HomeMy WebLinkAboutPermit Building 1992-05-04COM M ERCIAL/lN DUSTRIAT-
PERMIT APPLICATION
225 Fiftn Street, Springfield, Oregon 97477
LOCATION OF PROPO D K:
SPFlINGFIELE,
U
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:ASSESSORS MAP:
\
I D.q
i In I
PHONE:
tu
OWNE
ADDR
c ZIP:STATE:
CRI
DEMOLISH OTHER VALUE:
D
N
FWO
REMODEL ADDITION
MECHANICAL:
NAME ADDRESS PHONE
NAME ADDRESS EXPIRES PHONE
l"H ITECT:
ELECTRICAL:
CONT
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
PLU MBIN G
NO.FEE CHARGE
Single Fixture
Relocated Bld
(new fix. addtl I
)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
MECHANICAL
Nr)FFF EHA FIG 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.
cooler
Vent Fan/Single
duct
Vent Sys
from AC
tem apart
or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
_ OFFICE USE _
ZONING
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
* OF UNITS:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
# OF BLDGS
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT,VALUE
q)
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
/5.7s
BUILDING PERMIT / 5,ao PLU M BI NG DEMOLITION
5% State
Surcharoe ,vs 5% State
Su rc haroe
MECHANICAL FENCE
VALUE $
5% State
Su rcharoe
SIDEWALK
FT,
SUBTOTAL
PE RM ITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERIMIT FEES
EXCLUOING ELECTRICAL
LAND USE:
WATER HEATER:
-
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, requests made after 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 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 SpEC1AL tNSpECTIONS: ln accordance
ELECTRICAL & and approved. Section 306 0f the State Speciatty 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 w6rk. A\,/ FOOTTNGS & FOUNDATIONS: copy of the special testing reports shall
7- i"-6" ."0-"'after trenches are FIREPLACE: Prior to placing be furnished to the Building Division.
excavated and forms are facing materials and before
erected, ail steel in place, but framing inspection' srRUcruRAL CoNCRETE: ln
prior 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' fire
made after au insrab buirdins Ei::5 ::.']ff 3ffi:It"f,H;:r" FIRy,Hyfl"t,Y5tT',rrz oservice equipment, conduit, and vents are complete andpiping, accessories and other
incirtarv equipment items are ffiH::[i]i""ii:,X i,[[3::: 3l?lf],?E]?H,?i,.THi".in place but before any tighte-ning operations. (306concrete is placed. INSULATTON & 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_g.drainage lines. To be made board interior wall covering isprior to covering or fiiling appried. spEclAL GRADTNG,trenches.
,NDERFL.oR: p,umbins l:?:,fl';'fm'J3l:[i"' El;iUt'iiil-tli.:,flb'il,'L
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
f loor sheathing. - BOARD: To be made after all Certificate 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' 25-1011)'
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 lloor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
uBc 2415.
RooF sHEATHTNG AND iHFS^H?,tJ"r:'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.
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 completed before
requesti ng 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.
PLANS REVIEWED BY onre 7-?-> =-a
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 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 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 furtheragree to ensure that all required inspections are requested at the propertime, that project address is readable from the
ard is located at the front of the property, and the approved set of plans will remain on the site at all
Signature Date
pe
n.?
-r-/- *
street, that the
times during co
VALIDATION AMOUNT RECEIVED: -f
RECEIPT *:RECEIVED BY:
DATE PAID
+
).
ADDITIONAL COMMENTS:
C.: