HomeMy WebLinkAboutPermit Building 1999-09-22COM M ERCIAL/ t N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, $pringfield, Oregon 97477
SPRINCFIELE,JOB NUMBER
INSPECTION LINE: 725-3769
OFFICE:726-3759
LOCATION OF PROPOSED WORK:3/m rL rr
ASSESSOBS MAP:/7o3 ? <L4 TAX LOT:
PHONE:
ZIP:
5
STATE:
OWNER:
ADDRESS:
CITY:
x ADDITION DEMOLISH OTHEB VALUE: €ata -"
DESCRIPTION OF WORK:
NEW- REMODEL
NAME ADDRESS PHONE
ARCHITECI':
CONST.
CONTRACTOR'S NAME ADDRESS CONTRA TOR # EXPIRES PHONE
GENERAL:
PLU M BI NG:a
MECHANICAL:U\IFTHEWORK
ELECTRICAL:UNDERTHISPERT\i|T
rner vent
BTUs
Furnace/burner & vent
Floor furnace and vent
res yot or
qon ul mounted unlt heater
tortd
ance
rle 5
AF evap.
cooler
the ru n
telePfi duct
Notit t apart
or ht
44\
hood and duct
Permit lssuance s10.00
TOTAL PERMIT
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
^-r{kr.i-r'
qorllaw (equ
Storm Sewer
ft.)sadop
NotificatictBackflow Device )-oo1-0
lIl \,r,4'
0090.Yot may ot rtain copteu "rrrtnta'th€
calling lflE uvt'
{nr th€ (
I lLlr I re-
lpntor it
TOTAL PERMIT
ZONING:
- oFFICE USE -
LAND USE:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
* OF UNITS:
VALUESQ. FT.$/SQ. FT.
TOTAL VALUE OF PROJ
x
X
x
SQ. FTG MAIN
SQ. FTG ACCESS
SQ, FTG OTHER
RCPT#PLAN CHECK FEE BYDATE
lo,s-o PLUMBI NG DEMOLITION
I %' Slale
surcharoe
FENCE
VALUE $
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
5,r16TOTAL PERMIT FEES
EXCLUDING ELEGTBICAL
1?8oz
nN:Or(
eO DY [llt= v'
I \;lrr rr"
iiei-on Utititt
1 -8{ )( l-lr.rz -6
-REQUIRED INSPECTIONS
It is the responsiblllty of the permit holder to see that all lnspectlons are made at the proper tlme. To request an inspectlon, call
726-3769 (recorder), state your City deslgnated lob number, Job address, type of lnspection requested and when you wlll be ready
tor inspection. Requests received before 7:00 a.m. wlll be made the same working day, requests made after 7:00 a.m. will be made
the followlng work day.
SITE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is in
made after excavation, but ELECTRICAL & place but prlor to placing
prlor to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLABPLuMB|NG,inspectionshavebeenmadeSPEC|ALlNSPEcTloNS:lnaccordance
ELECTRICAL & and approved. Section 306 of the State Specialty Code
MECHANICAL: To be made a special inspectof shall be employed
before any work ls covered. ATTIC DRAFT STOPS & by the Ownei/ Contractor during
CURTAIN WALLS construclon of the foltowing w6rk. A
FOOTINGS & FOUNDATTONS: copy of the special testlng reports shall
To be made after trenches are FIREPLACE: Prlor to placlng be'furnished to the Building Dlvision.
excavated and forms are faclng materials and before
erected, all steel in place, but ,lraming inspection' STRUCTURAL CONCRETE: ln
prior to placlng concrete. X.FRAMING: To be made after excess of 2500 PS.l. (3OO a.1)
coNcRETE SLAB: To be a the roof' all framlng' fire
made after an rnsrab buirdins ll::5',lflo"lff |ffi:It;,;j:r" ;I*3'T"',r3"t,H5tT',rrrr,,
service equipment, condult, and vents are complete ancL
:11[,?;""".!;H!? ?#.:'::J :X".'fl::l"",itii:,X,l,i;:llf Bl;,:f],?E],?H,?i*IH:".ln place but before any \,, tighte-nlng operations. (306concrete rs praced. ,u INSULATTON & VAPOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing,
electrlcal, gas, sanltary sewer,
storm sewer, water and
dralnage llnes. To be made
prlor to coverlng or {illlng
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulatlon, decking or
floor sheathlng.
POST & BEAM: To be made
prlor to lnstallatlon of floor
lnsulatlon, decking or floor
sheathlng.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prlor to lnstallation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams groutlng or
vertlcals ln accordance wlth
uBc 2415.
ROOF SHEATHING AND
NAILING: Prlor to lnstalllng
any roof coverlng.
insulation and required vapor
barriers are in place but
before any lath or gypsum
board interior wall covering ls
applied.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
lnterior and exterlor, ls ln
place but before any
plastering ls 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.
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU-LAM BEAMS: lnspectlon
Certificate by arr 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.7)
xx
'ln addition to the inspec-
tions specified, the Building
Officlal rnay make or require
other lnspections of any
construction work to ensure
compllance wlth the Bullding,
Clty or Development Code.
By slgnature, I state and agree, that I have carefully examlned the completed applicatlon and do hereby cerilfy that all lnformation
herein ls true and correct, and I further certify that any and all work performed shall be done ln accordance with the Ordinances
of the Clty of Springfield, and the Laws of the State of Oregon pertainlng to the work described hereln, and that NO OCCUpANCywill be made of any structure without permisslon of the Bullding Safety Divlslon. I further certify that only contractors and employeeswho are in compllance with ORS 701.055 will be used on this project.
Signature Date
q a4^7P
fu hert toree SUen thatre al re red NS ti NSo areagqupec atuested he tl hatreqperpro adect ressd readaffi9,rojp bl f rome ethatthheItlscardocatst reet,perm eth off ront the ro and he setroved of ilpperty,pp remai onn heplans atslte al
tmes Ud nrl construct ons
'Lfl {qVALIDATION5 3D:4t50
1AMOUNT RECEIVE
RECEIVED BY:
DATE PAID:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish lnspectlon. All proJect condltions such as
landscaping, parking lot striping, etc. must be completed before
requestlng thls inspectlon.
FINAL BUILDING: Bequested after the ftnal plumblng, eleotrtoal,
mechanlcal and Flre Department lnspectlons are made and
approved. No ocoupancy of the premlses can be made untll aCertificate of Occupancy has been issued by the Buildlng Dlvlslonand posted on the premlses.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
RECEIPT *:
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