HomeMy WebLinkAboutPermit Building 1993-01-12COM M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION ,
225 Fillh Street, Springfield, Oregon 97477
SPRINGFIELO 43oo3+
afr,
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
2LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
0
TAX LOT:os800
w-6>c>lLtL-b>6),4,ff / (a I{PHONE
OESTATE:ZIP:
7
re
{f,o r".t
OWNEFI
CITY:
ADDRESS:
NEW
-
REMODEL I
- ADDTTON DEMOLTSH OTHER VALUE:
T{ C/asrDESCRIPTION OF WORK:2oo"
NAME ADDRESS PHONE
ADDRESS EXPIRES PHONE
a
CONTRACTOR'S NAME
ARCHITECI:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENEBAL:
PLUM BI NG
PLUMBING
NO FEE CHARGE
Single Fixture
Relocated Bld
(new fix. addtl s
)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
NN FFF EHA RGF
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.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
_ OFFICE USE _
ZONING
LAND USE
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
g OF UNITS:
OCCY GROUP:
g OF STORIES:
QUAD AREA:
# OF BLDGS
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT,VALUE
TOTAL VALUE OF PROJ
X
x
X
SQ. FTG MAIN
SQ. FTG ACCESS
SO. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
6 t5 "s
BUILDING PERMIT t<C,C^PLU M BI NG DEMOLITION
5% State
Su rcharge l<5% State
Su rc haroe
MECHANICAL FENCE
VALUE $
5% State
Su rch arq e
SIDEWALK
FT.
SU BTOTAL
PE RM ITS
PAVI NG CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
11 03 qsai
WATER HEATER:
V REOUIRED INSPECTIONS V
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:O0 a.m. will be made the same working day, requests made after 7:O0 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 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 SpEC;AL ;NSpECTIONS: 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 Owneri Contractor duringCURTAIN WALLS construction of the following w6rk. A
FOOTINGS & FOUNDATIONS: cooy 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, alt steel in place, but framing inspection' srRUcruRAL CoNCRETE: ln
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 an insrab buirding 3i::5 ::.':fi 3,T:I."r,';l:r" ;l,.3,T"',X3,.,t HStT',rrr, ,service equipment, conduit, and vents are complete andpiping, accessories and other
anciil-Jry equipment items are :i".H::H]["jl:..x,jJ;[|:x: Bl?:f],?:]nol,l",??h1}?"0in place but before any tighteiing operations. (306concrete 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 isprior to covering or f illing applied. S'ECIAL GRADING,trenches.
,NDERFL..R: p,umbins [:::,S""="'f;m'J3[gi"' iffiilt!ii#il:,5Jh'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 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'B.C'
insulation, decking or floor plastering is applied or before STDS' 25-1011)'
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?rtJ'"r::f""1,.
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 specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
FINAL PLUMBING
FINAL ELECTRTCAL
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 completed before
requesting this inspection.
FINAL BUILDING: Requested after the final plumbing, etectrical,
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 ) ^/2^ 73
By signature, l.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 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 Division. 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 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.
Signature
V
I
Date I t-,.1 q 4
VALIDATION ,')Dlq'\Il* l.-AMOUNT RECEIVED:DATE PAID
RECEIPT *: 1)Z-7 REoEIVED BY: CP=,