HomeMy WebLinkAboutPermit Building 1993-08-16SPRINGFIELO ?9/zzlCOM M ERCTAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fillh Street, Springfield' Oregon 97477
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
N. 4tL
JCB NUMBER
INSPECTION LIN E: 726-3769
OFFICE: 726-3759
TAX LOT:
b-EbPHONE:
ztPSTATE:
@,
'7
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL L"/' ADDITION DEMOLISH OTHER
MANIUI tAE NC
VALUE: 4 f 1^,u
DESCRIPTION OF WORK:
ELECTRICAL:
PHONEADDRESSNAME
PHONEEXPI RESADDRESS
1(.l.NW
474D2-
ARCHITECT:
CONTRACTOR'S NAME
CONST.
CONTBACTOR #
G EN E RAL:
PLUMBING
CHARGEFEENO.
Single Fixture
new fix dr
Relocated Bldg
Water Service
ft
Sanitary Sewer ft
Storm Sewer
fr
Backf low Device
TOTAL PERMIT
NH A AGFFFFNO
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
I Appliance Vent
separate
@p.cooler
Vent-an/Single
duct
I Vent Sys
from AC
tem apart
or htg.
Mechanical exhaiJSt
hood and duct
I
I
L
$10.00Permit lssuance
TOTAL PERMIT
ZONING
_ OFFICE USE -HANDTCAP ACCESS:
FLOOD PLAIN
I-IGHTING POWER BUDGET:
WATER HEATER:
LAND USE:
OCCY GROUP:
; OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPEr
HEAT SOURCE:
* OF UNITS:
VALUE$/SQ. FT.SO. FT.
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SO. FTG OTHER
RCPT#PLAN CHECK FEE BYDATE
BUILDING PERMIT so 5"PLUMBII'IG DEl,/rlLlTlON
5% State
Su rch
FENCE
VALUE
5% State
Surcharoe
2f)?.
MECHANICAL
5% State
Surcharge
SIDE\IJAL(
FT.
SUBTOTAL
PERMITS
PAVI NG CURBCUT SYSTEMS
DEVELOPMENT
S 3,DstTOTAL PEFJ|IiT FEES
EXC l-U D : t'l':i L-. LL:CT Rl CA L
FT.
I
.? -/
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, reguests made af ter 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 priorlo placing
prior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB pLUMBING, inspections have been made SpEC;AL ;NSpECTIONS: tn 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 cluringCURTAIN WALLS construction of th6 following w6rk. A
FOOTINGS & FOUNOATTONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be iurnished to the Buildi-n-g Division.
excavated and forms are facing materials and before
erected, all steel in place, but . framing inspection' srRUcruRAL CoNCRETE: tn
prior 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 3i::5 ::.']ff 3,T:$t"ffil:r" ;lx:,"JJf3"t,Y5fioiirrr, ,,
service equipment, conduit, and vents are'complete and-piping, accessories and other
incirrary equipment items are :i?H'":ljlffii':fl'jJ;[3:i: Bl?,:f],?E],?l[,?,o"tl$t"oin place but before any tighte-ning operations. (306concrete is placed. INSULATION & VAPOR a.6)
BARRIER: To be made after allUNDERGRoUNDlPlumbing,insulationandiequiredvapor
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
lrtJ::;:":"*rins or fillins apptied. spEctAL GRAD.NG,
,NDERFL.oR: p,umbing I:::,I".?: I*'i[[H]"' EX:i;t!iil-tiP,5Jb'i],"t
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 Certif icate 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'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 INSULATION &
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.
f inished
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
a.7t
-ln addition to the inspec-
tions specified, the Building
Off icial may make or require
other inspections of any
construction work to ensure
compllance with the Building,
City or Development Code.
excavating complete and form
work and sub-base material in
place.
RooF sHEATHTNG ANo :HR3^Hifi'",::f""5|'"
NAILING: Prior to installing erected but prior to placing
any roof covering. concrete.
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 pertainlng 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 f urther agree to ensure that all required inspections are requested at the proper time, that project address is readable f rom 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.
Sig Date //z
a3VALIDATION:AMOUNT RECEIVED
RECEIPT C: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 striping, etc. must be completecl before
requesting this inspection.
FINAL BUILDING: Requested after the final plumbing, etectricat,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
Certificate of Occupancy has
and posted on the premises.
been issued by the Building Division
ADDITIONAL COMMENTS:
PLANS BEVIEWED BY DATE
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