HomeMy WebLinkAboutPermit Building 1997-09-24/-\;
COM M ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
225 Fiflh Street, Springfietd, Oregon 97477
IAX LOT: , '
SPRINGFIELO ?JOB NUMBER
LOCATION OF PBOPOSED WOBK:
ASSESSORS MAP:
INSPECTION LtNE: 726-3769
OFFICE: 726-3Z39
PHONE:
e14,
ZIP:STATE:CITY:
ADDFIESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHEB VALUE:?
DESCRIPTION OF WORK:
NAME ADDFIESS PHONE
ADDRESS EXPIRES PHONE
CONTRACTOR'S NAME
ARCHITECT:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldo.
(new fix. addtti
ft.
Sanitary Sewer
ft
r
ft
Backflow Device
TOTAL PEBMIT
NO trtrtr EHA NG tr
Us
rnaceu I bu &rner vent
Furnace/burner & vent
Floor furnace and vent
n ary evap.
cool er
duct
nt
f rom or
Mechanical exhaus[
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
LIGHTING POWEB BUDGET:
FLOOD PLAIN
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
HANDICAP ACCESS:-
WATER HEATER:
LAND USE:
* OF UNITS:ZONING:
SQ. FT.$/SQ. FT,VALUE
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RCPT'DATE BY
//.,a
BUILDING PERMIT PLUMBING DEMOLITION
5% State
Su rch arg e
5% State
h
MECHANICAL FENCE
VALUE $
-
5% State
Su rcharg e
SIDEWALK
FT.
SUBTOTAL
PERMITSPAVINGa2,5a CURBCUT
FT.
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
2gl,8g
T
Water Service
Suspended wali oilloormounted unit heater
Appliance
separate
Vent
.
REQUIRED INSPECTIONS
It is the responslbllrty of the permit holder to see that alr lnspectlons are made at the proper tlme' To request an inspection' call
226-g76g(recorder), state your city designa,gJi.u number, iob address, type of inspection requested and when you will be ready
for inspection. Requests ieceived before 7,oo a.m. will be made the same working day, requests made after 7:00 a'm will be made
the following work daY.
slTE INSPECTIoN: To be ROUGH PLUMBING, -
t/ PAVING: After gravel is in
made after excavation, but giecrnrcal a
-
place but priorlo placing
prior to setup of forms. ugcHarutcAL: No work is to asphalt or concrete'
be covered until these
UNDERSLAB PLUMBING' inspectlons have been made sPEclAL lNSPEcrloNS: ln accordance
ELECTRICAL & and approved. Section 306 of the State Specialty Code
MECHANICAL: To be made ^??,^ nDAE? ' a special inspector shall be employed
before any work is covered. tltJ?^?^?t[J.sroPs
& :Ijl1"3"tf i,",?:'11iiil,1u',,1,3,n. o
FoorrNcs & FouNDArroNS: FTREpLACE: Prior to pracing i3%,'J'il3o"?;:a L";i'J,xJ"3,it:;1""
To be made after trenches are iaclng mlterlals and before
excavated and forms are frami'ng lnspectlon. STRUCTURAL CONCRETE: ln
erected, all steel in Place, but
prior to placlng concrete' FRAMING: To be made after excess of 2500 P'S'l' (306 a'1)
lhe roof, all framing, fire STRUCTURAL WELDS:
CONCR-ETE SLAB: To be blocking and bracing are in performed on tne ioO. t2722 t)
made after all lnslab building place and all pipes, chimneys
service equipment, conduit, and vents are complete and
piping, accelioriei and other the rough erecirrcdi, plumbing HIGH STRENGTH BOLTING:
ancillary equipment items are and mechanicai .ie'ipproreAi During all bolt installation and
in prace but before any ano mecnarrrsar dr' aP'rvv'u' tighte;ing operations. (30d
concrete is placed. INSULATIoN & vAPoR a'6)
BARRIER: To be made after all
UNDERGROUND: ptumbing, insulation and required vapor SPRAYED ON
electrical, gas, sanitary sewer, barriers are in place but FIREPROOFING: U'BC'
storm sewer,tater ani before any lath or gypsum Standards 43'8.
drainage tinEs- io be made board interior wall covering is
prior to covering or filling applied. SPECIAL GRADING,
irenches. EXCAVATION AND FILLING:
,NDERFL..R: prumbins ,
-
[:::,S-.:?mtJ3[Htt* #:;9,:aL'iwork
(306 all &
electrical, mechanical. T6.be according to plans'
made prior to installation of r,^,A6 v6orrrr GLU.LAM BEAMS: lnspection
ii'Bllli1,tr-'", o""xi^s .i btilfiir?3}fJi"t:,[,,, certiricate by an approved
Linins ano gvpsum board, Bli,ill;tti,il3l'.""0 JSrl?! "'t'''
posr & BEAM: To be made interior and exterlor' is in beams ire ptaceo. (2501 U.Bc.
prior to Insiiltatlon of ftoor place but before any STDS. 25-10J1).
lnsulatlon, decklng or floor plastering ls applied or before
sheathrns.
.,e.,^rrrs er rrvvr
PJj,::*j:il0,1i[}""310 srRucruRAL MASoNRy: (306
f lnlshed. a'7')
FLOOR INSULATION &
VAPOR BARRIERS: To be
made Prior to installation of
decking or floor sheathing'
MASONRY: Steel location,
bond beams grouting or
vertlcals in accordance with
uBc 2415.
ROOF SHEATHING AND
NAILING: Prlor to installing
anY roof coverlng.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving withln street right of
way, to be made after all
excavatlng comPlete and form
work and sub-base material in
place.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
tion to the insPec'
tions specified, the Building
Official may make or requlre
other inspections of anY
construction work to ensure
compliance with the Building,
Clty or Development Code.
Y
n
By signature, I state and agree, that I have carefuily examined the completed application and do hereby certify that all information
herein is true and "orr."t,".no 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 thqstate of Oregon pertaining to the work described herein, and that No occuPANoY
wiil be made of any struciure wlthout permission of the Buildlng Safety Division. I further certify that only contractors and employees
who are in compllance wlth OFIS 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 the
street, that the permlt card ls located at the front of the property, and the approved set of plans will remain on the site at all
times during constructlon.
Signature
x Dn" ?el-77
gsVALIDATIONAMOUNT RECEIVED:
RECEIPT *:RECEIVED BY:
DATE PAID:
FINAL PLUMBING
F]NAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITEPLANREVIEWBOARD:Mustberequested2daysinadvance
of tne date you wish inspection. All prolect conditions such as
ianbscaping, parking lot stri ping, etc. must be completed before
requesting this insPectlon.
FINAL BUILDING: Requested after the final plumbing, electrical,
mecnanlcal and Fire Department inspections are made and
ipproved. No occupancy of the premises can be made until a
CL?iiiicate of Occupancy has been issued by the Building Division
and posted on the Premises.
ADDITIONAL COMMENTS:
PLANS FIEVIEWED BY DATE V7/'?^