HomeMy WebLinkAboutPermit Building 1996-03-27CO M M ERC!AL/ I N DUSTRIAL
PERMIT APPLICATION
225 Frtfi Street, Springfield, Oregon 97477
LOCATION OF PROPOSED R
ASSESSORS MAP
SPFlINGFTELO
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
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TAX LOT:
{
OWNER:
ADDRESS
CITY:STATE:
PHONE:
ZIP:
VALUADDITION
DESCRIPTION OF WORK a
at"/NEW- REMODEL DEMOLISH OTHER
ARCHITECT:
Dt il^rFuNtl.:.
MECHANICAL:
ELECTRICAL:
NAME ADDRESS PHON E
ADD RESS EXPI RES PHONECONTRACTOR'S NAME
G EN ERAL:
CONST.
CONTRACTOR #
PLU MBING
NO FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MECHANICAL
NO trtrtr CHARGE
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
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE _
LAND USE:
ZONING* OF UNITS:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWEB BUDGEI
WATER HEATER:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT,VALUE
;6 S)7
X
SO. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHEH
RCPT#DATEPIAN CHECK FEE BY
+\ 5q
BUILDING PERMIT 38A)PLUMBING DEMOLITION
5% State
Su rc harge
l. ctc1 t to 5% State
Su rcharoe
MECHANICAL FENCE
VALUE $
5o% State
Su rcharqe
SIDEWALK
FT.
SUBTOTAL
PE RM ITS
PAVI NG CURBCUT
FT.
SYSTEMS
D EVELO PM ENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
rorAL vALUE or pao*fu
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
726-3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready
for inspection. Flequests received before 7:O0 a.m. will be made the same working day, requests made after 7:00 a.m. will be made
the following work day.
SITE INSPECTION: 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 pLUMBING, inspections have been made SPECIAL INSPECTIONS: ln accordance
ELECTRICAL & and approved. Section 306 of the State Specialty Code
MECHANICAL: To be made _ a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor duri ng
CURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: 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' srRUcruRAL CoNCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made after au insrab buirdins 3i::5::.':ff 3,'iilt",1,H;:r" BII3,"JJJ3"L,Y5tT',rrr, ,,
service equipment, conduit, and vents are complete and-
:i,J,l3;:",',1il{:? ?$""'TJ :H'fl'":H;t"ii:,l,iJ;[?:t: Bl?Xf],?E],?T*,?l,"TH:".in place but before any tighte-ning operations. (306concrete is placed. INSULATION & VApOR a.6)
BARRIER: To be made after all
UNOERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are in place but FIREpROOFING: U.BC.storm sewer, water and before any lath or gypsum Standards 43-8.drainage lines. To be made board interior wall covering isprior to covering or fiiling appried. spEcrAL GRADTNG,t renc hes.
,NDERFL..R: p'umbing I:::,S""="'f;SflJ3[Hf"' il;iuTiii-tli.',5Jb'i]""a
electrical, mechanical. To be according to plans. Chapter 29)
made prior to installation of
floor insulation, decking or LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathing. - BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agency, furnished to the City,s
poST & BEAM: To be made interior and exierior, is in . Building Division before
prior to installation of floor place but before any beams are placed' (2501 U'B.c'
insulation, clecking or f loor plastering is applied or before STDS' 25-10'11)'
sheathing. - Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR rNsuLATroN & finished' a'7\
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
yerticals in accordance with
,.'u3c 241s.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
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.
'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,
City or Development Code.
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information
herein is true and correct, and I f urther 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 OCCUpANCywill 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 thestreet, 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
(
ti durin con5truction
DATION AMOUNT RECEIVED
RECEIPT *:RECEIVED BY:
DATE PAID
FINAL PLUMBING
F]NAL ELECTRICAL
FINAL MECHANICAL
F]NAL 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 Iot striping, etc. must be completed before
requesting this inspection.
FINAL BUILDING: Bequested after the final plumbing, etectricat,
mechanical and Fire Department inspections 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 DATE