HomeMy WebLinkAboutPermit Building 1993-03-29COM M ERCIAL/ I N DUSTRIAL
PERM!T APPLICATION
225 Fifth Street, Springfield, Oregon 97477
SP'IINGFIELO JOB NUMBER ?aazoz
INSPECTION LINE: 726-3769
OFFICE: 726-3759h,
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:TAX LOI a2%6
PHONE:
52ftP.STATE:E-
a
a3-ztp,%CITY:
ADDRESS
OWNER:
NEW
-
REMODEL Y ADDITION DEMOLISH OTHER VALUE
qD
DESCRIPTION OF WORK:
NAME ADDRESS PHONE
EXPIRES PHONEADDRESS2:r,*:*
PLUM BI NG %aZ,%-GENERAL:
MECHANICAL:
ELECTRICAL:
CONTRACTOR'S NAME
ARCHITECT:
CONST.
CONTHACTOR #
PLU MBIN GNo. I FEE CHARG E
q Single Fixture ,/D /a.*
Relocated Bldg.
(new f ix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backflow Device
TOTAL PERMIT ru *
MECHANICAL
NO trFF (:HA FIGF
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 *za
- OFFICE USE _
LAND USE:
ZONING* OF UNITS:
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
OCCY GROUP:
# OF STORIES
QUAD AREA:
S OF BLDGS:
VALUESQ. FT
TOTAL VALUE OF PROJECT
SQ. FTG MAIN
SO, FTG ACCESS
SO. FTG OTHER
RCPT#DATEPLAN CHECK FEE BY?3
9a,77
/o,*DEMOLITION4%53 PLUMBI NGBUILDING PERMIT
5% State
Su rcharoe Z.n?.?95% State
Su rcharg e
FENCE
VALUE $
MECHANICAL
SUBTOTAL
PERM ITS
SIDEWALK
FT.
5% State
Su rcharge
SYSTEMS
DEVELOPMENT /0L4-4CURBCUT
FT.
PAVING
$/SQ. FT.
CONSTR. TYPE:
HEAT SOURCE:
28.
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
REOUIRED INSPECTIONS V
It is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call
726-3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready
for inspection. Requests received before 7:O0 a.m. will be made the same working day, requests made after 7:00 a.m. will be made
the following work day.
SITE INSPECTION: To be y ROUGH PLUMBING, PAVING: After gravet is in
made after excavation, but ELECTRICAL & place but prior to placing
prior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB pLUMBING, inspections have been made SpEC;AL ;NSpECT;ONS: tn accordance
ELECTRICAL & and approved. Section 306 of the State Speciatty Code
MECHANICAL: To be made a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & oy ine ownei/ Contractor duri ngCURTAIN WALLS cbnstruction of the following w6rk. A
FOOTTNGS & FOUNDATIONS: cooy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished 1o the Building Division.
excavated and forms are facing materials and before
erected, all steel in place, but framing inspection'
-
srRUcruRAL CoNCRETE: lnprior to placing concrete. V FRAMING: To be made after excess of 2500 PS.l. (3OO a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made arter au insrab buirdins 3l::5 !:.":fl 3ffi:It"f,H;:r" ;$:,flyJ3l,YitT',rrr, ,,
service equipment, conduit, and vents are complete andpiping, accessories and other
incir-ary equipment items are *:'fl::lj,li""ji:,1'JJ;[3:l: 3l?lf],?E]uol,l".?i"tl$t"oin place but before any tighte-ning operations. (306concrete is placed' INSULATIoN & 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_g.drainage lines. To be made board interior wall Covering isprior to covering or filling applied.trenches. HH"vv. spEclAL GRADING,
,NDERFL..R: prumbins Ill:,S""=^'fHJfl[[1"' il;ilt'iiil-:ll',5Jb'j],"i
electrical, mechanical. To be according to plans. chapter 29)
made prior to installation of
floor insulation, decking or X 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 instaltation of ftoor place but before any :?fl:"*t?f]aced' (2501 U.BC'
insulation, decking or floor plastering is applied or before DrL'D' zc-ru'rr)'
sheathing. - Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR INSULATToN & 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.
