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Home My WebLink AboutPermit Building 1992-06-23COMM ERCIAL/I N DUSTRIAL PERMIT APPLICATION 225 Frtff Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: ASSESSORS MAP SPFlINGFIELD JOB NUMBER Z Z INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT: fl" PHONE: rPE\.STATE:-77 w M zrp, ? 7y'77CITY: ADDRESS: OWNER: NEW- REMoDEL f ADDrroN DEMoLtsH orHER VALUE: DESCRIPTION OF WORK: MECHANICAL: NAME ADDRESS PHONE ADDRESS EXPI RES PHONECONTRACTOR'S NAME ARCHITECT: ELECTRICAL: CONST. CONTRACTOR # GENERAL: PLUM BI NG PLUMBING NO.FEE CHARGE Single Fixture Relocated Bldg (new fix. addtl) Water Service ft Sanitary Sewer ft Storm Sewer ft Backflow Device TOTAL PERMIT MECHANICAL NO FFF CHA RGF 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. cool er Vent Fan/Single duct Vent from System apart AC or htg. Mechanical exhaust hood and duct Perm it lssuance $10.00 TOTAL PERMIT _ OFFICE USE _ ZONING LAND USE HANDICAP ACCESS: FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER: * OF UNITS: OCCY GROUP: * OF STORIES: QUAD AREA: # OF BLDGS CONSTR. TYPE: HEAT SOURCE: SQ. FT.$/SQ. FT,VALUE d|4TOTAL VALUE OF PROJ X X X SQ. FTG MAIN SO. FTG ACCESS SQ. FTG OTHER 'LAN cHEcK ,u cr?-ffiib ^"r-,, DATE BY BUILDING PERMIT y'y',f,o PLUMBING DEMOLITION 5% State Su rcharoe ,73 5% State Su rcharge MECHANICAL FENCE VALUE $ 5% State Su rcharqe SIDEWALK FT. SUBTOTAL PE RM ITS PAVING CU RBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL ?sy' -6y'2* (-n V 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 726.3769 (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 7:00 a.m. will be made the following work day. stTE |NSPECTION: To be x ROUGH PLUMBTNG, PAVING: After gravel is in madeafterexcaVation,bUt@aplacebutpriortoplacing prior to setup of forms. MEOHANICAL: No work is to asphalt or concrete. be covered until these UNDERSLAB pLUMBING, inspections have been made SPECIAL 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 & ny ihe Owner/ Contractor duri ng CURTAIN WALLS construction of the following work. A FOOTINGS & FOUN DATIONS: 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 f illing trenches. UNDERFLOOR: PIumbing, electrical, mechanical. To be made prior to installation of floor insulation, decking or f loor sheathing. POST & BEAM: To be made prior to installation of floor insulation, decking or f loor sheathi ng. FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. X* MASoNRY: Steet tocation, bond beams grouting or verticals in accordance with UBC 2415, RooF sHEATHTNG AND iHRS^H'",tJ'T'of""X,." NAILING: Prior to installing erected but prior to placing any roof covering. concrete. X copy of the special testing reports shall FIREPLACE: Prior to placing be f urnished to the Building Division. facing materials and before framing inspection. STRUCTURAL CONCRETE: ln FRAMING: To be made after excess of 2500 P's l' (306 a'1) the roof, all f raming, fire blocking and braciig are in STRUCTURAL WELDS: place aid all pipes, ihimneys Performed on the iob. {2722 tl and vents are complete and the rough electrical, plumbing HIGH STRENGTH BOLTING: and mechanical are approved. During all bolt installation and / tightening operations. (306 INSULATIoN & VAPOR lWHr( ) a.6) BARRIER: To be made alter all ' insulation and required vapor SpRAyED ONbarriers are in place but FIREpROOFING: U.BC. before any lath or gypsum Standards 43-8. board interior wall covering is x 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 f inished. SPECIAL GRADING, EXCAVATION AN D FI LLING: 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.7) "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. 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. By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that 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 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. I further agree to ensure that all required inspections are requested at the proper ti street, that the permit card is located at the front of the property, and the a Sig natu re v Date 3 me, that project address is readable from the pproved set of plans will remain on the site at alltimes during construction 6 -23^? C(VALIDATION --€F-AMOUNT RECEIVED: RECEIPT *: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 landscaping, parking lot stri ping, etc. must be completed before requesting this inspection. )<.FINAL BUILDING: Requested