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Home My WebLink AboutPermit Mechanical 1992-11-19CO M M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fiftn Street, Springfield, Oregon 97477 SPRINGFIELO JOB NUMBEFI 7zt INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP:TAX LOT: PHON E: ZIP:STATE:qlLJ-?7 OWNER ADDRESS CITY: DESCRIPTION OF WORK NEW- REMODEL OTHER VALUE: $FA-D MOLIS n trtr\ lJ lTtrr\-r. ELECTRICAL: NAME ADDRESS PHONE NAME ADD RESS EXPI RES PHON EH77r / u- ICAL: CONTRACTOR CONST. CONTRACTOR # PLU MBING NO.FEE CHARGE Single Fixture Relocated Bldg.(new fix. addtl) Water Service ft. Sanitary Sewer ft. Storm Sewer ft. Backf low Device TOTAL PERMIT MECHANICAL Nr)trFF CHA FIGF Furnace/burner & vent < 100,000 BTUs ero Furnace/burner & vent >100,000 BTUs FIoor furnace and vent Suspended wall or f loor mounted unit heater Appliance Vent separate Stationary evap. cool er Vent Fan/Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duct,47n 2.& Permit lssuance $10.00 TOTAL PERMIT ,8,,,lr.-; _ OFFICE USE _ LAND USE HANDICAP ACCESS: FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER: * OF UNITS: OCCY GROUP: # OF STORIES OUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: SO. FT.$/SQ. FT.VALUE TOTAL VALUE OF PROJECT X X SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER RCPT#DATEPLAN CHECK FEE BY 2fr7f, BUILDING PERMIT PLUMBI NG DEMOLITION 5% State Su rcharqe 5% State Su rcharqe MEC wbyll /E{Z FENCE VALUE $ 5% Slate ' Su rch aroe -?f €+DEWALK FT. SUBTOIAL PEBM ITS PAVI NG CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL NQ ZONING: 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 af ter 7:0O a.m. will be made the following work day. SITE INSPECTION: 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 UNDERSLAB pLUMBING, inspections have been made SPECIAL INSPECTIONS: ln accordance ELECTRICAL & and approved. section 306 0f the state Specialty code MECHANICAL: To be made a special inspector shall be employed before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor during CURTAIN WALLS construction of the following work. A FOOTINGS & FOUNDATIONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be furnished to the Building Division. excavated and forms are facing materials and before erected, ail steel in place, but framing inspection' srRUcruRAL CoNCRETE: ln prior to placing concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1) coNcRETE SLAB: To be the roof' all framing' fire made after au insrab buirding 3l::5::.':fl 3iE:It"f,H;:r" FII:,"J"',.-3"t.Y5tT',rrz oservice equipment, conduit, and vents are'complete and :i?[,?;".",',:;?{:""i ?i:*""'::i :X? 'fl'":Xi,]i9ffi,1'iJ;[3:?: Bl?lf],ffiIuol,l"EP,.T]t"oin place but before any tighteiing operations. (306concrete is placed. INSULATTON & VApOR a.6) BARRIER: To be made after all UNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are in place but FIREpROOFING: U.BC.Storm sewer, water and before any lath or gypsum Standards 43-8.drainage lines. To be made board interior wall covering isprior to covering or f illing applied. SPECIAL GRAD|NG,t renc hes. ,NDERFL..R: p,umbins [:::,1',=,'f;XA'J3[Hi"' il;iJt'iiil-:li",5Jb'i],"1 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 sheathing. 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 Division before prior to installation of floor place but before any beams are placed' (2501 u'Bc' insulation, decking or floor plastering is applied or before STDS' 25-10J1)' sheathing. - Sypsum board joints and fasteners are taped and STRUCTURAL MASONRY: (306 FLooR TNSULATToN & finished' a'7) 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 sHEATHTNG AND iHRS^H'^,tJ,tt::#"":,. NAILING: Prior to installing erected but prior to placing any roof covering. concrete. 