HomeMy WebLinkAboutPermit Building 2020-09-18COM M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:
SPFlIr.GFIELO
JOB NUMBE n 4? l3o]
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:O?J ooASSESSORS MAP:l-l oa a:l /o
\Y\O PHONE
ae ZIP:
3qs - qq LqOWNER:
ADDRESS:
CITY:
Qz .,,.nnl C^ l1o o!,
NEW
-
REMODEL ADDITION DEMOLISH 6
OT HER VALUE: l/, igs"
DESCRIPTION OF WORK:
NAME ADDRESS PHONE
ADD RESS E
5
3+s-8)7
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
EXPIRES
PLUMBING:
G ENERAL:
CONST.
CONTRACTOR #
PLUMBING
NO.FEE CHARG E
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
NO trFtr 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
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
_ OFFICE USE _
ZONING
LAND USE
HANDICAP ACCESS:
FLOOD PLAIN:
LIGHTING POWEB BUDGET:
WATER HEATER:
* OF UNITS:
OCCY GROUP:
* OF STOFIIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ I I 85
X
X
X ,ll
SO. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
u q-l .t3
BUILDING PERMIT Qa \a PLUMBING DEMOLITION
5% State
Su rcharqe Ll ur 5% State
Surcharoe
MECHANICAL FENCE
VALUE $
5% State
Surcharqe
SIDEWALK
FT.
SUBTOTAL
PE RM ITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
S<a A,t- olr,, ALo
ARCHITECT:
-
REOUIRED 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:OO 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: 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 duringCURTAIN WALLS construction of the following w6rk. A
FOOTTNGS & FOUNDATTONS: 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 steet in ptace, but framing inspection' srRUcruRAL CoNCRETE: ln
prior 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 arter a, insrab buirdins Biff5::.'1ff |ffi:It";;l:r" E]I3,T.'X3".,Y5tT',rrr, ,service equipment, conduit, and vents are complete andpiping, accessories and other
incir-ary equipment items are :i?H::[j]i""ji:,1'jJ;[l:i: 3l?Xf],?E]-"1*g,t*1]:".in 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.B.C.storm sewer, water and before any lath or gypsum Standards 43_8.drainage lines. To be made board interior wall covering is
l;::;:":"*rins or fillins apptied. spEctAL GRADTNG,
,NDERFL..R: p,umbins II?:,S';?"*'J3[H]"' EfiiJt'iiil-tli:,5Jb'l],"1
electrical, mechanical. To be according to plans. chapter 29)
made prior to installation of
ftoor 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'B.C'
insulation, decking or ftoor plastering is applied or before STDS' 25'10J1)'
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.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
uBc 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
f inished
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.
a.7)
o t
FINAL PLUMBING 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 striping, etc. must be completed before
requesting 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 a
Certificate of Occupancy has been issued by the Building Divisionand posted on premises
FINAL ELECTRICAL
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 f urther 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 OCCUpANCynofthe Building safety Division. I further certify that only contractors and employees
used on this project.
I f urther agree to ensure t lre ired i tions are requested at the propertime, that project address is readable from the
street, that the permit loc d front of the property, and the approved set of plans will remain on the site at all
times during const
f z-'
will be made of any structure without permissio
who are in compliance with ORS 701.055 will
Si Date
VALIDATION AMOUNT RECEIVED:
RECEIPT g:
DATE PAID
RECEIVED BY:
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