HomeMy WebLinkAboutPermit Building 1995-09-19COM M ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
225 Fillh Street, Springfield, Oregon 97477
SPRINGFIELO JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:d1 7 5""/i a,"l s/,rr=-f
ASSESSORS MAP:TAX LOT:
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OWNER
ADDRESS:
CITY:STATE
PHON E:
ZIP:{
LODESCRIPTIO
NEW
-
VALUEADDITION DEMOLISH OTHERREMODEL
OF WO
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ADDRESS PHONE
RESS PHONE
N E
LYlA-t
6
ELECTRICAL:
ARCHITECT
CONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
PLUMBING
NO.FEE CHARG E
Single Fixture
Helocated Bldg
(new f ix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
NO i rrp CHA FIGtr
Furnace/burner & vent
< 1QQ,000 BTUs
Furnace/burner & vent
>100,0Q0 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
f rom
sysVent tem apart
or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
OCCY GROUP:
* OF STORIES:
OUAD AREA:
# OF BLDGS
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
"€-?= ssplr /?2?3 o^rE fu3-e:> ByPLAN CHECK FE^E
BUILDING PERMIT PLU M BI NG DEMO LITION
e
5% State
Surcha tate
Surch
5%
MECHANICAL
o
FENCE
5% State
Su e
SIDEWALK
FT.
SU ETOTAL
PERM ITSPAVINGCURBCUT
FT.
SYSTEMS
DEVELOPM ENT
77 eoTOTAL PERMIT FEES
EXCLUDING ELECTRICAL
Cgrzoo
f 7/-:
- OFFICE USE -
LAND USE:
* OF UNITS:
CONSTH. TYPE:
---HEAT SOURCE:
-.-=--
HANDICAP ACCESS:
-
FLOOD PLAIN:
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER:
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.
S|TE INSPECTION: To be ROUQH 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 pLUMB1NG, 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 Ownei/ Contractor during
CURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: E'6ED' ^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 ptace, but framlng inspection' srRUcruRAL CoNCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 2500 P.S.l. (306 a.1)
coNcRErE SLAB: ro be |T:J,::L i[J'i['Jlfl;'X,? ," srRUcruRAL wELDS:
made after all inslab building place aid all pipes, chimneys Performed on the iob. (2722t)
service equipment, conduit, and vents are complete andpiping, accessories and other the rough electrical, plumbing HIGH STRENGTH BOLTING:
ancillary equipment items are and mechanical are approved. During all bolt installation and
in place but before any tightening operations. (306
concrete is placed. INSULATTON & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required 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 43-8.
drainage lines. To be made board interior wall covering is
prior to covering or filling applied. SpECIAL GRAD;NG,trenches, EXCAVATTON AND FILL|NG:
,NDERFL..R: prumbins [|f;5,]"fJf|Atlfl]"gitt' Durins earthwork (306 all &
electrical, mechanical. To be according to plans. chapter 29)
made prior to installation of , A?u ArrhrAD ^voerri, GLU.LAM BEAMS: rnspectionfloor insulation, decking or LATH AND/OR GYPSUM
f loor 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
prior to installation of floor place but before any beams are placed' (2501 u'BC'
insutation, decking or f loor plastering is applied or before STDS' 25'10'11)'
Sheathlng.gypsumboardJointsand ijsteners are taped and STRUCTURAL MASONRY: (306
FLooR INSULATToN & 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
u3c 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
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
By signature, I state and agree, that I have carefuily examined the completed application and do hereby certify thSt 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 Springf ield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY
will be made of any structure without permission of the Building Safety Divlsion. I further certify that only contractors and employees
who are in compliance with ORS 701'055 will be used on this proiect'
ions are requested at the proper time, that project address is readable f rom the
nt of the property, and the approved set of plans will remain on the site at all
DateSi gna
c
7{
req u i red tns ct
ate
I f urther agree to ens
street, that the
s trutimes durin
VALI DATION AMOUNT RECEIVED:
RECEIPT *:
DATE PAID
RECEIVED
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE OEPARTMENT
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 stpl ping, etc. must be completed before
requesting thls insPection.
,n 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.
PLANS REVIEWED BY o^rEa*ez-