after the final plumbing, etectrical, 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 ," COM M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fitlh Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: ASSESSORS MAP SPRINGFIELD JoB NUTMBE ^ 7z/ 5z,z h,INSPECTION LINE: 726-3769 OFFICE: 726-3759 TAX LOT:€a-) PHONE: STATE:ztP ""17 7CITY: ADDRESS: OWNER NEW - REMoDEL t'aoDlroN DEMoLTsH orHER 12oc> *VALUE DESCRIPTION OF WORK: NAME ADDRESS PHONE ADDRESS EXPI RES PHONECONTRACTOR'S NAME ARCHITECT; MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # G EN E RAL: PLUMBING PLU M BI NG NO.FEE CHA RG E Single Fixture Relocated Bld (new fix. addtl s ) Water Service 1t Sanitary Sewer ft. Storm Sewer ft. Backf low Device TOTAL PERMIT M EC HAN ICAL NN FEE CHA RGF 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 f rom System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT _ OFFICE USE - LAND USE: ZONING* OF UNITS: HANDICAP ACCESS FLOOD PLAIN WATER HEATEB: OCCY GROUP: Y OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPEr HEAT SOURCE: SQ. FT.$i SQ. FT.VALUE ooTOTAL VALUE OF PROJ X x X SQ. FTG MAIN SQ. FTG ACCESS SO. FTG OTHER RCPT#PLAN CHECK FEE DATE 8Y BUILDING PERMIT 20,so PLUMBI NG DEMOLITION 5% State Su rcharqe /,o3 5% State Surcharoe MECHANICAL FENCE VALUE $ 5% State Surcharqe SIDEWALK FT. SUBTOTAL PERMITS PAVING CURBCUT FT, SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL a(. LIGHTING POWER BUDGET: V 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 726-3769 (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 SpEC1AL INSpECTIONS: 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 duringCURTAIN WALLS construction of the following work. A FOOTTNGS & FOUNDATTONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be furnished io the Building Division. excavated and forms are facing materials and before erected, ail steel in place, but framing inspection' srRUcruRAL CoNCRETE: ln prior to placing concrete. FRAMING: To be made after excess of 2500 P.S.l. (306 a.1) 3:I""*=*',=,i!f5;l"ol!q "n il::y:ffij[H:f.,n::l:," X - B}E:,"ffi4":,!u=',T',,,,, uservice equipment, conduit, and vents are complete and l/= AN Ypiping, accessories and other anciuiry equipment items are *: H::l.",ligi:fl'iJ;[}::: 3l?,:f],?E]nol[,ti,.T}t"oin place but before any tighte-ning operations. (306concrete is placed. |NSULATIoN & vApoR a.6) BARRIER: To be made after all UNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are in place but FIREPROOFING: U.BC.storm Sewer, water and before any lath or gypsum Standards 43_8.drainage lines. To be made board interior wall covering is l;::;:":"*rins or fillins applied. spEctAL GRAD'NG, ,NDERFL..R: p,umbins I:::,S""'"1 X*'Jfl[Hl"' iflUTliI-tii.',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 lathing and gypsum board, agency, furnished to the City's POST & BEAM: To be made interior and exterior, is in Building Division before prior to installation of floor place but before any beams are placed' (2501 U'B'c' insulation, decking or floor plastering is applied or before STDS' 25-10'11)' sheathing. - Sypsum board joints and fasteners are taped and STRUCTURAL MASONRY: (306 FLooR INSULATToN & finished' a'7) VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. X, MASoNRY: Steet tocation,' bond beams grouting or verticals in accordance with uBc 2415. RooF sHEATHTNG AND iHRS^H?rti'"r:,of"":'" 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 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 FINAL FIRE DEPARTMENT SITE PLAN REVIEW BOARDT Must be requested 2 days in advanceof the date you wish inspection. All project conditions such as landscaping, parking lot striping, etc. must be completed before requesting this inspection.X FINAL BUILDING: Bequested after the final plumbing, electrical, 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. ADDITIONAL COMMENTS: o o PLANS REVIEWED BY DATE t, ll By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that 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 OCCUpANCy will 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. ired inspections are requested at the proper time, that project address is readable from theat the front of the property, and the approved set of plans will remain on the site at all i gnatu 2 street, that the perm card i I further agree to ensure that all times during c. VALIDATION:OcAMOUNT RECEIVED: RECEIPT g: -L-7L RECEIVED BY: DATE PAID: