HomeMy WebLinkAboutPermit Building 1994-07-07CO M M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fit|n Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WOBK:
ASSESSOBS MAP:
SP'IINGFIELO JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
1 7 03 zQ- z 4- rAx Lor: . 290o
PHONE:
ZIP:CITY;
69b-O'7{': (3/O
,.aPSTATE:
OWNER:
ADDRESS:
.,
VALUEDDITIO
t
I
DJZ
DESCRIPTION OF WORK:
NEW REMODEL
MECHANICAL:
PHONENAMEADDRESS
EXPIRESADDRESS
73{-
CONTRACTOR #
CONST.
CONTRACTOR'S NAME
ARCHITECT:
ELE6IBICAL:
GENERAL:
PLUMBING
PLU MBING
NO FEE CHARGE
a7G JO-3360
Relocated Bldg.
(new fix, addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Devlce
TOTAL PERMIT
NN trtrtr nHA Aetr
Furnace/burner & vent
<100,000 BTUs
Furnace/burner & vent
>100.000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appllance Vent
separate
Statlonary evap.
cooler
Vent Fan/Slngle
duct
Vent
from
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
ZONING* OF UNITS:
HANDICAP ACCESS:
LIGHTING POWER BUDGET;
WATER HEATER:
OCCY GBOUP:
I OF STORIEST
QUAD AREA:
I OF BLDGST
CONSTR. TYPEr
HEAT SOURCE;
FLOOD PLAIN:
SQ. FT.$/SQ. FT.
rorAL VALUE oF PrtorEcf.a2'.6 / ?
/ra*, .t.,il- t"l
X
ftusDffaat U/y
€'ffiFI{*l}a-
SO FTG AEoESS
SQ. FTG OTHER
VALUE
39.4.350/70
PLAN CHECK FEE BCPT#DATE BY
BUILDING PERMIT
?V;AL rz) l)LV
,lil,
PLUMBING 7?60,ao DEMOLITION
57i-Slate - /
Surcharoe ad>'*)-5% State
Surcharoe ?o- L)
/(ab,*/ r-> rt -to
MECHANICAI-FENCE
VALUE S
5% State
Su rcharoe
SIOEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
o4
tTOTAL PEFMIT FEES
EXCLUDING ELECTRICAL
?4or e
Single Flxture
@ /z-* )
LAND USE:
xx
I.s the responsrbrrrty or the permrt horder,; ""'"1P"YlfPr"'i:::::T:I:tne propJttme. ro resuest an rnspec.on, ca,
726-3769 (recorder), state your Clty deslgnated job number, Job a<tdress, type of lnspectlon requested and when you wlll be ready
for lnspectlon. Requests recelved before 7:00 a.m. wlll be made the same worklng day, requests made after 7:00 a.m. wiil be made
the followlng work day.
SITE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel ls ln
made..after excavatlon, but ELECTRICAL & place but prior to placing
prlor to setup of forms. MECHANICAL:rNo work is to asphalt or concrete.
be covered untll these
lnspectlons have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prlor to placlng
faclng materlals and before
framlng lnspectlon.
FRAMING: To be made after
the roof, all framlng, flre
blocklng and braclng are ln
place and all plpes, chlmneys
and vents are complete and
the rough electrlcal, plumblng
and mechanlcal are approved.
INSULATION & VAPOR
BARRIER: To be made after all
Insulatlon and requlred vapor
barrlers are ln place but
before any lath or gypsum
board lnterlor wall coverlng is
applied.
FIRE & SEPARATION WALL:
Located and constructed
accordlng to plans.
electrlcal, gas, sanltary sewer,
storm sewer, water and
dralnage llnes. To be made
prlor to coverlng or fllllng
trenches.
UNDERFLOOR: PIumbIng,
electrlcal, mechanlcal. To be
made prlor to lnstallatlon of
floor lnsulatlon, decklng or
floor sheathlng.
