HomeMy WebLinkAboutPermit Building 1995-12-27COMM ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon gt4ll
3P'IiNOFIELct
JOB NUMBER 2azz4A
INSPECTION LINE: 726.3769
OFFICE: 726-3759
LOCATION OF PROPOSED WOBK:\12 7N 7TL Apry + A
ASSESSORS MAP:TAX LOT:
PHONE
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4__STATE:
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|.aFA IN
CITY:
ADDRESS:
OWNE
NEW
-
REMODEL ADDITION DEMOLISH OTHER
el WM-DESCRIPTION OF WORK
NAME ADDRESS ONE
EXPI RES PHONETh
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CONTRACTOR'S NAME
ARCH ITECT:
ELECTRICAL:
MECHANICAL
CONST.
CONTRACTOR,ADDRESS
4(ffi w. ilGENERAL:
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg
(new f ix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backflow Device
TOTAL PERMIT
NN
Furnace/burner & vent
__sJe9.Q!9_EIUs
-F-EE
Furnace/burner & vent
> 100,000 BTUs
--CHARGE-
Floor furnace and vent
Suspended wall orlloor
mounted unit heater
Appliance Vent
se parat e
Stationary evap.
cool er
Vent Fan/Single
duct
Vent
f rom
Systern apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance s 10.00
TOTAL PERMIT
_ OFFICE USE -
ZONI NG
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATEF HEATER
LAND USE:
OCCY GROUP:
I OF STORIES:
QUAD AREA:
r OF BLDGS:
CONSTR. TYPEr
HEAT SOURCE:
* OF UNITS:
SQ. FT.$/sQ. FT.VALUE
TOTAL VALUE OF PROJECT
x
X
SO. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT/PLAN CHECK FEE DATE BY
BUILDING PERMIT o 7.50 PLU M BI NG DEMOLITION
3l1lir!1'.". 3,t7+18e 5.o/5% State
Su rc h arqe
MECHANICAL FENCE
VALUE S
5% State
Surcharqe
SIDEWALK
FT.
SUBTOTAL
PE RM ITS
PAVI NG CURBCUT
FT.
SYSTEMS
DEVE LO PMENT
a7.s/TOTAL PERMIT FEES
EXCLUDING ELECTNICAL
DeGaa-
-
- REOU!RED INSPECTIONS
It isthe responsibility of the permit holder to see that all inspections are made at the proper time' To request an inspection, call
726.9769 (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'
stTE ;NSpECTION: To be ROU9H PLUMBING, PAVING: After gravel is in
made af ter excavation, but ELECTBICAL & 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 SPECIAL INSPECTIONS: ln 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 & Oy ine Owner/ Contractor during
CURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: ErErEDr A'^E. r copy of the special testing reports shall
To be made after trenches are FIBEPLACE: Prlor to placlng be furnished to the Building Division.
excavated and forms are facing materlals and before
erected, att steel in place, but f raming inspection' STBUCTURAL CONCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 2500 P.S.l. (306 a.1)
coNcRErE sLAB: ro be S:J;:li i[J'3['Jlfl;t],"" ,^ srBUcruRAL wELDs:
made after all Inslab building place and all plpes,ihimneys Performed on the iob. (2722 f)
service equipment, conduit, and vents are'complete andpiping, accessories and other the rough electrlcal, plumbing HIGH STRENGTH BOLTING:
ancillary equipment items are and melhanical are approved. During all bolt installation and
in place but before any tightenlng operations. (306
, concrete is placed. INSULATION & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing' insulation and required vapor SPRAYED ON
electrical, gas, sanitary sewer, barriers are ln place but FIREPROOFING: U.BC.
storm sewer, water and before any lath or gypsum Standards 43-8.
drainage lines. To be made board lnterlor wall covering is
prior to covering or filling applied. S'ECIAL GRADING,trenches
F,RE & sEpARATtoN wALL: ExcAVATToN AND FTLL|NG:
SNDERFL9.R: prumbins, I:?:,$t"=^tfconstructed Durins earthwork' (306 all &
electricat, 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 toor sheathing. BOARDT To be made after all Certificate by an approved
lathing and gypsum board, agency, furnished to the city's
posr & BEAM: To be made interlor and exierlor, is in Bullding Divislon before
prior to instatlatlon of floor place but before any beams are placed' (2501 U'BC'
insulation, decklng or f 1oor plastering ls appliei or before STDS' 25'10J1)'
ch6.rhin^ gypsum board Joints andr.ve!rr.rv' 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
u3C 2415.
ROOF SHEATHING AND
NAILING: Prior to instal ling
any roof coveri ng.
fi ni shed.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavatlng complete and form
work and sub-base materlal in
place,
CURB AND APPROACH
APRONS: After forms are
erected but prlor to placing
concrete.
a.7t
'ln addition to the inspec-
tions speclf ied, the Building
Officlal may make or requlre
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
*
By signature, I strte and agree, that I have caref ully examined the completed application and do hereby certify that all information
herein rs true and correct, and I further ce|tify 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 hereln, and that NO OCCUPANCY
will be made of any structure without permission of the Buildlng Safety Division. I further certify that only contractors and employees
who are in compliance with OFIS 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 permlt card is located at the front of the property, and the approved set of plans wlll remaln on the site at all
Signatur
I
Date
/ z-zT-75times d uri nstructi
.f/VALIDATIO N
/
AMOUNT RECEIVED
REC€IPT 'r BECEIVED BY:
DATE PAID:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be reques.ted 2 days in advance
of the date you wish inspection. All pro,ect ionditlons such as
landscaping, parklng lot stpl ping, etc. must be completed before
requestlng thls lnspection.
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanlcal and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
Certiflcate of Occupancy has been issued by the Building Division
and posted on the premises.
ADDITIONAL COMMENTS
PLANS REVIEWED BY DATE
I