HomeMy WebLinkAboutPermit Building 1995-09-11Burr tJr<-- q.-flsc-K.-
CO M M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Frtlh Street, Springfield, Oregon 97477
SPFlINGFIELD
JOB NUMBER ? S/y'a Z
h,INSPECTION LIN E: 726-3769
OFFICE: 726-3759
\strLOCATION OF PBOPOSED WORK:
ASSESSORS MAP TAX LOT:
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SDCITY:
ADDRESS:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
I rOOO P
DESCRIPTION OF WORK:
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CONST.
CONTRACTOR'S NAME ADDRESS CONTBACTOR # EXPIRES PHONE
NAME ADDRESS PHONE
iSUC=iSr._,*S
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MECHANICAL:
ELECTRICAL:
qS
PLUMBING:
GENERAL:
PLU MBING
NO.FEE CHARGE
Srngle Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
M EC HAN ICAL
Nr)FFF CHA RG F
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 sys
AC
tem apart
or htg.f rom
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
_ OFFICE USE _
LAND USE:
ZONING* OF UNITS:
HANDICAP ACCESS:
LIGHTING POWER BUDGET:
WATER HEATER
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.s/so. FT.VALUE
TOTAL VALUE OF PROJ
X
X
X
SO. FTG MAIN
SO. FTG ACCESS
SO. FTG OTHER
PLAN CHECK FEE RCPT#DATE BY
Uo
BUILDING PERMIT *o.r,PLUMBI NG DEMOLITION
3Jl.i;f. z)+/3fi 5% State
Su rcharoe
MECHANICAL FENCE
VALUE $
5% State
Surcharoe
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVI NG CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
CAperz_
q\u -l\-
FLOOD PLAIN:
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 7:0O 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 sPEclAL 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 Owner/ Contractor during
CURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: E'DED' 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, alt steel in place, but framing inspection' STRUCTURAL CONCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
coNcRErE sLAB: ro be i[J*]:liilJ'3[Xlfli,t],? ," srRUcruRAL wELDS:
made after all inslab building place and all pipes, chimneys Performed on the lob. (2722 I)
service equipment, conduit, and vents are'complete and
:l?[3;'.",T;:{:? ?i:i:'::J :H';::["",]ig[,X i;;[35: 5l?lf],?E],31,?i*l5i^.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 ONelectrical, 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 filling applied. SPECIAL GRAD|NG,
t re nc hes.
,NDERFL..R: p'umbins [:::'s""?"f;14'J3[Hl"' il;llt'iiil-:lP,5J:'i],"1
electrical, mechanical. To be according to plans. chapter 29)
made prior to installation of
floor insulation, decking or LATH ANo/oR GYPSUM GLU'LAM BEA'MS: 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 & BEAMr 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'Bc'
insulation, decking or f loor plastering is applied or before STDS' 25-10'11)'
sheathing. - Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLOOR INSULATION &
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.
f inished a,7)
RooF sHEATHTNG AND :Hl3^H'^rti'"r::f""1,.
NAILING: Prior to installing erected but prior to placing
any roof covering. concrete.
SIDEWALK & DRIVEWAY:
Bequired 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.
2<
-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 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
times during construction
VALIDATION p.oAMOUNT RECEIVED:
RECEIPT *:RECEIVED BY:
DATE PAID:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE OEPARTMENT
ADDITIONAL COMMENTS:
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 BUILDING: Requested af ter 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.
PLANS REVIEWED BY DATE