HomeMy WebLinkAboutPermit Building 1997-04-02COM M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fiflh Street, Springfield, Oregon 97477
SPRINGFIELO
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK I scl z9r$sT.
ASSESSORS MAP:G TAX LOT:
PHONE:
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oP.STATE:CITY:€u6 e^r€'ztp, q1.l o l-
ADDRESS:
OWNER:
NEW / REMODEL ADDITIoN DEMoLISH oTHER VALUE
DESCFIIPTION OF WORK:
ELECTRICAL:
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NAME ADDRESS PHONE
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ADD RESS EXPIRES PHONE
'Codalaa Aqr PocnABCHITECT:
CONTRACTOR'S NAME
MECHANICAL:
coNsr.
CONTBACTOR #
GENERAL:
PLUMBING
PLUMBING
NO.FFF CHARG E
Single Fixture
Relocated Bldg.(new fix. addtl)
Water Service
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
MECHANICAL
NO FFF EHA RGF
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 System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE _
LAND USE:
S OF UNITS:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:OCCY GROUP:
* OF STORIEST
QUAD AREA:
I OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
&TOTAL VALUE OF PROJ
X
x
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
BUILDING PERMIT /5,n PLUMBING DEMOLITION
5% State
Surcharoe
5% State
Surcharoe
MECHANICAL FENCE
VALUE $
3ll"?',"1'*; ,/rt,(5 SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
?;elrr
EAY
ZONING:
WATER HEATER:
REOUIRED 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
226-9169 (recorder), state your City deslgnated 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 INSPECT|ON: 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
gNDERSLAB pLuMBlNG, inspections have been made spEctAL lNSPEcrtoNS: ln accordance
ELECTRTCAL & 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 & Oy ine Owner/ Contractor during
CURTAIN WALLS construction of the following w6rk. A
FoorlNcs & FouNDATIoNS: EroEDr ArrE. r copy of the speclal testing reports shall
To be made after trenches are FTREPLACE: Prior to placing be furnished to the Building Dlvision.
excavated and forms are facing materials and before
erected, ail steel in place, but framing inspection' srRucruRAL CoNCRETE: ln
prior to placlng concrete.' FRAMING: To be made after excess of 2500 P'S'l' (306 a'1)
coNcRErE SLAB: ro be f[#:! ilJ'ilXlfli,'Xi ," srRUcruRAL wELDS:
made after all lnslab buildlng place and all pipes, chimneys Performed on the lob. (2722 l')
service equlpment, conduit, and vents are complete andpiping, accessories and other the rough electrical, plumbing HIGH STRENGTH BOLTING:
ancillary equipment items are and melhanical 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 SpRAyEo ON
electrical, gas, sanltary sewer, barriers are in place but FIREPROOFING: U.BC.
storm sewer, water and before any lath or gypsum Standards 43-8.
drainage llnes. To be made board interior wall covering is
prior to covering or filling applied. SpECIAL GRADING,trenches.
-
FIRE & SEPARATIoN wALL: ExcAVATIoN AND FILLING:
UNDERFLOOR: plumbing, Located and constructed Durlng earthwork' (306 a'1'l &
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
floor sheathlng. 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 Divislon before
prior to lnstallatlon of floor ftt-u U,t before any beams are placed' (2501 U''C'
lnsulation, decking or floor plastering is tppfiea or before STDS' 25-10'11)'
Sheathlng.,vvlrtllvgypsumboardJointsandiasteners are tiped and STRUCTURAL MASONRY: (306
FLooR TNSULATToN & finished' a'7\
VAPOR BARRIERS: TO bE
made prior to lnstallation of
decking or floor sheathing'
MASONRY: Steel locatlon,
bond beams groutlng or
vertlcals in accordance with
uBc 2415.
ROOF SHEATHING AND
NAILING: Prlor to lnstalllng
any roof coverlng.
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 lnspec-
tions specified, the Building
Officlal may make or requlre
other inspections of any
construction work to ensure
compllance with the Bullding,
Clty or Development Code.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all lnformation
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 Buildlng 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 ls readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remaln on the slte at all
a/z- /q 1SignatureDate/
times during constructlon
/b,LoVALIDATION 7AMOUNT RECEIVED:
RECEIPT;:RECEIVED BY:
DATE PAID
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
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 after 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 Dlvision
and posted on the premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
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