HomeMy WebLinkAboutPermit Building 1996-07-26COM M ERCIAL/IN DUSTRIAL
PERMIT APPLICATTON
225 Fitlh Street, Springfield, Oregon g7471
LOCATION OF PRO
ASSESSORS MAP:
SPF!NGFIELE,
B
JOB NUMBER
INSPECTION LtNE: 726-3769
OFFICE: 726-3759
TAX LOT:
I
I nOWNER:
CITY:
ADD
STATE ZIP:
PHON E:
ADDITION DEMOLISH
DESCRIPTION OF WO
NEW_-- REMODEL OTHEFI VALUE:
NAME ADDRESS PHONE
ADD RESS EXPIRES PHONE
G EN ERAL:
CONTRACTOR'S NAME
ARCHITECT:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new f ix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
NO trFF CHA RGFFurnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended watl oilloor
mounted unit heater
ApplianCe Vent
se parat e
cool
ronary evap.
er
Vent Fan/Single
d uct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
ZONING
LAND USE
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGEI
WATER HEATER
C OF UNITS:
OCCY GROUP;
* OF STORIES:
QUAD ABEA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SO, FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RC PT#BYDATE
BUILDING PERMIT HW PLU M BI NG DEMOLITION
5% State
Su rcharge
-#+5% State
Su rcharge
MECHANICAL FENCE
VALUE $
5% State
Su rcharo e
SIDEWALK
FT,
SUBTOTAL
PE RM ITS
PAVING CURBCUT
FT,
SYSTEMS
DEVELOPMENT
/6-a)TOTAL PERMIT FEES
EXCLUDING ELECTHICAL
REOUIRED 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 7:0o a.m. will be made the same working day, requests made after 7:0o a.m. will be made
the following work daY.
SITE INSPECTION: To be ROUGH PLUMBING, PAVING: AftET gTAVCI 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 pLUMB;NG, inspections have been made SpEctAL lNsPEcTloNS: 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 during
CURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: trrDtrDr Antr. r 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, all steel in place, but framing inspection' STRUCTURAL CONCRETE: ln
prior to placlng concrete. FRAMING: To be made after excess of 2500 P'Sl (306 a'1)
coNcRErE sLAB: ro be f[#:L iilJ'3[Xl3i,t[,? ," srRUcruRAL wELDS:
made after all inslab building place and att pipes, chimneys Performed on the iob' (2722 t\
service equipment, conduit, and vents are complete and
piping, accessories and other the rough electrical, plumbtng HIGH STRENGTH BOLTING:
ancillary equipment items are and me6hanical are approved. During all bolt installation and
in place but before any tightening operations. (306
concrete is placed. TNSULATION & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SPRAYED ON
electrical, gas, sanitary sewer, barriers are ln place but FIREPROOFING: U.B.C.
storm sewer, water and before any lath or gypsum Standards 43-8.
dralnage lines. To be made board interior wall covering is
prior to covering or filling applied. SpECIAL GRADING,
t re nc hes.
,NDERFL..R: p,umbins [:::,S';?ff;!3]"H}"' il:fruiilJlP'5Jb'j]'"i'
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 sheathing. BOARD: To be made after all Certificate by an approved
lathingandgypsumboard,agency'furnishedtotheCity's
posr & BEAM: To be made interior and exierior, is in Building Division before
prior to installation of floor flace but be{ore any beams are placed' (2501 U'BC'
insuta.on, decking or ftoor plastering is ippfleO or before STDS' 25'1011)'
sheathlng.
Jvvrrrr'v gypsum board loints and
iisteners are tiped and STRUCTURAL MASONRY: (306
FLooR TNSULATToN & finished' a'7\
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavating comPlete and form
VAPOR BARRIERS: To be
made Prior to installation of
7 decking or floor sheathing.
V MASoNRY: steel location,
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
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.
bond beams grouting or work and sub-base material in
verticals in accordance with place.
uBc 2415.
CURB AND APPROACH
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all lnformation
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 Springf ield, 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 Buildlng 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 all
DateSi gnat -t
times during construction
DATE PAID
RECEIVED
D:AMOUNT RECEIV
RECEIPT *:
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
landscaping, parking lot stri ping, etc. must be completed before
7/requesling thls i nsPection.
l'/ 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.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
VALIDATION: