HomeMy WebLinkAboutPermit Building 1992-07-21COM M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fiffi Street, Springf ield, Oregon 97477
LOCATION OF PROPOSE RK:
ASSESSORS MAP
SPRINGFIELO JOB NUMBER
INSPECTION LIN E: 726-3769
OFFICE: 726-3759
TAX LOT:
tul
5L-_- /
A7 f 7zZIP:STATE:
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at1
H PHoNE: -^e'3271
1 ,/4r'//
CITY:
ADDRESS:
OWNER
NEW .-- REMODEL ADDITION DEMOLISH OTHER VALUE: 7 Soa *DESCRIPTION OF WORK
ELECTRICAL:
PHONEADDRESSNAME
EXPI RES PHONEADDRESS
Oqvr-e-,u
CONTRACTOR'S NAME
ARCHITECT:
MECHANICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUIV BIN G
PLU MBIN G
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MECHANICAL
NN trtrF EHA FIGF
Furnace/burner & vent
<100,000 BTUs
Furnace/burner & vent
>'100,000 BTUs
Floor furnace and vent
Suspended wall or tloor
mounted unit heater
Appliance Vent
se parat e
Stationary evap.
coo I er
Vent Fan/Single
duct
Vent
from
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
_ OFFICE USE -
ZONING:
LAND USE
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
* OF UNITS:
OCCY GBOUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
BUILDING PERMIT \ffi :ia)PLUMBING DEMOLITION
5% State
Surcharge
- A^\5% State
Surcharge
MECHANICAL FENCE
VALUE S
5% State
Su rcharoe
SIDEWALK
FT.
SUBTOTAL
PERM ITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PEHMIT FEES
EXCLUDING ELECTRICAL
/*,
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, 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 7:0O a.m. will be made the same working day, requests made after 7:00 a.m. will be madethe following work day.
SITE INSPECTION: To be ROUGH PLUMBING, PAVTNG: After gravet is inmade after excavation, but ELECTRICAL & place but priorlo placingprior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB pLUMBING, inspections have been made SpEC;AL INSpECTIONS: tn accordanceELECTRICAL & and approved. Section 306 of the State Speciatty CodeMECHANICAL: To be made a special inspector shalt be employedbefore any work is covered. ATTIC DRAFT STOPS & by the Ownei/ Contractor duringCURTAIN WALLS construction of the following w5rk. A
FOOTINGS & FOUNDATIONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be f urnished io the Buildiig Division.
excavated and forms are facing materials and before
erected, all steel in place, but framing inspection' STRUCTURAL CONCRETE: lnprior to placing concrete. FRAMING: To be made after excess of 2500 p.S.l. (306 a.i)
coNcRETE sLAB: To be the roof, all framing, fire
made after au insrab buirdins 3i::5'::..1ff |ffi:Ir"r,;#r" Ell3,"#.-3"t,Y5f3ol',rrr, ,service equipment, conduit, and vents are complete andpiping, accessories and other
incirary equipment items are :i:H::[i]tT:,X'jJ;[3:1: Bf,Xf],?E],fl[gi,,TS,:".in place but before any tightening operations. (306concrete is placed. tNSULATtoN & vApoR a.6)
BARRIER: To be made after altUNDERGROUND: 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 walliovering isprior to covering or filling applied.trenches. qPH"vv. spEclAL GRADING,
,NDERFL..R: prumbins lll:,St=^tf;m'J3[H]tt' Ef'f;Eil"^'t]",5Jbtj],""
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 interiol and exterior, is in ' Building Division before
prior to installation of floor place but before any beams are placed' (2501 U'B.C'
insulation, decking or ftoor plastering is applied or before STDS' 25-10J1)'
sheathing. - Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR TNsuLATIoN & {inished' 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 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 carefully 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 ORS 701.055 will be used on this proiect.
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the
located at the front of the property, and the approved set of plans will remain on the site at all
Signatu Date
I
street, that the permit c ard
times during construc
ONVALI AMOUNT FIECEIVE
RECEIPT S: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 condltions such as
landscaping, parking lot striping, etc. must be completed before
requesting this i nspection.
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