HomeMy WebLinkAboutPermit Building 1995-09-27COM M ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
225 Fitlh Street, Spri ngf ield, Oregon 97477
LOCATION OF PROPOSED WORK
SESSORS MAP:
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759,./
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SP'IINGFIELO a-5-/-S'ZG
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TAX LOT:
t
/r^',t \PHONE:
STATE
kl 7{7.-e/ 7 g
CITY:
ADDRESS:
OWNER
NEW
-
REMODEL ADDITION DEMOLISH OTHEB VALUE:
DESCRIPTION OF WORK:
NAME ADDRESS PHONE
ADO RESS EXPI RES PHON EDt^u ,le rCONTRACTOR'S NAME
ARCHITECT:
MECHANICAL:
ELECTRICAL:
CONST,
CONTRACTOR #
G EN ERA L:
PLUM BI N G
plU MEING
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new tix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
NO FtrF CHA RGFFurnace/burner & vent
< 100,000 BTUs
Furnacelburner & vent
> 100,000 BTUs
Floor furnace and vent
Suspended wall or Tlrcor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Srngile
duct
f rom
Vent System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE _
ZONING
LAND USE
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER EUDGET,
WATER HEATER
* OF UNITS:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
I OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
&)TOTAL VALUE OF PROJ
X
X
SQ. FTG MAIN
SQ, FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE DATE-+-.BCPT#BY
24Ao/-/r
BUILDING PERMIT 2-53e PLU M BI NG DEMOLITION
5% State
Surcharoe
)*,ri 2tu) z--,5% State
Su rc harge
MECHANICAL FENCE
VALUE $
5% State
Surcharoe SIDEWALK
FT.
SUBTOTAL
PERM ITSPAVINGCURBCUT
FT.
SYSTEMS
DEVELOPM ENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
ZIP:
c))qa 5-
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all inspectlons are made at the proper time. To request an inspection, call
Z26.9T69 (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 |NSPECT|ON: 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 PLUMBING, inspections have been made SPECIAL INSPECTIONS: In 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
F6qTINGS & FoUNDATI9NS: trraEDr a.^tr. 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 faclng materials and before
erected, all steel in ptace, but - l.-framing
inspection' STRUCTURAL CONCRETE: ln
coNcRErE sLAB: ro be '/ tl:J;:l;i[J'i['Jlfli,t][ ," srRUcruRAL wELDS:
made after all inslab building ptace and all pi pes, chimneys Performed on the iob' (2722 t)
service equipment, conduit, and vents are complete and
pipi ng, accessories and other the rough electrical, plumbing HIGH STRENGTH BOLTING:
ancillary equipment items are and melhanical are approved. During all bolt installation and
in place but before any . ,. tightening operations. (306
concrete is placed. Y tNSULATtoN & 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.B.C.
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 f illing applied. SpEC;AL GRAD;NG,trenches. EXCAVATTON AND FILLING:
,NDERFL..R: prumbins [|f;:,S".1Pf;:*'J3]"Hltt' Durins earthwork' (so6 all &
electrical, mechanical. To be according to plans. chapter 29)
X. LATH AND/OR GYPSUM
,.' ' BOARD: To be made after all
lathing and gYPsum board,
interior and exterior, is ln
place but before anY
plastering is aPPlied or before
gypsum board joints and
fasteners are taPed and
f inished.
made Prior to installation of
f loor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or f loor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decklng or f loor 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.
GLU-LAM BEAMS: lnspection
Certificate by an aPProved
agency, furnished to the CitY's
Building Division before
beams are placed. (2501 U.B.C.
sTDS. 25-1011).
STRUCTURAL MASONRY: (s06
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.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th3t 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 pertaining to the work described herein, and that No occuPANCY
will be made of any structure without permission of the Building Safety Divislon. 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 f rom the
street, tnat the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
stru ct iontimes durin
Signatu re Date
VALIDATION
aoZAMOUNT RECEIVED:
BECEIPT +: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 strlping, etc. must be completed before
requesting this insPection.
FINAL BUILDING: Requested af ter the final ptumbing, 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