HomeMy WebLinkAboutPermit Building 1992-11-03C O frIIIII ERC I AL I I N D IJ ST RI AL -
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
!;PF'A'GF'ELO - uoe NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:'{Y3 lu r<nl.
TAX LOT:oASSESSORS MAP:
/-frL J422rc,k.PHONE:
ztPSTATE:/A/
DESCRIPTION OF WOR
NEW
CITY:
ADDRESS
OWNER:
MECHANICALi
-
ELECTRICAL:
ADDRESS PHONENAME
EXPIRES PHON EDRESSCONTRACTOR'S NAME
ARCHITECT:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
PLU MBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
NO FFF CHARGE
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
from
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
ZONING:
_ OFFICE USE -
LAND USE:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
* OF UNITS:
OCCY GROUP:
* OF STORIEST
OUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SO. FT./{o
4Z
TOTAL VALUE OF PROJ
X
VALUE$/SQ. FT.
&? o
SO. FTG MAIN
SO. FTG ACCESS
SO. FTG OTHER
RCPT#BYPLAN CHECK FEE DATE
q3
/,.- GG/>,
BUILDING PERMIT ,/4,s o PLU M BI NG DEMOLITION
5% State
Su rcharqe z?5 5% State
Su rc haroe
MECHANICAL FENCE
VALUE $Pta, Re//a4,2s73
5% State
Su rch arge
SIDEWALK
FT.
SUBTOTAL
PERM ITS
PAVI NG CURBCUT
FT.
SYSTEMS
DEVELOPMENT +
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
/"tz
7VALI.] E:/ ofr'REMODEL ADDITION DEMOLISH OTHER
Szo=a
R E o U R E D NS P ECT o N S
an NS o
pe ct ons are mad he prop er m e.To pecti cal
726-3769 (rec orde S you v d CS n ated iob n um be ob ress,ty pe of pe Ct re UE ted and wh en yo u be re ady
n,
S the re S pon si b ty of th e pe rm hol de to SC th ale nt ionadd
e th
n qIt
fo NS pe ct ion Re \-,1 u ES tS rec elve d bef ore 7 :0O be mad same day,re ests mad af ter 7:00 a.m ber)tate C WO rki uqnm
the following work daY'
SITE INSPECTION: To be
made after excavation, but
Prior to setuP of forms'
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.X
ROUGH PLUMBING'
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
insPections have been made
and aPProved.
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.t. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2122 t)
HIGH STRENGTH BOLTING:
During all bolt installation and
ti ghteni ng operations. (306
a.6)
SPRAYED ON
FIREPROOFTNG: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
During earthwork. (306 a.11 &
Chapter 29)
cLU.LAM BEAMS: tnspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are ptaced. (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.
FOOTINGS & FOUN DATIONS:
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.
UN DERGROUND: Ptumbing,
electrical, gas, sanitary sewer,
storm sewel water and
drainage lines. To be made
prior to covering or filling
t re nc hes.
UNDERFLOOR: Ptumbing,
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 SHEATHING AND
NAILING: Prior to installing
any roof covering.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing inspection.x FRAMING: To be made after
the roof, all f raming, 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:
Flequired 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.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested Z days in advanceof the date you wish inspection. All project conditions such aslandscaping, parking lot striping, etc. must be completed beforerequesting this inspection.
FINAL BUILDING: Flequested after the finat plumbing, etectricat,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until aCertificate of Occupancy has been issued by the Building Divisionand posted on the premises.
ADDITIONAL COMMENTS:--
PLANS REVIEWED BY DATE 2-
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 Springf ield, 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
property, and the approved set of plans will remain on the site at all
//- /7LSignatuDate
street, that the permit card is located at the front of the
times during construct
75,o QVALIDATION L(-AMOUNT RECEIVED:
RECEIPT *:RECEIVED BY:
DATE PAID
request
il
made
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spFri\l6FrELD
FENCE.-PER}TT APPLTCATTON
-,.9IIY oF SPRTNGFTELD
BUTLDING SAFETY DTVTSTON225.North Fifth StreetSPringfielcl, oregon 97477 Offi ce:
INSPECTTON LTNE:
3
Tax Lot #:
Phone #:
State zip:
Fence permit is 95.00
Phone #:
State 2 Zip:
726-3759
7 26-37 69
Job Location:
Assess rs urp +\
0wner:
Add ress :
Ci ty:
n4.
VaLue of Fence:
Con t rac tor/fns taLLer:
Address: t /
Ci ty:
By si
tl
Construction
S,ri /
FOR OFFICE USE
fr Corfrac tors Regis t,/,?( &ration
-
Expi S:#,,
gning thjs permit/a pplica tion, Ifencehas been construct ed (726-3769).thi s application/permit is correct andDevelopcodements for fenc
Ll re
agree to cal.l for. an inspection once myI also stated that all information onthat f vas provided r,,ith l;;-Sf,ringf ielde standards.
?-//*7s-
Date
ct TY OF
Date of Application:- \\-e\?-JoB it: C[
Receipt + G\-1 D Issued By:
Total Amount Collect $
Checked for Delinqttenries:Checked for Historieal. Stattts.
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