HomeMy WebLinkAboutPermit Building 1994-10-061
COMM ERCTAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfietd, Oregon g7477
CATION OF PROPOSED WORK:t1B
ASSESSOFIS MAP:
SPRTNGFTELc,
JOB NUMBER s) /
INSPECTTON LtNE: 726.3769
OFFICE: 726-3259
oe 97
TAX LO'I:@7a
<W((r4 td
PHONE:
DfZSTATE:ZIP:
P,,-k{ n i{<-r "77u-qg
S*r<e,1t1*
q-I 417
) N. 5,+
OWNER:
ADDRESS:
CITY;
. NEW REMODEL ADDITION DEMOLISH OTHER
(
X
AI
kVALUE:
DESCRIPTION OF WORK:
NAME ADDRESS PHONE
EXPIRES
hbHe4 ((Qgotz 2c
PLUMBING:
ARCHITECT:
MECHANICAL:
ELECTRICAL:
ADDRESSCONTRACTOR'S NAME
GENERAL:
PHONE
," te5-?ae,TCl N ,9oat
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new flx. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
NO FFF CHARGEFurnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall orlloor
mounted unit heater
Appliance Vent
SE parate
Stationary evap.
cool er
Vent Fan/SIngle
duct
Vent
trom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance s10.00
TOTAL PERMIT
- OFFICE USE -
LAND USE:
* OF UNITS:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
ZONING:
OCCY GBOUP:
I OF STORIES:
OUAD AREA:
r OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:WATER HEATER:--
SO. FT.$/SO. FT,VALUE
TOTAL VALUE OF PROJECT
crcdz2'
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER ,{'4
RCPT#PLAN CHECK FEE DATE BY
/c,^
BUILDING PERMIT ,/5,e PLUMBING DEMOLITION
5% State
Surcharoe zlr. *l.ozta.,7d 5% State
Su rc h aroe
MECHANICAL FENCE
VALUE $
5% State
Surcharoe
SIDEWALK
FT.
SUETOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
t
CONST.
CONTRACTOR d
REQUIRED INSPECTIONS
It ls the responsibility of the permit holder to see that all lnspectlons are made at the pr@per time' To request an inspectlon' call
726.3769 (recorder), state your city deslgnatecliob number, lob address, type of inspection requested and when you will be ready
for inspection. Requests ieceived before 7,oo a.m. wilt be made the same working day, requests made after 7:o0 a'm' wlll be mado
PAVING: After gravel is in
Place but Prior to Placlng
asphalt or concrete.
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Specialty Code
a special lnspector shall be employed
by the Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Divislon.x-
the following work day.
SITE INSPECTION: To be
made after excavation, but
Prior to setuP of forms.
UNDERSLAB PLUMBING'
ELECTRICAL &
MECHANICAL: To be made
before anY work ls covered'
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to
facing materials and
framing insPection.
FRAMING: To be made after
the roof, all framlng, fire
blocking and bracing are in
Place and all PlPes' chimneYs
and vents are complete and
the rough electrical, Plumbing
and mechanlcal are approved.
INSULATION & VAPOR
BARRIER: To be made after all
insulatlon and required vaPor
barrlers are ln place but
before any lath or gYPSum
board lnterior wall covering is
applied.
F]RE & SEPARATION WALL:
Located and constructed
according to plans.
LATH AND'OR GYPSUM
BOARD: To be made after all
lathlng and gypsum board,
lnterlor and exterlor, ls in
place but before anY
plasterlng ls applied or before
gypsum board Joints and
fasteners are taped and
f inlshed.
SIDEWALK & DRIVEWAY:
Requlred for all concrete
paving withln street right of
way, to be made after all
excavating camPlete and form
work and sub-base material in
place.
CURB AND APPROACH
APRONS: After forms are
erected but prlor to Placing
concrete.
placing
before
FOOT]NGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in Place, but
prlor to placlng concrete.
CONCRETE SLAB: To be
made after all lnslab bullding
servlce equlPment, conduit,
plplng, accessorles and other
anclllarY equiPment items are
ln Place but betore anY
concrete ls Placed.
UNDERGROUND: Plumblng,
electrlcal, gas, sanltarY sewer,
storm sewer, water and
dralnage llnes. To be made
prlor to covering or (illlng
trenches.
UNDERFLOOR: Plumbing,
electrlcal, mechanlcal. To be
made Prlor to lnstallation of
floor insulatlon, decking or
floor sheathlng.
POST & BEAM: To be made
prlor to lnstallatlon of floor
lnsulatlon, decklng or floor
sheathlng.
FLOOR INSULATION &
VAPOR BARRTERS: To be
made Prlor to lnstallatlon of
decklng or floor sheathing.
MASONRY: Steel location,
bond beams groutlng or
vertlcals ln accordance with
uBc 2415.
ROOF SHEATHING AND
NAILING: Prlor to lnstalllng
any roof coverlng.
STRUCTURAL CONCRETE: IN
excess of 2500 PS.l' (306 a.1)
STRUCTURAL WELDS:
Performed on the lob. (2722 t)
HIGH STRENGTH BOLTING:
Durlng all bolt installation and
tightenlng oPerations. (306
a.6)
SPRAYED ON
FTREPROOFING: U.BC.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU-LAM BEAMS: lnspectlon
Certificate by an aPProved
agencyi furnlshed to the CltY's
Building Dlvlsion before
beams are placed. (2501 U.BC.
srDS. 25-10J1).
STRUCTU RAL MASONRY: (306
a.7)
'ln addition to the lnspec-
tions specifled, the Buildlng
Officlal may make or require
other lnspectlons of any
constructlon work to ensure
compllance wlth the Building,
Clty or Development Code.
FINAL PLUMB]NG
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL F]RE DEPARTMENT
S]TE PLAN REVIEW BOARD: Must be requested 2 days ln advance
of the date you wlsh lnspection. All prolect condltlons such as
landscaping, parking lot striping, etc. must be completed before
requestlng thl.s inspection.
FINAL BUILDING: Requested after the flnal plumbing, electrlcal,
mechanlcal and Flre Department inspectlons are made and
approved, No occupancy of the premises can be made until a
Certlllcate of Occupancy has been issued by the Bullding Dlvlslon
and posted on the premises.
)<
ADDITIONAL COMMENTS:
PLANS REVIEWED BY OATE
By slgnature, I state and agree, that I have caref ully examlned the completed appllcation and do hereby certlfy that all lnformatlon
hereln is true and correct, and I f urther certify that any and all work performed shall be done in accordance wlth thoOrglnances
of the Clty of Sprlngfleld, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY
will be made of any structure wlthout permission of the Buildlng Safety Dlvislon. I further certily that only contractors and employees
who are ln compllance with ORS 701.055 will be used on thls project.
I further agree to ensure that all required inspections are requested at the proper tlme, that proJect address ls readable from the
street, that the permlt card ls located at the front of the property, and the approved set of plans wlll remain on the slte at all
tlmes durlng constructlon.fuKs J-Y'
AMOUNT RECEIVED:
Date
DATE PAID:VALIDATION:
BECEIPT +:
,/,/ z,o
BECEIVED BY:
ro/o/o/