HomeMy WebLinkAboutPermit Electrical 1995-5-3
CO M M ERCIALlI N DUSTRIALe
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER
~./B
INSPECTION LINE: 726,3769
OFFICE: 726,3759
'223 N. Ac::.,..p" EF1
ASSESSORS MAP: /7~?--7 5""- ~:?
OWNER ~A.'~'; f'P.1J ut \.ly ~o<\.n ~I
ADDRESS: J C;,.--, N. A.. <:: ~~
CITY: S ,_ , '\ [', . 1.1 '
LOCATION OF PROPOSED WORK:
.$", , T F' (:..,
TAX LOT'
/)2_.........
PHONE: _74-6 - 8>45 \
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STATF'
OK.
ZIP:
'=) iA.:z..::7
DESCRIPTION OF WORK:
NEW REMODEL
r_......L...._I"o ~_ 'Al_ll
~...P.rr..^oJ -.'
/ /:l ALL. ~_ ,
VALUE: ~4-c.,'DO
Y ADDITION DEMOLISH
OTHER
NAME
ADDRESS
PHONE
ARCHITECT'
GENERAl,
PLUMBING:
MECHANICAl'
ELECTRICAl'
f'r\. I{ ~__ . D
ADD RESS
c.r,~_.. _._ (
CaNST,
CO NT RACTO R #
EXPIRES
PHONE
CONTRACTOR'S NAME
c ~ s... ~\~.L"
PLUMBING
MECHANICAL
I
('HAaG,
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I
I
I
I
I
I
I
I
I
I
$10,00
NO
FEE
CHARGE
tJ() I:'EI=
Single Fixture
Relocaled Bldg,
(new fix, addtl)
Water Service
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
It.
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationaryevap.
cooler
Vent FanlSingJe
duct
Vent System apart
from AC or htg,
MeChanical exhaust
hood and duct
Sanitary Sewer
It.
{t,
Storm Sewer
Backflow Device
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
OUAD AREA'
, OF BLDGS'
LAND USF'
# OF UNIT~'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
OCCY GROUP'
CONSTR, TYP"
, OF STORIE~'
HEAT SOURCE:
SO,FT,
$/SO, FT,
VALUE
SO, FTG MAl N
X
X
X
SO, FTG ACCESS
SO, FTG OTHER
TOTAL VALUE OF PROJECT__
PLAN CHECK FE.E ~'Z. B ~
RCPTN / --:?-:::?2. ~
DATI'
5"- -:S~""Y') BY // ~ "
//
V-
I DEMOLITION
I BUILDING PERMIT I
15% Slate ,..~
Surcharge r-Y
I MECHANICAL
I' 5% State
SurcharQe
I PAVI NG
5J? . yc:::,
'.....:.>_2
J . -s-z...
PLUMBING
5% State
Surcharge
FENCE
VALUE $
SIDEWALK
FT,
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
5~.~7
CURB CUT
FT,
(
I
TOTAL PERMIT FEES I
EXCLUDING ELECTRIC'" ,
&,? "3.8
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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.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is .covered.
FOOTINGS & FOUNDATIONS:
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 lnslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
In place but before any
concrete Is placed.
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.
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.
X ~MBING,
.-'!'LECTR!S:AD&
, MECHAI'lICAL: 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: In accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owner! Contractor during
construction of (he following work. A
copy of the special testing reports shall
be furnished to the Building Division,
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framln? Inspection.
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 P.S,!. (306 a,l)
STRUCTURAL WELDS:
Performed on the Job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a,6)
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.
SPRAYED ON
FIREPROOFING: U.S.c.
Standards 43,S,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
y
GLU.LAM BEAMS: Inspection
Certlfl.cate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 u.Be.
STDS, 25-10,11),
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,
STRUCTURAL MASONRY: (306
a,7)
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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL PLUMBING
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PLANS REVIEWED SY /" /~-"'?----
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By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that alllnformatlon
herein is true and correct, and 1 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 Bul/dlng Safety Dlvlsion. I further certify that only contractors and employees
who are in compliance with OAS 701.055 will be use roject.
Y FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
Signatur
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 striping, etc. must be completed before
requestIng this Inspection.
y
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 Division
and posted on the premises.
OAT"
"5' - T~ "5'-"') -
s are reque ed at the proper time, that project address is readable from the
front of the prop rty, and the approved set .of plans will remain on the site at all
Datp /11......
p'
r
5.95
/
RECEIPT #:
AMOUNT RECEIVED:_/2 '/ ~ Y
/7-:<2 '9
DATE PAID' '5' - -=:i. '"'7, S-
RECEIVED BY: _/ .A"'~_____o
f -
VAll DATiON: