HomeMy WebLinkAboutPermit Building 1997-12-18
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COM M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER
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INSPECTION LINE: 726.3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
\q\q L~~RA~~T
LOCATION OF PROPOSED WORK' .
,ASSESSORS MAP'
OWNER: 0: s ('o~ Tf A-C\o/2$ ;.41;
ADDRF""" ICi ,q L. p..ll(l {lr '&72-8::~
'SP(2,\/NG. M8-0
CITY'
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TAX LOT'
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PHONE/~-lt) 7eff-!-i'? 15
STATF'
O2oooN
.ZIP'
ql<+ /'1
~IL.D (..'2.)
INSta-l:: (~) ~II...D\"~
VALUE: br~~--
DESCRIPTION OF WORK'
NEW REMODEL 1- ADDITION
FtLE: 'Sfb('~CL ROOMS
()
DEMOLISH OTHER
CONTRACTOR'S NAME
GENERAL: ~~~
ARCHITEcT.
PLUMBINI>'
MECHANICA' .
ELECTRICAl'
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NAME
ADDRESS
PHONE
tJft\
ADDRESS
CONST.
CONTRACTOR'
PHONE
EXPIRES
A
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PLUMBING
MECHANICAL
FEE
Nn ~S:J:
""'.o.Dns:
CHARGE
Single Fixture
Relocated Bldg.
lnew fix. addtl)
Water Service
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance vent
separate
Stationary evap.
cooler
Vent FanfSlngJe
duct
Vent System apart
from AC or htg.
MechanIcal exhaust
hood and duel
ft.
s~nltary Sewer
Storm Sewer
ft.
ft.
Backflow Device
Permit Issuance
S10.00
TOTAL PERMIT
TOTAL PERMIT
QUAD AREA'
. OF BLDGS'
OCCY GROUP:
. OF STORIE~'
SQ. FTG MAIN
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
ZONINI>' ,
LIGHTING POWER BUDGET:
WATER HEATER'
LAND USo,
. OF UNITS'
CONSTR. TYpo.
HEAT SOURCF'
So. FT.
SISQ. FT.
VALUE
SQ. FTG ACCESS
SQ. FTG OTHER
X
X
X
TOTAL VALUE OF .PROJECT
PLAN CHECK FE.E~' 7'=3
RCPro 26~1!S DATEB-'Y"8 ~-, BY
.......-::2~.;-
~ /// -
I BUILDING PERMIT
15% State '/06"
Surcharoe ~
I MECHANICAL I
15% State I
Surcharae
I PAVING I
~.:SO
1'.-~~ '
, PLUMBING
DEMOLITION
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5% State
Surcharae
FENCE
VALUE S
SIDEWALK
, SUBTOTAL
.PERMITS
SYSTEMS
, DEVELOPMENT
6/.~3
CURBCUT
FT.
'FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
97?~
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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. v
SITE INSPECTION: To be /" RQ.!,Uitl PLUMBING, '
made after excavation, but '4'P1.CTRIC~D& .' ,
prior to setup of forms. MI!CHANICAL: 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.
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FIREPLACE: Prior to placing
facing materials and before
framing Inspactlo,:"
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.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shalf be employed
by the Ownerl Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
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.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
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.C.
Standards 43.8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
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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.C.
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.
tlons 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 covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL PLUMBING
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 strfplng, etc. must be completed before
requesting this Inspection.
)' FINAL ELECTRICAL
FINAL MECHANICAL
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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 Dlvfslon
and posted on the premises.
I FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
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PLANS REVIEWED BY / 4~~
L- /~
DATE
/ < "7RJ? "?
By slgnature,l state and agree, that I have carefully 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 a~nt of the property. and the approved set of plans will remain on the site at all
::::t:~:lngconstr~~rr L- Date 12/t~/tf7
VALIDATION:
AMOUNT RECEIVED: 9 7. ~
RECEIPT N: ~ ~ ':2.. ..,.;:1111
DATE PAID: /~-~~9-:>
RECEIVED BY:_~ ~'--';'
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zon,;'':'' C" < 'f .. . ,11
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225 FInn STREET . zoningLrr...._r EI.RcTRtCAl. l'ERHIT AI'l'UcATION
SrRINGFIEW, OREGON 971077 Dat.Ll-IK-Cr-?'
INSrECTION RF.OUEST: 726-3769 - I, -(-I . city Joh Number ~? /? '-/7
OFPICF,: n6-3759 Authorlze['j>ltn&ture_n~ , .
/9/1' t..~~4' ~ 3. tOHi"LRTlnEE-ScmWUI.E nELOV
1. LOCATION OF iNSTALLATION
,
O(~ eLe:c:l1Z-\L :i>I4oP A. New Residential-Single or
/.?...c;)?~':t:?-~ C,,?;;;:d'i!:S Multi-Family per dwelling 1U1lt.
LF,GAI. DF.ScRtrnoN Service Included:
I C\.\q l..f..uM..o... ~ SPR-D. I t ems Cos t Sum
Jon DF,SCRIrTIO~ 17 _ _
.ktoJ\ WI"""" ~(1...) 'jj(D~ ~
Permits are non-transferable and exJI~e
if work is not started within InO days
of Issuance or If work Is suspended for
180 days.
2. CONTRACTOR IIlSTM,J.ATION ONLY n.
OI~N
Electrical Contractor :::hIoustrtc...L g~
Address Iq 1'1 /..,ktJ(A- ~~.,.
cl ty Sf'r'Il'lbRIaJ) rhone(511I) 1'f1-e'f~
Superv isor LJ cense Number - ~~~S
Expiration Date \O/l/q~
Constr Contr. Number b"3+""1~
EXrllratlon Date V'Z.(..)14
Signatur~pervislng F,lectrlclan
d-L:: h- "/L
;'
Owners Name
()', S CoI\+rAL\1)~
Address I.OJ I q LAv'('A STlU9=-----r
Clty'SfFLo. rho"c;...II) 1c.j11111<s'
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OIlNF,R INSTAI,I.ATIoN
The Installation Is being made on
property I own which Is not lntenrled
[or sale. lease or rent,
Owners SIgnature:
.'
,,^TE: IOZ-/.e-??
RRCF.II'T ft: "'2. </l2..9 "7
RF.J:F.TVr.1J BY, /?u~:':_--
, r~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
~ach Hanuf'd "rime or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to ~OO amps
~Ol amps to 600 amps
601.amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
S ,,0.00
~ .0
-;>0 -
C.
Temporary Services or Feeders
Installation, Alteration or Relocntioh
200 amps or less
201 amps to ~OO amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
0..
Branch Ci rcuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
.,
New, Alteration or EKtenslon l'er l'ahel
One CI rcui t
Each Additional
Circuit or with Service
or Feeder Perml t 10
E.
Miscellaneous (Service/feeder
-Each installation'
rump or Irrigation
Slgn/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAl. OF ABOVE
5X State Surcharge
3X Administrative Fee
TOTAl.
$ 35.00
$ 2.00 1..D.Of>
not InclOded)
$
$
$
$ 36.00
10~
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40.00
40.00
20.00