HomeMy WebLinkAboutPermit Building 1993-03-24COMMERCIAL/INDUSTRIAL -
PERMIT APPLICATION
225 Fiflh Street, Springfield, Oregon 97477
LOCATION OF PROP WO
ASSESSORS MAP
SP'IINGFIELO
Sf
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT
OWNE
ADD
cr STATE:
PHONE:
ZIP:
OTHER VALUE:ADDITION DEMOLISH
DESC ION OF WOR
NEW- REMODEL
A OarLJr-rtr^T.
coNsT.
CONTRA TOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE
NAME ADDFIESS PHONE
MECHANICAL:
ELECTRICAL:
G EN ERAL:
PLUMBING
PLU MBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
MECHANICAL
NO FFF CHA 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.
cool er
Vent Fan/Single
duct
Vent
from
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance s10.00
TOTAL PERMIT
_ OFFICE USE _
ZONING
LAND USE
HANDICAP ACCESS:
FLOOD PLAIN:
LIGHTING POWER BUDGET:
WATER HEATER
* OF UNITS:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
# OF BLDGS
CONSTR. TYPE:
HEAT SOURCE:
SO. FT.$/SQ. FT.VALUE
@TOTAL VALUE OF PROJ
X
x
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE BCPT#DATE BY
5(]
BUILDING PEBMIT PLU M BI NG DEMOLITION
5% State
Su rcharqe
5% State
Surcharoe
MECHANICAL FENCE
VALUE $
5% State
Surcharqe
SIDEWALK
FT.
SUBTOTAL
PERM ITS
PAVING Jt) 5rl CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
REQU!RED !NSPECTIONS
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 requ and when you will be ready
after 7:00 a.m. will be madefor inspection. Requests received before 7:O0 a.m. will be made the same working day,
the following work day.
SITE INSPECTION: To be ROUGH PLUMBING,
made after excavation, but ELECTRICAL &
prior to setup of forms. MECHANICAL: No work is to
be covered until these
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, but
prior 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.
UNDERGROUND: 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
f loor 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 sHEATHTNG AND iHffi^H'^fi'T'of""l'"
NAILING: Prior to installing erected but prior to placing
any roof covering. concrete.
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 exterior, 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.
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 Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 PS.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. (2722 t\
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.11 &
Chapter 29)
GLU-LAM BEAMS: lnspection
Certif icate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.C.
STDS. 25-10J1).
STRUCTURAL MASONRY: (306
a.7)
'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 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 proiect 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
Si gna e_ _€D
times d ring construction.
DATE PAID:
RECEIVED
VALI N AMOUNT REC
RECEIPT *:
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 BUILDlNG: Requested after the final plumbing, electrical,
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
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