HomeMy WebLinkAboutPermit Building 1999-05-07COM M ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
225 Fitth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK
SPRINGFIELD JOB NUMBER 0
INSPECTION LINE: 726-3769
OFFICE: 726-3759?fr,42.ot 5 tr
ASSESSORS MAP:t1 6 Os 5ooTAX LOT
PHONE:
STATE ZIP:77qt z
OWNER
ADDRESS
CITY:
T
ADDITION DEMOLISH OTHER 67 orVALUE:
/-4, fu,iDESCRIPTION OF WORK:
NEW- REMODEL
Er trrrTot/^A I
NAME ADDRESS PHONE
ADDRESS EXPI RES PHONE
E5f € x Causr
CONTRACTOR'S NAME
ARCHITECT:
GENERAL:
PLUMBING:
MECHANICAL:
/
lutsT //'
coNsT.
CONTRA TOR #
Cc7 fqr 3 /
PLU MBING
NO FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft
Sanltary Sewer
ft
Storm Sewer
ft
Backflow Device
TOTAL PERMIT
MECHANICAL
NO trFF nHA Qaltr
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 FaniSingle
duct
Vent
f rom
sys
AC
tem apart
or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
LAND USE:
ZONING* OF UNITS:
HANDICAP ACCESS:
LIGHTING POWER BUDGET:OCCY GROUP:
* OF STOBIES:
QUAD AREA:
I OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
FLOOD PLAIAL
WATER HEATER:
SQ. FT.$/so. FT.VALUE
b/
TOTAL VALUE OF PROJ
x
x
X.
SQ. FTG MAIN
SQ. FTG ACCESS
SO. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
BUILDING PERMIT 770 .,4 PLUMBI NG DEMOLITION
5% State
Su rcharo e n? /ltr ld.zo 5% State
Surcharoe
MECHANICAL /FENCE
VALUE S
5% State
Surcharoe
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUOING ELECTRICAL 1[7. ?-b
REQUIRED INSPECTIONS
It is the responslbillty of the permit noil", 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 ROUGH PLUMBING, PAVING: 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 PLUMBING, inspections have been made sPEclAL INSPECTIoNS: ln accordance
ELECTRICAL & 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: ^AE. F 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, ail steel in ptace, but framing inspection srRUcruRAL CoNCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 2500 P.S.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made arter a, insrab buirdins :l:::'::.;ln Sfjlf,Xl:r" ilny'gy.t3"t rY5tT',rrr, ,
service equipment, conduit, and vents are complete and
:1,1[,?;""".T;il1".i ?{}1"TH :n:;::mli""iltfl i#[i:?: 3l?:f],?E],?T,i",?i.'lH1"oin place but before any tighte-ning operations. (306
concrete ls placed. INSULATION & VApOR a.6)
BARRIER: Tb be made after all
UNDERGROUND: Plumbing, lnsulatlon and requlred vapor SPRAYED ON' electrical, gas, sanitary sewer, barriers are in place but FIREpROOFING: U.BC.storm Sewer, water and before any lath or gypsum Standards 43-g.dralnage lines. To be made board lnterior wall covering is
prlor to covering or filling applied. S,ECIAL GRAD'NG,trenches.
,NDERFL..R: prumbins [:::,s'"'#m'J;[Ht"' il:fut'iiil#ii.',5Jb'i],"1
electrical, mechanlcal. To be according to plans. chapter 29)
made prior to installation of
floor insulation, decking or LATH AND/SR 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
prlortolnstallatlonoffloorplacebutbeforeanybeamsareplaced.(2501U.Bc.
insulatlon, decking or floor plastering ls applied or before STDS' 25-10'11)'
sheathlng. gypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR rNsuLATroN & finished' a'7\
VAPOR BARRIERS: To be
made prlor to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
vertlcals in accordance with
uBc 2415.
RooF sHEATHING AND iHffi^H'^ttJ"t:,oi""li,"
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 specif ied, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
-
FIN
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
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 stri pi ng, etc. must be completed before
ting this inspection
BUILDING: Requested after the final plumbing, electrical,
cal and Fire Department inspections are made and
roved. 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
ADDITIONA.L COMMENTS.
PLANS REVIEWED BY fru,r%fi<x DATE--7
By signature, I state and agree, that I have caref ully examined the completed applicatlon and do hereby certify that all information
herein is true and correct, and lfurther certify that any and all work performed shall be done in accordance with the Ordinances
of the City of Sprlngfield, 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 compllance 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 f rom the
street, that t card is loc at the front of the property, and the approved set of plans will remain on the site at all
times duri c on.
Signature Date
VALIDATION
t,J
AMOUNT RECEIVED
RECEIPT *:
U
I U v C/
DATE PAID
RECEIVED BY:
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