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Home My WebLink AboutPermit Mechanical 1999-06-11COM M ERC!AL/ I N DUSTRIAL PERMIT APPLICATION 225 Fitln Street, Springfield, Oregon 97477 SPRINGFIELO '67 6JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK:5zr fr, // ASSESSORS MAP 7 3 372)ATTENTI oTAX LOT: callin/t:Qz 4t z VALUE N Z rougl 1-0 te h UrcntioeCFTOSr IPNotehtetelAz OWNER: ADDRESS: CITY: DESCRIPTION OF WORK -2344). ADDITION DEMOLISH OTHERNEW- REMODEL ADDRESS PHON ENAME EXPIRESADDRESS PHONE jq7't?on-{s )oao 6t7-L9o GENERAL: CONTRACTOR'S NAME ARCH ITECT: ELECTRICAL: PLUMBING: MECHANICAL: CONST. CONTRACTOR # L27, MECHANICAL NO trFtr CHA RGF Furnace/burner & vent < 100,000 BTUs [H]dA /djffibl38{Brner & vent ruo03 3lHzuM00ce and vent ONn0:ZHO$IpF/ wall or floor mounteo unrt neater IVHUII f!ElrfidiUlltl-Vent _sqp-alal€ - _ SIrliD'MtilevaP. cooler Vent Fan/Single duct Vent from System apart AC or htg. Mechanical exhaust hood and duct I tl-Y.,r/ /a,rn /re Permit lssuance ( $10.00 TOTAL PERMIT %,u PLU MBING NO.FEE CHARGE Single Fixture Relocated Bldg. (new fix. addtl) HOJoSNO(Water Service ft Sanitary Sewer ft IC NSlllt/\luld )t lurv\ltil-lllStorm Sewer ft Backf low Device TOTAL PERMIT HI dx3 - OFFICE USE - ZONING* OF UNITS: HANDICAP ACCESS: FLOOD PLAIN N OF STORIES: OCCY GROUP: LAND USE: LIGHTING POWER BUDGET: WATER HEATER:. QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: SQ. FT.$/SQ. FT.VALUE TOTAL VALUE OF PROJ x X Y SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER RCPT#DATE BYPLAN CHECK FEE BUILDING PERMIT PLUMBING DEMOLITION 5% State Su rcharge 5% State Su rcharoe MECHANICAL \q)ry.FENCE VALUE $ Srii'"','.'A3%I w SIDEWALK FT. SUBTOTAL PERMITS (f,(ffinnna-\Dpo CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUOING ELECTRICAL u) eqtrhr/6,' L5r 7 ', g Nntifinatin^ REQUIRED INSPECTIONS It is the responsibility of the permit holder to see that all lnspections are made at the proper time. To request an inspection, call 726.3769 (recorder), state your City designated job numbei 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 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 pLUMB;NG, inspections have been made SpEC;AL INSpECTIONS: tn 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 duringCURTAIN WALLS construction of the following w6rk. 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 ptace, but framing inspection' srRUcruRAL CoNCRETE: In prlor to plrolng oonor.t., FRAMING: To bc made after .xo..r of 2eoo P,S,l, (goe r,1) coNcRETE sLAB: To be the roof' all framlng' flre made after ar insrab buirdins 3l::5 ::.':f, 3|3:I?f,'; j!r" ;:I3,Tyf3.t,Y5t,3o"',rrr, ,, service equipment, conduit, and vents are complete and :fl[,?;""',",];il:? ?i:''":'TJ n: H::Hltii:fl,J#[?:T Bl?,:f],lE],?l*,?P*TH:"0in place but before any tighte;ing operations. (306concrete is placed. INSULATION & VApOR a.6) BARRIER: To be made after all UNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are ln place but FIREpROOFING: U.B.C.storm sewer, water and before any lath or gypsum Standards 43-g.drainage lines. To be made board lnterior wall covering isprior to covering or fiiling appried. spEcrAL GRADTNG,trenches. ,NDERFLooR: p,umbins IlT:,*'.:'f;lA'J3[Hl"' EliiJfiii-tii.',5Jh'i],"- 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 interiol and exterior, 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 ls applied or before STDS' 25-10J1)' sheathing. - Sypsum board joints and fasteners are taped and STRUCTURAL MASONRY: (306 FLooR TNSULATIoN & finlshed' 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^il'^,tJ"r::f""X'. NAILING: Prior to installing erected but prlor 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 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 stri ping, etc. must be completed before requestlng this inspection. FINAL BUILDING: Requested after the final plumbing, etectricat, mechanlcal 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. L ELECTRICAL L MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS 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 f urther 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. quired inspections are requested at the proper time, that project address is readable from the t of the property, and the approved set of plans will remain on the site at all -/L,nSi gnatu Datg I further ag ree to ensure that all re ecard is locatedstreet, that the btiontimes during llbf,otVALIDATION b f L ) AMOUNT RECEIVED RECEIPT *:03c/ttr <RECEIVED BY: DATE PAID: , CITY OF ONEGON zonlng, dnd not require specific land use DESCRI 4,J /rn ir/ Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALLATION OM,Y Electrical Contrac tor /SSoc,'",|e J Address ( O lSr,u 0r t SPRINGFIELD 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular DvelIing SerVice or Feeder Services or Feeders Installation, Alterations or Relocation: IFTHEWOHK_ ITIS NPJ"a"r. 200 amps or less 201 amps to 400 amps -401- amps to 600 amps _ ,.96.01 amps to 1000 amps_wBver 1000 amps/voIts CATION 7o B t Cos t $ 8s.00 s 1s.00 $ 40.00 $300 $40 on or Relocation Sum 40.00 55.00 80.00 ee 'Br a[loE- s 3s.00 city Eun^" phone e Ag Zi 7 rt Supervisor License Number Z cl - ) ( tC d FTI 00 00 00 00 00 00 S so. S oo. s100. $130. SExpiration Date constr contr. Number I O (L1 { COMM Expiration Date t'3 t- c:O ANY 180 Signature t pervising Electrician <Sr-.2, DAYPERIOD.-200 amps''or less S 201 amps to 400 amps - S over 401 to 600 amps - $0ver 600 amps or 1000-ToEs s o 0vners Name Df ciry Qr,ya f,'t ( J Phone r ,/7 D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each AdditionalCircuit or vith Serviceor Feeder Permit s 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation g 40.00Sign/0ut1ine Lighting- S 40.00Limited Energy/Res - $ 20.00Limited Energy/Comm --7-$ 36.00 T4 ?(, tu k,./n Address fzg 't"t ' // r1 7- INSTALLATION The installation is beproperty I ovn vhich ifor sale, Iease or ren 0vners Signature: o#NER ingsn t. made onot intended E DATE:f SUBTOTAL OF ABOVE 5% State Surcharge 3Z Administrative Fee TOTALRECETYED 9 5 approval Zoning €r€ FEE Date 225 SPRINGFIEI,D, OREGON INSPECITION REQTIEST:726-3769 oFFICE: 726-3759 1. LOCATTON OF Z 0 6o BELOV or