HomeMy WebLinkAboutPermit Electrical 1992-8-3
CO MM ERCIAL/I N DUSTRIA~
PERMIT APPLICATION
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JOB NUMBEA
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225 F!fth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PAOPOSED W9.Bj<: , 'I (0, m A-i A) ;;;~E. I
ASSESSOAS MAP' \ 'l (J ~ ?J':=:;4~
OWNEA: ,....~f) h'ir-i- T.,o..ylo f'?..
ADDAESS' (l 0 VYl 001 Vl ,c:;f.
CITY' ~Pf\ ~ef'Ad
DESCAIPTlON OF WOAK: I 'V\ S 1NJ 11/Vt().,
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DEMOLISH
TAX LOT:
r )Cf)clJ
PHONF'
STATE:
OJ€.
ZIP:
q7Lf77
NEW
AEMODEL
ADDITION
hea:t t'J/H"lD
I I
OTHER
VALUE:
NAME
ADDAESS
PHONE
AACHITECT: '
CONTRACTOR'S NAME
ADDRESS
CONST,
CO NT RACTO R .
EXPIRES
PHONE
GENERAl'
PLUMBING'
MECHANICAl.; 5~, Wi tl ( C1aJYliwvtr)/, '::J
ELECTRICAl :,,\\~ ~!Jms...-
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PLUMBING
MECHANICAL
NO.
FEE
CHARGE
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I
~I:IARGE-
Single Fixture
Relocated Bldg,
Inew 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 healer
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duel
1
I
1
I
Sanitary Sewer
It,
Storm Sewer
It,
Backflow Device
Permit Issuance
$10,00
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
QUAD AREA:
. OF BLDGS:
LAN D USE:
. OF UNITS'
ZONING'
LIGHTING POWEA BUDGET:
OCCY GAOUP'
CONSTA. TYP"'
. OF STOAIES'
HEAT SOURCE:
WATEA HEATER:
SQ, FT,
$/SQ, FT.
VALUE
~
SQ, FTG MAIN
SQ, FTG ACCESS
SQ, FTG OTHER
x
X
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEF
RCPl'
DAT"
BY
I BUILDING PERMIT
15% State
Surcharge
I MECHANICAL
15% State
Surcharae
1~'K'1' )
PLUMBING
FT,
I DEMOLITION
I
I
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
I
I
I
I
I..
\~GU
'IS
1(\ ') CD
5% State
Surcharge
1 FENCE
VALUE $_
SIDEWALK
CURB CUT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
1\16 .rtS
If
. REQUIRED INSPECTIONS .
It is the responsibility of thOe permit holder to see that all inspections are made at the proper time. To request an Inspection, call
726.3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready
for inspection. Requests received before 7:00 a~m. w' be made the same working dey r: quests made after 7:00 a.m. will be made
the following work day.
SITE INSPECTION: To be .$l,,;J311 r~NG' PAVING: After gravel is in
made after excavation, but ' <....i=l~,..TDI,... ~ place but prior to placing
prior to setup of forms. t(1'\lfE,PH"ANICAL: wer . asphalt or concrete.
Eie (.;b~&reO Lmtll these
inspections have been made
and approved.
UNDERSLAB PLUMBING,
, ELECTAICAL &
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.
FIAEPLACE: 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 Owner 1 Contractor during
construction of the followi ng work. A
copy of the special testing reports shall
be furnished to the Building Division.
ATTIC DAAFT STOPS &
CUATAIN WALLS
CONCAETE 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.
FAAMING: 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.
STRUCTUAAL CONCAETE: In
excess of 2500 P.S,1. (306 a,1)
STAUCTUAAL WELDS:
Performed on the job, (2722 f)
UNDEAGAOUND: Plumbing.
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
,prior to covering or filling
trenches.
INSULATION & VAPOR
BARAIEA: 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, '
HIGH STAENGTH BOLTING:
During all bolt installation and
tightening operations, (306
a.6)
SPRAYED ON
FIREPAOOFING: UB.c,
Standards 43-8.
UNDEAFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing,
FIAE & SEPAAATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
POST & BEAM: To be made
prior to Installation of floor
insulation, decking or floor
sheathing,
LATH AND lOA GYPSUM
BOAAD: 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,S.C,
STDS, 25-10,11),
FLOOA INSULATION &
VAPOR BAARIEAS: To be
made prior to installation of
decking or floor sheathing,
STAUCTURAL MASONAY: (306
a,7)
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
USC 2415,
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.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof coverl ng.
CUAB AND APPAOACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL PLUMBING
SITE PLAN AEVIEW BOAAD: 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.
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.
Q/J
V;;
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIAE DEPAATMENT
ADDITIONAL COMMENT'"
PLANS REVIEWED BY
DATe
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 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 p'roject.
I further agree to ensure that all required Inspections are ~quested at the proper time, that project address Is readable from the
street, that the permit ard Is located at the front of the property, and the approved set of plans will remain on the site at all
times during constr on. ~ .\/7,...>>--./....... _.I? ~
Slgnat #< r ~//~..... ) Date p/q/:;>;?_
AMOUNT RECEiVED: ~~ ' ) ~
.t:==.,'1 rv:+.J
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VALIDATION:
AECEIPT ':
DATE PAID: ~~ .C( d-
RECEiVED BY: Nt.J)(). )
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