HomeMy WebLinkAboutPermit Building 1992-07-24CO MM ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fiflh Street, Springfield, Oregon 97477
SPAINGFIELO
TAX LOT:
LO CAIION OF PHOPOSED
JOB NUMBER
ASSESSORS MAP:
INSPECTION LINE: 726-3769
OFFICE: 726-3759
PHON E:
7r_STATE:ZIP:
30
6CITY:SDrtnt vta tl
ADDRESS:
OWNER:
flt? '8.
uks.qVALUEvADDITION DEMOLISH OTHER
DESCRIPTION OF WORK:
NEW 8' REMoDEL
NAME ADDRESS PHONE
ADD RESS EXPIRES
{57,6-
CONTRACTOR'S NAME
ARCHITECT:
MECHANICAL
ELECTRICAL:
PHONE
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bld
(new fix. addtl s
)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
NO FFF CHA FIGtr
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
d uct
Vent
from
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance s10.00
TOTAL PERMIT
_ OFFICE USE _
ZONING
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
LAND USE:
OCCY GBOUP:
* OF STORIES:
QUAD AREA:
S OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
* OF UNITS:
SQ. FT.$i sQ. FT.VALUE
TOTAL VALUE OF PROJ
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RCPT#DATE BY
BUILDING PERMIT 5c)5)PLUMBI NG DEMOLITION
5% State
Surcha 5% State
Su e
MECHANICAL FENCE
VALUE $5% State
Su rch tr
SIDEWALK
FT.
SUBTOTAL
PEBMITSPAVINGCURBCUT
FT.
SYSTEMS
DEVELOPMENT
-)JTOTAL PERMIT FEES
EXCLUOING ELECTRICAL
4nt -23o lrtud t
HANDICAP ACCESS:
-
J.51
#d
v REQUIRED INSPECTTONS r,
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: ln accordance
ELECTRICAL & and approved. section 306 0f the state specialty code
MECHANICAL: To be made _ a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & by the Ownei/ Contractor during
CURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: E'6Eb' A^E. r 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, ail steel in place, but framing inspection' STBUCTURAL CONCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
coNcRErE SLAB: ro be lH#:! iilJ'3lxlfli,t]i ,^ srRUcruRAL wELDS:
made after all inslab building place aid all pi pes, chimneys Performed on the iob. (2722t)
service equipment, conduit, and vents are complete andpiping, accessories and other the rough electricat, plumbing HIGH STRENGTH BOLTING:
ancillary equipment items are and mechanical are approved. During all bolt installation and
in place but before any tightening operations. (306
concrete is placed. INSULATTON & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SPRAYED ON
electrical, gas, sanitary sewer, barriers are in place but FIREPROOFING: U.B.C.
storm sewer, water and before any lath or gypsum Standards 43-8.
drainage lines. To be made board interior wall covering is
prior to covering or f illing applied. SpEC;AL GRAD;NG,
trenc hes.
,NDERFL..R: Prumbins ;:::'fl"="'f;I;'J3[gl* il:iUt'i:il-:il:'5Jb'i]'"1
electrical, mechanical. To be according to plans' chapter 29)
made prior to installation of r,^,A6 ^vherrir GLU.LAM BEAMS: lnspection
floor insulation, decking or LATH AND/OR GYPSUM
floor sheathing. BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agency' furnished to the City's
posr & 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, decking or floor plastering is applie6 or before STDS 25-10'11)'
sheathins.
/ser. rY
PJ"tlT,i:il1#$",ilo srRUcruRAL MASoNRv: (306
f in ished. a'7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made Prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
cals in accordance with place.
, 2415.
CURB AND APPROACH
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
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.
c
FINAL PLUMBING
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIO MENTS:
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.
FINALBUILDING:Requestedafterthefinalplumbing,electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
iertificate of Occupancy has been issued by the Building Division
and Posted on the Premises.
PLANS REVIEWED BY DATE
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 correct,'and I further certify that any and all work performed shall be done in accordance with the ordinances
of the city of springf ield, and the Laws of tne state of oregon pertaining to the work described herein, and that No occuPANoY
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 project 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
Signatu re Date
-7 - 2'l 4z-
times during construction'
VALIDATION
RECEIVED BY:
DATE PAID:AMOUNT RECEIVED:
RECEIPT *:
FINAL ELECTRICAL