HomeMy WebLinkAboutPermit Building 1991-06-24COM M ERCIAL/ I N DUSTRlAL
PERMIT APPLICATION
225 Fitth Street, Springfield, Oregon 97477
LOCATION OF PROPOS WORK:
ASSESSORS MAP:
SP'IINGFIELO
\\+'n
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:
\nOWNER:
ADDRESS:
CITY:
PHON E
ZIPSTATE:
VALUEDEMOLISH OTHE
DESCRIPTION OF WOR
NEW
-
REMODEL ADDITI
NAME ADDRESS PHONE
ME EXPIRES PHON ERESS
PLUMBING:
ARCHITECT:
MECHANICAL:
ELECTRICAL:
CONTRACTOR'S
GENERAL: _
CONST.
CONTRACTOR #
PLUMBING
NO FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft
Sanitary Sewer
aI
Storm Sewer
ft
Backflow Device
TOTAL PERMIT
MECHANICAL
NO trFF (:F{A EIGF
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
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
ZONING
LAND USE
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
* OF UNITS:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
I OF BLDGS:
CONSTH. TYPE:
HEAT SOURCE:
SQ. FT,$/SQ. FT.VALUE
@
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE BYDATE
BUILDING PERMIT ,NT tr)PLUMBI NG DEMOLITION
5% State
Surcharqe rq3 5% State
Su rcharqe
MECHANICAL FENCE
VALUE $
5% State
Surcharoe
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT BTOTAL PERMIT FEES
EXCLUDING ELECTRICAL
IA
.V 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. 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 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: tn 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 work. A
FOOTTNGS & 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 steel in place, but framing inspection' srRUcruRAL CoNCRETE: lnprior 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 ar insrab buirdins 3i::5 ::.']ff 3i3:::t"f,'.;;:r" Elly,T"',f3"t,Y5tT',rrr, ,,
service equipment, conduit, and vents are complete andpiping, accessories and other
ancirrary equipment items are :x? H::lfli""j[,1, jJ;[?::: Bl?lf],?E],?l*,?,o"tlH:"0in place but before any tighte-ning operations. (306concrete is placed. INSULAT|oN & vApoR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewei barriers are in place but FIREPROOFING: U.BC.storm sewer, water and before any lath or gypsum Standards 43_g.drainage lines. To be made board interior wall covering is
lrtJ::;:":"r"rins or fillins apptied. SpEctAL GRAD,NG,
,NDERFL.oR: p,umbins [ll:,S""=":"m'Jfl[g]"' EX:,lJt!ii-tii:,5Jb'i],"1
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
f loor 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 exterior, is in Building Division before
prior to installation of floor place but before any beams are placed' (2501 U'BC'
insulation, decking or floor 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 prior to installation of
decking or f loor 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 specif ied, 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 SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such as
landscaping, parking lot striping, etc. must be completed beforerequesting this inspection.
FINAL BUILDING: Requested after the final plumbing, etectrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE ENT
Certificate of Occupancy has been issued by the Building Division
the .eF
\^)DDIT co
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 employeeswho are in compliance with OFIS 701.055 will be used on this project.
I furtheragree to ensure that all required inspections are requested at the propertime, 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
-zSi gnatu Date
times durin co tructi
VALIDATION AMOUNT RECEIVED
RECEIPT *:RECEIVED BY:
DATE PAID
PLANS REVIEWED BY DATE
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