HomeMy WebLinkAboutPermit Building 1991-06-25COM M ERCIAL/ I N DUSTRlAL
PERMIT APPLICATION
225 Fifin Street, Springfield, Oregon 97477
LOCATION OF PRO
ASSESSORS MAP;
SPRINGFIELO
h,
JOB NUMBER
INSPECTION LINE: 226-3769
OFFICE: 726-3759
TAX LO-T
OWN
ADDRESS:
CITY:STATE:
PHON E:
ZIP
DEMOLISH OTHER VALUE
DESCRIPTION OF RK:
NEW
-
REMODEL ADDITION
ARCHITECT:
NAME ADDRESS PHONE
NAME ADDR EXPI RES
MECHANICAL:
ELECTRICAL:
PLUM BI N G:
G E N ERAL:
CONT
CONST,
CONTRACTOR #
PLU MBING
NO.FEE CHARG E
Single Fixture
Relocated Bldg.
(new f ix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
Nr)trFF CHARGE
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
Permit lssuance $10.00
TOTAL PERMIT
-"'5QQq
LAND USE
WATER HEATER:
* OF UNITS:
LIGHTING POWER BUDGET:
HANDICAP ACCESS:
FLOOD PLAIN
ZONING
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT,VALUE
4{-ew>
TOTAL VALUE OF PROJ
7Ae-^X
X
SQ. FTG MAIN
SQ, FTG ACCESS
SO. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
7ze.eo
BUILDING PERMIT 25(^*PLU M BI NG DEMOLITION
5% State
Surcharqe / z.*o 5% State
Su rcharoe
MECHANICAL FENCE
VALUE $
5% State
Surcharoe
SIDEWALK
FT.
SUBTOTAL
PE RM ITS Z4*.s
PAVI NG CURBCUT
FT,
SYSTEMS
DEVELOPMENT /46.oo
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
r n-7 o
\,, REQUIRED INSPECTIONS rv
It is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call
Z26.gZ69 (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.
S|TE TNSPECTTON: 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 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 & by the Owner/ Contractor during
CURTAIN WALLS construction of the following work. AV F99TINGS & FoUNDATISNS: ETDEDT A^E. 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, ail steel in place, but framing inspection' srRUcruRAL CoNCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 25OO PS.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made arter a, insrab buirding 3iff5::."1fi 3l;:It";,;l:r" EIXN'T"'.-I^.,Y5t,30"',rrr, ,
service equipment, conduit, and vents are complete and V:HX,?;""?",:;il:??i:l:'i:i :H'fl::Hlt"ii:,1 iJ;[3:l: /\ Bl?Xf],lE],?H.",i,.'IH:".in place but before any tightening operations. (306
concrete is placed. TNSULATTON & 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
p,rl::L:-".r"ring or fillins applied. SpEclAL GRADING,
,NDERFL..R: p,umbins l:::,S".'"'f;HJfl[gl"' il;iJt!iil-tii.:,5lb'i],"1
electrical, mechanical. To be according to plans. Chapter 29)
made prior to installation of
floor insulation, decking or LATH AND/OR GYPSSM 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
posr & BEAM: To be made interior and exierior, is in Building Division before
priortoinstallationoffloorplacebutbeforeanybeamsareplaced.(2501U.Bc.
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 TNSULATToN & finished' a'7\
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 sHEATHTNG AND iHRS^H'^,tI"t:,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 specif ied, the Building
Off icial 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
X 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 Iot stri ping, etc. must be completed before
requesting this inspection.
\/FINAL BUILDING: Requested after the fi nal 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 DATE ?^,/-
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 employees
who are in compliance with ORS 701.055 will be used on this project.
I furtheragree to ensure that all required inspections are requested at the propertime, 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
times during construction.
Signat Date
DATE PAID:
RECEIVED
ONVALI AMOUNT RECEI
RECEIPT.*: