HomeMy WebLinkAboutPermit Building 1991-06-13CO M M ERCIAL/ I N DU ST RIA!-
PERMIT APPLICATION
225 Fillh Street, Springfield, Oregon 97477
LOCATION OF PROPO ED
ASSESSOBS MAP
SPRINGFIELO
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- JOB NUMBER
INSPECTION LIN E: 726-3769
OFFICE: 726-3759
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?7/7 r-ZIP:STATE:
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CITY:
ADDRESS:
OWNER
VALUE:l/ADDITION DEMOLISH OTHER
DESCRIPTION OF WOR
NEW- REMODEL
ARCHITECT:
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE
PLUMBING:
MECHANICAL:
PHONEADDRESSNAME
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G EN ERAL:/1/Dy'UZ-/
ELECTRICA
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bld
(new fix. addtl s
)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer tt//
Backf low Device
TOTAL PERMIT
MECHANICAL
NO trFF EHA RGF
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
I Vent Fan/Sinole;;:;i'i;';,;'i s*.2)
Vent
f rom
sys
AC
tem apart-
or htg.
Mechanical exhaust
hood and duct
Zuo.,/ .z-.7zize ,M*/s:e
Permit lssuance $10.00
TOTAL PERMIT n a-#
-45 -
-"59&)
LAND USE
WATER HEATER
* OF UNITS:
LIGHTING POWER BUDGET:
HANDICAP ACCESS:
FLOOD PLAI
ZONING:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPEr
HEAT SOURCE:
VALUESQ. FT.$/SQ. FT.
TOTAL VALUE OF PROJ
@
i
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE
5zz=
BUILDING PERMIT 2?-:;b PLU MBI NG DEMOLITION
57o State
Surcharoe /- /a 5% State
Su rcharoe
MECHANICAL ?**FENCE
VALUE $
5% State
Surcharoe 1.zr SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVI N G CURBCUT
FT.
SYSTEMS
DEVELO PMENT l/../ .
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
t
SCJDa--,,
REOUIRED 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 readyfor inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:OO a.m. will be madethe 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 is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, butprior to placing concrete.
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
UNOERGROUN D: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or f illing
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing.
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
uBc 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
ROUGH ptU+UA+*e;
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vapor
barriers are in place but
before any lath or gypsum
board interior wall covering is
applied.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
interior and exterlor, is in
place but before any
plastering is applied or before
gypsum board joints and
fasteners are taped and
f inished.
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.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owneri Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTU RAL CONCRETE: In
excess of 2500 P.S.t. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 I)
HIGH STRENGTH BOLTING:
During all bolt installation and
ti ghtening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.1'l &
Chapter 29)
cLU.LAM BEAMS: tnspection
Certificate by an approved
agency, furnished to the City,s
Building Division before
beams are placed. (2501 U.B.C.
sTDS. 25-10,11).
STRUCTURAL MASONRy: (306
a.Z)
"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,
Clty or Development Code.
^
,,
FINAL PLUMBING SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such aslandscaping, parking lot striping, etc. must be completed beforerequesting this i nspection.
X FINAL BUILDING: Requested after the final plumbing, electrical,mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until aCertificate of Occupancy has been issued by the Building Divisionand posted on the premises.
-/ F.NAL ELEcrRrcAL,
-L F,NAL ME.HANTcAL r'
PLANS REVIEWED D^rE 6-/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 further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
DateSignature
times during constru ton
VALIDATION
FBct
sf . ?3 G-t'\-q t
2.o
AMOUNT RECEIVED
RECEIPT #RECEIVED BY:
DATE PAID:
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ADDITIONAL COMMENTS:
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