HomeMy WebLinkAboutPermit Building 1995-12-20COM M ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfietd, Oregon g74tZ
LOCATION OF PROPOSED WORK
ASSESSORS MAP:
3P'IINGFTELO
JOB NUMBEFI
INSPECTION LINE: 726.376s
OFFICE: 726-3759
TAX LOT:
2a
PHON E:
STATE:ZIP:
OWNER
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER VALUE
DESCRIPTION OF WORK:
NAME ADDRESS PHONE
EXPI RES PHON E
CONTRACTOR'S NAME
ARCH ITECT:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
G ENE RA L:
PLU M BI NG
, PLI MBING
NO.FEE CHARGE
Single Fixture
Relocated Bld
(new tix. addtl s.
)
Water Servlce
ft
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
NO
-EEE--CHARGEFurnace/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
from AC
tem apart
or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE _
LAND USE:
ZONING* OF UNITS:
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATEH:
OCCY GROUP:
/ OF STORIES
OUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
SQ. FTG MAIN
SO. FTG ACCESS
SO, FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
BUILDING PERMIT 56.5->PLU M BI NG DEMOLITION
5% State
Su rchaioe r?1.98 5% State
Surcharqe
MECHANICAL FENCE
VALUE $
-
5% State
Surcharoe
SIDEWALK
FT.
SUBTOTAL
PERM ITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
7TOTAL PERMIT FEES
EXCLUDING ELECTRICAT
a..
z4r
-
- REQUTRED lNSPEcrloNS
It ls the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call
726-g769 (recorder), state your city designated job number, iob address, type of inspection requested and when you will be ready
for lnspection. Hequests received before 7:OO a.m. will be made the same working day, requests made after 7:00 a.m. will be made
the lollowing work daY.
StrE 1NSpECTION: To be ROUQH PLUMBING, PAVINGT 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 pLUMBtNG, inspections have been made SPECIAL INSPECTIONS: ln accordance
ELECTRTCAL & 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 & Oy ine Owner/ Contractor during
CURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: E,DEDT A^E. E copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prlor to placing be furnished to the Building Divlsion.
excavated and forms are facing materials and before
erected, ail steet in ptace, but f raming lnspection' 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 buirdins !lf:'::.':l !|fiil:;,;l:r. F:I8'"Jyfll,H5t,o'ol',rrrr,,
service equipment, conduit, and vents are'complete ancl
:i?1,?;".",",:;H:"i ?[*'"'::J :li X::mtil:,X'i#[::t: Bl?lf],T[],?l[El*l]i".in 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 ln place but FIREpROOFING: U.B.C.storm sewer, water and before any lath or gypsum Standards 43-g.drainage lines. To be made board lnterlor wall covering isprior to covering or {illing applled. SPECIAL GRADING,t renc hes.
,NDERFL..R: p'umbins [l?:,s'"'"?m'J3[Hl"' ifiluTi[il,,:ii.:,5Jb'j],"t
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
f loor sheathlng. - 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 e-xierlor, ls ln ' Building Division before
prior to installatlon of floor place but before any beams are placed' (2501 U'BC'
insutation, decklng or f toor plasterlng ls applled or before STDS' 25'10J1)'
sheathing. - Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLOOR INSULATION &f inished.a.7')
VAPOR BARRIERS: To be
made prior to installat jon of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
uBc 2415.
ROOF SHEATHING ANO
NAILING: Prlor to installing
any roof covering.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street rlght 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 prlor to placing
concrete.
on to nspec
tions specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compllance with the Bullding,
City or Development Code.
/
x
By signature, I stete and agree, that I have caref ully examlned the completed applicailon and do hereby certify that all informationherein is true and correct, and I f urther certify that any and all work performed shall be done in accordance witir tne Ordlnancesof 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 Buildlng Safety Dlvision. I further certify that only contractors and employeeswho are in compliance with ORS 701.0S5 will be used on this project.
all required inspections are requested at the proper time, that project address is readable from thes located at the front of the property, and the approved set of plans wlll remain on the site at all
DaSignaure
I further agree to ensure that
street, that the permit card i
times during constructlon.
z,4a 7toNAMOUNT RECEIVED:
BECEIPT #RECEIVED BY:
DATE PAID:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requesJed 2 days in advanceof the date you wish inspection. All pro.lect cbnditions such as
landscaplng, parklng lot strlping, etc. must be completed beforerequestlng thls inspection.
FINAL BUILDING: Flequested af ter the final plumbing, etectrical,
mechanlcal and Flre Department inspections are made and
approved. No occupancy of the premises can be made until aCertlficate of Occupancy has been issued by the Building Divisionand posted on the premises.
ADDITIONAL COMMENTS:--
PLANS REVIEWED BY DATE