTOR'S NAME
ARCHITECT
ELECTRICAL:
CONST.
PLUMBING:
G EN ERAL:
PLU MBING
NO FEE CHARGE
Single Fixture
Relocated Bl
(new fix. add
dg.
t t)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MECHANICAL
NN FFF EHA 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
f rom
Sys tem apart
or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
LAND USE:
ZONING* OF UNITS:
HANDICAP ACCESS:
LIGHTING POWER BUDGET:
WATER HEATER
OCCY GROUP:
* OF STORIES:
QUAD AREA:
r OF BLDGS:
CONSTB. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
ocITOTAL VALUE OF PROJ
X
X
el
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
s q te.13
BUILDING PERMIT tlLl so PLUMBI NG DEMOLITION
5% State
Su rcharge 3)1 5% State
Su rcharoe
MECHANICAL FENCE
VALUE $
5% State
Su rcharqe
SIDEWALK
FT,
SUBTOTAL
PE RM ITS
PAVING CURBCUT
FT,
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
t-l oaelro
SZ
FLOOD PLAIN:
V 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.
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 SpEC1AL TNSPECTIONS: ln accordance
ELECTRICAL & and approved. Section 306 0f 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 during
CURTAIN WALLS construction of the followi ng 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, ail steel in place, but framing inspection' srRUcruRAL CoNCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made arter au insrab buirding 3l::5::.']ff 3,T::it",i,;;:r" FIR:,T"tf3"t,Y5l3ol',rrz oservice equipment, conduit, and vents are complete andpiping, accessories and other
anciriry equipment items are :X?'fl::Hlt"i[#'JJ;[3::: Bl?lf],?E],?H,?i#S:".in place but before any tighte;ing operations. (306concrete is placed. TNSULATTON & 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 isprior to covering or filling applied. SPECIAL GRADING,t renc hes.
,NDERFL..R: p,umbins ll::,S".=^fm'Jfl[Hl"' EfifUfii]#ii',5J:'i],'L
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 made interior and exierior, is in . Building Division before
prior to installation of floor place but before any beams are placed' (2501 u'Bc'
insulation, decking or floor plastering is applied or before STDS' 25-10'11)'
sheathing. - Sypsum 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.
f inished
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
uBc 2415.
RooF sHEATHTNG AND :Hl3^H?rtJ'"r:.of""l'.
NAILING: Prior to installing erected but prior to placing
any roof covering. concrete.
SIDEWALK & DRIVEWAYT
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.
a.7)
QooRn .,5
"ln addition to the inspec-
tions specif ied, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
FINAL PLUMBING
FINAL ELECTRICAL
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All project conditions such as
landscaping, parking Iot striping, etc. must be completed before
requesting this inspection.
FINAL BUILDING: Requested after the final plumbing, etectrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
Certificate of Occu been issued by the Building Division
and posted on the
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
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, 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 describe<j 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
inspections are requested at the propertime, that project address is readable from thed at the front of the property, and the approved set of plans will remain on the site at all
Z-Date
employeeswho are in compliance with ORS 701 will be used on this project.
I further agree to ensure
street, that the
times during
VALIDATION - t? ' 7-z--bZZ)/fu ut^--*-
3AMOUNT RECEIVED
RECEIPT #RECEIVED BY:
DATE PAID
x