HomeMy WebLinkAboutPermit Building 1991-08-27CO MM ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fifin Street, Springfield, Aregon 97477
SPFINGFIELO 7//4o/
h,
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:TAX LOT:a
PHON E:
STATE:ztP
L *
CITY:
ADDRESS:
OWNER
NEW
-
REMODEL Y ADDITION DEMOLISH OTHER VALUE: 5a22S"a
DESCRIPTION OF WORK:
ADDRESS PHON ENAME
EXPIRES PHONEADDRESSBACONTRACTOR'S NAME
ARCHITECT:
MECHANICAL:
ELECTRICAL:
PLUM BI N G:
G EN ERA L:
CONST.
CONTRACTOR #
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg
(new f ix. addtl)
Water Service
ft
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
MECHANICAL
NO trtrF CHA 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
System apart
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 POWER BUDGET:
WATER HEATER
OCCY GROUP:
* OF STORIES:
QUAD AREA:
g OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
VALUESQ. FT.
TOTAL VALUE OF PROJ
cl€
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SO. FTG OTHER
RCPT#DATEPLAN CHECK FEE BY
Uz .7?
BUILDING PERMIT 56-Zo PLUMBI NG DEMOLITION
5% State
Surcharqe ?-93 5% State
Surcharee
MECHANICAL FENCE
VALUE $
5% State
Su rch arq e
SIDEWALK
FT.
SUBTOTAL
PERM ITS
PAVING CU RBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
q.SU Sdzrt?.
/707-22-./D
$/so. FT.
fia-R,*r--.
- REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all inspections are made at the proper time. To reguest 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 pLUMB;NG, inspections have been made SpECIAL INSpECTIONS: tn accordance
ELECTRICAL & and approved' Section 306 of 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 duringCURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATTONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished io the Buildiig Division.
excavated and forms are facing materials and before
erected, all steel in place, but framing inspection' srRUcruRAL CoNCRETE: lnprior to placing concrete. FRAMING: To be made after excess of 2500 P.S.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made after ar insrab buirdins 3l::5 ::."]ff 3i6:I?,i,H;:r" ilI:,gyf3"t,Y"=tT',,rrr, ,,
service equipment, conduit, and vents are complete andpiping, accessories and other
incirr-rry equipment items are *: H::ljlt"j[,1'JJil:?::: 3l?Xf],?E}uol,l",?,o*'I]T"oin place but before any tighteiing 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.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.trenches. svH,'vv. spEclAL GRAD|NG,
,NDERFL..R: p,umbins I*:,S'"="'f;X*'J3[Hi"' iliilfiil*:lL:,5J:'i],"t
electrical, mechanical. To be accordlng 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
POST & 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'B.c'
insulation, decking or floor plastering is applied or before STDS' 25-10'11)'
sheathins' PJj::T,"t:iltl;5j"#!t srRUcruRAL MAS.NRy: (306
FLooR INSULATIoN & 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 SHEATHING AND
NAILING: Prior to installing
any roof covering.
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.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All proiect conditions such aslandscaping, parking lot stri ping, etc. must be completed beforerequesting this inspection.
\/ FINAL BUILDING: Requested after the final plumbing, etectricat,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until aCertificate of Occupancy has been issued by the Building Divisionand posted on the premises.
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 described herein, and that NO OCCUpANCywill be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employeeswho 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 tlme, that project address is readable from thestreet, that the t card is located at the front of the property, and the approved set of plans will remain on the site at alltimes duri n ctioD.
Signatu Date
VALIDATION AMOUNT RECEIVED ?
RECEIPT #. 2 //<1
DATE PAID
RECEIVED BY:
q i:V