HomeMy WebLinkAboutPermit Building 1999-02-12COMM ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
SPFTNGF]ELO uOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
q2a"2;
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:TAX LOT a.824
STATE:
7
ZIP:922>>
Y6
CITY:
PHO
ADDRESS
OWNER:
ARCHITECT:
coNsT.
NAME
EXPI RES PHONE
-2
,
ME ADDRESS
DESCRIPTION OF WORK:
PHONE
VALUE:
CONTRACTOR
ADDRESS
MECHANICAL:
ELECTRICAL:
G E N ERAL:
PLUM 8I NG
ADDITION DEMOLISH OTHER
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
I t.
Backf low Device
4,vs- D-Z2a'?/D-hi*Jm
TOTAL PERMIT ,/5o>
MECHANICAL
NO FFF EHA RG F
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.
cool er
Vent Fan/Single
duct
Vent
f rom
System apart
AC or htg.
Jl Mechanical exhaust
hood and duct
Permit lssuance s10.00
TOTAL PERMIT /a*
- OFFICE USE -
ZONING
LAND USE FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
* OF UNITS:
OCCY GROUP:
# OF STORIES
OUAD AFIEA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
$/SQ. FT.VALUESQ. FT.
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SO. FTG ACCESS
SO. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
??"la
BUILDING PERMIT PLUMBI NG /q, no DEMOLITION
5% State
Su rcharge
5% State
Su rcharQe B :4b
MEc7r*)#L{f!F ,7-:-FENCE
VALUE $
5 % -State
Surcharqe rq '-:78 SIDEWALK
FT.
SUBTOTAL
PERM ITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
NEW- REMoDEL 1-
HANDICAP ACCESS:-
REQU!RED INSPECTIONS
It is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call726'3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be readyfor inspection. Requests received before 7:00 a.m. wil.l be made the same working day, requests made after 7:OO a.m. wiil be madethe following work day.
S|TE |NSPECT|ON: To be X !g_U_q! PLUMB|NG, pAVtNG: After sravet is inmade after excavation, but - ELECTRICAL &
-
pir." orr piio, to ptacingprior 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 accordanceELECTRICAL & and approved. Section 306 of the State Speciatty CodeMECHANICAL: To be made a speciat inspector shal be emptbyedbefore 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 Buildi-ng Division.
excavated and forms are facing materials and before
erected, all steel in place, but f raming inspection' STRUCTURAL CONCRETE: Inprior to placing concrete. FRAMING: To be made after excess of 25OO p.S.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fi re
made arter ar insrab buirdins 3i::5 ::.':fl 3,'3::lt"rif;:r" ;#i,.Tyf3.t,Y5LT',rrr, ,service equipment, conduit, .and vents are complete andpiping, accessories and other
incirr-arv equipment items are :i?H::ffilffil':fl'jJ;[3:t: El?,Xf],ffi]fl[,?i"tIH:".in place but before any tightening operations. (306concrete is placed. tNSULATtoN & 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.B.g.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. epF,!vv. SPECIAL GRADING,
,NDERFL..R: p,umbins [:::,]','"'f;l*'13[[f "' EliiUt'iiil-tli',5Jb'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 shehthing. 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, 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 iHXS^H?ii'T,of""X,"
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.
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 f urther 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 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 OBS 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 ls located at the front of the property, and the approved set of plans will remain on the site at all
Signature Date 2-/
times during construction
.1,l
VALIDATION 2)zsRECEIPT *:RECEIVED BY:
DATE PAID:
FINAL PLUMBING
FINAL ELECTRICAL
x FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof 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 plumbi ng, electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until aCertificate of Occupancy has been issued by the Building Division
and posted on the premises.
PLANS REVIEWED BY DATE
AMoUNT RECEIVED: _ V?. y'A
Z'
,x
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