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all informationherein 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 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 time, that project address is readable from thestreet, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
Signature Date
times during construction
VALIDATION //7AMOUNT RECEIVED
FIECEIPT #RECEIVED BY:
DATE PAID
Y FINAL pLUMBTNG
X F,NAL ELE.TRT.AL
X FINAL MEcHANTcAL
X FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such aslandscaping, parking lot striping, etc. must be completed beforerequesting this inspection.x 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 aCertificate of Occupancy has been issued by the Building Divisionand posted on the premises.
ADDITIONAL COMMENTS
PLANS REVIEWED BY DATE
7-F/-27
# srl?
JoB NUMBE a Zfu Z7Z*
INSPECTION LINE: 726-3769
OFFICE: 726-3759
o
TAX LOT:
CO M M E RCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Frtfn Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:Jo fu-
SPRINGFIELO
ASSESSORS MAP:/?Q?-2"-f7
STATE:ZIPeB.
NE
CITY:
ADDRESS:
OWNER:
VALUE &lbOADDITION DEMOLISH OTHEFI
DESCRIPTION OF WORK:
u-?-NEW- REMODEL
ARCHITECT
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE
NAME ADDRESS PHONE
72d MecHRNICRL
G E N ERAL:
PLUM BI NG
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
Nr.|FFF CHA FIGF
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
ffzalvhzz /frjrl ^/5e
Permit lssuance $10.00
TOTAL PERMIT ,/,r4
_ OFFICE USE _
ZONING:
LAND USE
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
* OF UNITS:
OCCY GROUP:
* OF STORIES:
OUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SO. FTG OTHER
RCPT#DATEPLAN CHECK FEE BY
zf 7f
BUILDING PERMIT PLUMBI NG DEMOLITION
5% State
Su rcharge
5% State
SurcharqeMEcpryH;"i fiz FENCE
VALUE $
5% State -
Su rcharqe -f SIDEWALK
FT.
SUBTOTAL
PERM ITS
PAVI NG CURBCUT
FT.
SYSTEMS
DEVELOPMENT
?.r-
7/,/-"" r//
ELECTRICAL:
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
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 bC V ROUGH PLUMBING, PAVING: Aftcr gTAVEI iS iN
made after excavation, but ELECTIIQAL & place but prior to placing
priortosetupofforms.@NoWorkiStoaSphaltorconcrete'
be Cove=IdEI Lrntil these
UNDERSLAB pLUMBING, inspections have been made SpEC;AL 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 is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor duringCURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be iurnished io the Building Division.
excavated and forms are facing materials and before
erected, ail steel in ptace, but framing inspection' srRUcruRAL CoNCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 250O P.S.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made arter au insrab buirdins 3l::5l:.':fl 3,?:It;,;;:r" ;l}3,.Tyf3,tHitT',rrr, ,,
service equipment, conduit, and vents are'complete anclpiping, accessories and other
incir-arv equipment items are *? H'":1.",]t"jrufl' jJ;[?::: 5l?lf],?E]n"T,1",?i,.tl}t^oin place but before any tighte;ing operations. (306concrete is placed. INSULATION & 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 filling applied. SPECIAL GRADING,trenches.
,NDERFL..R: p,umbins ll::,i".=.,fm'Jfl[Hi"' EX:iJt'iiil-tii.?,5Jb'iT,";
electrical, mechanical. To be according to plans. chapter 29)
made prior to installation of
floor insutation, 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 interiol and exierior, is in Building Division before
prior to installation of floor place but before any beams are placed' (2501 U'BC'
insutation, decking or floor plastering is applied or before STDS' 25-10J1)'
sheathino. - Sypsum board joints and- fasteners are taped and STRUCTURAL MASONRY: (306
FLooR INSULATToN & finished' a'71
VAPOR BARRIERS: To be
made prior tc installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
uBc 2415.
