HomeMy WebLinkAboutPermit Building 1996-04-11CO M M E RCIAL/ IN DUST RIAL
PERMIT APPLICATION
225 Fitih Street, Springfield, Oregon 97477
SPNINGFIELO
JOB NUMBER
INSPECTION LINE: 726.3769
OFFICE: 726-3759
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LOCATION OF PROPOSED WORK
,4 l
TAX LOT:.41a2>ASSESSORS MAP:/7-o2-2?^Z {
NEW
-
REMODEL ,f ADDITION DEMOLTSH OTHER
PHON E:
STATE:ztP
VALUE: a- 4
2
DESCRIPTION OF WORK:
CITY:
ADDRESS:
OWNER:
ARCHITECT:
PLUM BI NG:
MECHANICAL:
NAME ADDRESS PHON E
ADD RESS EXPI RES PHON ECONTRACTOR'S NAME
ELECTRICAL:
GENERAL:
CONST.
CONTRACTOR #
PLUMBING
NO.FEE CHARG E
Single Fixture
Relocated Bldg
(new lix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MECHANICAL
NO FFF 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
Stalionary evap.
cool er
Vent Fan/Single
duct
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE _
ZONING
LAND USE
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATEB:
* OF UNITS:
OCCY GROUP:
# OF STORIES
QUAD AREA:
C OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
?-7,RCPT#PLAN CHECK FEE DATE BY
BUILDING PERMIT ./5.*PLUMBI NG DEMO LITION
5% State
Surcharqe rz 2l;5% State
Su rc h arge
M EC H AN ICAL FENCE
VALUE $
5% State
Su rch are e
SIDEWALK
FT,
SUBTOTAL
PE RM ITS
PAVI N G CURBCUT
FT
SYSTEMS
D EV ELO PM ENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
25.?{
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.g269 (recorder), state your City designated.iob 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 INSPECT|ON: 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 pLUMBtNG, inspections have been made SPECIAL INSPECTIONS: ln accordance
ELECTRICAL & and approved. section 306 0f the state specialty code
MECHANICAL: To be made a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & 6y the Owner/ Contractor during
CURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: ETDEDT A^E. r copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished to the Building Division.
excavated and forms are facing materials and before
erected, all steel in place, but framing inspection'
-
STRUCTURAL CONCRETE: ln
prior to placing concrete.' / FRAMING: To be made after excess of 25oo P.S.l. (306 a.1)
coNcRErE SLAB: ro be $:J;:lii[J'3['Jlfli,'X,? ," srRUcruRAL wELDS:
made after all inslab building place aid all pipes,ihimneys Performed on the iob. \2722 f)
service equipment, conduit, and vents are'complete and
:i?X,?;""",",:il{!T ?[i:'::J :X? H::[i]iiil:,X'iJ;[3:1: [l?,:f;?E]?l*,'",o,]l]i^.in place but before any tightening operations. (306
concrete is placed. INSULATION & VApOR . a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SPRAYED ONelectrical, gas, sanitary sewer, barrlers are ln place but FIREPROOFING: U.B.C.
storm sewer, water and before any lath or gypsum Standards 43-8.
drainage lines. To be made board interior wall covering is
pribr to covering or filling applied. S'EC,AL GRAD'NG,
t re nc hes.
,NDERFL..R: p,umbins [:::,S""l^?m'J3[Ht"' ifiiJqiil-:ii''5Jh']T'"*
electrical, mechanical. To be according to plans. chapter 29)
made prior to installation of
floor insulation, decking or LATH ANDTOR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathing. BOARD: To be made after all Certif icate by an approved
lathing and gypsum board, agency, furnished to the city's
posr & BEAM: To be made interiol and exierior, is in Building Division before
priortolnstallationoffloorplacebutbeforeanybeamsareplaced'(2501U.Bc.
insulation, decking or f loor plastering is applied or before STDS' 25-10'11)'
sheathing. gypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR TNSULATToN & finished' a'7\
VAPOR BARRIERS: To be
made prlor to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
uBc 2415.
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
iompliance with the Building,
City or Development Code.
stru ct
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 pertainlng to'the work described herein, and that NO OCCUpANCywill be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employeeswho are in compliance with ORS 701.055 will be used on this project.
Signatu
Date
fu errth eto UNS re ahatgree re red n Squ oti Sn arepec UE atted hereq rop pe hat ro eme,ad resdp readS ab e mro h etreeSt,he ocat aed he ntro o eth dan hev,propert rovedpap SC of ansp rem nal on eh ate almdU
VALIDATION
'7,/o f<-RECEPT s.
RECEIVED BY:
DATE PAID:
AMOUNT RECETVED: ?5:?5
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 stri ping, etc. must be completed before
requesting this inspection.
FINAL BUILDING: Requested af ter the final plumbing, electricat,
mechanical and Fire Department inspectlons 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.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY E
tithatIS wil
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