HomeMy WebLinkAboutPermit Building 1996-10-28COM M ERCIAL/ IN DUSTRIAL
PERMIT APPLICATION
225 Fitth Street, Springfield, Oregon g7417
SPslINGFIELO
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3755
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
z
TAX LOT; 2
PHONE:
STATE ZIP:
VALUE
t
OWNER
ADDRESS
CITY:
2FYDDESCRIPTION OF WORK:
ADDITION DEMOLISH OTHERNEW- REMODEL
NAME ADDRESS PHON E
ADD RESS EXPIRES PHON E
ECONTRACTOR'S N
ARCHITECT:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new f i!. addtl)
Water Service
ft
Sanitary Sewer
ft.
Storm Sewer
ft
Backflow Device
TOTAL PERMIT
NN FtrF CHA RG trFurnace/burner & vent
BTU s
Furnace/burner & vent
>1 BTUs
Floor furnace and vent
oor
mounted unit heater
us pe wall or
ance Ven
n evary p.
coo er
Vent Fan / Sing le
duct
Vent Sys
from AC
tem apart
or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
_ OFFICE USE _
ZONING
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
LAND USE:
OCCY GROUP:
g OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
* OF UNITS:
SQ. FT.$/SQ, FT.VALUE
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RCPT#DATE BY
BUILDING PERMIT PLUMBING DEMOLITION ,/g--'5% State
Surcharge 5% State
Su rcharge r7 9ab/MECHANICAL FENCE
VALUE S
5% State
Su rc haro e
SIDEWALK
FT.
SUBTOTAL
PE RM ITSPAVINGCURBCUT
FT.
SYSTEMS
DEVELOPMENT
/2 77TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
?z 1=?
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
726.376g(recorder), state your city designated iob number, job address, type of inspection requested and when you will be ready
for inspection. Requests ieceived 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'
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before anY work is covered'
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.
UN DERGROUN D: Plumbing,
electrical, gas, sanitarY sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or f illing
trenches.
\'/ RoucH PLUMBtNG,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
insPections have been made
22Y'EiPZzz."o4 .
AIT(C 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 reguired 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
fi ni shed.
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
pl ace.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owner/ Contractor duri ng
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
PAVING: After gravel is in
place but Prior to Placing
asphalt or concrete.
STRUCTURAL CONCRETE: IN
excess of 2500 PS.l. (306 a'1)
STRUCTURAL WELDS:
Performed on the iob. (2722 1)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made Prior to installation of
floor insulation, decking or
f loor sheathing.
POST & BEAM: TO bE MAdC
Prior to installation of floor
insulation, decking or f loor
sheath i n g.
HIGH STRENGTH BOLTING:
Duri ng all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Stand ards 43-8.
SPECIAL GBADING,
EXCAVATION AND FILLING:
Duri ng earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: lnsPection
Certif icate bY an aPProved
agency, f urnished to the CitY's
Building Division before
beams are Placed. (2501 U.B.C.
STDS. 2s-10,11).
STRUCTURAL MASONRY: (306
a.7)
- ln addition to the insPec-
tions specified, the Building
Of f icial may make or require
other inspections of anY
construction work to ensure
compliance with the Building,
City or Development Code.
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.
tfi
By signature, r state and agree, that I have carefuily examined the completed application and do hereby certify th.at 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 occuPANoY
will be made of any structure without permission of the Building safety Divlsion. I further certify that only contractors and employees
who are in compliance with oRS 701.055 will be used on this project.
DateSi gnatu
dad Sre S res bdud rom ethmahroectareNSUEtedshee,popeprotireq
mre n no he teanSoandaherovedplppf ron of he rop pe rty,
to en
pe
lfurther re that all re
card is
ction
street, th
times du
VALI ,/e /7 ^29
AMOUNT RECEIVED
RECEIPT C:27*,RECEIVED BY:
DATE PAID
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All project conditions such as
iandscaping, parki ng lot stri ping, etc must be completed before
requesting this insPection.
FINAL BUILDING: Requested af ter the final plumbing, electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
iertificate of Occupancy has been issued by the Building Division
and posted on the Premises.
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ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
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FAX (s41) 726-s68e
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DATE:
ADDRESS OF INSPECTION:
JoB NUMBER: 1q t q3
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OCCI'PANCY TNSPECf,ION APPLTCATION
CITY OP SPRINGFIEI.D BUII.DING DII':ISION
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OIJNER:p Prrt\tpiroNs NUMBER: 1Vd -7/o (
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DC'TY OF OREGO'V
OIINER' S ADDRESS:
APPLICANT:
APPLICAI.IT' S ADDRESS :
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER:
PROPOSED USE:
$u
A $SS.OO INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
S APPLICATION FORM BE SIGNED BY THE OI.INER OF THE PROPERTY TO BE
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THI
INS
/rerrfl*, PneWEA
rOR OFFICE USE ONLT
DATE PAID:io->3-q a
DATE OF INSPECTION:
DATE OF cgRTlTIceTE oF COMPLIANCE:
COMMENTS:
RECEIPT NUMBER:
DATE OF REPORT:
PROPOSED FLOOR PLAN REQUIRED AT TIME oF AfiliGanou
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