HomeMy WebLinkAboutPermit Building 1992-07-07CO M M E RCIAL/ I N DUST RIAL
PERMIT APPLICATION
225 Fiftn Street, Springfield, Oregon 97477
SPRINGFIELD
TAX LOT:
-o
*.tD
OFFICE:
JOB NUMBER
INSPECTION LINE: 726-3769
LOCATION OF PROPO
ASSESSORS MAP:
PHONE:
ZIP:STATE:
OWNE
CITY:
ADD
VALUEDEMOLISH OTHER
DESCRIPTION OF WO
NEW- REMODEL ADDI
PHON ENAME
DD RESS PHONL I
CO
ELECTRICAL:
MECHANICAL:
ARCHITECT:
PLUMBING
G ENER
CONST,
CONTRACTOR #
PLUMBING
NO.FEE CHABG E
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MECHANICAL
Nr)EFtr .HAAGtr
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 System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
S-o
LAND USE
ZONING:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
* OF UNITS:
OCCY GROUP:
# OF STORIES
QUAD AREA:
r OF BLDGS:
CONSTR. TYPEr
HEAT SOURCE:
$i sQ. FT.VALUESQ. FT,
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ, FTG ACCESS
SO. FTG OTHER
RCPT#DATEPLAN CHECK FEE BY
BUILDING PERMIT bA.5C)PLUMBING DEMOLITION
5% State
Su rcharqe A13 5% State
Surcharqe
MECHANICAL FENCE
VALUE $
5% State
Surcharoe
SIDEWALK
FT.
SUBTOTAL
PEBMITS
PAVI NG CURBCUT
FT.
SYSTEMS
DEVELOPMENT
5TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
ADDRESS
T)
REQUTRED TNSPECTTONS v
It is the responsibility of the permit nof tsr 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 be
made after excavation, but
prior to setup of forms.
FOOTINGS & FOUNDATIONS:
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: PIumbing,
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
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or f loor
sheath i n g.
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.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
f raming 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 & SEPARAT]ON 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.
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.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
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 furnished to the Building Division.
STRUCTU RAL CONCRETE: tn
excess of 2500 P.S.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 t)
HIGH STRENGTH BOLTING:
During all bolt installation and
ti ghtening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B,C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU-LAM BEAMS: lnspection
Certif icate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.C.
sTDS. 25-10,11).
STRUCTURAL MASONRy: (306
a.7l
.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
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such aslandscaping, parking lot stri ping, etc. must be completed beforereguesting this inspection.
FINAL BUILOING: 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.FINAL FIRE DEPARTMENT
a
ADDITIONAL COMM
PLANS REVIEWED BY DATE
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 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.
Si gnatu 7Date
rt her toree NSe thure a al u red NS ton areagreqp re ested at hequ e,m th ectproper add SSre readIS abproj le mfro thstreehatheonthet,and he oetpproved San re atm npl o n h ite at
ESm rUSt ions
VALIDATION IVEDAMOUNT REC
RECEIPT #
DATE PAID
RECEIVED
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
card is located at the