POST & BEAM: To be made
prlor to lnstallatlon of floor
lnsulatlon, decklng or floor
sheathlng.
FLOOR INSULATION &
VAPOR BARRIERS: To bE
made prlor to lnstallatlon of
decklng or floor sheathlng.
MASONRY Steel locatlon,
bond beams groutlng or
vertlcals ln accordance wlth
uBc 2415.
ROOF SHEATHING AND
NAILING: Prlor to lnstalllng
any roof coverlng.
LATH AND'OR GYPSUM
BOARD: To be made after all
lathlng and gypsum board,
lnterlor and exterlor, ls ln
place but before any
plasterlng ls applled or before
gypsum board Jolnts and
fasteners are taped and
f lnlshed.
SIDEWALK & DRIVEWAY:
Requlred for all concrete
pavlng wlthln street rlght of
way, to be made after all
excavatlng complete and form
work and sub-base material in
place.
CURB AND APPROACH
APRONS: After forms are
erected but prlor to placlng
concrete,
SPECIAL INSPECT|ONS: ln accordance
Sectlon 306 of the State Specialty Code
a speclal lnspector shall be employed
by the Owner/ Contractor duri ng
constructlon of the following work. A
copy of the special testing reports shall
be furnlshed to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. 12722 l\
HIGH STRENGTH BOLTING:
Durlng all bolt installatlon and
ti ghtenl ng operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
Durlng earthwork, (306 a.11 &
Chapter 29)
GLU.LAM BEA,MS: lnspectlon
Certlflcate by an approved
agency, furnlshed to the Clty's
Bulldlng Division before
beams are placed. (2501 U.BC.
STDS. 25-10J1).
STRUCTURAL MASONRY: (306
a.7)
UN
ELECT
MECHANICAL: To be made
before any work ls covered.
FOOTINGS & FOUN DATIONS:
To be made after trenches are
excavated and forms are
erected, all steel ln place, but
prlor to placlng concrete.
CONCRETE SLAB: To be
made after all lnslab bulldlng
servlca equl pment, condult,
plplng, accessorles and other
anclllary equlpment ltems are
ln place but before any
concrete ls olaced.'ffiaffia1#ffi#
It-
'ln addition to the lnspec.
tlons speclfled, the Bulldlng
Officlal may make or requlre
other lnspections of any
constructlon work to ensure
compllance wlth the Bulldlng,
Clty or Development Code.
MBI
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHAN]CAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days ln advance
of the date you wlsh lnspectlon. All proJect condltions such as
landscaplng. parklng lot stri ping, etc. must be completed before
requestl n g tfi ls_, [,ps pect I on.. ..i
FINAL BUILDING: Requested after the flnal plumbing, electrical,
mechanlcal and Flre Department inspectlons are made and
approved. No occupancy of the premises can be made unill a
Certlflcate of Occupancy has been lssued by the Building Dlvislon
and posted on the premlses.
I
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
By slgnature, I state and agree, that I have carefully examlned the completed appllcatlon and do hereby certlfy that all lnformatlon
hereln ls true and correct, and I f urther certlfy that any and all work performed shall be done in accordance wlth the Ordinanges
of the Clty of Sprlngfleld, and the Laws of the State of Oregon pertalnlng to the work described hereln, and that NO OCCUPANCY
wlll be made of any structure wlthout permlssion of the Bulldlng Safety Dlvlslon. I further certlfy that only contractors and employees
who are ln compllance wlth ORS 701.055 wlll be used on thls proiect.
I further agree to ensure that all requlred lnspectlons are requested at the proper tlme, that project address ls readable from the
the property, and the approved set of plans will remaln on the slte at all
ng
card ls located at thestreet, that th
ctlon.
Date
ilm\2rr
st/rature
DATE PAID:
RECEIVED
VALIDATION:AMOUNT RECEIVE
RECEIPT *:
x
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