HomeMy WebLinkAboutPermit Electrical 1999-10-17
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COMM ERCIALlIN DUSTRIAL
PERMIT APPLICATION
.
225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER
q9/l/""3/
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK: ) 29/
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ASSESSORS MAP: -!"? 03 - '3~ ~
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TAX LOT:
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OWNER: ?~ C #k
ADDRESS: J a q / .s~
CITy:s~';:/1 tf'd aA'
DESCRIPTION OF WORK.
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STATE: -I2/f
PHONE:
I}I,I</- /:2. / ,>-(h~.., )
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ZIP:
9/}</~J?
NEW REMODEL
..x-- ADDITION
.
DEMOLISH
OTHER
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V~9f?l"~ ~ ~
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
GENERAL: .p.,/
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ADDRESS
C0vf
CONST. /.A03~
CO NT RACTO R N
. "< "1/). "? 9 " ;?":'/d~~
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;l-/j-t:JC)
EXPIRES PHONE
Ln
93?-/:J'-k.
PLUMBINr.:.
MECHANICAl.
ELECTRICAL:J::;...._/ )~!';? 1L6/J
I'}.IA .., >rr?,M t;?... f?WJ'L 10-0/
f2n -"1/'7(",
6tJ-6:23 /
II.
I MECHANICAL
FEE CHARGE 1 "'" FFF r.:~b.Rn~
I Furnace/burner & vent
<100.000 BTUs
I Furnace/burner & vent
> 100.000 BTUs
I Floor furnace and vent
I Suspended wall or floor
mounted unit heater
,.I ApplIance Vent
separate
I Stationary evap.
cooler
I vent Fan/Single
duct
I Vent System apart
from AC or htg.
I Mechanical exhaust
hood and duct
I
I Permit Issuance $10.00
I TOTAL PERMIT
PLUMBING
NO.
Single Fixture
Relocated Bldg.
lnew fix. addtll
Water Service
Sanitary SeV'fer
ft.
ft.
Storm Sewer
Backflow Device
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
QUAD AREA:
LAND UC:c.
FLOOD PLAIN.
N OF BLOGf'.
N OF UNITS.
ZONING: .
LIGHTING POWER BUDGET:
WATER HEATER'
OCCY GROUp.
N OF STORIES:
CONSTR. TYPF.
HEAT SOURCE:
sa FT.
$/SQ. FT.
VALUE
SQ. FTG MAl N
X
X
X
SQ. FTG ACCESS
SQ. FTG OTHER
TOTAL VALUE OF .PROJECT
~
I BUILOING PERMIT
I ""State
SurcharRe
MECHANICAL
- 7% State
SurcharQe
PAVING
?~. :$"ttCJ
:3.9?-
1..7~
PLUMBING
/", State
tiurcharoe
FENCE
VALUE $
SIDEWALK
CURBCUT
DATE /.0 :.A_ q;'$ BY ~~:'l ~
""./ .
DEMOLITION
PLAN CHECK FEZ.~. /.-3
RCPTN 3'-97'""3"":J
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
127. /"
I
.c~.-cl
I
1
1
M_e,,~ ~.../P
,
FT.
TOTAL PERMIT.FEES I
EXCLUDING ELECTRICAl
It~.89
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 7:00 a.m. will be made
the following work day.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
.
.
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ROUGH r'-'JMBING,
(f:L~CTRICAJ;::l&
IvIEl:HAN'CAL: 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.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framIng Inspection.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Ownerl Contractor during
construction of the foHowlng work. A
copy of the special testing reports shall
be furnished to the Building Division.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
y
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are In
place and all pipes, chimneys
and vents are complete and
the "rough electrical, plumbing
and mechanical are approved.
STRUCTURAL CONCRETE: In
excess of 2500 PS.I. (306 a.1)
r
CONCRETE SLAB: To be
made after all Inslab building
serylce equIpment, conduit,
piping, accessories and other
ancillary equipment items are
In place but before any'
concrete Is placed.
STRUCTURAL WELDS:
Performed on the job. (2722 I)
y
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.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.G.
Standards 43.8.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to coverIng or filling
trenches. .
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing.
Sp,ECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
-I-
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
finished.
GLU.LAM BEAMS: Inspection
CertIficate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.G.
STDS. 25.10,11).
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
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.
.In 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.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
ROOF SHEATHING AND ,
NAILING: Prior to Installing
any roof coverl ng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL PLUMBING
v
SITE PLAN REVIEW BOARD: Must be requested 2 days In edvance
of the date you wish Inspection. All project conditions such as
landscaping, parking lot striping, 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 9f the premises can be made until a
Certificate of Occupancy has been Issued by the Building Division
and posted on the premises.
;4' FINAL ELECTRICAL
FINAL MECHANICAL
v
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTf'.
PLANS REVIEWED BY / / ~.,_./
/ v~#e.;~
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information
herein Is true and 90rrect, 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 thai NO OCCUPANCY
will be made of any structure wlthout'permlssion 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
times during construction. .
lLA~ dLJ
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DATE lot' y9'~
Signature'
Date
to/IfI?'!
# - ,
VALIDATION:
AMOUNT RECEIVED: ~ ? .Jit ~
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-;;:?~~q
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RECEIPT N.
DATE PAID: 1c:;..~4/""3,
RECEIVED.BY: 01L-"'~ .
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