RooF sHEATHTNG AND iHXS^H?ttJ'"r:.of""1,"
NAILING: Prior to installing erected but prior to placing
any roof covering. 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.
"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.
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 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 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 time, that project address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at alltimes during construction.
Si gnatu Date
2{.2fVALIDATIONAMOUNT RECEIVED
RECEIPT #RECEIVED BY:
DATE PAID
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 lot striping, etc. must be completed before
requesting this inspection.
FINAL BUILDING: Requested after the final plumbing, etectrical,
X FINAL MECHANICAL 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 DivisionFINAL FIRE DEPARTMENT and posted on the premises.
ADDITIONAL COMMENTS:
-PLANS REVIEWED BY DATE
./2 ^>-9>
C'TY OF SPB OREGON
SP'lINGFIELO
225 PTYTE SItsBEf,
SPRINGFIEIJ, OREGoN
INSPECTION REOIIEST:
0PPICE: 726-3759
97477 '.',
The fcllowing nroiect es submttted hm the lollowing
lend useSlSCfRICAL PERI{IT APPLICATI,N
ew s tial-Single or
HuIti-FamiIy per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular Dvelling
Servlce or Feeder
$ Bs.oo
s 1s.oo
$ 40.00
does n
726-3769
a*,.rj'2i1 3. COHPI..RTB FEB SCEEDULE BELOV
1 . LOCATTON OP INSTALLlrr0N
I.,EGAL a3i ?l1 oe:-l t4 )-,Sum
0 0l
ol-trrt0)
permits are non-transferable and expire
if work is not started vithin 180 days
of lssuance or lf vork is suspended for
180 days.
2. COI{IBACf,OR INSTALI,ATION ONLY
Electrical Contractor
Address
ct Phone 11 tl,l -4+li-
Supervisor cense Number I qA.\
Explration Oate i0- l- {5'
Constr Contr. llumber Cf f; zl9
Exp iration Date q - t-e+
Signa ture of SuPervlsing Electrician
0vners Name
Address
Ci ty ptrone 'J4[r - gqsb
OgNBR INSTALI..ATION
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50'00
aoi "*'p" to 600 amPs
-
q199'99
eoi uris to 1000 amPs- $130'00
TemporarY Services or Feeders ,insiaffaiion, Alteration or Relocation
200 amps or less $ 19'99,oi ;b; to 4oo amps
-
q l:'99
over 600 "rp" or--iboo *-ft" see ,8" a56Tf
Branch Circuits
Nev, Alteration or Extension Per Panel
B
c
D.,
one Circuit i
Each Additional
Circuit or vith Service
or Feeder Permit -j
-Each installation
Pump or irrigation
Sign/Outline Light ing-
Limited EnergY/Res
-
Limited EnergY/Comm
$ 3s.oo 35,oo
$ 2.00 b.oo
E l,liscellaneous (Service/feeder not included)
The installation is being made on
property I ovn vhich is not intended
for- sa1e, Iease or rent'
Ovners Signature:
00
00
00
00
40
40
20
36
$
$
$
$
5. SUBTOTAL OF ABOVB
5Z State Surcharge
TOTAL
A,o5
43, os
41, oo
DATE:
RBCBIVBD
ci ty Job nunUer Q 3 C? 3 )
,JoB
C'TY OF OPEGO'U
225 PTPTE STREET
SPRINGPIELD, oRBGoN 97477
INSPBCTION BEOusSrz 726-3769
OFPICE: 726-3759
Nc
tlt lt)
1. LOCATToN 0P INSTALT.ATTON
Aoq5 Ll,o[nnc{n ,%'0
LEGAL DESCRIPTION
i1 ozZuLla 'L3oo
. JOB
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COIiITRACTOR INSTALI.ATION ONLI
SP;II,tGFIELO
BLBCTRICAL PERHIT APPLICATION
City Job Nurnber 4zo 7Vz
COHPLETB PEE SCEEDT'LE BELOS
Nev Residential-Single orHuIti-Family per dvelling unit.
