HomeMy WebLinkAboutPermit Demolition 1997-04-20CO M M ERCIAL/ I N DUSTRIAL
PERMTT APPLICATION
225 Fifil-r Street, Springfield, Oregon 97477
LOCATION OF PBOPOSED WORK:
ASSESSORS *o.' /^-2<'2"r -
SPRIHGFIELO JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:
a; arzrt
PHONE:
ZIP:STATE:
OWNEB
ADDRESS
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER VALUE
DESCRIPTION OF WORK:
ir trr\LJ A Nll^A t .
trr trnTtrtaa I
NAME ADDRESS PHONE
EXPIRES PHONECONTRACTOB'S NAME
ARCHITECT
CONST.
NTRACTOR #
PLUM BI NG
GENERA
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MECHANICAL
NN trtrtr NHA EGF
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.
cool er
Vent Fan/Single
duct
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
LAND USE:
ZONING
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
OCCY GROUP:
Y OF STORIES:
QUAD AREA:
I OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
* OF UNITS:
SQ. FT.$/so. FT.VALUE
TOTAL VALUE OF PROJ
X
X
x
SQ. FTG MAIN
SO. FTG ACCESS
SQ, FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
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BUILDING PERMIT PLU M BI NG DEMOLITION ./g.n5% State
Surcharge
5% State
Surcharoe B -Oa. -<</
MECH,ANICAL FENCE
VALUE $
5% State
Surcharge
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CU RBCUT
FT.
SYSTEMS
OEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
A
?-?'
REOUIRED INSPECTIONS
It is the responslbility 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 TNSPECTTON: To be ROUGH PLUMBING, PAVING: After gravel is in
made after excavation, but ELECTRICAL & place but prlor 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: ln accordance
ELECTRICAL & and approved. Section 306 of the State Specialty Code
MECHANICAL: To be made a special inspector shall be employed
before any work ls covered. ATTIC DRAFT STOPS & Oy ine Owner/ Contractor during
CURTAIN WALLS construction of the following work. A
FOOTTNGS & 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, all steel in place, but framing inspection' STRUCTURAL CONCRETE: ln
prior to placlng concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
coNcRErE sLAB: ro be Ll:#:ljilJ'3[Xlfl;tX[ ," srRUcruRAL wELDS:
made after all inslab building place aid all pipes,ihimneys Performed on the iob, (2722f)
service equipment, conduit, and vents are complete and
:#fi,?;""".",:;il:? ?,f.:'::J ffi H::l#t"i[,l'JJ;i:?:t: Bl?:f],?E],?lx",1,o"'lH1"oin place but before any tightenlng operations. (306
concrete is placed. INSULATTON & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumblng, insulation and required vapor SPRAYED ONelectrical, gas, sanltary sewer, barriers are ln place but FIREPROOFING: U.BC.storm sewer, water and before any lath or gypsum Standards 43-8.dralnage lines. To be made board interior wall covering is
prior to covering or filling applied. SPECIAL GRADING,trenches.
,NDERFL..R: prumbins I:?:,S'"="HA'Jfl[gi"' El;fUtiiil-tii.:,5J:'j],"1
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 Certif icate by an approved
lathing and gypsum board, agency, furnished to the city's
posr & BEAM: To be made interiol and exierior, is in ' Building Division before
prior to lnstallailon of floor place but before any beams are placed' (2501 u'Bc'
insulation, decklng or floor plastering is applied or before STDS' 25-1011)'
sheathlng. Sypsum board Joints and
fasteners are taped and STRUCTURAL MASONRY: (306
a.7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
vertlcals in accordance with
UBC 2415.
f inished
RooF sHEATHTNG AND iHRS^NifI'"t::#""1'"
NAILING: Prlor to installlng erected but prior to placing
any roof coverlng. 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.
X
'ln addition to the inspec-
tions specifled, the Bullding
Official may make or require
other inspectlons of any
construction work to ensure
compllance with the Building,
City or Development Code.
re ,7 ,Z
By slgnature, I state and agree, that I have caref ully examlned 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 pertainlng 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 compllance wlth ORS 701.055 wlll be used on thls project,
I further agree to ensure that all requlred inspections are requested at the proper tlme, that project address ls readable from the
property, and the approved set of plans wlll remaln on the slte at all
DateSigna V e"- ?z
ls located at the front of thpermlt
on.
street, that the I
times during co
\2 2
RECEIPT *:RECEIVED BY:
DATE PAID:o*frI*."=,r.o,
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE OEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All prolect conditions such as
landscaping, parking lot stri ping, etc. must be completed before
requesting this inspection.
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanlcal 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 premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
VALIDATION: