HomeMy WebLinkAboutPermit Building 1992-02-03COMM ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Filth Street, Springfield, Oregon 97477
SPRINGFIELO OI
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JOB NUMBER
I NSPECTION LINE: 726-3769
OFFICE: 726-3759
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LOCATION OF PROPOSED WORK:
ASSESSORS MAP:TAX LOT:15 100
PHONE
STATE:
1-0.\)
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ztP: q1q11
OWNER
ADDRESS:
CITY:
VALUE:J1 nbOLISH OTHER
DESCRIPTION OF WORK:
NEW
-
REMODEL ADDITION D
NAME ADDRESS PHONE
ADDRESS PHONE
')tD
CONTRACTOR'S NAME
ARCHITECT:
MECHANICAL:
ELECTRICAL:
EXPI RES
PLUMBING:
GENERAL:
CONST. tX clOq
CONTRACTOR #
PLU MBING
NO.FEE CHARG E
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backflow Device
TOTAL PERMIT
MECHANICAL
NN FFtr .H A RNF
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or tloor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
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 _
LAND USE:
ZONING* OF UNITS:
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
OCCY GROUP:
* OF STORIES:
QUAD AREA:
g OF ELDGS:
VALUESO. FT,
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SO. FTG OTHER
RCPT#DATEPLAN CHECK FEE BY
BUILDING PERMIT 11(),s o PLUMBI NG DEMOLITION
5% State
Su rcharge ?.s3 5% State
Surcharge
MECHANICAL FENCE
VALUE $
5% State
Surcharge
SIDEWALK
FT.
SUBTOTAL
PERM ITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
+ nq 03TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
CONSTR. TYPE:
HEAT SOURCE:
$/SQ. FT.
-V REQUIRED INSPECTIONS VV
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 iob number, job address, type of inspection requested and when you will be ready
for inspection. Requests received before 7:0O 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 SpEC1AL 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 duringCURTAIN WALLS construction of the following w6rk. A
FOOTINGS & FOUNDATIONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished io the Building Division.
excavated and forms are facing materials and before
erected, ail steet in ptace, but framing inspection' srRUcruRAL CoNCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 2500 P.S.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made after ail insrab buirdins 3l::5::.':ff 3,';il?,.iHl:r" EII:,"J"',f3"t,Y5f3ol',rrr, ,,
service equipment, conduit, and vents are complete andpiping, accessories and other
incira-ry equipment items are :i".',i::HlHi:,X iJ;[9:t: Bl?lf],lE]uol,l"E,o"'lHt"oin place but before any tighte;ing operations. (306concrete is placed. INSULATIoN & vApoR a.6)
BARRIER: To be made after all
UNDERGROUND: 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 tovering isprior to covering or filling applied.trenches. qyH,,ve. spEclAL GRADING,
,NDERFL..R: p'umbins I:::,S""'"? mXfl[Hi"' El;tU1',iil#lL',5;b'j],"i,
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 Certif icate by an approved
lathing and gypsum board, agency, furnished to the City's
POST & BEAM: To be made interior and eiierior, is in Building Division before
prior to installation of floor place but before any beams are placed' (2501 U'B.C'
insulation, decking or floor plastering is applied or before STDS' 25-10'11)'
sheathing. - Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR TNSULATToN & finished' a'7).
.\,/
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.
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.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such as
landscaping, parking lot stri ping, etc. must be completed beforerequesting this inspection.
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.
ADDITIONAL COMMENTS:
-PLANS REVIEWED BY DATE
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 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 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.
are requested at the proper time, that project address is readable f rom thethe property, and the approved set of plans will remain on the site at all
Signatu Date 2l=,1
I further agree to ensure that all required inspecti
street, that the perm is located at the
times during cons
VALIDATION \ UZq D6
)l a lc>AMOUNT RECEIVED
RECEIPT *:BECEIVED BY:
DATE PAID
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