Service Included:
Items Cost Sum
Electrical contractor Cl S 8$o ot,irn .rfiffA
Phone
Supervi sor cense Number
Expiration Date lo --gs
Constr Contr. Number 03544
Expiration Date
Sign of Supervis Electrician
1000 sq.ft. or }ess
Each additional 500sq. ft or portion
thereof
Each Manuf'd Home or
-Hodular DveIIing
Service or Feeder
s 8s.00
s 1s.00
s 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
over 1000 amps/volts
-Reconnect 0nIy
$ s0.00
s 60.00
s100. 00
s130.00
$300.00
$ 40.00
c Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $
201 amps to 400 amps
-
$0ver 401 to 600 amps
-
$0ver 500 amps or 1000-16-Ifs se
Branch Circuits
B" a56IF
Nev, Alteration or Extension Per Panel
one circuit I $ 35.00 35.oo
Each Additional
Circuit or vlth Service
or Feeder Permit I g .2.00 t.oo
B. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utIine Lighti
Limited Energy/Res
Limited Energy/Comm
STIBTOTAL OP ABOVB
5Z State Surcharge
TOTAL
Address
cit 4Lll-A#l-
t6r6s
40.
55.
80.
glt
00
00
00
t--.
0vners Nane
Address
citvJ.iltd-,.Phoner
OSNER INSTALI,ATION
[1%F44qe
n q/" I q1z
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Onners Signature:
DATE:
ng-00Sao
s40
Szo
$so
00
00
00
RBCBIVED
5 oo
9-t-q1
a
CO M M ERCIAL/ I N DUSTRlAL
PERMIT APPLICATION
225 Fifln Street, Springfield, Oregon 97477
SPFINGFIELE,JoB NUMBEa %z=>'
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:rAX Lor: O27+
HONE
4ztz> -STATE:ZIP:
L
v-
?%-
CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL Y ADDITION DEMOLISH OTHER VALUE:4@-+
DESCRIPTION OF WORK:
NAME ADDRESS PHONE
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
ARCHITECT:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
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 trFF EHAEIGF
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 sys
AC
tem apart
or htg.from
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
6 _ OFFICE USE _
LAND USE:
ZONING* OF UNITS:
HANDICAP ACCESS
FLOOD PLAIN
WATER HEATER
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE ?6 RCPT#DATE BY
z;,f,a
BUILDING PERMIT ,/fG PLUMBI NG DEMOLITION
5% State
Su rcharqe -?f 5% State
Surcharqe
MECHANICAL FENCE
VALUE $Z*tr-tE 7.zr
5% State
Su rcharo e
SIDEWALK
FT.
SUBTOTAL '
PERMITS E5
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
DB.
Z/4,Aar-
LIGHTING POWER BUDGET:
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
= REoUTRED INSPEGIoNS
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, lob address, type o{ inspection requested and when you will be ready
for inspection. Requests received before 7:OO a.m. will be made the same worki ng 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 equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
UNDERGROUND: Plumbing,
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 &
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 is applied or before
gypsum board joints and
fasteners are taped and
f inished.
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 reports shall
be f urnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt installation and
ti ghtening 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
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.C.
STDS. 25-1011).
STRUCTURAL MASON RY: (306
a.7)
MB lNG, PAVING: After gravel is in
place but prior to placing
No work is to asphalt or concrete.
r'
v
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 sHEATHTNG AND iHXS^H'^,*T:#""X,"
NAILING: Prior to installing erected but prior to placing
any roof covering. 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.
"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.
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 Springfield, and the Laws of the State of Oregon pertaining 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 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 time, that project address is readable from thestreet, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at alltimes during construction.
Signature Date 23
VALIDATION Baa vzr-5bAMOUNT RECEIVED
RECEIPT *:RECEIVED BY:
DATE PAID
FINAL PLUMBING
Y FINAL ELEcTRTcAL
X F.NAL MEcHANTcAL
,Y
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, 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 premises.FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
-PLANS REVIEWED BY DATE