HomeMy WebLinkAboutPermit Building 1993-03-03COM M ERCIAL/lN DUSTRiHL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WO K:
ASSESSORS MAP:
40s
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX
SPEINGFIELO
7r'6-vRs/ONE:
J
STATE:
c,
Qzlz-CITY:
ADDRESS:
OWNER
NEW
-
REMODEL ADDITION DEMOLISH OTHER 50pVALU
DESCRIPTION OF WORK:
rrEnuAitlnAl.
ELECTRICAL:
NAME ADDRESS PHONE
ADDRESS XPIRES PHONE
ARCHITECT:
CONTRACTOR'S NAME
+tt lvtBfliG
GENERA
CONST.
CONTRACTOR #
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bld
(new fix. addtl s
)
Water Service (t
Sanitary Sewer
tt.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
NO FFF aHA An tr
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
se parate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
-
-o]OSIJ LAND USE:
WATER HEATER
r OF UNITS:
HANDICAP ACCESS
FLOOD PLAIN
ZONING
OCCY GROUP:
* OF STORIES:
QUAD AREA:
r OF BLDGS:
CONSTR. TYPE
HEAT SOURCE:
VALUE$/SQ. FT,SQ. FT.
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
ts?5
BUILDING PERMIT V-\q)PLUMBING DEMOLITION
5% State
Su rcharq e "<
5% State
Surcharge
MECHANICAL FENCE
VALUE $
5% State
Surcharqe
SIDEWALK
FT.
SUBTOTAL
PE RM ITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
ild
ZIP:
LIGHTING POWER BUDGET:
*{IEQUIRED INSPECTIONS
It is the responsibility of the permit holderto see that all inspections are made at the proper time. To request an inspection, call
726-3769 (recorder), state your City designated job numbel 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:OO a.m. will be made
the following work day.
SITE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravet is in
made after excavation, but ELECTRICAL & place but prior to placingprior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB pLUMBING, inspections have been made SpECIAL INSpECTIONS: tn accordance
ELECTRICAL & and approved. Section 306 of the State Specialty Code
MECHANICAL: To be made a special inspector shatt be employed
before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor duringCURTAIN WALLS construction of the following w6rk. A
FOOTINGS & FOUNDATIONS: 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, all steel in place, but framing inspection' STRUCTURAL CoNCRETE: lnprior to placing concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
coNcRETE SLAB: To be the roof, all framing, fire
made after ail insrab buirdins 3l::5:N.':fi 3,'3!Ir"r.,?i;:r. ;1x3,."J"'J3"t,Y5tT',rrr, ,,service equipment, conduit, and vents are complete and-piping, accessories and other
anciriry equipment items are :H H::l.",li""ji:,X'JJ;[}::: 3lf,Xf],ffi],?1,1",?,o"tI]X"oin place but before any tightei-ring operations. (306concrete is placed' lNsuLATtoN & vApoR a.6)
BARRIER: To be made after allUNDERGROUND: 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-g.drainage lines. To be made board interior wall covering isprior to covering or f illing applied.trenches. SPEC|AL GRAD|NG,
,NDERFL..R: p,umbing I:::,i""'"'f;m'J3[H]"' iliflfiiil#ii',5Jb'i]',"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
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
prior to installation of floor place but before any beams are placed. (2501 U.BC'
insulation, dect(ing or floor plastering is applied or before STDS' 25'10,11)'
sheathing. - Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRy: (306
FLooR TNSULATIoN & 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 SHEATHING AND
NAILING: Prior to installing
any roof covering.
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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
-ln addition to the inspec-
tions specified, 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
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditioni such aslandscaping, parking lot striping, etc. must be completed beforerequesti ng this i nspection.
FINAL BUILDING: Requested after the final plumbing, etectrical,mechanical and Fire Department inspections are made andapproved. 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:
7-V4>PLANS REVIEWED BY DATE z-
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informationherein is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinancesof 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 OFIS 701.055 will be used on this project.
Signature Date /-.q l- /-s
roject address is readable from the
plans will remain on the site at all
fu hert ree eo reNSU althat re u re d ns tiagq ons are atuestedpec he ti hatreqpeprome,p
th at he card S ocreetStperm atated th f ron thof e ro an d ahepperlY,roved ofsetpp
Sme Ud nn con ru ct ons
VALIDATION AMOUNT RECEIVED:
RECEIPT *:
DATE PAID:
RECEIVED