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. "ln 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. FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL SITE PLAN REVIEW BOARD: Must be requested 2 days in advance of the date you wish inspection. All project conditions such as Iandscaping, parking lot stri ping, etc. must be completed before requesting this inspection. FINAL BUILDING: Requested after the final plumbing, etectrical, 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. PLANS REVIEWED BY DATE By signature, I state and agree, that I have caref ully 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 at the front of the property, and the approved set of plans will remain on the site at all times during construction. Signature Date z VALIDATION AMOUNT RECEIVED:4f,2, RECEIPT *:a9a = DATE PAID: RECEIVED BY: FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: - C'TY OF OREGO'U 0l/27/02 t Ll:22 00os ??i E080 I 0lEICBr 716-3759 l+T$t UD F{'Fn SfBEET -iir.r i- :' r' SPRIIIGEIBLDT ORBCON 97417 :'1 :r:,:; ' insigcflon iuouasrr 726-176r' "' ELEctnICAL PENfiIT APPTICATIOI Ct ty Job Nunber q ^t3) I -QD 3 COI{PLEf,E PEE SCEEDI'IJ BBT,O9 SPFD DEV. SER [t ooz--.-\r'^!lnlbl'llrLt, 3 t. Ofi5,1 I a I IOCffiroN 0r JOB C trrrltc rrt noD-trangfcrablc and explrelf vork lr not staitcd vlthln 180 daysol tssuancG or lf vork ls suspended for 180 dayr. 2, COTTTRACTOR INSIAIIATIOII OM.Y Elcctrlcal Contrtctor TdE, lda. Addrcre EPa &*)kt crty 8ae,ub -Phonc 66t- 6?tt Supervl cor Llccnsc Ntinber )AO+S E qpt rltton Drt.to-rS conrtr contr. Nunbcc e 44do -Bxplrrtlon D.t. Slgnrturt ol Supenrlalng Elcctrtclan 0mora Naoc Addrlrr ct Thr lnstellatlon lt belng ntde on prop.rty f orn vhtch ls not lntendcd for arhr lcerc or rant. , Onrcrr Sl3nature: DAtEr tlal-Slnglc or Hultl-Fently pcr dwdllng untt. Servlcc Includedt Itaos Cort 1000 sq.ft. or less' - Each addlttonal 500 sg, ft or portlon thereof Each Hanu!'d Eorne or -ilodulsr Duelllng Servlec or Fecder $ 85.00 s 40.00 \-T'd)Suu s 15.00 B. Servltes or Feedcrs. Installatlonr Altcrstlont or Reloeatlonl c. D. 200 amog or lcsg 201 anps to 400 anPs - 401 amps to 600 anPs - 601 amps to 1000 tnPs- Over 1000 anps/volts - Bcconnect 0nly . -Tcmporary Servteec or Fcldcra Inriallailon; Alterltlon or Rclocatlon -Each lnstallatlon Prrmp or lrrlgrtlon Sign/0utllnc Llghtlng- Ltmlted EnergY/Res s300 40 00 00 00 00 00 00 s 50. $ 60. $100. $130. $ s55F s 40.00 $ 55.00 s 80.00 gec nBi 200 arups or less - 201 amps to 400 enps - Over 401 to 600 amp3 - Ovcr 600 amps or 1000 volts Branch Clrcultr Nev, Alterstlon or Extenclon Pcr Pancl Oni Cl.rcult S 35.00 Each Addttlonal -Clrcult or ulth Servlcc or Feeder rlirit""'-i1 . s 2.oo' 3e E, Hlscellaneous (Servlce/fcedcr not lncludad) s 40.00 s 40.00 $ 20.00 s 36.00 A so, l,ll,tJfd El"Jf' 6tH- 5. SI,BTOTAL OP ABOI,E 5f Stato Surehergr 3 aa -i^n?lEh Frun JAI*;.),9 fr??Lct gg !lrrnrtteO 5r.tllN(;!:IGL1) has IT T'BE SCNEDULE DELOS qfr APPLICATION Job Numbe, a^ / </ - 225 I]IFTII I;TRI|I|T SPTUNGFIIiLI), oltl':GoN 97 477 INSPIICf,ION REQUIIST z 7?-6-3169 OFPICE: 72-6-3751) 1/l 3. 1 OP INSTALLA LEGAL DESCRIPTION O -4 JOB DESCRIT"TION Pcrnrits are non-transferable and expire 1f vork is not started vlthin 180 days of issuance or it vork ls suspended for 180 days. 2. CO}NRACf,OR INSTALINTION ONLY Iilcc trical Cont rac tor Add r:cs s A. Nev Resident ngle or HuIti-FamilY Per dvelling unit' Service Included:Items Cost B c D 1000 sq.ft. or less Each additlonal 500 sq. ft or Portion tlrereo f Each Manuf 'd llome or Modular Dvelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or Feeders Installatlon, Alteratlons or Reloca t ion : 200 amps or less 201 anrps to 400 amps - 401 amps to 600 amps - 601 amps to 1000 amps- Over 1000 amps/volts - Reconnect 0nIY TemporarY Services or Feeders Insiallailon, Alteration or Relocation 200 amps or }ess $ 49'99 ior ,*pr to /ro0 amps - t l!'99 over 4bt to 600 a*ps - $ so'oo 0ver 600 amps or 1000 volTs see trB, above Branch Circults Nev, Alteratlon or Extension Per Panel one circuit s 35'oo Eaclr Additional Circuit or vith Service or Feeder Perrit 1- S 2'oO I l'liscellaneous (Service/feeder not included) -Each installation Sign/0utIine Liglrting- Limi ted EnergY/Res - Liml ted EnergY/Comm SI,DTOTAL OT ABOVE 5f State Surcharge TOTAL 4tD Sum /s €o50.00 60.00 100.00 130.00 300.00 40.00 Ci ty Supe lttone ZZSR^CS)y'/ rv 1s Li ce eNunber ? /€ $ $ $ $ $ E>rpiration Date -.R.)n -/J Sign ature of pe sl rlclan / Ovners Name Add ress Ci tv Pltone OVNEn INSTALLATION The installation is being made on property I ovn vhictr is not intended f or sal.e, Iease or ren t . Ovncrs Si gna tttrc : E 00 00 00 00 s40 s40 s20 s36 DATE: RNCEIPT I{Ii(:I.IIV[D IIY: 5 o ! I Expiration Da r" /f o-{ constr contr . ttu^vu, l*fbV